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33146 Federal Register / Vol. 70, No.

108 / Tuesday, June 7, 2005 / Notices

the environmental analysis for the • Eligible organizations include Section VI. Award Administration
redevelopment of the St. Es West NPCR funded cancer registries, or their Information
Campus must be postmarked no later designated agent, meeting United States 1. Award Notices
than July 5, 2005, and sent to the Cancer Statistics (USCS) publication 2. Administrative and National Policy
Requirements
following address: General Services criteria for the diagnosis year 2000 or A. Cooperative Agreement Terms and
Administration, National Capital 2001. For-profit organizations, non- Conditions of Award
Region, Attention: Denise Decker, NEPA profit organizations, public and private 1. Principal Investigator Rights and
Lead, 301 7th Street, SW, Room 7600, institutions, units of State government, Responsibilities
Washington, DC 20407. Fax (202) 708— and domestic institutions that can 2. NCCDPHP Responsibilities
7671. denise.decker@gsa.gov. provide evidence of an active 3. Collaborative Responsibilities
collaboration with their respective 4. Arbitration Process
Dated: May 31, 2005.
NPCR funded cancer registry are also 3. Reporting
Patricia T. Ralston, Section VII. Agency Contact(s)
eligible to apply.
Acting Director, Portfolio Management. • Individuals with the skills, 1. Scientific/Research Contact(s)
[FR Doc. 05–11242 Filed 6–6–05; 8:45 am] knowledge, and resources necessary to 2. Peer Review Contact(s)
3. Financial/ Grants Management
BILLING CODE 6820–23–S carry out the proposed research are Contact(s)
invited to work with their institution to Section VIII. Other Information—Required
develop an application for support. Federal Citations
DEPARTMENT OF HEALTH AND Individuals from underrepresented
HUMAN SERVICES racial and ethnic groups as well as I. Funding Opportunity Description
individuals with disabilities are always The purpose of this RFA is to support
Centers for Disease Control and encouraged to apply for CDC funding research focused on two priority
Prevention announcements. cancers, female breast cancer and
• An applicant may submit only one prostate cancer, which will build on and
Breast and Prostate Cancer Data application under this funding expand the work of two Patterns of Care
Quality and Patterns of Care Study announcement. (PoC) projects conducted collaboratively
Announcement Type: New. • Applications must be prepared by CDC and selected state cancer
Funding Opportunity Number: CDC– using the ‘‘Application for a DHHS registries. This program addresses the
RFA–DP05–071. Public Health Service Grant’’ (PHS 398, ‘‘Healthy People 2010’’ focus areas of
Catalog of Federal Domestic rev. 9/04). The PHS 398 instructions Access to Quality Health Services and
Assistance Number: 93.395. and forms are available at http:// Cancer.
Key Dates: grants.nih.gov/grants/forms.htm. Measurable outcomes of the program
• Telecommunications for the hearing will be in alignment with the following
Release Date: May 11, 2005.
Letters of Intent Receipt Date: May 27, impaired is available at: TTY 301–451– performance goals for the National
2005. 0088 Center for Chronic Disease Prevention
Application Receipt Date: June 28, 2005. Table of Contents and Health Promotion (NCCDPHP): (1)
Earliest Anticipated Start Date: August To improve the quality of state-based
Part I Overview Information
31, 2005. cancer registries, (2) to increase early
Section I. Funding Opportunity Description
Expiration Date: June 29, 2005. 1. Research Objectives detection of breast and cervical cancer
Due Dates for E.O. 12372: Section II. Award Information by building nationwide programs in
Not applicable. 1. Mechanism(s) of Support breast and cervical prevention,
2. Funds Available especially among high-risk, underserved
I. Funding Opportunity Description Section III. Eligibility Information women, and (3) to expand community-
Executive Summary 1. Eligible Applicants based breast and cervical cancer
A. Eligible Institutions screening and diagnostic services to low
• This RFA will support up to six B. Eligible Individuals
registries to conduct enhanced 2. Cost Sharing or Matching income, medically underserved women.
surveillance and operations research 3. Other—Special Eligibility Criteria For women diagnosed with cancer or
utilizing population-based data from the Section IV. Application and Submission pre-cancer, ensure access to treatment
National Program of Cancer Registries Information services.
1. Address to Request Application
(NPCR). The research will focus on Information 1. Research Objectives
improving the completeness, timeliness, 2. Content and Form of Application
quality, and use of first course of Nature of Research Opportunity
Submission
treatment and stage data, and on 3. Submission Dates and Times The research priorities of the Centers
describing patterns of care for female A. Receipt and Review and Anticipated for Disease Control and Prevention’s
breast cancer and prostate cancer. A Start Dates (CDC) Cancer Surveillance Branch,
long term goal is to strengthen the 1. Letter of Intent within the Division of Cancer
B. Sending an Application to the CDC
capacity of NPCR funded state cancer C. Application Processing
Prevention and Control, are to describe
registries to use their data to improve 4. Intergovernmental Review the burden of priority cancers and
aspects of cancer care. 5. Funding Restrictions patterns of care among minority, rural,
• It is estimated that approximately 6. Other Submission Requirements and other populations and to assess the
$2 million will be available each year to Section V. Application Review Information quality of these data in NPCR funded
fund up to six registries. A total of 1. Criteria cancer registries. This RFA builds on
approximately $6 million will be 2. Review and Selection Process and extends the work of two patterns of
A. Additional Review Criteria care (PoC) projects conducted
available for the entire three year project
B. Additional Review Considerations
period. C. Sharing Research Data collaboratively by CDC and selected
• This funding opportunity will use D. Sharing Research Resources state cancer registries. It solicits
the cooperative agreement funding 3. Anticipated Announcement and Award applications in the form of cooperative
mechanism (CDC U58). Dates agreements to utilize data from NPCR

