From owner-sci-resources@net.bio.net Mon Sep 02 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS, 31 August 1996
Date: 3 Sep 1996 15:04:29 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
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This message contains a summary of the documents added to the NSF STIS
system for the week ending August 31, 1996.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Graduate Fellowships

   Title: FMAPPL   Application Form with instructions
               File size (bytes):       272
               STIS Filename:           fmappl.txt
               Also available:          fmappl.pdf fmappl.doc

   Title: FMINFO  Information form with instructions
               File size (bytes):       271
               STIS Filename:           fminfo.txt
               Also available:          fminfo.pdf fminfo.doc

Document Type: Recruit

   Title: Auditor
               File size (bytes):       8564
               STIS Filename:           vgs9654.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Graduate Fellowships

   Title: FMCRSRPT   Course Report Form
               File size (bytes):       260
               STIS Filename:           fmcrsrpt.txt
               Also available:          fmcrsrpt.doc fmcrsrpt.pdf

   Title: FMGENINS  General Instructions & Inventory List
               File size (bytes):       278
               STIS Filename:           fmgenins.txt
               Also available:          fmgenins.doc fmgenins.pdf

   Title: FMGFKITD - Instructions for MS Word for Windows 6.0 Forms
          Kit
               File size (bytes):       3238
               STIS Filename:           fmgfkitd.txt
               Also available:          fmgfkitd.doc

   Title: FMGFKITD - Instructions for MS Word for Windows 6.0 Forms
          Kit
               File size (bytes):       3238
               STIS Filename:           fmgfkitd.txt
               Also available:          fmgfkitd.doc

   Title: FMGFKITP - Instructions for PDF Forms Kit
               File size (bytes):       3248
               STIS Filename:           fmgfkitp.txt
               Also available:          fmgfkitp.pdf

   Title: FMGFKITP - Instructions for PDF Forms Kit
               File size (bytes):       3248
               STIS Filename:           fmgfkitp.txt
               Also available:          fmgfkitp.pdf

   Title: FMGPA Undergraduate GPA Form
               File size (bytes):       256
               STIS Filename:           fmgpa.txt
               Also available:          fmgpa.doc fmgpa.pdf

   Title: FMGRE  GRE Information and GRE Candidate Identification
          Form
               File size (bytes):       288
               STIS Filename:           fmgre.txt
               Also available:          fmgre.doc fmgre.pdf

   Title: FMPRERES Previous Research Experience Form
               File size (bytes):       273
               STIS Filename:           fmpreres.txt
               Also available:          fmpreres.pdf fmpreres.doc

   Title: FMPROPLN Proposed Plan of Study or Research Form
               File size (bytes):       279
               STIS Filename:           fmpropln.txt
               Also available:          fmpropln.doc fmpropln.pdf

   Title: FMREFRPT  Reference Report Form
               File size (bytes):       262
               STIS Filename:           fmrefrpt.txt
               Also available:          fmrefrpt.doc fmrefrpt.pdf

   Title: FMTRSREQ Transcript Request Form
               File size (bytes):       263
               STIS Filename:           fmtrsreq.txt
               Also available:          fmtrsreq.doc fmtrsreq.pdf

Document Type: Phone Book

   Title: NSF Alpha Telephone Directory
               File size (bytes):       113967
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Telephone Directory
               File size (bytes):       125372
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
               ** FOR YOUR REFERENCE (updated 8/23/96) **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS 

We are currently migrating to a completely Web-based information
dissemination system.  Please visit our Web site at the following
URL:

           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
If you are familiar with STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov".

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov".

From owner-sci-resources@net.bio.net Wed Sep 04 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 25, no. 30, pt. 1of1, 6 September 1996
Date: 5 Sep 1996 16:27:00 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 579
Sender: daemon@net.bio.net
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Distribution: world
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X-comment: RFAs described: PA-96-072
X-URL: gopher://gopher.nih.gov:70/11/res/nih-guide/guide-files/96.09.06

NIH GUIDE - Vol. 25, No. 30 - September 6, 1996

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

SMALL BUSINESS INNOVATION RESEARCH PROGRAM
National Institutes of Health
Centers for Disease Control and Prevention
INDEX:  NATIONAL INSTITUTES OF HEALTH; CENTERS FOR DISEASE CONTROL
AND PREVENTION

$$INDEX N2 **********************************************************

NCI PROGRAM PROJECT APPLICATION INFORMATION
National Cancer Institute
INDEX:  CANCER

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 **********************************************************

TB RESEARCH MATERIALS AND VACCINE TESTING (RFP NIH-NIAID-DMID-97-06)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX P1 **********************************************************

MECHANISMS OF AIDS PATHOGENESIS (PA-96-072)
National Institute of Allergy and Infectious Diseases
National Institute of Dental Research
INDEX:  ALLERGY, INFECTIOUS DISEASES; DENTAL RESEARCH

THE NIH GUIDE IS AVAILABLE ELECTRONICALLY VIA BITNET OR INTERNET, BY
SUBSCRIPTION, AND IS ALSO ON THE NIH GOPHER (GOPHER.NIH.GOV) AND THE
NIH WEBSITE (HTTP://WWW.NIH.GOV).  ALTERNATIVE ACCESS IS THROUGH THE
NIH GRANT LINE VIA MODEM (DATA LINE 301/402-2221); CONTACT DR. JOHN
JAMES AT 301/435-2801 FOR DETAILS ON THE NIH GRANT LINE.

THE PHS STRONGLY ENCOURAGES ALL GRANT AND CONTRACT RECIPIENTS TO
PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE OF ALL TOBACCO
PRODUCTS.  IN ADDITION, PUBLIC LAW 103-227, THE PRO-CHILDREN ACT OF
1994, PROHIBITS SMOKING IN CERTAIN FACILITIES (OR IN SOME CASES, ANY
PORTION OF A FACILITY) IN WHICH REGULAR OR ROUTINE EDUCATION,
LIBRARY, DAY CARE, HEALTH CARE OR EARLY CHILDHOOD DEVELOPMENT
SERVICES ARE PROVIDED TO CHILDREN.  THIS IS CONSISTENT WITH THE PHS
MISSION TO PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE
AMERICAN PEOPLE.

ALL COMPETING GRANT APPLICATIONS SUBMITTED TO THE NATIONAL INSTITUTES
OF HEALTH MUST BE SENT TO:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

THE GRANTS INFORMATION OFFICE, DRG, HAS BEEN INCORPORATED INTO THE
NEW OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES, OFFICE OF
EXTRAMURAL RESEARCH, OFFICE OF THE DIRECTOR, NIH.  REQUESTS FOR
APPLICATION FORMS, PUBLICATIONS, AND OTHER INFORMATION MAY BE
DIRECTED TO THE FOLLOWING:

OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, MSC 7910
BETHESDA, MD  20892-7910
TELEPHONE:  (301) 435-0714
EMAIL:  ASKNIH@ODROCKM1.OD.NIH.GOV

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

SMALL BUSINESS INNOVATION RESEARCH PROGRAM

NIH GUIDE, Volume 25, Number 30, September 6, 1996

P.T. 34; K.W. 0710030

National Institutes of Health
Centers for Disease Control and Prevention

Contract Proposal Receipt Date:  November 5, 1996

Innovative technologies and methodologies fuel progress in biomedical
and behavioral research and represent an increasingly important area
of the economy.  The Small Business Innovation Research (SBIR)
program provides support for research and development (R&D) of new or
improved technologies and methodologies that have the potential to
succeed as commercial products.

The purpose of this notice is to (1) announce the issuance of the
"Solicitation of the Public Health Service for Small Business
Innovation Research (SBIR) Contract Proposals (PHS 97-1)" with a due
date for receipt of proposals of November 5, 1996; and (2) inform the
public about the opportunities that the SBIR program offers to small
business concerns as well as to scientists at research institutions,
including colleges and universities.  Beginning October 1, 1996 (FY
1997) through FY 2000, Public Law 102-564, dated October 28, 1992,
requires the Public Health Service (PHS), Department of Health and
Human Services, and certain other federal agencies to reserve 2.5
percent of their extramural research or R&D budgets for an SBIR
program.  The PHS SBIR set-aside requirement for FY 1997 is estimated
to be $230-$240 million.

The offeror organization must be a small business concern, and the
PRIMARY EMPLOYMENT of the principal investigator MUST be with the
small business concern at the time of award and during the conduct of
the proposed project.  In accord with the intent of the SBIR program
to increase private sector commercialization of innovations derived
>From federal R&D, scientists at research institutions can play an
important role in an SBIR project by serving as consultants and/or
subcontractors to the small business concern.  Normally, up to
one-third of the Phase I budget may be spent on consultant and/or
subcontractual costs, and up to one-half of the Phase II budget may
be spent on such costs.  In this manner, a small business concern
with limited expertise and/or research facilities may benefit from
teaming with a scientist(s) at a research institution; for the
scientist(s) at a research institution, this team effort provides
support for R&D not otherwise obtained.

The SBIR program consists of the following three phases:

PHASE I:  The objective of this phase is to determine the scientific
and technical merit and feasibility and potential for
commercialization of the proposed research or R&D efforts and the
quality of performance of the small business concern, before
consideration of further Federal support in Phase II.

PHASE II:  The objective of this phase is to continue the research or
R&D efforts initiated in Phase I.  Funding shall be based on the
results of Phase I and the scientific and technical merit and
commercial potential of the Phase II proposal.  Only Phase I
contractors are eligible to apply for Phase II funding, and Phase II
proposals may be submitted upon the request of the Contracting
Officer ONLY.  (However, see ~Fast-Track~ Pilot Initiative below.)

PHASE III:  The objective of this phase, where appropriate, is for
the small business concern to pursue, with non-SBIR funds, the
commercialization of the results of the research or R&D funded in
Phases I and II.

The amount and period of support for SBIR awards are as follows:

PHASE I:  Normally, awards may not exceed $100,000 for direct costs,
indirect costs, and negotiated fixed fee for a period normally not to
exceed six months.

PHASE II: Normally, awards may not exceed $750,000 for direct costs,
indirect costs, and negotiated fixed fee for a period normally not to
exceed two years, that is, generally, a two-year Phase II project may
not cost more than $750,000 for that project.  Only one Phase II
award may be made for any SBIR project.

"FAST-TRACK" PILOT INITIATIVE (Applicable only to proposals submitted
to National Institutes of Health [NIH])

Fast-Track is a parallel review option available to those small
business concerns (offeror organizations) whose proposals satisfy
additional criteria which enhance the probability of the project's
commercial success.  Proposals that do not meet these criteria may be
redirected for review through the standard review procedures
described in the PHS SBIR Contract Solicitation under section VIII,
Method of Selection and Evaluation Criteria.

Fast-Track offers two major advantages:

1.  Concurrent peer review of both Phase I and Phase II projects.

Fast-Track SBIR proposals for both Phase I and Phase II must be
submitted together for concurrent initial peer review and evaluation.
To Identify the proposals as Fast-Track, check the box marked "Yes"
next to the words "Fast-Track Proposal" shown on the Phase I Proposal
Cover Sheet (Appendix A).  The Phase I proposal must specify clear,
measurable goals (milestones) that should be achieved prior to
initiating Phase II.  Failure to provide clear, measurable goals may
be sufficient reason for the  peer review committee to exclude the
Phase II proposal from Fast-Track review, retaining it for Phase I
consideration only.  The peer review committee will evaluate the
goals and may suggest other milestones that should be achieved prior
to the Phase II award.  The Phase I and Phase II proposals will be
scored individually and the scores for both phases totaled.
Following the initial peer review, Fast-Track proposals may receive
secondary review by the program staff of the respective NIH awarding
component.

