CENTERS
FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN
SERVICES
AUTHORIZATION:
Public
Health Service Act, Section 301A, 317A, and 317B, 42 U.S.C. 241a,
247b-1, 247b-3, as amended; Children's Health Act of 2000; Preventive
Health Amendments of 1992, Section 303, Public Law 102-531.
To
(1) Develop and/or enhance a surveillance system that monitors all
blood lead levels; (2) assure that children who are potentially
exposed to lead receive follow-up care; (3) assure awareness and
action among the general public and affected professionals in relation
to preventing childhood lead poisoning; and (4) expand primary prevention
of childhood lead poisoning in high risk areas in collaboration
with other government and community-based organizations.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Awards
are to be used by State and local government agencies to develop,
improve, and expand their capacity to address the problem of childhood
lead poisoning in communities with demonstrated high-risk populations.
Recipients of awards are expected to: (1) Establish, expand, or
improve services to assure that children in high risk areas are
screened; (2) intensify care coordination efforts to ensure that
children with elevated blood lead levels receive appropriate and
timely follow-up services; (3) establish, expand, or improve environmental
investigations to rapidly identify and reduce sources of lead exposure;
(4) plan and develop activities for the primary prevention of childhood
lead poisoning in demonstrated high-risk areas to be conducted in
collaboration with other government and community-based organizations;
(5) develop and implement efficient data systems compatible with
CDC guidelines for monitoring and evaluation; (6) improve the actions
of other appropriate agencies and organizations to facilitate the
rapid remediation of identified lead hazards in high-risk communities;
(7) enhance knowledge and skills of program staff through training
and other methods; (8) provide information on childhood lead poisoning
to the public, policy-makers, academic community, health care professionals,
and other interested parties; and (9) develop state-based systems
for surveillance of blood lead levels among children, and use surveillance
data to assess prevention activities and target resources. Grant
awards cannot supplant existing funding for childhood lead poisoning
prevention programs or activities. Grant awards may not be expended
for medical care and treatment, or for environmental remediation
of lead sources, however, there must be an acceptable plan to ensure
that these program activities are appropriately carried out. The
surveillance component of this grant is intended to assist State
health departments in implementing or enhancing a complete surveillance
system to track all PbB levels in children. This is essential for
grant recipients to target interventions to high-risk populations
and to track progress toward eliminating childhood lead poisoning.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Eligible applicants are State health
departments or other State health agencies or departments deemed
most appropriate by the State to direct and coordinate the State's
childhood lead poisoning prevention program. This eligibility includes
State health departments or other official organizational authority
(agency or instrumentality) of the District of Columbia, the Commonwealth
of Puerto Rico, and any Territory or possession of the United States.
Also eligible are federally-recognized Indian Tribal governments.
If a State agency applying for grant funds is other than the official
State health department, written concurrence by the State health
department must be provided. Eligible applicants may enter into
contracts, including consortia agreements as necessary, to meet
the requirements of the program and strengthen the overall application.
Applicants from eligible units of local jurisdiction must elect
to either apply directly to CDC as a grantee, or to apply as part
of a State-wide grant application. Applications cannot be submitted
simultaneously through both mechanisms. For the required surveillance
activity, eligible applicants must have regulations for reporting
of all PbB levels by both public and private laboratories or provide
assurances that such regulations will be in place within six months
of awarding the grant. Applicants other than State health departments
must apply in conjunction with their State or territorial health.
Beneficiary
Eligibility: In addition to the eligible applicants,
others who receive benefits from the program include infants and
children from 6 months to 6 years of age who are screened for
lead poisoning and family members who care for lead-poisoned children.
Lead poisoning potentially affects all children, but disproportionately
affects minority children and children of low-income families.
Since the effects of lead poisoning can be long lasting, benefits
of the program can also affect youth and adults, persons at all
educational and income levels, and urban, suburban, and rural
populations.
Credentials/Documentation:
Applicants should document the need for assistance, state the
objectives of the project, present their approach to meeting the
objectives, and outline the methods of operation. Costs will be
determined in accordance with OMB Circular No. A-87 for State
and local governments and federally-recognized Indian Tribal Governments.
Pre-application
Coordination: Preapplication coordination is
desired but not required. This program is eligible for coverage
under E.O. 12372, "Intergovernmental Review of Federal Programs."
An applicant should contact the office or official designated as
the single point of contact in his or her State for more information.
Through this process, States are provided the opportunity to review
and comment on applications for Federal financial assistance. The
due date for State process recommendations is 60 days after the
application deadline date for new and competing continuation awards.
Application
Procedure: Application forms are both available
from and submitted to the Grants Management Branch, Centers for
Disease Control and Prevention, 2920 Brandywine Road, Room 3000,
Atlanta, GA 30341. Standard application forms, as furnished by
CDC and required by 45 CFR 92 must be used for this program. This
program is subject to the provisions set forth in 45 CFR 92 for
State and local governments.
Award
Procedure: Approved grants are funded based
on a priority score ranking from an objective review process coordinated
by the Centers for Disease Control and Prevention. Awards are
made based on availability of funds and other significant factors
as deemed necessary and appropriate by the agency. Funds are awarded
for a one-year (12 month period). A Notice of Grant Award (Form
PHS 5152-1) is provided which indicates the current award as well
as support recommendations for the remainder of the project period
(up to 3 years). The Notice of Grant Award indicates allocations
for Federal funds by budget categories and any special conditions,
if applicable.