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Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices 33147

funded cancer registries to perform Additionally, CDC funded three NPCR II. Award Information
enhanced surveillance and research cancer registries for a second PoC study,
regarding patterns of care in female Ovarian Cancer Treatment Patterns and 1. Mechanism(s) of Support
breast and prostate cancers. Outcomes (PoC Part 3), which was This funding opportunity will use the
Recently published statistics from designed to describe the first course of CDC (U58) cooperative agreement award
United States Cancer Statistics: 2001 treatment for ovarian cancer and to mechanism. The award recipient will be
Incidence and Mortality, a joint assess the effects of physician specialty solely responsible for planning,
publication of CDC and the National on the quality of staging and treatment
Cancer Institute in collaboration with directing, and executing the proposed
data. project. In the cooperative agreement
the North American Association of
Central Cancer Registries, revealed that Scientific Knowledge To Be Achieved mechanism, the Principal Investigator
prostate cancer is the leading cancer Through This Funding Opportunity retains the primary responsibility and
diagnosed in men in the United States dominant role for planning, directing,
The research to be supported by this
(U.S.) and breast cancer is the most and executing the proposed project,
RFA will focus on improving the
common form of cancer diagnosed in with NCCDPHP staff being substantially
completeness, timeliness, quality, and
U.S. women. Prostate and female breast involved as a partner with the Principal
use of recent first course of treatment
cancers are the second leading cause of and stage data and on describing Investigator, as described under the
cancer death among men and women. patterns of care for two priority cancers, Section VI. 2. Administrative
female breast cancer and prostate Requirements, ‘‘Cooperative Agreement
Background
cancer. Additional research on the Terms and Conditions of Award’’.
In 1992, Congress established the
patterns of care for patients diagnosed This funding opportunity uses the
NPCR by enacting the Cancer Registries
with these two cancers, and continued just-in-time budget concepts. It requires
Amendment Act (Public Law 102–515).
assessment of the quality and summary budget information provided
This law, generally, authorizes the
Centers for Disease Control and completeness of relevant data collected in the application package, including
Prevention to provide funds to states by population-based cancer registries, the budget justification and support,
and territories to: improve existing has the potential to influence adherence written in the form, format, and the
cancer registries; plan and implement to established standards of cancer care. level of detail as specified in the budget
registries where they do not exist; A long term goal of conducting such guidelines. You may access the latest
develop model legislation and studies is to further develop the version of the budget guidelines by
regulations to enhance the viability of capacity of NPCR funded registries to accessing the following Web site: http:/
registry operations; set data standards engage in advanced cancer surveillance /www.cdc.gov/od/pgo/funding/
for data completeness, timeliness, and activities that will contribute to budgetguide2004.htm.
quality; provide training for registry improving aspects of cancer care.
This RFA is a one-time solicitation.
personnel; and help establish a Experimental Approach and Research The total project period for an
computerized reporting and data- Objectives application submitted in response to
processing system. this RFA may not exceed three years
The Institute of Medicine (IOM) Using a standardized protocol for data
reported in 1999 that some individuals collection by the participating NPCR 2. Funds Available
with cancer were not receiving the care funded registries, enhanced surveillance
known to be the most effective for their and research will be conducted targeting The NCCDPHP intends to commit
cancer diagnoses. Subsequently in 2000, female breast cancer and prostate approximately $2 million in FY 2005 to
the IOM strongly recommended that cancer. The four broad research fund up to six new competitive
information from existing data systems, objectives of this RFA are to: cooperative agreements in response to
specifically NPCR, be used to assess the (1) Determine the proportion of this RFA. An applicant may request a
quality of cancer care and variations in patients who received the recognized project period of up to three years and
adherence to established standards of standard of care for stages I through III a maximum budget for total costs of
care in the United States. In addition, female breast cancer. $333,000 per year. Approximately $6
the 2000 IOM report also documented (2) Describe the treatment patterns for million will be available for the entire
the need to assess the quality of data in all stages of prostate cancer. three years.
NPCR funded registries for measuring (3) Determine the tumor, patient, The earliest anticipated start date is
variations in the delivery of cancer care. provider, and health system August 31, 2005, with three
In 2001, CDC responded to the IOM performance periods between
characteristics that are associated with
report by funding the Breast, Prostate, September 2005 and September 2008.
different cancer treatments for female
and Colon Data Quality and Patterns of
breast and prostate cancers. Although the financial plans of the
Care study (PoC Part 1) involving eight
NPCR funded cancer registries. This (4) Assess the completeness and NCCDPHP provide support for this
study was designed to assess the quality quality of the stage and first course of program, awards pursuant to this
of data collected by population-based treatment data that are collected by funding opportunity are contingent
registries and to determine the cancer registries for female breast and upon the availability of funds and the
proportion of patients diagnosed within prostate cancers. receipt of a sufficient number of
a certain time period who received the These four research objectives will meritorious applications. Continuation
established, stage-specific standard of focus on the two most recent diagnosis of awards will be conditioned on the
care. The eight NPCR funded cancer years available, as determined by the availability of funds, evidence of
registries also participated in Phase II of Steering Committee and defined in the satisfactory progress by the recipient (as
the international CONCORD study, study protocol. documented in required reports), and
which sought to measure and explain See Section VIII, Other Information— the determination that continued
differences in cancer survival between Required Federal Citations, for policies funding is in the best interest of the
Europe, Canada, and the United States. related to this announcement. Federal Government.

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33148 Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices

Section III. Eligibility Information single-field and inter-field computerized 705–5711 or through the Web site at
edits. Funding will be contingent on http://www.dnb.com/us/. The D&B
1. Eligible Applicants
registry data meeting USCS publication number should be entered on line 11 of
1. A. Eligible Institutions criteria for diagnosis year 2002. the face page of the PHS 398 form.
You may submit an application if 1.b. NPCR funded cancer registries The title and number of this funding
your organization has any of the that have a minimum of 2,000 female opportunity must be typed on line 2 of
following characteristics: breast cancer cases (stages I through III) the face page of the application form
• Public nonprofit organizations and 2,000 prostate cancer cases (all and the YES box must be checked.
• Private nonprofit organizations stages) over the two year period, as
demonstrated in Appendix E of the 2000 3. Submission Dates and Times
• For profit organizations
• Universities and 2001 publications of USCS. Applications must be received on or
• Colleges 2. Public or private institutions that before the receipt date described below
• Research institutions can demonstrate an effective and well- (Section IV.3.A).
• Hospitals defined working relationship between
• State and local governments or their the institution and the NPCR funded 3.A. Receipt, Review, and Anticipated
Bona Fide Agents (this includes the cancer registry in that state. Evidence Start Dates
District of Columbia, the must be provided in the form of a Letter Letter of Intent Receipt Date: May 27,
Commonwealth of Puerto Rico, the of Support from the NPCR funded 2005.
Virgin Islands, the Commonwealth of registry describing the strong working
Application Receipt Date: June 38,
the Northern Marianna Islands, relationship and assuring access to data
2005.
American Samoa, Guam, the Federated for the period of the study.
States of Micronesia, the Republic of the Investigators may submit only one Peer Review Date: Week of July 25,
Marshall Islands, and the Republic of application under this funding 2005.
Palau) announcement. If your application is Earliest Anticipated Start Date:
A Bona Fide Agent is an agency/ incomplete or non-responsive to the August 31, 2005.
organization identified by the state as special eligibility requirements listed in Explanation of Deadlines: All
eligible to submit an application under this section, it will not be entered into requested information must be received
the state eligibility in lieu of a state the review process and you will be in the CDC Procurement and Grants
application. If you are applying as a notified that your application did not Office by 4 p.m. eastern time on the
bona fide agent of a state or local meet the submission requirements. deadline date.
government, you must provide a letter Applicants that request a funding If you submit your LOI or application
from the state or local government as amount greater than the award ceiling by the United States Postal Service or
documentation of your status. Place this will be considered non-responsive. commercial delivery service, you must
documentation behind the first page of Note: Title 2 of the United States Code ensure that the carrier will be able to
your application form. Section 1611 states that an organization guarantee delivery by the closing date
Institution eligibility is limited to described in Section 501(c)(4) of the Internal and time. If CDC receives your
those with broad research capacity and Revenue Code that engages in lobbying submission after closing due to: (1)
access to the data sources and activities is not eligible to receive Federal carrier error, when the carrier accepted
populations necessary to conduct the funds constituting an award, grant, or loan. the package with a guarantee for
research activities of the RFA. delivery by the closing date and time, or
Section IV. Application and Submission (2) significant weather delays or natural
1. B. Eligible Individuals Information disasters, you will be given the
Any individual with the skills, 1. Address To Request Application opportunity to submit documentation of
knowledge, and resources necessary to Information the carrier’s guarantee. If the
carry out the proposed research is documentation verifies a carrier
invited to work with their institution to The PHS 398 application instructions
are available at PHS 398 Application problem, CDC will consider the
develop an application for support. submission as having been received by
Individuals from underrepresented Form in an interactive format.
Applicants must use the currently the deadline.
racial and ethnic groups as well as
approved version of the PHS 398. If you This announcement is the definitive
individuals with disabilities are always
do not have access to the Internet, or if guide on LOI and application content,
encouraged to apply for CDC programs.
you have difficulty accessing the forms submission address, and deadlines. It
2. Cost Sharing or Matching on-line, you may contact the CDC supersedes information provided in the
Cost sharing is not required. Procurement and Grants Office application instructions. If your
Technical Information Management application does not meet the deadline
3. Other-Special Eligibility Criteria Section (PGO–TIM) staff at: 770/488– above, it will not be eligible for review
The following criteria will be used to 2700, e-mail: PGOTIM@cdc.gov. and will be discarded. You will be
determine an applicant’s eligibility: notified that you did not meet the
1.a. NPCR funded cancer registries, or 2. Content and Form of Application submission requirements.
their designated agent, meeting United Submission CDC will not notify you upon receipt
States Cancer Statistics (USCS) Applications must be prepared using of your submission. If you have a
publication criteria for either diagnosis the most current PHS 398 research grant question about the receipt of your LOI
year 2000 or 2001. Publication criteria application instructions and forms. or application, first contact your courier.
are demonstrated through case Applications must have a D&B Data If you still have a question, contact the
ascertainment of ≥90% with ≤5% of Universal Numbering System (DUNS) PGO-TIM staff at: 770/488–2700. Before
cases being ascertained by death number as the universal identifier when calling, please wait two to three days
certificate only, ≤5% of cases missing applying for Federal grants or after the submission deadline. This will
race, ≤3% of cases missing sex and age, cooperative agreements. The D&B allow time for submissions to be
and ≥97% of cases passing a set of number can be obtained by calling 866/ processed and logged.

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Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices 33149