2.  Minimal or no funding gap between Phase I and Phase II.

Fast-Track Phase II proposals may be funded following submission of
the Phase I progress report and other documents necessary for
continuation.  Phase II proposals will be selected for award based on
the project's scientific and technical merit of the proposed Phase II
research; the awarding component's assessment of the Phase I progress
report and determination that the Phase I objectives were met and
feasibility demonstrated; the potential of the proposed research for
technological innovation; and the availability of funds.  (See
section VIII of the PHS SBIR Contract Solicitation for discussion of
the Technical Evaluation Criteria.)

SBIR contract proposals submitted to the NIH are eligible for the
Fast-Track review process upon meeting the following criteria:

1.  The Phase II proposal must be accompanied by a commitment(s) for
funds and/or resources for commercialization of the product(s) or
service(s) resulting from the SBIR contract.  Although a specific
level of commitment is not specified, funds or resources matching or
greater than the Phase II award are encouraged.  Any commitment(s)
>From an investor or partner organization must be described in a
letter of agreement or contract signed by an official of the investor
or partner organization with the authority to legally bind the
organization.  Details of the commitment(s) must be included in a
COMMITMENT APPENDIX to the Phase II proposal.

2.  The COMMITMENT APPENDIX must specify the amount of funds and/or
the nature of resources that will be dedicated to activities directly
related to the SBIR project and must describe those activities.  Non-
federal commitments may support additional research and development
on the project or activities that are beyond the scope of federal
SBIR funding, such as market research.  The activities supported by
the commitment(s) should begin in Phase II and provide for a smooth
transition into Phase II commercialization.

3.  Because of the risk involved, the commitment(s) may be contingent
upon the small business concern receiving the Phase II award,
achieving technical objectives, and the technology continuing to be
scientifically and economically viable in the marketplace.  Details
of commitment contingencies must be described in the COMMITMENT
APPENDIX.  Withdrawal of the commitment(s) may be considered
sufficient reason by the participating awarding component to remove
the Phase II proposal from consideration under Fast-Track or withhold
further Phase II support.

4.  The small business concern must submit a concise Product
Development Plan (limited to five pages) as a PRODUCT DEVELOPMENT
PLAN APPENDIX to the Phase II proposal addressing each of the
following areas:

a.  Company information, including size, specialization area(s),
products with significant sales, and history of previous federal and
non-federal funding, regulatory experience, and subsequent
commercialization.

b.  Value of SBIR project, including lay description of key
technology objectives, current competition, and advantages to
competing products or services.

c.  Commercialization plans, milestones, target dates, market
analyses of market size, and estimated market share after first year
sales and after five years.

d.  Patent status or other protection of project intellectual
property.

Following are the research topics contained in the SOLICITATION OF
THE PUBLIC HEALTH SERVICE FOR SMALL BUSINESS INNOVATION RESEARCH
(SBIR) CONTRACT PROPOSALS (PHS 97-1) for the proposal receipt date of
November 5, 1996:

NATIONAL INSTITUTES OF HEALTH

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM (NIAAA)
o  Antibodies to peptides and proteins mediating alcohol-related
behaviors (from DBR);

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES
(NIAMS)
o  Markers of Osteoarthritis

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES
(NIDDK)
o  Assays for Identification of High Risk Individuals for the
Development of Insulin Dependent Diabetes (IDDM)
o  Transplantation of Human Islets or Beta Cells
o  Improved Methods for Production of Clinical Gene Therapy Vectors
for Diseases of Interest to NIDDK
o  Development of Materials for Screening and Recruitment of Clinical
Trial Participants
o  Self-study Materials for Achieving Intensive Management of
Glycemic Levels
o  Methods to Detect and Quantify Kidney Damage
o  Acute Renal Failure
o  New Noninvasive Body Iron Test

NATIONAL INSTITUTE ON DRUG ABUSE (NIDA)
o  Drug Supply Services Support
o  Develop Animal Model(s) with Compromised Immune Function Induced
by Abused Drug(s) to  Screen Potential HIV/AIDS Medicating Agents
o  Develop Animal Models to Assess the Potential for Genetic
Predisposition or Increased Sensitivity to Cardiovascular
Complications Associated with Abused Substance(s)
o  Computerized Neuropsychological Testing Software
o  Development of a Computerized Problem Oriented Screening
Instrument for Teenagers (Posit)
o  Development of Improved HIV Risk Reduction Questionnaire and
Interview
o  Questionnaires or Brief Interviews for Assessment of Drug Abuse in
Individuals Seen in Primary Health Care Settings
o  Handbook for Conducting Drug Abuse Research with Ethnic/Racial
Minority Populations
o  International Drug Abuse Epidemiology Data Bank

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES (NIEHS):
o  Development of a Transgenic Teleost Animal Model for Assessing
Mutagenesis
o  Better Nitrone Spin Traps for Oxygen-Centered Radicals
o  Commercialization of Laboratory Methods for Assessing the Genetic
Responses to Chemicals
o  Device/Capability for Quantitative Assessment of Bone Strength in
Rodents
o  Methods for Assessing the Estrogenicity and Other Endocrine
Activity of Environmental Chemicals
o  Development of Device and Procedure for Collecting DNA by Mail
with a Cheek Swab

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI)
o  Stage- and Tissue-Specific Animal Models of Hemophilia
o  Radio-frequency Coils for High Field MRI
o  ECG Monitoring in MRI to Detect Cardiac Ischemia

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE (NINDS)
o  Animal Models
o  Models for Screening Antiepileptic and Antiepileptogenic Therapy
o  Alertness Measures
o  Improved EEG/ICU/OR Interface
o  Medication Dispensing Monitor
o  Improving Magnetic Resonance Imaging to Evaluate the Central
Nervous System of Critically-ill Neonates
o  Development of Neuronal Pluripotential Neuronal Stem Cells
o  Quantitative Tremor Measurement
o  Inducible Knockout Technology
o  Genome Scanning
o  Direct Gene Transfer

NATIONAL CENTER FOR RESEARCH RESOURCES (NCRR)
o  General Software Tools for Biomedical Research

CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)

NATIONAL CENTER FOR HEALTH STATISTICS (NCHS)

o  Electronic Death Registration System Prototype

NATIONAL IMMUNIZATION PROGRAM (NIP)
o  Design a Multi-channel, Needleless Injector Device to Administer
Vaccines

PUBLIC HEALTH PRACTICE PROGRAM OFFICE (PHPPO)
o  Distance Learning (DL) Support Technology.

INQUIRIES

Eligibility requirements, definitions, submission procedures, review
considerations, contract proposal forms and instructions, and other
pertinent information, including the "Fast-Track" Pilot Initiative,
are contained in the Solicitation of the PHS for SBIR Contract
Proposals for the proposal receipt date of November 5, 1996, which
will be available electronically on or about September 6, 1996,
through the NIH Home Page at: HTTP://WWW.NIH.GOV.

A limited number of hard copies of the Solicitation will be available
on or about September 13, 1996, from:

PHS SBIR/STTR Solicitation Office
13687 Baltimore Avenue
Laurel, MD  20707-5096
Telephone:  (301) 206-9385
FAX:  (301) 206-9722
Email:  a2y@cu.nih.gov

Those interested in the PHS SBIR GRANT program may access --
electronically -- the OMNIBUS SOLICITATION OF THE PUBLIC HEALTH
SERVICE FOR SMALL BUSINESS INNOVATION RESEARCH (SBIR) GRANT
APPLICATIONS for the calendar year 1996 receipt dates of April 15,
August 15, and December 15 (same dates each year) at:
HTTP://WWW.NIH.GOV:80/GRANTS/OEP/SBIR/SBIR962.HTM.  The "Fast-Track"
review option is a pilot initiative for SBIR grant applications also.

Hard copies of the PHS SBIR GRANT Solicitation may be obtained from
the PHS SBIR/STTR Solicitation Office at the address above.  See also
the NIH GUIDE FOR GRANTS AND CONTRACTS, Volume 25, Number 7, March 8,
1996.

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

NCI PROGRAM PROJECT APPLICATION INFORMATION

NIH GUIDE, Volume 25, Number 30, September 6, 1996

P.T. 34; K.W. 1014006, 0715035

National Cancer Institute

Application Submission

There are three receipt deadlines for all NCI Program Project (P01)
applications.  Regardless of whether the application is new, a
competing renewal, amended, or a request for a supplement, the only
receipt dates are:  February 1, June 1, and October 1.  Incoming
applications are assigned to the review round that follows the date
that they are received by the Division of Research Grants.  For
example, a grant application received in March would be assigned to
the June 1 review cycle.

Also note that effective June 1, 1996, NIH Program Staff are required
to notify the Division of Research Grants Receipt and Referral Office
of any new application requesting $500,000 (direct costs) or more in
any one year, before the application is received.  In order to do
this, Program Staff must be notified in advance of the intent to
submit such an application.  Since the vast majority of NCI P01s
exceed $500,000 per year, you must inform the NCI Referral Officer of
your intent to submit a new P01 application.  The mailing address,
telephone number and E- mail address are as follows:

Referral Officer
Division of Extramural Activities
National Cancer Institute
6130 Executive Boulevard, Room 636A - MSC 7405
Bethesda, MD  20892-7405
Telephone:  (301) 496-3428
FAX:  (301) 402-0275
Email:  FRIEDBET@DEA.NCI.NIH.GOV

Amended Applications

The Office of the Director, NIH, issued a notice in June 1996 that
beginning with the October 1, 1996 receipt date the NIH no longer
accepts applications amended more than twice.  This policy applies to
all applications, including new and competing continuation program
projects.  Applicants approaching this limit are strongly advised to
consider alternative funding mechanisms (e.g., concurrent submission
of individual R01s) at the time of submission of any A2 (second
amended) P01 application.

Instructions to Applicants

Copies of the NCI P01 Guidelines can be obtained from the NCI
Referral Office (address shown above).  The Guidelines may also be
accessed via the NCI Home Page at:
HTTP://WWW.NCI.NIH.GOV/EXTRA/DEAWEB/DEA.HTM

INQUIRIES

Questions related to NCI P01 review may be directed to:

David Irwin, Ph.D.
Division of Extramural Activities
6130 Executive Boulevard, Room 635E - MSC 7405
Bethesda, MD  20892-7405
Telephone:  (301) 402-0371
FAX:  (301) 496-6497
Email:  IrwinD@DEA.NCI.NIH.GOV

$$N2 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN NIH-NIAID-DMID-97-06 *************************************

TB RESEARCH MATERIALS AND VACCINE TESTING

NIH GUIDE, Volume 25, Number 30, September 6, 1996

RFP AVAILABLE:  NIH-NIAID-DMID-97-06

P.T. 34; K.W. 0740075, 0715165

National Institute of Allergy and Infectious Diseases

The Respiratory Diseases Branch, Division of Microbiology and
Infectious Diseases, National Institute of Allergy and Infectious
Diseases has a requirement for a contractor to supply tuberculosis
research materials to the scientific community and to provide animal
models for aerosol challenge studies.  Integral to this project will
be efforts, in cooperation with other interested tuberculosis
researchers, directed toward identification and evaluation of the
major M. tuberculosis antigens associated with protection against
tuberculosis.  It is anticipated that one cost-reimbursement,
completion contract will be awarded for a period of seven years.  RFP
NIAID-DMID-97-06 is available electronically and may be accessed
through the World Wide Web by using the following Web address or URL
(uniform resource locator): http://www.anser.org/nih/.