Deadlines:
For fiscal year 2001, the due date was April 2, 2001.
Range
of Approval/Disapproval Time: From 2 to 3
months.
Appeals:
None.
Renewals:
Renewal requests cannot exceed a 3-year project period. Priority
consideration will be given to noncompeting continuation applications.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula and no matching requirements. However, grant
funds cannot supplant existing funding for childhood lead poisoning
prevention programs or activities. Applicants are encouraged to
identify other funding sources to support program activities.
Length
and Time Phasing of Assistance: Financial
assistance is provided for a 12-month budget period (July 1 -
June 30) with project periods of up to 3 years subject to the
availability of funds and satisfactory progress of the grantee.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Quarterly progress reports are required. Financial status reports
are required no later than 90 days after the end of each specified
budget period. A final financial status report and final program
report will be required no later than 90 days after the end of the
project. Continuation applications for subsequent budget year support
will include a progress/performance narrative outlining accomplishments
and operations for that earlier budget period and a detailed budget
narrative supporting the budget request.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133. In addition, these grants are subject to
inspection and audits by DHHS and other Federal officials.
Records:
Financial records, supporting documents, statistical records,
and all other records pertinent to the project must be kept readily
available for review by personnel authorized to examine PHS grant
accounts. Records must be maintained for a minimum of 3 years
after the end of a budget period. If questions still remain, such
as those raised as a result of an audit, records must be retained
until completion or resolution of any audit in process or pending
resolution. Property records must be retained in accordance with
PHS Grants Policy Statement requirements.
FINANCIAL
INFORMATION:
Account
Identification: 75-0943-0-1-550.
Obligations:
FY 01 $31,854,335; FY 02 est $35,705,643; and FY 03 est $37,133,869.
Range
and Average of Financial Assistance: Funding range is from $75,000 to $1,500,000; Average: $504,000.
In fiscal year 2001, 61 grantees representing 44 States, the District
of Columbia and 17 city or county health departments received funding
to conduct childhood lead poisoning prevention programs. CDC program
staff provided technical assistance to State and local health officials
and others interested in childhood lead poisoning prevention. In
fiscal year 2001, emphasis was placed on carrying out lead poisoning
prevention activities related to implementing statewide screening
plans, emphasizing screening Medicaid-eligible children, implementing
Medicaid data matching, and establishing childhood blood lead surveillance
systems with the capability to report data to CDC. These programs
will also utilize funds to facilitate referral of children identified
with elevated blood lead levels for medical and environmental intervention,
and provide education for parents and health professionals. All
61 funded programs were awarded for fiscal year 2002 to continue
lead poisoning prevention activities. In fiscal year 2003, it is
anticipated that the same number of grantees will be funded. Additional
performance criteria, including an emphasis toward primary prevention
interventions, will be the primary focus of the program in fiscal
year 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Regulations for this program are published under 42 CFR 51b. PHS
Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
(Rev.) April l, 1994. The basic grant administration policies of
DHHS and PHS are also applicable.
INFORMATION
CONTACTS:
Regional
or Local Office: Not applicable.
Headquarters
Office: Program Contact: Ms. Marcia Brooks,
Deputy Chief, Lead Poisoning Prevention Branch, Division of Environmental
Hazards and Health Effects, National Center for Environmental
Health, Centers for Disease Control and Prevention, MS E-25, 1600
Clifton Road, Atlanta, GA 30333. Telephone: (404) 498-1341. Fax
Number: (404) 498-1444. Email: mkb2@cdc.gov. Grants Management
Contact: Ms. Mildred Garner, Grants Management Branch, Centers
for Disease Control and Prevention, 2920 Brandywine Road, Room
3000, Atlanta, GA 30341. Telephone: (770) 488-2745. Fax Number:
(770) 488-2777.
Web
Site Address: http://www.cdc.gov
EXAMPLES
OF FUNDED PROJECTS:
The first projects to receive financial assistance under this grant
program were made late in fiscal year 1990. The awards will continue
to State and city/county agencies to develop, expand, or improve
childhood lead poisoning prevention programs and statewide surveillance.
The awards will be used to strengthen grantees' capacity to perform
the three core public health functions (assessment, policy development,
and assurance) as they relate to childhood lead poisoning prevention
and surveillance. Specifically, these programs will ensure the screening
of children at risk of lead exposure; facilitate appropriate referral
of children with elevated blood lead levels for medical and environmental
interventions; and provide for the education of parents, health
care providers, and others concerned about childhood lead poisoning
prevention. In addition, programs will implement jurisdiction-wide
screening plans and establish childhood blood lead surveillance
systems.
CRITERIA
FOR SELECTING PROPOSALS:
Applications will be evaluated based upon the applicant's ability
to identify populations and communities at high risk and the overall
balance of the program's design to address the childhood lead poisoning
problem. This requires the development of specific and measurable
objectives and a sound operational plan that includes screening
of high risk populations, medical and environmental management,
lead hazard remediation, and health education and risk reduction
activities to appropriately address the problem. Applications also
will be evaluated on the ability of the program to carry out childhood
lead poisoning prevention program activities utilizing the core
public health functions as well as establishing working relations
or partnerships with other agencies, organizations or groups that
have interest in the prevention of childhood lead poisoning.