3.A.1. Letter of Intent described above (Section IV.3.A.). If an approval by the Office of Management
CDC requests that prospective application is received after that date, it and Budget (OMB) under the Paperwork
applicants send a Letter of Intent (LOI). will be returned to the applicant Reduction Act.
Although an LOI is not required, is not without review.
Section V. Application Review
binding, and does not enter into the Upon receipt, applications will be
Information
review of a subsequent application, the evaluated for completeness by the
information that it contains allows Procurement and Grants Office (PGO) 1. Criteria
NCCDPHP staff to estimate the potential and responsiveness by the NCCDPHP. Applicants are required to provide
reviewer workload and plan the review. Incomplete and non-responsive measures of effectiveness that will
LOI format: applications will not be reviewed. demonstrate the accomplishment of the
• Two page maximum, one side only. 4. Intergovernmental Review various identified objectives of the
• One-inch margins, 12 point font, Executive Order 12372 does not apply cooperative agreement. Measures of
single spaced. to this program. effectiveness must relate to the
LOI contents: performance goals stated in Section I.
• Number and title of this funding 5. Funding Restrictions Funding Opportunity Description of this
opportunity (RFA or PA) Restrictions, which must be taken into announcement. Measures must be
• Descriptive title of proposed account while writing your budget, are objective and quantitative, and must
research. as follows: measure the intended outcome. These
• Name, address, e-mail, and • Funds relating to the conduct of measures of effectiveness must be
telephone number of the Principal research will not be released until the submitted with the application and will
Investigator. appropriate assurances and Institutional be an element of evaluation.
• Names of other key personnel. Review Board approvals are in place. The goals of CDC-supported research
• Participating Institutions. • Reimbursement of pre-award costs are to advance the understanding of
The LOI should be mailed, faxed, or is not allowed. biological systems, improve the control
e-mailed by May 27, 2005, to: Office of If you are requesting indirect costs in and prevention of disease and injury,
Extramural Research, NCCDPHP, your budget, you must include a copy and enhance health. In the written
Centers for Disease Control and of your indirect cost rate agreement. If comments, reviewers will be asked to
Prevention, 4770 Buford Highway, NE., your indirect cost rate is a provisional evaluate the application in order to
Mailstop K–92, Atlanta, GA 30341. rate, the agreement should be less than judge the likelihood that the proposed
Telephone: 770/488–8390. Fax: 770/ 12 months of age. research will have a substantial impact
488–8046. E-mail: OER@cdc.gov. on the pursuit of these goals.
6. Other Submission Requirements The following will be considered in
3.B. Sending an Application
The general instructions in the PHS making funding decisions:
Applications must be prepared using 398 should be followed; however, • Scientific merit of the proposed
the PHS 398 research grant application applications must also include the project as determined by peer review.
instructions and forms as described following: • Availability of funds.
above. Submit a signed, typewritten 1. A work plan describing activities to • Relevance of program priorities.
original of the application, including the meet the project goals and objectives Preference may be given to
checklist, and two signed photocopies and demonstrating the capability to applications based on evidence of
in one package to: Technical abstract the required number of cases. accessibility to populations with racial/
Information Management–CDC–RFA 2. A personnel plan describing the ethnic and socio-economic diversity
DP–05–071, CDC Procurement and team members’ roles in carrying out the necessary to achieve socio-economic
Grants Office, 2920 Brandywine Road, objectives of the project, including the and racial/ethnic representation of the
Atlanta, GA 30341. planned percent of effort for team United States population.
At the time of submission, three members.
2. Review and Selection Process
additional copies of the complete 3. A timeline that adequately
application, including the appendix demonstrates appropriate distribution of Upon receipt, applications will be
material, must be sent to: Brenda Colley project activities over the three year reviewed for completeness by PGO and
Gilbert, Ph.D., M.S.P.H., Centers for study period. responsiveness by the NCCDPHP.
Disease Control and Prevention, Office 4. Letters of support from Incomplete and/or non-responsive
of Extramural Research, NCCDPHP, collaborating partners that provide applications will not be reviewed.
4770 Buford Highway, NE., Mailstop K– evidence of an active collaboration and Applicants will be notified that their
92, Atlanta, GA 30341. commitment to work as full partners. application did not meet submission
FedEX Address: Brenda Colley This announcement requires requirements.
Gilbert, Ph.D., M.S.P.H., Office of summary budget information provided Applications that are complete and
Extramural Research, NCCDPHP, Koger in the application package, including responsive to the RFA will be evaluated
Center/Williams Building, 2877 the budget justification and support, for scientific and technical merit by an
Brandywine Road, Room 5516, Atlanta, written in the form, format, and the external peer review group convened by
GA 30341. level of detail as specified in the budget the NCCDPHP in accordance with the
For further assistance contact the CDC guidelines. You may access the latest review criteria stated below.
Procurement and Grants Office, version of the budget guidelines by As part of the initial merit review, all
Technical Information Management accessing the following Web site: http:/ applications will:
Section: telephone 770/488–2700, e- /www.cdc.gov/od/pgo/funding/ • Undergo a selection process in
mail pgotim@cdc.gov. budgetguide2004.htm. which only those applications deemed
Projects that involve the collection of to have the highest scientific merit,
3.C. Application Processing information from ten or more generally the top half of applications
Applications must be received on or individuals and funded by cooperative under review, will be discussed and
before the application receipt date agreement will be subject to review and assigned a priority score.

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33150 Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices

• Receive a written critique within 30 4. Investigators. Are the investigators differences when warranted; and (4) a
days after the review. appropriately trained and well suited to statement as to whether the plans for
Scored applications will receive a carry out this work? Is the work recruitment and outreach for study
second level of review by the NCCDPHP proposed appropriate to the experience participants include the process of
Secondary Review Committee. The level of the principal investigator and establishing partnerships with
review process will follow the policy other researchers? Does the investigative community(ies) and recognition of
requirements as stated in the GPD 2.04 team bring complementary and mutual benefits.
(http://198.102.218.46/doc/gpd204.doc). integrated expertise to the project (if
The following review criteria will be 2. B. Additional Review Considerations
applicable)?
addressed and considered in assigning Does the project team have expertise Budget: The reasonableness of the
the overall score, weighting them as in cancer surveillance research or proposed budget and the requested
appropriate for each application. Note provide evidence of recent preparation period of support in relation to the
that an application does not need to be that would enhance its successful proposed research. The priority score
strong in all categories to be judged involvement in such a project? should not be affected by the evaluation
likely to have major scientific impact 5. Environment. Does the scientific of the budget.
and thus deserve a high priority score. environment in which the work will be
3. Anticipated Announcement and
For example, an investigator may done contribute to the probability of
Award Dates
propose to carry out important work success? Do the proposed studies
that by its nature is not innovative but benefit from unique features of the CDC expects to make awards on or
is essential to move a field forward. scientific environment, or subject about August 31, 2005.
1. Significance. Does this study populations, or employ useful Section VI. Award Administration
address an important problem? If the collaborative arrangements? Is there Information
aims of the application are achieved, evidence of institutional support?
how will scientific knowledge or 1. Award Notices
clinical practice be advanced? What will 2. A. Additional Review Criteria
After the peer review of the
be the effect of these studies on the Collaboration. Does the applicant application is completed, the Principal
concepts, methods, technologies, provide evidence of an active Investigator will receive a written
treatments, services, or preventative collaboration and commitment to work critique called a Summary Statement.
interventions that drive this field? as full partners? Do current or past Those applications under consideration
2. Approach. Are the conceptual or cancer surveillance projects involve for funding will receive a call or email
clinical framework, design, methods, successful collaborations between the from the Grants Management Specialist
and analyses adequately developed, researchers and the partnering public or (GMS) of the Procurements and Grants
well integrated, well reasoned, and private institutions? Office (PGO) with additional
appropriate to the aims of the project? In addition to the above criteria, the information.
Does the applicant acknowledge following items will continue to be A formal notification in the form of a
potential problem areas and consider considered in the determination of Notice of Award (NoA) will be provided
alternative tactics? scientific merit and the priority score: to the applicant organization. The NoA
Does the work plan describe activities Protection of Human Subjects from signed by the Grants Management
that meet the project goals and Research Risk. Federal regulations (45 Officer (GMO) is the authorizing
objectives and demonstrate the CFR part 46) require that applications document. This document will be
capability to abstract the required and proposals involving human subjects mailed and/or emailed to the
number of cases? Does the personnel be evaluated and that they reference the institutional fiscal officer identified in
plan describe the team members’ roles risk to the subjects, the adequacy of the application.
in carrying out the objectives of the protection against these risks, the Selection of the application for award
project? Are the PI’s and other team potential benefits of the research to the is not an authorization to begin
members’ percent effort adequate for the subjects and others, and the importance performance. Any cost incurred before
conduct of the study? Is a timeline of the knowledge gained or to be gained receipt of the NoA is at the recipient’s
provided that demonstrates appropriate (http://www.hhs.gov/ohrp/ risk. See also Section IV.5. Funding
distribution of project activities over the humansubjects/guidance/45cfr46.htm). Restrictions.
three-year study period? Does the The involvement of human subjects and
protections from research risk relating to 2. Administrative and National Policy
applicant provide evidence of the
their participation in the proposed Requirements
capacity to engage in advanced cancer
surveillance activities that will research will be assessed (see the The Code of Federal Regulations 45
ultimately contribute to improving Research Plan, Section E on Human CFR part 74 and part 92 have details
aspects of cancer care? Subjects in the PHS Form 398). about policy requirements. For more
3. Innovation. Is the project original Inclusion of Women, Minorities and information on the Code of Federal
and innovative? For example: Does the Children in Research. Does the Regulations, see the National Archives
project challenge existing paradigms or application adequately address the CDC and Records Administration at the
clinical practice; address an innovative Policy requirements regarding the following Internet address: http://
hypothesis or critical barrier to progress inclusion of women, ethnic, and racial www.access.gpo.gov/nara/cfr/cfr-table-
in the field? Does the project develop or groups in the proposed research? This search.html. The following additional
employ novel concepts, approaches, includes: (1) The proposed plan for the requirements can be found in Section
methodologies, tools, or technologies for inclusion of both sexes and racial and VIII. Other Information of this document
this area? ethnic minority populations for or on the CDC Web site at the following
Does the project have the potential to appropriate representation; (2) the Internet address: http://www.cdc.gov/
provide insights about patterns of care proposed justification when od/pgo/funding/ARs.htm. These will be
in diverse racial, ethnic, geographic, representation is limited or absent; (3) a incorporated into the award statement
socio-economic, and other special statement as to whether the design of and will be provided to the Principal
populations? the study is adequate to measure Investigator, as well as to the