This RFP is only available via this RFP Home Page, and proposals in
response to this RFP must be submitted electronically.  Instructions
for this procurement and for proper submission are set forth at the
Web Site mentioned above.  Following proposal submission and the
initial review process, offerors comprising the competitive range
will be requested to provide additional documentation to the
Contracting Officer.  Responses to this RFP will be due on October
28, 1996.  Any responsible offeror may submit a proposal that will be
considered by the Government.  This advertisement does not commit the
Government to award a contract.  Questions regarding this acquisition
may be directed to Mr. Carl Henn at (301) 496-0993, or internet
address ch24v@nih.gov.

$$R1 END ************************************************************

$$P1 BEGIN PA-96-072 FULL-TEXT **************************************

MECHANISMS OF AIDS PATHOGENESIS

NIH GUIDE, Volume 25, Number 30, September 6, 1996

PA AVAILABLE:  PA-96-072

P.T. 34;  K.W. 071508, 0765033, 0705048

National Institute of Allergy and Infectious Diseases
National Institute of Dental Research

PURPOSE

This Program Announcement (PA) is intended to foster applications for
integrated, multi-disciplinary pathogenesis research linking in vitro
studies to in vivo disease, focusing on the following targeted areas
of research identified in the 1995 NIAID HIV/AIDS Research Agenda:
(1) possible direct and indirect mechanisms of HIV-mediated
immunodeficiency; (2) events at cell and organ levels that
characterize or predict HIV entry or disease progression; (3) host
genes, alleles, corresponding proteins and their mechanisms of action
that control susceptibility to HIV infection, level of infectivity
for HIV transmission, and/or rate of disease progression; and (4)
impact of vaccine-induced immune responses on mucosal transmission
and in vivo pathogenesis.  The mechanisms of support will be research
project grants (R01), Interactive Research Project Grants (IRPG), the
First Independent Research Support and Transition (FIRST) (R29)
award, and the Small Research Grants (R03).  Research support may
also be obtained through applications for a competitive supplement to
ongoing NIH-funded grants.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas. This PA,
Mechanisms of AIDS Pathogenesis, is related to the Priority area of
HIV infection.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0 or Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-512-1800).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Opendra Sharma, Ph.D.
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2C04 - MSC 7620
Bethesda, MD  20892-7620
Telephone:  (301) 496-9041
Email:  os4g@nih.gov

Eleni Kousvelari, D.D.S; D.Sc
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-24
Bethesda, MD  20892-6402
Telephone:  (301) 594-2427
Email:  Kousvelari@de45.nidr.nih.gov

$$P1 END ************************************************************

From owner-sci-resources@net.bio.net Wed Sep 04 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PA-96-072 - V25(30) 09/06/96
Date: 5 Sep 1996 16:27:40 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
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MECHANISMS OF AIDS PATHOGENESIS

NIH GUIDE, Volume 25, Number 30, September 6, 1996

PA NUMBER:  PA-96-072

P.T. 34;  K.W. 071508, 0765033, 0705048

National Institute of Allergy and Infectious Diseases
National Institute of Dental Research

PURPOSE

This Program Announcement (PA) is intended to foster applications
focusing on an hypothesis for AIDS-related pathogenesis applying
state-of-the-art methods and approaches to in vivo research.  In vivo
research includes studies of human clinical or epidemiologic cohorts,
animal models, or appropriate specimens from humans or animals.
Where scientifically justified, applicants are encouraged to include
both human and animal studies.  While the research necessary to test
a proposed pathogenesis hypothesis may be possible within a single
laboratory, some applications may require separate components at the
same or different institutions specializing in different scientific
disciplines (e.g., molecular biology, biochemistry, cellular biology,
cellular immunology, pathology, genetics and biophysics).

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Mechanisms of AIDS Pathogenesis, is related to the Priority area of
HIV infection.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0 or Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State or local
government, and eligible agencies of the Federal government.  The
total requested project period for an application submitted in
response to this PA may not exceed five years; a foreign application
may not request more than three years of support and will receive no
support for indirect costs.  Domestic applications may include
international components but these components will receive no support
for indirect costs.  Foreign institutions are not eligible for the
First Independent Research Support and Transition (FIRST) (R29)
Award.  Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as principal investigators.

MECHANISM OF SUPPORT

The mechanisms of support will be investigator-initiated research
project grants (R01), Interactive Research Project Grants (IRPG), the
First Independent Research Support and Transition (FIRST) (R29)
award, and the Small Research Grants (R03).  Research support may
also be obtained through applications for a competitive supplement to
ongoing NIH-funded grants.

Information on the IRPG mechanism is available in program
announcement PA-96-001, published in the NIH Guide for Grants and
Contracts, Vol. 24, No. 35, October 6, 1995.  Applicants for R03
grants may request up to $50,000 annual direct costs for a period not
to exceed two (NIDR) or three (NIAID) years.  Applicants for R03
grants must follow special application guidelines, which are
referenced below.  Publications containing IRPG and R03 application
guidelines are available from the program staff listed under
INQUIRIES.  Responsibility for the planning, direction, and execution
of the proposed project will be solely that of the applicant.
Applicants are encouraged to coordinate, through the use of
consortium arrangements or subcontracts, integrated approaches with
individuals or institutions having relevant reagents and expertise in
their use, demonstrated ability in a particular area of relevant
research, or access to relevant animal or patient populations.
Potential applicants are encouraged to contact the program staff
listed under INQUIRIES for guidance concerning the organization and
scope of the proposed work, the most appropriate support mechanism,
and the preparation of the application.

RESEARCH OBJECTIVES

This PA encourages hypothesis-focused applications for HIV
pathogenesis research linking in vitro studies to in vivo disease on
the targeted areas of research identified in the 1995 NIAID HIV/AIDS
Research Agenda listed below.  Additionally, this PA encourages
investigators with current NIH-funded grants on in vivo AIDS
pathogenesis to submit competitive supplement applications to examine
the effect of vaccination on lentiviral mucosal transmission and/or
viral disease.

The targeted research areas below are not listed in priority order
and are intended to be illustrative rather than exhaustive examples.

o  Possible direct and indirect mechanisms of HIV-mediated
immunodeficiency; e.g., the effect of HIV infection on immune
regulation including signaling ligands, receptors, pathways, and
cellular maturation processes.

o  Events at the cell and organ system levels that characterize or
predict HIV entry or disease progression; e.g., virus and infected
cell trafficking, viral burden and characteristics in blood and
tissues (particularly in lymph nodes, oral and gut mucosa, spleen,
bone marrow, and brain), and sites and kinetics of CD4+ cell
destruction in vivo.

o  Host genes, alleles, corresponding proteins and their mechanisms
of action that control susceptibility to HIV infection, level of
infectivity for HIV transmission, and/or rate of disease progression,
e.g., adhesion proteins, receptors, cytokines/chemokines and
regulatory pathways.

o  Impact of vaccine-induced immune responses on mucosal transmission
and in vivo pathogenesis.

The most relevant studies are expected to examine molecular and
cellular biology, virology, and immunology within the context of
animal models and/or well-defined human cohorts or patient samples.
Investigators are encouraged to minimize the number of new animals
entered into research studies (and related support expenses) by
using, whenever possible, animals in ongoing supported non-human
primate research.

Descriptive research that is not structured around a specific
hypothesis(es) is not within the scope of this PA.  For example,
natural history epidemiologic studies in many DAIDS-supported cohorts
are critically important for collecting information on the cause and
course of disease.  Although the information provided by such studies
may provide a foundation for hypotheses that may be tested in
research, this PA is intended to encourage the next step in research,
the testing of these hypotheses.

Clinical trials and recruitment or retention of cohorts are not
encouraged under this PA.  However, identified costs for patient
visits, sample storage and handling specific to the applicant's
proposed research are appropriate.  Proposed analyses of samples
acquired from epidemiologic or clinical trials are also appropriate.
Investigators are encouraged to use existing supported epidemiologic
or clinical cohorts instead of requesting funds to support or
establish additional cohorts.  Applicants are responsible for
establishing components and/or collaborative arrangements.  Program
staff listed under INQUIRIES may be able to assist in forming
collaborations and suggesting relevant cohorts or reagent resources.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 20, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 5/95) and will be accepted at the standard application
deadlines as indicated in the application kit.  The receipt dates for
applications for AIDS-related research are also found in the PHS 398
instructions.  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Extramural Outreach and Information Resources, National Institutes of
Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910,
telephone (301) 435-0714, email: ASKNIH@odrockm1.od.nih.gov.

The title and number of this program announcement must be typed in
Section 2 on the face page of the application (i.e., "Mechanisms of
AIDS Pathogenesis," PA-96-072).

The completed original application and five legible copies must be
sent or delivered to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

NIAID R03 APPLICANTS ONLY

Applicants for NIAID R03 grants must follow application guidelines
for SMALL RESEARCH GRANTS - NIAID, which appeared in the NIH Guide
for Grants and Contracts, Vol. 25, No. 9, March 22, 1996, and are
available from the NIAID program staff listed under INQUIRIES.  The
completed original and  three legible single-sided copies of the
application must be sent or delivered to the Division of Research
Grants at the above address.  In addition, mail two copies of the R03
application and all five sets of any appendices to the address below.
Also, direct inquiries regarding review issues and special
instructions for application preparation to the address below.

Stanley Oaks, Ph.D.
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 4C06 - MSC 7042
Bethesda, MD  20892-7610
Telephone:  (301) 496-7042
FAX:  (301) 402-2638
Email:  os4g@nih.gov

NIDR R03 APPLICANTS ONLY

Applicants for NIDR R03 grants must  follow the guidelines for the
Small Grants Program, which appeared in the NIH Guide for Grants and
Contracts, Vol. 20, No.12, March 22, 1991.  Applicants are also
required to follow the R03 page limitations described in the NIH
Guide Vol. 22, No. 1, January 8, 1993.  Copies of these guidelines
are available from the NIDR staff listed under INQUIRES.  The
completed original and three  legible single-sided copies of the
application must be sent or delivered to the Division of Research
Grants at the above address.  In addition, mail two copies of the R03
application to the address below.  Also, direct inquiries regarding
review issues and special instructions for application preparation to
the address below.

William Gartland, Ph.D.
Division of Extramural Research
National Institute of Dental Research
Building 45, Room 4AN-32
Bethesda, MD  20892-6402
Telephone:  (301) 594-2372
FAX:  (301) 480-8303
Email:  GartlandW@de45.nidr.nih.gov

FIRST (R29) AWARD APPLICANTS ONLY

FIRST (R29) applications must include at least three sealed letters
of reference attached to the face page of the original application.
FIRST applications submitted without the required number of reference
letters will be considered incomplete and will be returned without
review.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications that are complete will be
evaluated for scientific and technical merit by study sections of the
Division of Research Grants, NIH (or by the review group of the
relevant Institute, Center, or Division), in accordance with the
standard NIH peer review procedures.  As part of the initial merit
review, all applications will receive a written critique and undergo
a process in which only those applications deemed to have the highest
scientific merit, generally the top half of applications under
review, will be discussed, assigned a priority score, and receive a
second level review by the appropriate national advisory council or
board.