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Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices 33151

appropriate institutional official, at the 4. Obtain an annual, updated local 4. Facilitate movement of the initial
time of award. institutional IRB approval. research protocol through the CDC
5. Assure and maintain the Institutional Review Board (IRB),
2. A. Cooperative Agreement Terms and
confidentiality of all study data. including keeping the CDC IRB abreast
Conditions of Award 6. Participate actively in CDC site of protocol amendments, and facilitating
The following special terms of award visits designed to support and enhance annual reviews.
are in addition to, and not in lieu of, research progress and performance. 5. Participate in joint data analyses
otherwise applicable OMB 7. Participate in the analyses of and interpretation and the presentation
administrative guidelines, HHS grant aggregated study data and state-specific and publication of findings.
administration regulations at 45 CFR data. 6. Collaborate in producing technical
Parts 74 and 92 (Part 92 is applicable 8. Develop and produce technical reports and manuscripts for peer-
when State and local Governments are reports or manuscripts for peer- reviewed publications, as appropriate.
eligible to apply), and other HHS, PHS, reviewed publications. 7. Facilitate distribution and
and CDC grant administration policies. 9. Serve as a member of the Steering dissemination of research findings.
The administrative and funding Committee that will provide scientific 8. Assure and maintain the
instrument used for this program will be oversight for the study. confidentiality of all study data.
the cooperative agreement (CDC U58), 10. Participate in national, regional,
Additionally, an agency program
an ‘‘assistance’’ mechanism (rather than and local communication of study
official or the NCCDPHP program
an ‘‘acquisition’’ mechanism), in which development, implementation, and
director will be responsible for the
substantial NCCDPHP programmatic findings to public, professional, and
normal scientific and programmatic
involvement with the awardees is governmental organizations and
stewardship of the award and will be
anticipated during the performance of agencies, through written, oral, and
named in the award notice.
the activities. Under the cooperative electronic means.
agreement, the NCCDPHP’s purpose is 11. Communicate state-specific 2. A.3. Collaborative Responsibilities
to support and stimulate the recipients’ findings to the public, cancer registry,
The following are areas of joint
activities by involvement in, and and medical and cancer control
responsibility between the award
otherwise working jointly with, the communities through presentations and
recipients and the NCCDPHP project
award recipients in a partnership role; publications.
Awardees will retain custody of and team:
it is not to assume direction, prime
have primary rights to the data and 1. Participation in the development of
responsibility, or a dominant role in the
software developed under these awards, a Steering Committee that will provide
activities. Consistent with this concept,
subject to Government rights of access scientific oversight for the study. The
the dominant role and prime
consistent with current HHS, PHS, and Steering Committee, the main governing
responsibility resides with the awardees
CDC policies and applicable federal board of the study, will be composed of
for the project as a whole, although
laws and regulations. the Principal Investigator from each
specific tasks and activities may be
research site and a NCCDPHP Project
shared among the awardees and the 2. A.2. NCCDPHP Responsibilities Scientist serving as consultant. The role
NCCDPHP as defined above.
A NCCDPHP Project Scientist and of chairperson will be rotated among the
2. A.1. Principal Investigator Rights and PoC multidisciplinary team will have Principal Investigators of the research
Responsibilities substantial programmatic involvement sites. The Principal Investigators must
The Principal Investigator at each that is above and beyond the normal have proven evidence of leadership
research site will have the primary stewardship role in awards, as described ability and be able to make an adequate
responsibility to lead the efforts of the below: time commitment to the cooperative
research team to: 1. Participate in the development of agreement.
1. Participate effectively within the the study by providing scientific The Steering Committee, in
research collaborative group, composed consultation and technical assistance in collaboration with NCCDPHP project
of investigators from each of the the development of the research scientists, will meet initially to develop
research sites and CDC investigators, to questions, study design and protocol, the protocol and throughout the year to
develop the specific research questions the development of sampling discuss the progress of the study. It will
to be addressed in the project (Section procedures, the design of the have primary responsibility for
I Research Objectives, 1–4) and the instruments, development of study developing a common research design,
resulting standard research protocol, methods and procedures, including protocols and manuals of operations,
including the study design, design of collection, analysis, and interpretation facilitating the conduct and monitoring
the instruments, development of study of data, resolution of data quality issues, of studies, developing policies relating
methods and procedures, collection, and dissemination of results. to access to patient data, and reporting
analysis and interpretation of data, and 2. Facilitate communication among study results. The Steering Committee
methods for dissemination of results. recipients for the development of a must approve the protocol, changes to
2. Assist in the development of a common protocol, quality control, protocols, and manuals of operation.
research protocol for the Institutional interim data monitoring, data analysis, The Principal Investigator of each
Review Board (IRB) review by all interpretation of findings, reporting, and research site will be responsible for the
cooperating institutions participating in coordination of activities, through execution of the protocol and will
the research project. The CDC IRB will written, oral, and electronic means. provide progress reports to the Steering
review and approve the protocol 3. Support the recipients’ activities by Committee. The Steering Committee
initially, and on at least an annual basis, collaborating and providing ongoing will establish guidelines for
until the research project is completed. scientific and public health consultation presentations at scientific meetings and
3. Collaborate with other study and assistance in the development of for writing and publishing manuscripts
investigators and follow common activities related to the cooperative on the findings of the study.
protocols and manuals of operation agreement, including conducting site 2. Identify ways to collaborate with
developed by the Steering Committee. visits to recipient institutions. cancer care providers and others to use