Review Criteria

o  Scientific, technical, or medical significance and originality of
proposed research;

o  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  Availability of the resources necessary to perform the research;

o  Appropriateness of the proposed budget and duration in relation to
the proposed research;

o  For studies involving human subjects, adequacy of plans to include
both genders and minorities and their subgroups as appropriate for
the scientific goals of the research.  Plans for the recruitment and
retention of subjects will also be evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects, the safety of the research
environment, and conformance with the NIH Guidelines for the
Inclusion of Women and Minorities as Subjects in Clinical Research.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications.  The following will be considered in making funding
decisions:

o  Quality of the proposed project as determined by peer review
o  Availability of funds
o  Institute priority for area of proposed research

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Opendra K. Sharma, Ph.D.
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2C06 - MSC 7620
Bethesda, MD  20892-7620
Telephone:  (301) 496-8378
FAX:  (301) 402-3211
Email:  os4g@nih.gov)

Eleni Kousvelari, D.D.S., D.Sc
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-24
Bethesda, MD  20892-6402
Telephone: (301) 594-2427
FAX:  (301) 480-8318
Email:  Kousvelari@de45.nidr.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Jackie Johnson
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C16 - MSC 7610
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
FAX:  (301) 480-3780
Email:  jj19e@nih.gov

Mr. Martin Rubinstein
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-44A
Bethesda, MD  20892-6402
Telephone:  (301) 594-4800
FAX:  (301) 480-8301
Email:  Martin.Rubinstein@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, 93.856 - Microbiology and Infectious Diseases Research
and 93.855 - Immunology, Allergy and Transplantation Research.
Awards are made under authorization of the Public Health Service Act,
Title IV, Part A (Public Law 78-410, as amended by Public Law 99-158,
42 USC 241 and 285) and administered under PHS grant policies and
Federal Regulations 42 CFR Part 52 and 45 CFR Part 74.  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

From owner-sci-resources@net.bio.net Sun Sep 08 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS, 7 September 1996
Date: 9 Sep 1996 16:29:48 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 114
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Distribution: world
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This message contains a summary of the documents added to the NSF STIS
system for the week ending September 7, 1996.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Graduate Fellowships

   Title: FMINFINS Instructions for completing the Information Form
               File size (bytes):       4735
               STIS Filename:           fminfins.txt

Document Type: Press Release

   Title: nsf pr96-46-OCEAN SEDIMENTS CONTAIN RECORD OF PAST
          VEGETATION FIRES IN AFRICA May Provide
               File size (bytes):       4540
               STIS Filename:           pr9646.txt

   Title: pr96-47 - JURIS HARTMANIS TO LEAD NSF'S DIRECTORATE FOR
          COMPUTER AND INFORMATION SCIENCE AND ENGINEERING
               File size (bytes):       4086
               STIS Filename:           pr9647.txt

Document Type: Program Guideline

   Title: NSF 96-138 - Research on Education, Policy and Practice
          (REPP)
               File size (bytes):       35259
               STIS Filename:           nsf96138.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Dir of Awards

   Title: Minority Graduate Fellowship Awards Program for Fiscal
          Year 1996
               File size (bytes):       14768
               STIS Filename:           gf96mawd.txt
               Also available:          gf96mawd.dlm

   Title: Minority Graduate Fellowship Honorable Mention Recipients
          - FY 1996
               File size (bytes):       21630
               STIS Filename:           gf96mhm.txt
               Also available:          gf96mhm.dlm

   Title: Graduate Fellowship Awards for Fiscal Year 1996
               File size (bytes):       69540
               STIS Filename:           gf96rawd.txt
               Also available:          gf96rawd.dlm

   Title: Graduate Fellowship Honorable Mention Recipients for
          Fiscal Year 1996
               File size (bytes):       112050
               STIS Filename:           gf96rhm.txt
               Also available:          gf96rhm.dlm

Document Type: Graduate Fellowships

   Title: FMGINS General Instructions
               File size (bytes):       11840
               STIS Filename:           fmgins.txt

Document Type: Phone Book

   Title: NSF Alpha Telephone Directory
               File size (bytes):       114864
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Directory
               File size (bytes):       125406
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
               ** FOR YOUR REFERENCE (updated 8/23/96) **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS 

We are currently migrating to a completely Web-based information
dissemination system.  Please visit our Web site at the following
URL:

           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
If you are familiar with STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov".

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov".

From owner-sci-resources@net.bio.net Sun Sep 15 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS, 14 September 1996
Date: 16 Sep 1996 15:45:46 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 72
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Distribution: world
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NNTP-Posting-Host: net.bio.net

This message contains a summary of the documents added to the NSF STIS
system for the week ending September 14, 1996.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: International Document

   Title: INT 96-24 Special Scientific Report 96-01, Cooperative
          Studies of Crustal Deformation using Borehole Strain
               File size (bytes):       5280
               STIS Filename:           int9624.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: News

   Title: MPSLECT - The Big Crunch
               File size (bytes):       2090
               STIS Filename:           mpslect.txt

Document Type: Phone Book

   Title: NSF Alphabetical Telephone Directory
               File size (bytes):       113527
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Telephone Directory
               File size (bytes):       126460
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
               ** FOR YOUR REFERENCE (updated 8/23/96) **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS 

We are currently migrating to a completely Web-based information
dissemination system.  Please visit our Web site at the following
URL:

           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
If you are familiar with STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov".

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov".


From owner-sci-resources@net.bio.net Thu Sep 19 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biohelp>
Newsgroups: bionet.sci-resources
Subject: BIOSCI/bionet miniFAQ & Fundraiser
Date: 20 Sep 1996 14:11:52 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 240
Sender: daemon@net.bio.net
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NNTP-Posting-Host: net.bio.net

(LAST REVISION: 30-JUL-95)

This BIOSCI "miniFAQ" is designed to answer the questions that come up
the *most frequently*.  The main BIOSCI FAQ (Frequently Asked
Questions) is accessible on the World Wide Web at URL
http://www.bio.net/.

If you can not find an answer to your question in this or other
documentation, the BIOSCI technical support staff answers e-mail
queries sent to

		       biosci-help@net.bio.net

We can only answer questions about the use of the newsgroups and
mailing lists.  We unfortunately do not have the staff to do Internet
information searches or answer scientific questions.  Please post
those to the appropriate BIOSCI/bionet newsgroups.


	Contents:
	--------
	0) BIOSCI NEEDS YOUR SUPPORT!!

	1) Using the WWW to access the BIOSCI/bionet newsgroups.

	2) What to do about "spams," i.e., junk mail, ads, etc.

	3) Examples of subscribing and unsubscribing to the mailing lists.

	4) The BIOSCI user address and research interest directory.


0) BIOSCI NEEDS YOUR SUPPORT!!
------------------------------
BIOSCI's government funding has been expended, and we are now
operating solely from advertising revenue that we have raised from our
Web site at http://www.bio.net/.  We need just a few minutes of your
time to help us serve you.

You can do two important things which will take very little time for
you individually and will immensely help us continue to help you.

First, please use our WWW system at http://www.bio.net/ to access the
archives.  You can post or reply to messages via your Web browser as
described in item #1 below.  Your usage helps attract sponsors. If you
contact any of our sponsors, please be sure to thank them for
supporting BIOSCI. It is critical for them to get this feedback if
they are to continue their sponsorship for the long term.

Second, if you work for a company or organization that provides
products or services of interest to the biology community, please pass
this message on to your marketing or marketing communications
department or other appropriate group.  Please ask them to help
support BIOSCI by sponsoring our Web site and explain the uses and
benefits of the system to the biology community. If they are
interested, they can then contact us for further information at our
tech support address, biosci-help@net.bio.net.


1) Using the WWW to access the BIOSCI/bionet newsgroups.
--------------------------------------------------------
As of 10 December 1995, all BIOSCI/bionet full newsgroups are
accessible through the World Wide Web (WWW) at URL http://www.bio.net.
One can read and reply publicly or privately to both recent postings
and archived messages through one's Web browser if it is configured
properly to send e-mail.  Each newsgroup is equipped with its own WAIS
index.  The main BIOSCI home page also has access to the BIO-JOURNALS
Table of Contents database WAIS index and the BIOSCI user address
database described in another item further below.


2) What to do about "spams," i.e., junk mail, ads, etc.
-------------------------------------------------------
BIOSCI is a set of parallel USENET newsgroups (the "bionet" groups),
mailing lists, and a hypermail archive at URL http://www.bio.net/.
The same postings are distributed on all media (except for a small
number of mailing-list-only groups at net.bio.net).  Unfortunately it
is becoming a despicable practice on the Internet (by a few people out
to make a fast buck) to do automated mass postings to thousands of
newsgroups and mailing lists.  These attempts to grab free advertising
are refered to as "spams" in the usual, somewhat boneheaded, net
terminology.  USENET is more susceptible to this practice, and many
spams originate on the USENET groups and then are passed on to the
mailing lists.  However, spammers also get lists of mailing addresses
and hit these too, so neither medium is immune.

What should you do personally if you get junk mail?
---------------------------------------------------
Just delete it and move on without reading it further.  Filing a
protest is becoming increasingly useless because spammers are often
disguising the addresses where the messages are sent from.  Unless you
really understand Internet mail systems, your attempt at protest by
sending replies to the message will often end up being sent to the
address of an innocent person that the spammer is victimizing.

What can BIOSCI/bionet do to protect its newsgroups?
----------------------------------------------------
The only solution currently available is to moderate the newsgroup.
If this newsgroup is already moderated, then you are in good shape.
Moderation protects the USENET distribution from about 95% of the
spams that are being sent to date and protects the mailing lists
completely.  Moderation means, however, that someone has to take the
time to review each message before it goes out.  We have set up
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This takes no more time than that needed to read the message and pass
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Most newsgroups currently have a discussion leader who is responsible
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addresses are listed in the BIOSCI Information Sheet which is
available on the Web at http://www.bio.net/.  If a newsgroup is being
hit with too many junk postings, please contact the discussion leader
for that group and see if there is interest in moderating the group.
Please do not assume that by simply posting a complaint to the
newsgroup itself, anyone on the BIOSCI staff will act on your
complaint.  With close to 100 newsgroups to run, the BIOSCI staff has
to rely on the discussion leaders of each newsgroup to report problems
directly to us at biosci-help@net.bio.net.

We will moderate any of our newsgroups if the discussion leader tells
us that the readership of the group wishes to do so and if a moderator
is willing to do the work.  For most BIOSCI/bionet groups, this
entails only a few minutes of work each day.

Moderating a newsgroup will resolve probably 95% of the junk postings
on the USENET distribution.  Unfortunately there are easy ways for
determined spammers to override the moderation mechanism on USENET,
but we can protect our e-mail subscribers from unwanted postings if
the newsgroup is moderated.  You can also access our newsgroups over
the WWW at URL http://www.bio.net.  While this Web interface will not
stop spammers from trying to post to the groups, this will give you
yet another way, besides using USENET news, to keep the junk out of
your personal mail files.  For those of you with local USENET news
systems, the Web interface will also give you faster access to new
newsgroups and recent postings.


3) Examples of subscribing and unsubscribing to the mailing lists.
------------------------------------------------------------------
PLEASE NOTE: The BIOSCI management does NOT act on
subscription/unsubscription requests that are posted improperly to the
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on the lists to no avail.  Please be sure to follow the proper
procedures below.

Gory details are in the BIOSCI Information sheets on the Web at
http://www.bio.net.  Below we give an example utilizing the
METHODS-AND-REAGENTS list at both of our two BIOSCI sites:

Users in the Americas and Pacific Rim countries who use the BIOSCI
------------------------------------------------------------------
node at computer net.bio.net:
----------------------------

A) Determine the "listname" which is the <=8 character mail address
                                         ^^^^^^^^^^^^^
   for the group.  These can be found in the BIOSCI Info. Sheet.  For
   the METHODS-AND-REAGENTS group the mailing address is
   methods@net.bio.net.  The listname is the portion of the address to
   the left of the @ sign, i.e., "methods".  The listname is used with
   the "subscribe" and "unsubscribe" commands illustrated below.

B) Mail all commands in the body of a mail message addressed to
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   you that you are not a member.


Users in Europe, Africa, and Central Asia who use the BIOSCI node at
--------------------------------------------------------------------
computer daresbury.ac.uk (also known as dl.ac.uk):
-------------------------------------------------

To subscribe and unsubscribe to/from the BIOSCI lists, you need to
specify the full USENET newsgroup name with "bionet-news." prepended.
The USENET newsgroup names are listed in the BIOSCI Information sheet
on the Web at http://www.bio.net/.  For the METHODS-AND-REAGENTS list
the USENET newsgroup name is bionet.molbio.methds-reagnts, thus the
appropriate commands are

    sub bionet-news.bionet.molbio.methds-reagnts

    unsub bionet-news.bionet.molbio.methds-reagnts

These commands are included in a message addressed to mxt@dl.ac.uk,
NOT to the newsgroup mailing addresses.  As usual, include the text in
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To unsubscribe from all the lists at the UK node, use

    unsub bionet-news

Please note that if the address in the list is different than the one
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4) The BIOSCI user address and research interest directory.
-----------------------------------------------------------
Please take this opportunity to add your name, address, and research
interest information to the BIOSCI User Address Database if you have
not already done so.

You can fill out the address form directly through our Web page at URL
http://www.bio.net/adrform.html.

The address database is reindexed nightly for WWW access (the URL is
http://www.bio.net/).  If you are not directly on the Internet but can
reach it by e-mail, please use our waismail server to access the user
directory.  waismail use is described above.  You can also request a
user address form by e-mail from biosci-help@net.bio.net.

Please check your database entry from time-to-time to see if your
address information is still up-to-date.  Because of our limited
personnel resources, we ask that you resubmit a *complete* form to
revise your entry; we only replace complete entries and do not have
resources to edit old forms.

				Sincerely,

				Dave Kristofferson
				BIOSCI/bionet Manager

				biosci-help@net.bio.net


From owner-sci-resources@net.bio.net Sun Sep 22 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS, 21 September 1996
Date: 23 Sep 1996 15:22:49 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 94
Sender: daemon@net.bio.net
Approved: biosci-help@net.bio.net
Distribution: world
Message-ID: <5272jp$9b3@net.bio.net>
NNTP-Posting-Host: net.bio.net

This message contains a summary of the documents added to the NSF STIS
system for the week ending September 21, 1996.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Bulletin

   Title: BUL 96-10 -- NSF October Bulletin V-24; No. 2
               File size (bytes):       103930
               STIS Filename:           bul9610.txt

Document Type: International Document

   Title: INT 96-25 Special Scientific Report 96-03, Suzuki Research
          Group, Department of Physics, University of Tokyo
               File size (bytes):       4400
               STIS Filename:           int9625.txt

   Title: INT 96-26 Special Scientific Report 96-04, IBM ARC System
          Workshop
               File size (bytes):       6681
               STIS Filename:           int9626.txt

Document Type: Press Release

   Title: NSF NAMES NEW ADMINISTRATION HEAD
               File size (bytes):       2501
               STIS Filename:           pr9648.txt

Document Type: Program Guideline

   Title: NSF 96-142 - Earth System History (ESH)
               File size (bytes):       13557
               STIS Filename:           nsf96142.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Letter

   Title: REULIST -- Current List of REU Sites
               File size (bytes):       89814
               STIS Filename:           reulist.txt

Document Type: Phone Book

   Title: NSF Alphabetical Telephone Directory
               File size (bytes):       115376
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Telephone Directory
               File size (bytes):       128596
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
               ** FOR YOUR REFERENCE (updated 8/23/96) **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS 

We are currently migrating to a completely Web-based information
dissemination system.  Please visit our Web site at the following
URL:

           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
If you are familiar with STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov".

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov".

From owner-sci-resources@net.bio.net Tue Sep 24 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA HD-96-009 - V25(31) 09/20/96
Date: 24 Sep 1996 17:25:44 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 1016
Sender: daemon@net.bio.net
Approved: biosci-help@net.bio.net
Distribution: world
Message-ID: <529u68$gpe@net.bio.net>
NNTP-Posting-Host: net.bio.net


ADOLESCENT MEDICINE HIV/AIDS RESEARCH NETWORK

NIH GUIDE, Volume 25, Number 31, September 20, 1996

RFA:  HD-96-009

P.T.

National Institute of Child Health and Human Development
National Institute of Allergy and Infectious Diseases
National Institute on Drug Abuse

Letter of Intent Receipt Date:  October 15, 1996
Application Receipt Date:  November 19, 1996

PURPOSE

The National Institute of Child Health and Human Development (NICHD),
the National Institute of Allergy and Infectious Diseases (NIAID),
and the National Institute on Drug Abuse (NIDA) invite applications
for cooperative agreements to expand the clinical science component
of an existing adolescent health research network, the Adolescent
Medicine HIV/AIDS Research Network. This Network is conducting basic
and clinical research on the medical, biobehavioral, and psychosocial
aspects of HIV/AIDS in adolescents infected with HIV through sexual
or drug-taking behaviors.  The network, established in 1994, is
recruiting adolescents ages 12 through 18 years. Additional funding
>From Health Resources and Services Administration (HRSA) has been
provided to the Network to fund the infrastructure to support
research in clinical sites including outreach efforts and to develop
and disseminate treatment and policy guidelines specific to
HIV-infected adolescents.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Adolescent Medicine HIV/AIDS Research
Network, centers on a high priority research area:  the health and
well-being of several special population groups, viz. people in
minority groups (particularly Hispanic and African Americans) and
people with low income, as well as specific research HIV infection
Needs.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0 or Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (Telephone
202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of state and local governments, and
eligible agencies of the Federal Government.  Racial/ethnic minority
investigators, women, and persons with disabilities are encouraged to
apply.  It is required that applicants for the Clinical Science Group
have clinical experience pertinent to the objectives of the network
delineated in this RFA. Applications from individuals without this
experience will be returned without review. Applicants to join the
existing Clinical Science Group of this Network must be providing
comprehensive health care and support services to HIV-infected
adolescents. Furthermore, they must demonstrate the proven capacity
to reach sufficient numbers of adolescents with HIV infection to
satisfy subject accrual expectations. In addition, applicants must be
willing and able to participate in a cooperative program of research
and evaluation with other successful applicants and current Clinical
Science Group members.

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U01), an "assistance" mechanism
(rather than an "acquisition" mechanism) in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during the performance of the activity.  [GRANTS POLICY
STATEMENT, DHHS PUBLICATION (OASH) 90-50,000 (REV) APRIL 1, 1994].
Under the cooperative agreement mechanism, the NIH purpose is to
support and/or stimulate the recipient's activity by involvement in
and otherwise working jointly with the award recipient in a partner
role, but it is not to assume direction, prime responsibility, or a
dominant role in the activity.  Specifically, members of the NICHD,
NIAID, NIDA, and HRSA scientific and program staff will cooperate
with principal investigators as partners in the projects and serve as
science collaborators or program managers.  All parties will agree to
accept the participatory and cooperative nature of the group process.
Details of the responsibilities, relationship, and governance of the
study to be funded under cooperative agreements are discussed later
in this document under the section "Terms and Conditions of Award."

The total project period for applications submitted in response to
the present RFA may not exceed three years. The anticipated award
date is February, 1997. At this time, NICHD, NIAID, NIDA, and HRSA
have not determined whether or how this solicitation will be
continued beyond the present RFA.

Awards and level of support depend on receipt of a sufficient number
of applications of high merit.  Although this program is provided for
in the financial plans of NICHD, NIAID, NIDA, and HRSA, awards
pursuant to this RFA are contingent upon the availability of funds
for this purpose.

FUNDS AVAILABLE

It is estimated that $ 1,044,000 (total costs in fiscal year 1997)
will be available to fund approximately three to six awards to
support the scientific and subject accrual activity of the members of
the Clinical Science Group who are recruited through this RFA. Future
year funding will be determined based on initial funding level.  The
National Institute of Child Health and Human Development will provide
the total of these funds.

RESEARCH OBJECTIVES

Background of the Problem

Through December 1995, 2,354 AIDS cases in adolescents (aged 13-19
years) were reported to the National Centers for Disease Control and
Prevention.  Although adolescents comprise less than one percent of
all reported AIDS cases, the impact of HIV infection acquired during
adolescence is far more profound for several reasons.  First, the
long incubation period between initial HIV infection and the
development of AIDS-defining conditions suggests that the majority of
AIDS cases in persons between 20 and 29 years of age, which
constitute nearly 20 percent of all reported AIDS cases, can be
attributed to infection as teenagers.  Secondly, HIV infection, and
to some extent AIDS cases under the new case definition, are not
accurately estimated through reporting mechanisms because adolescents
lack easy access to medical care for diagnosis.  Many may actually
succumb to competing causes of mortality (e.g., violence).  Recent
blinded HIV serosurveys indicate a range of estimates: from
prevalence rates of 0.34 per 1000 in 17-19 year-old applicants to the
military, 1.7 per 1000 in the users of student health services on
selected college campuses, 3.9 per 1000 in Job Corps applicants, to
88 per 1000 in an urban homeless youth center.

Of the groups affected by HIV, the U.S. adolescent population is the
one in which basic biologic issues are the most poorly understood and
the one in which therapeutic and clinical management trials have not
been effectively initiated.  At the present time, it is not known how
HIV infection affects continuing development in those adolescents who
have been infected through sexual or injecting drug use practices.
It is not clear how age at infection influences the course of
maturation nor is it clear how maturation might proceed in HIV+
adolescents with repeated HIV sexual exposure, drug abuse, sexually
transmitted disease co-morbidity, and/or pregnancy.

The heterosexual transmission of HIV is attaining increasing
importance as a mode of HIV spread to uninfected individuals.  This
mode of HIV transmission is particularly important in the adolescent
population due to the high prevalence of high-risk behaviors.  The
factors which modulate the heterosexual transmission of HIV have not
been determined. However, it is likely that the replication of HIV at
genital mucosal surfaces plays a major role in the likelihood of the
occurrence of viral transmission following heterosexual exposure.

Background of the Adolescent Medicine HIV/AIDS Research Network and
the Scope of Its Research Agenda

This Adolescent Medicine HIV/AIDS Research Network initiative calls
for a descriptive examination of the full spectrum of HIV disease and
its behavioral manifestations in adolescents who have become infected
with HIV through sex and drug-taking behaviors in order to identify
and pursue an HIV/AIDS-specific research agenda in the adolescent
population between the ages of 12 and 19 years of age.  The ultimate
goal of this project is to achieve a better understanding of HIV
disease progression and co-morbidity in adolescents and thus improve
health care management. This goal is being addressed through the
enrollment of HIV-infected adolescents into a standardized base
protocol to characterize a population-based spectrum of disease,
disease progression, and the effect of comorbidity with drug abuse,
other sexually-transmitted diseases and pregnancy in the adolescent
population.  A secondary goal involves the resolution of remaining
questions related to HIV infection in adolescents through the
development of special studies to be undertaken in the assembled
cohort enrolled in the base protocol.  These unresolved questions
include but are not limited to the susceptibility, infectivity, and
transmissibility of HIV in adolescents, particularly related to
developing genital mucosa; the characterization of the variation in
adolescent immune function; the identification of useful
adolescent-specific clinical markers of HIV disease progression; the
effect of HIV on adolescent neuropsychologic function and
development; and the influence and effect of specific adolescent
behavioral patterns on risk-taking and health-seeking activities.

Organizational Components

The NIH entered into cooperative agreements establishing the network
in 1994. The Adolescent Medicine HIV/AIDS Research Network consists
of two interactive groups, Basic Science and Clinical Science,
managed by Steering and Executive Committees, supported by a Data and
Operations Center, advised by a Community Advisory Board, and
reviewed by a Scientific Advisory Panel. The current Network includes
an eight member Basic Science Group, a twelve member Clinical Science
Group, and a Data and Operations Center. The Basic Science Group, in
collaboration with the Clinical Science Group and a Data and
Operations Center, has produced a base protocol which addresses the
primary objective of the initiative.  The study began accruing
research subjects in February 1996.

This solicitation seeks cooperative agreements with investigators to
augment the subject accrual capacity of the Clinical Science Group in
order to establish a subject cohort of sufficient size to address
more completely the research objectives outlined above and thus
permit the conduct of a wide- ranging, multi-stage series of
investigations which examine specific facets of HIV infection in
adolescents.  This RFA is intended to recruit additional members of
the Clinical Science Group with responsibility for the (1)
implementation of the base protocol and secondary protocols where
feasible and the recruitment and monitoring of study participants,
associated data collection, and quality control; (2) participation in
the production of the supplemental research agenda through review and
evaluation at regularly scheduled interactive Network meetings; (3)
clinical management guidelines for the standardization of health care
delivery across network sites which address the unique biological,
biobehavioral, and psychosocial issues of adolescence including
pharmacologic prophylaxis, the scope and frequency of medical
monitoring, and service organization, overcoming barriers to care,
among others; and (4) the convening of consensus panels on the
dissemination of clinical management guidelines and the definition of
adolescent- specific HIV policy among other tasks consistent with
functioning as a national resource body.