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33152 Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices

research findings to improve care to 3. Peer Review Contacts Note: In addition to other applicable
patients. committees, Indian Health Service (IHS)
Scientific Review Administrator, institutional review committees must also
3. Establish agreements for sharing
Centers for Disease Control and review the project if any component of IHS
data.
Prevention, Office of Extramural will be involved with or will support the
Each full member will have one vote.
Research, NCCDPHP, 4770 Buford research. If any American Indian community
Grantee members of the Steering
Highway, NE., Mailstop K–92, Atlanta, is involved, its tribal government must also
Committee will be required to accept
GA 30341. Telephone: 770/488–8390. E- approve the applicable portion of that
and implement policies approved by the
mail: OER@cdc.gov. project.
Steering Committee.
4. Financial or Grants Management
3. Reporting AR–2 Requirements for Inclusion of
Contacts
Grantees must provide CDC with an Women and Racial and Ethnic
original, plus two hard copies of the Lucy Picciolo, Procurements and Minorities in Research
following reports: Grants Office, Centers for Disease
Control and Prevention, Koger Office It is the policy of the Centers for
1. Interim progress report, (use form Disease Control and Prevention (CDC)
PHS 2590, OMB Number 0925–0001, Park, Colgate Building, Mailstop E–14,
Atlanta, GA 30341–5539. Telephone: and the Agency for Toxic Substances
rev. 5/2001 as posted on the CDC and Disease Registry (ATSDR) to ensure
website) no less than 90 days before the 770/488–2683. E-mail: lip6@cdc.gov.
that individuals of both sexes and the
end of the budget period. The progress Section VIII. Other Information various racial and ethnic groups will be
report will serve as your non-competing
Required Federal Citations included in CDC/ATSDR-supported
continuation application and must
research projects involving human
contain the following elements: AR–1 Human Subjects Requirements subjects, whenever feasible and
a. Current Budget Period Activities appropriate. Racial and ethnic groups
Objectives. If the proposed project involves
research on human subjects, the are those defined in OMB Directive No.
b. Current Budget Period Financial 15 and include American Indian or
Progress. applicant must comply with the
Department of Health and Human Alaska Native, Asian, Black or African
c. New Budget Period Program American, Hispanic or Latino, Native
Services (DHHS) Regulations (Title 45
Proposed Activity Objectives. Hawaiian or Other Pacific Islander.
Code of Federal Regulations Part 46)
d. Budget. Applicants shall ensure that women,
regarding the protection of human
e. Measures of Effectiveness. research subjects. All awardees of CDC racial and ethnic minority populations
f. Additional Requested Information. grants and cooperative agreements and are appropriately represented in
2. Annual Progress Report, due 90 their performance sites engaged in applications for research involving
days after the end of the budget period. human subjects research must file an human subjects. Where clear and
3. Financial status report, no more assurance of compliance with the compelling rationale exist that inclusion
than 90 days after the end of the budget Regulations and have continuing is inappropriate or not feasible, this
period. reviews of the research protocol by situation must be explained as part of
4. Final financial and performance appropriate institutional review boards. the application. This policy does not
reports, no more than 90 days after the apply to research studies when the
In order to obtain a Federalwide
end of the project period. investigator cannot control the race,
Assurance (FWA) of Protection for
These reports must be mailed to the ethnicity, and/or sex of subjects. Further
Human Subjects, the applicant must
Grants Management Specialist listed in guidance to this policy is contained in
complete an on-line application at the
the ‘‘Agency Contacts’’ section of this the Federal Register, Vol. 60, No. 179,
Office for Human Research Protections
announcement. pages 47947–47951, and dated Friday,
(OHRP) Web site or write to the OHRP
Section VII. Agency Contacts for an application. OHRP will verify that September 15, 1995.
the Signatory Official and the Human AR–9 Paperwork Reduction Act
We encourage your inquiries
Subjects Protections Administrator have Requirements
concerning this funding opportunity
completed the OHRP Assurance
and welcome the opportunity to answer
Training/Education Module before Under the Paperwork Reduction Act,
questions from potential applicants.
approving the FWA. Existing Multiple projects that involve the collection of
Inquiries may fall into three areas:
Project Assurances (MPAs), Cooperative information from ten or more
Scientific/research, peer review, and
Project Assurances (CPAs), and Single individuals and funded by a grant or a
financial or grants management issues:
Project Assurances (SPAs) remain in full cooperative agreement will be subject to
1. General Questions effect until they expire or until review and approval by the Office of
Technical Information Management December 31, 2003, whichever comes Management and Budget (OMB).
Section, CDC Procurement and Grants first.
AR–10 Smoke-Free Workplace
Office, 2920 Brandywine Road, Atlanta, To obtain a FWA contact the OHRP at: Requirements
GA 30341. Telephone: 770/488–2700. E- http://ohrp.osophs.dhhs.gov/
mail: PGOTIM@cdc.gov. irbasur.htm. Or: CDC strongly encourages all
If your organization is not Internet- recipients to provide a smoke-free
2. Scientific/Research Contacts active, please obtain an application by workplace and to promote abstinence
Brenda Colley Gilbert, PhD, M.S.P.H., writing to: Office for Human Research from all tobacco products. Public Law
Centers for Disease Control and Protections (OHRP), Department of 103–227, the Pro-Children Act of 1994,
Prevention, Office of Extramural Health and Human Services, 6100 prohibits smoking in certain facilities
Research, NCCDPHP, 4770 Buford Executive Boulevard, Suite 3B01, MSC that receive Federal funds in which
Highway, NE., Mailstop K–92, Atlanta, 7501, Rockville, Maryland 20892–7507. education, library, day care, health care,
GA 30341. Telephone: 770/488–8390. E- (For express or hand delivered mail, use or early childhood development
mail: BColleyGilbert@cdc.gov. ZIP code 20852.) services are provided to children.