SPECIAL REQUIREMENTS

Applications to become members of the Clinical Science Group must
submit evidence of clinical experience, comprehensiveness of health
care and support services, and availability of subjects. All members
of the Clinical Science Group are expected to participate in
conference calls and attend two Network meetings per year
contributing to the research and policy life of the Network.

Applicants must implement an existing base protocol which measures
health status, service utilization, sexual and drug-taking behaviors,
and psychological state at three month intervals over the duration of
the project. Sensitive information is collected through an
interactive computer interview and the data collected in this manner
are not available to the site personnel. Health status measures
include routine physical examinations and twice-yearly genital
examinations including PAP smears, cervicophotography,
cervico-vaginal lavage, and swabs. Anal swabs, radiologic examination
of the wrist to assess bone age, and drug assays are performed on all
subjects. HIV-positive youth will be assessed for disease progression
through virologic and immunologic measures, entailing blood draws,
urine collection, and delayed-type hypersensitivity assessment. No
measure will entail risk greater than that encountered within routine
history and physical examination for sexually active youth. There
will be no therapeutic intervention in this protocol, although
medical management (primary therapy, prophylaxis, and immunization
schedule) will be measured and its influence on outcome evaluated
within statistical constraints secondary to sample size. Applicants
should have access to AIDS Clinical Trials Group certified immunology
and/or virology laboratories.

Applicants should appropriately complete the human subjects sections
of the PHS 398; however, human subjects review by institutional
review boards (IRB) should be deferred until applications have been
evaluated by the NIH scientific review group. All applicants meeting
review criteria and recommended for funding will be provided a copy
of the base protocol and supporting documents for submission for
human subjects review while award criteria are evaluated. Successful
applicants will be required to have approved assurance and IRB
certification on file with the Office for Protection from Research
Risks, National Institutes of Health, and acquire a Certificate of
Confidentiality prior to the award of funds.

Terms and Conditions of Award

The following terms of award are in addition to, and not in lieu of,
otherwise applicable OMB administrative guidelines, HHS Grant
Administration Regulations at 45 CFR Part 74 and 92 and other HHS,
PHS, and NIH grant administration policies. Business management
aspects of these awards will be administered by the NICHD Grants
Management Office in accordance with HHS, PHS, and NIH Grant
Administration policies.  All awarded funds will be administered by
the NICHD Grants Management Office.

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U01), an "assistance" mechanism
(rather than an "acquisition" mechanism) in which substantial NIH and
HRSA scientific and/or programmatic involvement with the awardee is
anticipated during the performance of the activity. Under the
cooperative agreement, the NIH purpose is to support and/or stimulate
the recipient's activity by involvement in and otherwise working
jointly with the award recipient in a partner role, but it is not to
assume direction, prime responsibility, or a dominant role in the
activity. Consistent with this concept, the dominant role and prime
responsibility for the activity resides with the awardees for the
project as a whole, although specific tasks and activities in
carrying out the studies will be shared among awardees and the NICHD,
NIAID, NIDA, and HRSA staff collaborators. The research effort will
be a cooperative venture with participation by all awardees as
outlined below, the NICHD, the NIAID, NIDA, and HRSA.

The Primary Rights and Responsibilities of the Awardees

Basic Science Group:

The Basic Science Group consists of those awardees whose submissions
were chosen on the basis of scientific merit, representative(s) of
the Data and Operations Center (DOC), and the NICHD, NIAID, NIDA
staff collaborators. The Basic Science Group has a chair and vice
chair elected by its members for a two year term; NIH and HRSA staff
collaborators may not serve as officers. The Basic Science Group does

Retain the primary responsibility for defining and prioritizing the
research agenda and submitting the agenda to the Steering Committee
for approval;

Specify research objectives for the base study to characterize a
population-based spectrum of disease and disease progression and
secondary special studies, develop corresponding protocols, provide
for monitoring the progress of various studies, and analyze and
interpret study protocol results. It is expected that this
responsibility will be undertaken with significant interaction with
the members of the Clinical Science Group;

Consult and review Clinical Science Group plans for the evaluation of
clinical management guidelines which address the unique biological,
biobehavioral and psychosocial issues of adolescence including
pharmacologic prophylaxis, the scope and frequency of medical
monitoring, and organization of services, among others;

The full database for the base protocol will come from all funded
clinical sites; the full database for nested substudies may come from
all or a subset of the clinical sites. These databases will be
physically located at the Data and Operations Center and the use and
publication of these data will be governed by policies established by
the Executive Committee. NICHD, NIAID, NIDA, and HRSA staff
collaborators, in collaboration with the Executive Committee, may
have access to data generated under this cooperative agreement and
may use these data to generate internal reports of the Network
activities. Basic Science Group awardees, as a group, will retain
custody of and have primary rights to the protocol data developed
under these awards, subject to government rights of access consistent
with current HHS, PHS, and NIH policies. Protocol development for
special studies shall be undertaken when two-thirds of the Basic
Science Group members approve the research concept;

Performance Reports: Basic Science Group members must submit a
progress report as part of the annual application for noncompetitive
renewal.

Clinical Science Group:

The Clinical Science Group will consist of awardees, and the NICHD
and HRSA staff collaborators. The Clinical Science Group has a chair
and vice chair elected by its members for a two year term; NIH and
HRSA staff collaborators may not serve as officers. The Clinical
Science Group does

Participate in the production of the research agenda through review
and evaluation at regularly scheduled interactive Network meetings;
and by submitting concepts for study (both primary or secondary
analyses).  Clinical Science Group members will be strongly
encouraged to submit research concepts to the Basic Science Group and
may participate in their subsequent protocol development. Decisions
related to protocol development and protocol team formation are the
responsibility of the Basic Science Group;

Retain primary responsibility for the implementation of the base
protocol and secondary protocols where feasible and the recruitment
and monitoring of study participants, associated data collection, and
quality control;

Awardees will be required to accept and implement the common protocol
developed by the Basic Science Group and all procedures approved by
the Steering Committee;

Derive clinical management guidelines for the standardization of
health care delivery across network sites which address the unique
biological, biobehavioral, and psychosocial issues of adolescence
including pharmacologic prophylaxis, the scope and frequency of
medical monitoring, and service organization, overcoming barriers to
care, among others; and submit a corresponding evaluation plan to the
Basic Science Group for consultation and review;

The full database for the base protocol will be developed from
research data collected in all funded clinical sites; the full
database for nested substudies may come from all or a subset of the
clinical sites. These databases will be physically located at the
Data and Operations Center and the use and publication of these data
will be governed by policies established by the Executive Committee.
Data from individual sites may have limited value or may have
substantial independent scientific value for specific research
questions. The Executive Committee may establish policies encouraging
or limiting publication of such site- specific institutional data as
appropriate for a given circumstance. NICHD, NIAID, NIDA, and HRSA
staff collaborators, in collaboration with the Executive Committee,
may have access to data generated under this cooperative agreement;
and may use these data to generate internal reports of the Network
activities. Clinical Science awardees, as a group, will retain
custody of and have primary rights to the data specific to guidelines
evaluation developed under these awards, subject to government rights
of access consistent with current HHS, PHS, and NIH policies. Study
development for the secondary analyses of data generated through the
clinical management guideline evaluation shall be undertaken when
two-thirds of the Clinical Science Group members approve the research
concept;

Clinical Science awardees, as a group, will convene consensus panels
on the dissemination of clinical management guidelines and the
definition of adolescent- specific HIV policy among other tasks
consistent with functioning as a national resource body;

Clinical Science Group members will recruit two adolescent/family
member community representatives from each clinical site (one as
primary representative, and the other as an alternate), at least one
of whom from each site must be an adolescent between 15 and 19 years,
to serve on the Community Advisory Board;

Satisfy the expectations of participation in the Network committee
and group activities, research subject recruitment and retention,
timely data reporting and quality control measures. Individual awards
may be curtailed or terminated by the government if these
expectations are not met, or a major breach of protocol, or
substantive protocol changes are undertaken without prior approval
>From the staff collaborators and Basic Science Group members;

Performance Reports: Clinical Science Group members must submit as
part of the progress report for the non-competing continuation
application information detailing progress towards achieving patient
accrual and retention goals and other measures of performance
(including followup activities, data quality, timeliness of data
submission, proportion of required repository specimen volumes
collected and sent to Central Repository, and specific contributions
to the Network's agenda which involves active participation in the
scientific and clinical research activities of the Network). The
purpose of this report is to inform funding requirements for the
remaining budget period. Future year funding is contingent upon
persistent satisfactory performance in meeting goals and measures
noted above;

Existing Track B awardees will be required to comply with the
reporting requirements imposed on HRSA funded Title IV
Pediatric-Adolescent Demonstration Projects.

The Data and Operations Center (DOC):

The Data and Operations Center does

Manage all meetings of the Network, Basic and Clinical Science Groups
as well as the Community and Scientific Advisory Boards including
necessary conference calls among members;

Support protocol development and distribution; and assume
responsibility for protocol site registration and training,
site-monitoring for subject safety, data collection practices, and
regulatory compliance;

Support development of clinical management guidelines assuming
responsibility for required consensus conferences and guidelines
dissemination;

Remain responsible for the integrity of the scientific databases and
provide statistical consultation during protocol development as well
as timely analyses;

Program Staff Involvement:

The research effort is a cooperative venture with participation by
all awardees as outlined above, the NICHD, the NIAID, the NIDA, and
HRSA. One NICHD, one NIAID, one NIDA, and one HRSA staff collaborator
do:

Participate in the Steering Committee which oversees the
establishment and maintenance of the Network and Network progress in
achieving program goals;

Assist the Basic Science Group in the selection of research topics
and the development of protocols for specific studies and
interventions;

Assist the Clinical Science Group in the development and evaluation
of the clinical management guidelines;

Arrange, when necessary, for the external peer review of the
protocols for the base study, special studies, and clinical
management guideline evaluation clearing these studies for
implementation;

Explore mechanisms to offer study subjects the opportunity to
participate in clinical drug trials funded through mechanisms outside
the network and provide this information and organizational support
to clinical sites;

Assist the Executive Committee in monitoring the progress of ongoing
studies, including field data collection, standardization of methods
across study sites, and adherence to protocol and quality control
measures;

Assist in data analyses, interpretation and publication of study
results.

Collaborative Responsibilities:

The Research Network

The Research Network is composed of all principal investigators of
the Basic Science Group, all principal investigators of the Clinical
Science Group, all members of the Study Coordinators Group, all
representatives of the Community Advisory Board, the principal
investigator and project coordinator from the Data and Operations
Center, the NICHD, the NIAID, NIDA, and HRSA. The entire Network will
attend interactive annual meetings to inform and review the research
agenda.

The Steering Committee

The Steering Committee is the main governing body of the Network.
The Committee is composed of the Chair, Vice Chair, and two elected
representatives from the Basic Science Group; the Chair, Vice Chair,
and two elected representatives from the Clinical Science Group; the
Chair and Vice Chair of the Study Coordinators Group; the Chair and
Vice Chair of the Community Advisory Board; the principal
investigator and project coordinator from the Data and Operations
Center; and the NICHD, the NIAID, the NIDA, and the HRSA staff
collaborators. All members will have one vote each; NICHD, NIAID,
NIDA, and HRSA will have one vote each, and motions will carry with
simple majority. The Chair and Vice Chair of the Steering Committee
will be elected by the entire committee from among the principal
investigators of the Basic Science Group and the Clinical Science
Group; none of the NICHD, NIAID, NIDA, or HRSA staff collaborators
are eligible to serve as Chair or Vice Chair of the Steering
Committee.