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Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices 33153

AR–11 Healthy People 2010 The provisions are not intended to AR–15 Proof of Non-profit Status
prohibit all interaction with the Proof of nonprofit status must be
CDC is committed to achieving the legislative branch, or to prohibit
health promotion and disease submitted by private nonprofit
educational efforts pertaining to public organizations with the application. Any
prevention objectives of ‘‘Healthy
health. Clearly there are circumstances of the following is acceptable evidence
People 2010,’’ a national activity to
when it is advisable and permissible to of nonprofit status: (a) A reference to the
reduce morbidity and mortality and
provide information to the legislative applicant organization’s listing in the
improve the quality of life. For the
conference copy of ‘‘Healthy People branch in order to foster Internal Revenue Service’s (IRS) most
2010,’’ visit the Internet site: http:// implementation of prevention strategies recent list of tax-exempt organizations
www.health.gov/healthypeople. to promote public health. However, it described in section 501(c)(3) of the IRS
would not be permissible to influence, Code; (b) a copy of a currently valid IRS
AR–12 Lobbying Restrictions directly or indirectly, a specific piece of tax exemption certificate; (c) a statement
Applicants should be aware of pending legislation. It remains from a State taxing body, State Attorney
restrictions on the use of HHS funds for permissible to use CDC funds to engage General, or other appropriate State
lobbying of Federal or State legislative in activity to enhance prevention; Official certifying that the applicant
bodies. Under the provisions of 31 collect and analyze data; publish and organization has a nonprofit status and
U.S.C. 1352, recipients (and their sub- disseminate results of research and that none of the net earnings accrue to
tier contractors) are prohibited from surveillance data; implement prevention any private shareholders or individuals;
using appropriated Federal funds (other strategies; conduct community outreach (d) a certified copy of the organization’s
than profits from a Federal contract) for services; provide leadership and certificate of incorporation or similar
lobbying Congress or any Federal training, and foster safe and healthful document that clearly establishes
agency in connection with the award of environments. nonprofit status; (e) any of the above
a particular contract, grant, cooperative proof for a State or national parent
Recipients of CDC grants and
agreement, or loan. This includes organization and a statement signed by
cooperative agreements need to be
grants/cooperative agreements that, in the parent organization that the
careful to prevent CDC funds from being
whole or in part, involve conferences for applicant organization is a local
used to influence or promote pending
which Federal funds cannot be used nonprofit affiliate.
legislation. With respect to conferences,
directly or indirectly to encourage public events, publications, and AR–16 Security Clearance
participants to lobby or to instruct ‘‘grassroots’’ activities that relate to Requirement
participants on how to lobby. specific legislation, recipients of CDC All individuals who will be
In addition, no part of CDC funds should give close attention to performing work under a grant or
appropriated funds, shall be used, other isolating and separating the appropriate cooperative agreement in a CDC-owned
than for normal and recognized use of CDC funds from non-CDC funds. or leased facility (on-site facility) must
executive-legislative relationships, for CDC also cautions recipients of CDC receive a favorable security clearance,
publicity or propaganda purposes, for funds to be careful not to give the and meet all security requirements. This
the preparation, distribution, or use of appearance that CDC funds are being means that all awardee employees,
any kit, pamphlet, booklet, publication, used to carry out activities in a manner fellows, visiting researchers, interns,
radio, television, or video presentation that is prohibited under Federal law. etc., no matter the duration of their stay
designed to support or defeat legislation at CDC must undergo a security
pending before the Congress or any AR–14 Accounting System
clearance process.
State or local legislature, except in Requirements
presentation to the Congress or any AR–22 Research Integrity
The services of a certified public
State or local legislature itself. No part The signature of the institution
accountant licensed by the State Board
of the appropriated funds shall be used official on the face page of the
of Accountancy or the equivalent must
to pay the salary or expenses of any application submitted under this
grant or contract recipient, or agent be retained throughout the project as a
part of the recipient’s staff or as a Program Announcement is certifying
acting for such recipient, related to any compliance with the Department of
activity designed to influence legislation consultant to the recipient’s accounting
personnel. These services may include Health and Human Services (DHHS)
or appropriations pending before the regulations in title 42 part 50, subpart A,
Congress or any State or local the design, implementation, and
maintenance of an accounting system entitled ‘‘Responsibility of PHS
legislature. Awardee and Applicant Institutions for
that will record receipts and
Any activity designed to influence Dealing with and Reporting Possible
expenditures of Federal funds in
action in regard to a particular piece of Misconduct in Science.’’
accordance with accounting principles,
pending legislation would be The regulation places several
Federal regulations, and terms of the
considered ‘‘lobbying.’’ That is lobbying requirements on institutions receiving
cooperative agreement or grant.
for or against pending legislation, as or applying for funds under the PHS Act
well as indirect or ‘‘grass roots’’ Capability Assessment that are monitored by the DHHS Office
lobbying efforts by award recipients that of Research Integrity’s (ORI) Assurance
are directed at inducing members of the It may be necessary to conduct an on- Program. For examples:
public to contact their elected site evaluation of some applicant Section 50.103(a) of the regulation
representatives at the Federal or State organization’s financial management states: ‘‘Each institution that applies for
levels to urge support of, or opposition capabilities prior to or immediately or receives assistance under the Act for
to, pending legislative proposals is following the award of the grant or any project or program which involves
prohibited. As a matter of policy, CDC cooperative agreement. Independent the conduct of biomedical or behavioral
extends the prohibitions to lobbying audit statements from a Certified Public research must have an assurance
with respect to local legislation and Accountant (CPA) for the preceding two satisfactory to the Secretary (DHHS) that
local legislative bodies. fiscal years may also be required. the applicant: (1) Has established an

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33154 Federal Register / Vol. 70, No. 108 / Tuesday, June 7, 2005 / Notices

administrative process, that meets the a. In a timely manner. DEPARTMENT OF HEALTH AND
requirements of this subpart, for b. Completely, and as accurately as HUMAN SERVICES
reviewing, investigating, and reporting possible.
allegations of misconduct in science in Centers for Disease Control and
connection with PHS-sponsored c. To facilitate the broader Prevention
biomedical and behavioral research community.
conducted at the applicant institution or d. Developed in accordance with CDC Incidence, Natural History, and Quality
sponsored by the applicant; and (2) Will policy on Releasing and Sharing Data, of Life of Diabetes in Youth
comply with its own administrative April 16, 2003, http://www.cdc.gov/od/ Part I—Overview Information
process and the requirements of this foia/policies/sharing.htm, and in full
subpart.’’ compliance with the 1996 Health Department of Health and Human
Section 50.103(b) of the regulation Insurance Portability and Services
states that: ‘‘An applicant or recipient
Accountability Act (HIPPA), (where Issuing Organization
institution shall make an annual
applicable), The Office of Management Centers for Disease Control and
submission to the [ORI] as follows: (1)
The institution’s assurance shall be and Budget Circular A110, (2000) Prevention (CDC), (http://www.cdc.
submitted to the [ORI], on a form revised 2003, http://www.whitehouse. gov/).
prescribed by the Secretary, * * * and gov/omb/query.html?col=omb&qt=
Releasing+and+Sharing+of+Data and Participating Organizations
updated annually thereafter * * * (2)
An institution shall submit, along with Freedom of Information Act (FOIA) Centers for Disease Control and
its annual assurance, such aggregate http://www.4.law.cornell.edu/uscode/5/ Prevention (CDC), (http://www.cdc.
information on allegations, inquiries, 5/552/html. gov/).
and investigations as the Secretary may National Institutes of Health (NIH),
Applications must include a copy of
prescribe.’’ An additional policy is (http://www.nih.gov/).
the applicant’s Data Release Plan.
added in the year 2000 that ‘‘requires Applicants should provide CDC with Components of Participating
research institutions to provide training appropriate documentation on the Organizations
in the responsible conduct of research to reliability of the data. Applications
all staff engaged in research or research National Center for Chronic Disease
submitted without the required Plan Prevention and Health Promotion
training with PHS funds.
may be ineligible for award. Award will (NCCDPHP), (http://www.cdc.gov/
AR–24 Health Insurance Portability be made when reviewing officials have nccdphp/), Division of Diabetes
and Accountability Act Requirements approved an acceptable Plan. The Translation (DDT), (http://www.cdc.gov/
Recipients of this grant award should successful applicant and the Program diabetes/).
note that pursuant to the Standards for Manager will determine the National Institute of Diabetes and
Privacy of Individually Identifiable documentation format. CDC Digestive and Kidney Diseases (NIDDK),
Health Information promulgated under recommends data is released in the form (http://www.niddk.nih.gov/).
the Health Insurance Portability and closest to micro data and one that will Title: Incidence, Natural History, and
Accountability Act (HIPAA) (45 CFR preserve confidentiality. Quality of Life of Diabetes in Youth.
parts 160 and 164) covered entities may Announcement Type: New.
disclose protected health information to Authority and Regulations Request For Applications (RFA)
public health authorities authorized by Number: RFA–DP–05–069.
This program is described in the Catalog of Federal Domestic
law to collect or receive such Catalog of Federal Domestic Assistance
information for the purpose of Assistance Number: 93.945.
at http://www.cfda.gov/ and is not Key Dates: Release Date: May 11,
preventing or controlling disease,
subject to the intergovernmental review 2005.
injury, or disability, including, but not
requirements of Executive Order 12372 Letters of Intent Receipt Date: May 25,
limited to, the reporting of disease,
injury, vital events such as birth or or Health Systems Agency review. 2005.
death, and the conduct of public health Awards are made under the Application Receipt Date: June 24,
surveillance, public health authorization of 399B of the Public 2005.
investigations, and public health Health Service Act (PHS Act), 42 U.S.C. Earliest Anticipated Start Date:
interventions. The definition of a public 280e, 399C of the PHS Act, 42 U.S.C. August 31, 2005.
280e–1, 399D of the PHS Act, 42 U.S.C. Expiration Date: June 25, 2005.
health authority includes a person or
280e–2, 317(k)(2) of the PHS Act, 42 Due Dates for E.O. 12372: Not
entity acting under a grant of authority
U.S.C. 247b(k)(2), and 301(a) of the PHS Applicable.
from or contract with such public
agency. CDC considers this project a Act, 42 U.S.C. 241(a). All awards are Additional Overview Content
public health activity consistent with subject to the terms and conditions, cost
Executive Summary
the Standards for Privacy of principles, and other considerations
Individually Identifiable Health described in the NIH Grants Policy • This RFA has two components, A
Information and CDC will provide Statement. The NIH Grants Policy and B:
successful recipients a specific grant of Statement can be found at http:// Component A solicits applications for
public health authority for the purposes grants.nih.gov/grants/policy/policy.htm. conducting multi-center, population-
of this project. based research studies aimed at:
Dated: May 31, 2005. assessing the incidence and secular
AR–25 Release and Sharing of Data William P. Nichols, trends of diabetes in youth; enhancing
The Data Release Plan is the Grantee’s Director, Procurement and Grants Office, our knowledge of the natural history of
assurance that the dissemination of any Centers for Disease Control and Prevention. diabetes and its complications in
and all data collected under the CDC [FR Doc. 05–11254 Filed 6–6–05; 8:45 am] children; conducting research on health
data sharing agreement will be released BILLING CODE 4163–18–P care utilization, processes of care, and
as follows: quality of life of youth with diabetes;

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