The Steering Committee will

Maintain primary responsibility for the identification of adolescent
HIV/AIDS research issues;

Approve the direction of the research effort, and facilitate the
conduct and monitoring of the studies;

Approve the research agenda specific to its feasibility and clinical
relevance and advise on the development of implementation strategies;

Approve the clinical management guidelines addressing the unique
biological, biobehavioral, and psychosocial issues of adolescence
including pharmacologic prophylaxis, the scope and frequency of
medical monitoring, and service organization, among others; and the
plans for their evaluation.

The Executive Committee

The Steering Committee chairperson will chair the Executive Committee
as well. The Executive Committee, composed of the Steering Committee
chair and vice chair, the chair and vice-chair of the Basic Science
Group, the chair and vice chair of the Clinical Science Group, the
principal investigator and project coordinator of the Data and
Operations Center, the NICHD, NIAID, NIDA, and HRSA staff
collaborators, will supervise the functioning of the network and will

Establish timelines for the completion of tasks and monitor progress;

Coordinate the integration of data collection for base protocol and
guidelines evaluation procedures;

Oversee site participation and performance informing the appropriate
program managers;

Define rules regarding access to data and publication and direct the
publication process.

Study Coordinators Group

The Study Coordinators Group is composed of all the primary research
nurses or associates at the clinical sites supported by the grant
award. The Study Coordinators Group, with a chair and a vice chair
elected for a two year term, does

Recommend issues of concern to be studied within the research agenda
and collaborate on their development;

Advise on the Network's subject recruitment and retention strategies;

Review and evaluate the study and evaluation research protocols for
acceptability and feasibility;

Review and evaluate subject protection procedures and confidentiality
of records in support of the Clinical Science Group principal
investigators;

Review and evaluate the integrity of data collection procedures in
support of the Clinical Science Group principal investigators;

Provide consultation to the Clinical Science Group at consensus
conferences for policy or management affecting HIV+ youth.

Community Advisory Board

The Community Advisory Board will consist of two adolescent or family
member community representatives from each clinical site, one of whom
must be an adolescent between 15 and 19 years of age and who are to
be chosen by the principal investigator at the corresponding clinical
site. The Community Advisory Board will

Recommend issues of concern to be studied within the research agenda;

Choose a chair and vice-chair to coordinate and organize its
Community Advisory Board meetings and conference calls and represent
community interests on the Steering Committee;

Advise the Network on subject recruitment and retention strategies;

Review and evaluate the study and evaluation research protocols for
acceptability and feasibility;

Provide consultation to the Clinical Science Group at consensus
conferences for policy or management affecting HIV+ youth.

Scientific Advisory Panel

A Scientific Advisory Panel, consisting of federal and non-federal
experts in the disciplines related to the Network's research agenda,
will be appointed by the NICHD in consultation with NIAID, NIDA, and
HRSA and will report directly to the Director, NICHD. The Scientific
Advisory Panel will undertake the following functions:

Review and evaluate the overall direction, objectives, content and
progress of the Basic Scientific Research Agenda in an annual meeting
or more frequently if necessary;

Review and evaluate the overall direction, objectives, content and
progress of the Clinical Management Evaluation Research Agenda in an
annual meeting or more frequently if necessary.

Data and Safety Monitoring Board

The intention of the Network is to establish a cohort of adolescents
for whom an observational study will be conducted. No primary
intervention studies were envisioned in the original RFA.  However,
the potential for the implementation of intervention studies exists,
particularly in the area of secondary prevention strategies and the
evaluation of clinical management guidelines.  If this potential is
realized, the NICHD, NIAID, NIDA, and HRSA science collaborators will
establish a Data and Safety Monitoring Board and establish procedures
for its conduct.  Any Data and Safety Monitoring Board will report to
the NIH and HRSA science collaborators and the Network Steering
Committee.

Approval Process for Research Undertaken in the Network

The Basic Scientific Agenda will be approved in the following manner:

Potential research areas will be proposed through multiple
mechanisms, including professional (internal and external to Network)
and community presentations/ sessions at the Research Network
meetings, as well as individual concept proposals submitted by
principal investigators (alone or in collaboration);

The Basic Science Group, supported by the Data and Operations Center,
will define and prioritize the agenda, assess the merit of concept
sheets, proposing protocol development around those with specific
study hypotheses consistent with the research agenda, returning
others to proposing investigators with constructive comments
attached;

The Clinical Science Group will review and evaluate the agenda and
proposed protocol(s);

The Community Advisory Board will review and evaluate the agenda and
proposed protocol(s);

The Steering Committee will vote to approve the Network Scientific
Agenda; if approved the protocol will be forwarded to the Scientific
Advisory Panel; if unapproved, the protocol will be returned to the
Basic Science Group;

Before implementation of the base protocol in the first year, the
Scientific Advisory Panel will review its direction, its objectives,
and its content; the Scientific Advisory Panel will meet annually (or
more frequently if necessary) thereafter to review the direction and
progress of the Network Scientific Research Agenda.

The Clinical Management Evaluation Research Agenda will be approved
in the following manner:

The development of the Clinical Management Guidelines is the
responsibility of the Clinical Science Group, alone or in
consultation with clinical expertise and community experience
external to the Network, and supported by the Data and Operations
Center;

The Clinical Science Group will define the scope of the guidelines
and propose hypothesis-driven evaluation for their effectiveness;

The Basic Science Group will review the research protocol for the
clinical management guidelines evaluation;

The Community Advisory Board will review the evaluation research
protocol;

The Steering Committee will vote to approve the evaluation research
protocol; if approved the protocol will be forwarded to the
Scientific Advisory Panel; if unapproved, the protocol will be
returned to the Clinical Science Group;

Before implementation of the evaluation protocol in the first year,
the Scientific Advisory Panel will review its direction, its
objectives, and its content; the Scientific Advisory Panel will meet
annually (or more frequently if necessary) thereafter to review the
direction and progress of the Clinical Management Evaluation Research
Agenda.

Arbitration Process

These procedures will be in addition to the customary programmatic
and financial negotiations that occur in the administration of
grants. Arbitration procedures will be invoked only when agreement
cannot be reached on programmatic issues that may arise between
awardee(s) and the science collaborator(s) after the award has been
made. In that event, an arbitration panel will be composed of three
members-- one selected by the executive committee (with the NICHD,
NIAID, NIDA, and HRSA science collaborators not voting) or by the
individual awardee in the event of an individual disagreement, a
second member selected by the science collaborators, and a third
member selected by the two prior selected members. The decision of
the arbitration panel by majority vote will be binding. This special
arbitration procedure in no way affects the awardee's right to appeal
an adverse action that is otherwise appealable in accordance with the
PHS Regulations at 42 CFR Part 50, Subpart D and HHS Regulation at 45
CFR Part 16.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification are
provided that inclusion is inappropriate with respect to the health
of the subjects or the purpose of the research.  This new policy
results from the NIH Revitalization Act of 1993 (Section 492B of
Public Law 103-43) and supersedes and strengthens the previous
policies (Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990. The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES. Program staff may also provide
additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by October 15, 1996, a
letter of intent that includes a descriptive title of the proposed
research, the name, address and telephone number of the Principal
Investigator and the number and title of the RFA in response to which
the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of
applications.  It allows NICHD staff to estimate potential review
workload and to avoid conflict of interest in the review.

The letter of intent is to be sent to:

Audrey Smith Rogers, Ph.D., M.P.H.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B11, MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-7339

APPLICATION PROCEDURES

Applications are to be submitted on PHS Form 398 (rev. 5/95).
Applications kits are available at most institutional offices of
sponsored research and may be obtained from the Grants Information
Office, Office of Extramural Outreach and Information Resources,
National Institutes of Health, 6701 Rockledge Drive, MSC 7910,
Bethesda, MD 20892-7910, telephone 301/435-0714, email:
ASKNIH@odrockm1.od.nih.gov; and from the NIH program administrator
named below.

Materials to Include in the Application

To permit evaluation of the merits of an application (peer review),
information is needed on the following topics.

Applications to become members of the Clinical Science Group must
include

1. Documentation of three or more years of clinical experience in
adolescent health care for the physician candidate for the Clinical
Science Group;

2. A description of the physical structure and administrative
arrangement for the site at which health care and support services
are provided (including hours of operation, provision for off-hour
coverage, and established patterns of referral);

3. Evidence of an interdisciplinary approach to the delivery of
adolescent health care and support services ( the breadth of services
and qualifications of the corresponding providers should be listed
and described);

4. Demonstration of availability of on-site gynecologic services and
case management, on-site or established and functioning referral
networks for mental health services, substance abuse treatment, and
enabling services such as childcare and transportation;

5. Numbers of the adolescent population categorized by ages 10-11,
12-14, 15- 17 years currently served by the clinic;

6. Description of the population in #5 must include gender,
race/ethnicity, and should include (if available) socioeconomic
strata, educational achievement, blinded serosurveys of HIV
infection, AIDS cases numbers (cumulative and annual), STD and
pregnancy rates, substance abuse statistics, and other evidence of
high risk behaviors. If women or minorities are excluded or
inadequately represented in clinical research, particularly in
proposed population-based studies, a clear and compelling rationale
must be provided;

7. Evidence of ability to enroll 20 HIV-infected adolescents and 10
HIV- negative but high risk adolescents between the ages of 12 and 19
years within the first year of funding;

8. The interaction between the clinic and the community it serves
should be described. Of specific interest are community advisory or
consultative groups which have substantial adolescent participation,
efforts at parental or community education, clinic policies for
adolescent involvement in their own care and details of existing or
planned community outreach and prevention programs to identify
adolescents and bring them into care;

9. Budgets for the Clinical Science Group applications should include
physician principal investigator salary support at 0.10 FTE, clinical
associate/research nurse at 1.0 FTE, and three research visits for
study subjects (estimated by comprehensive routine
physical/laboratory examination costs, HIV RNA PCR and culture, and
immunologic panel for subjects for three research encounters). Travel
for the principal investigator and the research nurse should be
requested to two (three day meetings) in the Washington DC area. A
budget worksheet is available on request and its use is strongly
recommended.

This application will be used to judge the clinical expertise and
technical proficiency of the applicant and should not exceed the 25
page limit (including graphics) for the entire submission.

For all applications, the RFA label available in the application form
PHS 398 must be affixed to the bottom of the face page.  Failure to
use this label could result in delayed processing of the application
such that it may not reach the review committee in time for
evaluation.  In addition, the RFA title  ("Adolescent Medicine
HIV/AIDS Research Network") and number must be typed on line 2 of the
face page of the application form and the "YES" box must be marked.

The signed, typewritten original of the application, including the
Checklist, and three signed photocopies must be sent or delivered in
one package to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE ROOM 1040 MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

At the time of submission, in addition to the applications and copies
mailed to the Division of Research Grants, two copies of the
application must be sent under separate cover to:

Susan Streufert, Ph.D., Director
Division of Scientific Review
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 5E01 - MSC 7510
Bethesda, MD  20892
Bethesda, MD  20852 (for express/courier service)

Applications must be received by close of business on November 19,
1996.  If an application is received after that date, it will be
returned to the applicant without review.  The Division of Research
Grants (DRG) will not accept any application in response to this RFA
that is essentially the same as one currently pending initial review,
unless the applicant withdraws the pending application.  The DRG will
not accept any application that is essentially the same as one
already reviewed.  This does not preclude the submission of a
substantial revision of an application already reviewed, but such an
application must follow the guidance in the PHS 398 application
instructions for the preparation of revised applications, including
an introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NICHD.  Incomplete applications will be
returned to the applicant without further consideration.  If the
application is not responsive to the RFA, the application will be
returned to the applicant.  Applications that are complete and
responsive to the RFA will be evaluated for scientific and technical
merit by an appropriate peer review group convened by the NICHD in
accordance with the review criteria stated below.

As part of the initial merit review, a process may be used by the
initial review group in which applications will be determined to be
competitive or non-competitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be evaluated for
scientific and technical merit and assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the Principal Investigator and the official
signing for the applicant organization will be notified and receive a
summary statement containing reviewers' comments.

Review Criteria:

Clinical training and experience of project staff specific to
adolescent care;

Evidence of an interdisciplinary approach;

Adequacy of site characteristics as described in this RFA;

Appropriateness of the plans for inclusion of women and minorities;

Appropriateness of recruitment and retention methods and willingness
to work as part of the cooperative study with existing awardees and
NICHD, NIAID, NIDA, and HRSA scientists.

The review group will also examine the provisions for the protection
of human and animal subjects, the safety of the research environment,
and the appropriateness of accompanying budget.

AWARD CRITERIA

Applications recommended by the National Advisory Council to the
National Institute of Child Health and Human Development will be
considered for award based upon (a) merit as reflected in the
priority score; (b) program balance including sufficient
compatibility of features to make a successful collaborative program
likely; (c) availability of funds; (d) identified needs in the
established network.

Schedule

Letter of Intent Receipt Date:     October 15, 1996
Application Receipt Date:          November 19, 1996
Review by NICHD Advisory Council:  January 1997
Anticipated Award Date:            February 1, 1997

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Audrey Smith Rogers, Ph.D., M.P.H.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B11 - MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-7339
FAX:  (301) 496-8678
Email:  rogersa@hd01.nichd.nih.gov

Judy Lew, M.D.
Division of AIDS
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, MSC 7620
Bethesda, MD  20892-7620
Telephone:  (301) 496-6178
Email:  jlew@exec.niaid.pc.niaid.nih.gov

Katherine Davenny, M.P.H.  or Vincent Smeriglio, Ph.D.
Division of Clinical and Services Research
National Institute of Drug Abuse
5600 Fishers Lane, Room 11A33
Rockville, MD  20857
Telephone:  (301) 443-1801
Email:  kdavenny@aoada.ssw.dhhs.gov
Email:  vsmerigl@aoada.ssw.dhhs.gov

Direct inquiries regarding administrative/fiscal matters to:

Ms. Mary Daley Tozzolo
Grants Management Branch
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 8A17F - MSC 7510
Bethesda, MD  20852-7510
Telephone:  (301) 496-1303
Email:  tozzolom@hd01.nichd.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.865.  Awards are made under the authorization of
the Public Health Service Act, Title IV, Part A (Public Law 78-410,
as amended by Public Law 99-158, 42 USC 241 and 285)  and
administered under PHS grants policies and Federal Regulations 42 CFR
52 and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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TUBERCULOSIS ACADEMIC AWARD

NIH GUIDE, Volume 25, Number 31, September 20, 1996

RFA:  HL-96-022

P.T. 34, K.W.

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  October 4, 1996
Application Receipt Date:  November 1, 1996

THIS RFA USES "JUST-IN-TIME" PROCEDURES.  THE FULL RFA INCLUDES
DETAILED MODIFICATIONS TO STANDARD APPLICATION INSTRUCTIONS THAT MUST
BE FOLLOWED WHEN PREPARING AN APPLICATION IN RESPONSE TO THIS RFA.

PURPOSE

The primary objective of this Request for Applications (RFA) is to
stimulate the development and/or improvement of the quality of
medical curricula, physician/patient/nurse/and community education,
and clinical practice for the prevention, management, and control of
Mycobacterium tuberculosis (TB) in the United States.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Tuberculosis Academic Award, is related to the priority areas of
immunization and infectious diseases and HIV Infection.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Institutions

Applications may be submitted by domestic schools of medicine or
osteopathy.  In this competition, there is an interest in a diversity
of types of applications.  These include, but are not limited to,
applications from any of the following:

o  established researchers and/or faculty specializing in the field
of tuberculosis;

o  minority faculty members interested in medical education;

o  minority medical institutions;

o  institutions serving a high proportion of minority medical
students or minority patients;

o  institutions having other tuberculosis research projects to which
this award would be complementary;

o  institutions located in those areas where there is a high
incidence of TB;

Candidates

A candidate for an award must:

o  be an established physician and a medical faculty member in an
accredited school of medicine or osteopathy in the United States, its
territories or possessions;

o  have the unqualified support of the Dean and the educational
leadership at the institution and demonstrate knowledge and
commitment to medical education for medical students, physicians,
patients, nurses, and the public;

o  have sufficient clinical training, and practical experience in the
control of TB to develop and implement a high quality curriculum in
TB encompassing current knowledge and methods applicable to the
control of tuberculosis in individuals of all ages and to provide
leadership in  applied research in control of TB;

o  be aware of the training and educational needs of health care
professionals at all levels who are working in the area of TB
control, and be a leader in providing the appropriate instructional
programs for these individuals;

o  be a citizen or non-citizen national of the United States or have
been lawfully admitted to the United States for permanent residence
at the time of application;

o  commit 30-50 percent effort for a five year period.

Individuals who have held another NIH career development award (K
series) or a regular research grant (R01) are eligible to apply for
the Tuberculosis Academic Award.  Applications from minority
individuals and women are encouraged.

MECHANISM OF SUPPORT

This RFA is part of the Academic Award Program (K07) of the National
Heart, Lung, and Blood Institute.  Responsibility for the planning,
direction, and execution of the proposed project will be solely that
of the applicant.  The total project period may not exceed five years
and is non-renewable.  It is anticipated that support for this
program will begin July 1, 1997.

Application instructions have been modified to implement  "just in
time" streamlining efforts being considered by the NIH.  This
requires an applicant to submit certain information only when and if
it is likely that an award will be made.  It is anticipated that
these changes will reduce the administrative burden for the
applicants, reviewers and NHLBI staff.  For this RFA,  no budgetary
information is required in the application.  However, the anticipated
level of effort in all years and a brief description of
responsibilities for the Principal Investigator and key personnel
must be included in the research plan.  In addition, instructions for
completing the Biographical Sketch have been modified and no "Other
Support" information or "Checklist" page is required in the initial
application.  If an award is likely,  necessary budget, Other
Support, and Checklist information will be requested by NHLBI staff.
The SPECIAL REQUIREMENTS section of this RFA provides specific
modifications to standard PHS 398 application kit.

FUNDS AVAILABLE

Awards will be limited to a maximum of $62,000 for the salary of the
PI, plus applicable fringe benefits, and a maximum of $20,000 for
technical support.  Indirect costs may not exceed 8 percent

The estimated funds (total costs) for this fiscal year will be
$300,000.  It is anticipated that three new grants will be awarded.
The specific number, however, will depend upon the merit and scope of
the applications received and the availability of funds.  The total
TBAA program will be advertised for competition each year through
1997.

RESEARCH OBJECTIVES

Background

Despite major advances in the understanding of the pathogenesis,
detection and treatment of tuberculosis, in the early 1990s, more
than 25,000 cases/year were reported in the United States.  TB was
spreading rapidly, especially in some population groups.  From 1985
through 1990, the number of TB cases increased by 44 percent in the
25-44 year old age group.  There was a 12 percent increase among
Asians, a 25 percent increase among non-Hispanic whites, a 55 percent
increase among blacks, and a 77 percent increase among Hispanics.
There is also a high prevalence of TB among HIV infected patients.
It is estimated that about 12 percent of all AIDS cases develop TB.
HIV-associated TB has occurred in virtually all age groups, both men
and women, all race/ethnic groups and in all HIV-transmission
categories, although the largest numbers of cases have occurred in
intravenous drug users and homosexual/bisexual men.  Other groups at
high risk for TB include persons living or working in a group or
institutional settings such as hospitals and correctional facilities.
Frequent outbreaks of multidrug resistant TB continues to occur.
These outbreaks are a dramatic manifestation of serious underlying
problems in public and private efforts to control TB.

Very recently, the numbers of TB cases have begun to show a slight
decline, probably, in large measure, because of the increased efforts
in prevention and control.  In order to assure that this encouraging
trend continues, efforts to educate health care professionals about
TB must also continue.

Although considered "curable" since the development of effective
chemotherapy in 1950, the TB problem has not been dealt with
adequately.  This has been attributed to a lack of sufficient
awareness of the problem and inadequate resources, as well as
clinical management errors and patient nonadherence to treatment
regimens.  The management errors include failing to diagnose and
treat the cases in a timely manner, relying heavily on Isoniazid
(INH) therapy even in patients likely to have INH-resistant
organisms, using a single drug therapy, prescribing inappropriate
drug dosages, and failing to isolate patients appropriately with
infectious TB thereby missing opportunities to prevent the spread of
the disease.  Surveillance has often been slow or incomplete.
Noncompliance with treatment regimens for chronic diseases has been a
major problem with approximately 50 percent not taking their
medicine.  A study in 1988 in New York City reported 89 percent of
the patients at one hospital failed to complete therapy, more than
half failed to keep their first clinic appointment, and within twelve
months of discharge 27 percent of the patients had been readmitted at
least once with confirmed active TB.

The concept for this initiative originated with the Tuberculosis
Education Planning Committee convened by the NHLBI in December 1991,
which emphasized the need for increased efforts to educate health
care workers, patients, and the public on tuberculosis.  They also
recommended that public health officials identify populations and
geographic areas in the community where tuberculosis screening
programs should be intensified as well as conduct public education
campaigns targeted to high risk populations to encourage symptomatic
patients to seek prompt treatment.  In addition, in 1987 the
Department of Health and Human Services established an Advisory
Council for the Elimination of TB (ACET), and in 1992 a "National
Action Plan to Combat Multidrug Resistant Tuberculosis" was published
to complement and supplement the "Strategic Plan for the Elimination
of Tuberculosis."  These plans indicate the urgency to improve the
control of TB in the United States.

In summary, in spite of major advances in the ability to diagnose,
treat, and prevent TB, this disease remains a major health problem in
the U.S. today, largely because of inadequate education of health
professionals, patients,  their families, and the larger community.

Objectives

The objectives of the Tuberculosis Academic Award are to:

o  encourage the development of high quality curricula in schools of
medicine or osteopathy that will significantly increase the
opportunities for students, house staff, and others, including
practicing physicians and nurses, to learn the principles and
practice of preventing, managing, and controlling TB;

o  develop and implement interdepartmental programs with common goals
and standardized diagnostic and therapeutic approaches;

o  promote interdepartmental communication between primary care and
other specialists to ensure appropriate control and treatment
strategies;

o  encourage applied research in the control of TB;

o  promote the development of a faculty capable of providing
appropriate instruction in diagnosis and management of TB, with
special emphasis on minority faculty, nursing, and infection control
personnel;

o  promote coordinated clinical approaches to the care of patients of
various ages and ethnic groups who have TB;

o  provide for outreach programs from medical centers to health
practitioners in the community, especially home care agencies, to
enhance optimal care, especially in areas of high TB morbidity;

o  contribute to updating the knowledge and skills of practicing
physicians, nurses and other health care providers in the community;

o  to focus educational efforts on health care providers in those
areas where there is a persistently high incidence of TB, such as in
immigrant communities, refugee centers, shelters for the homeless,
and in correctional institutions;

o  enhance the awareness of health care providers of the unique
ethnic, cultural, socioeconomic, and medical dimensions of TB;

o  coordinate and collaborate with other community organizations to
control TB in areas with a high incidence of TB;

o  facilitate an interchange of ideas and methods between awardees
and institutions;

o  enhance tuberculosis education programs in minority medical
schools and promote TB education in the communities served by these
institutions.

Of particular interest are programs targeted to inner city
populations and to rural areas that may be in need of education about
tuberculosis, and among physicians, nurses, and other health care
workers, who are or who will be caring for medically underserved
populations.

Because this is a medical education program, funds may be requested
for technical support staff who have complementary expertise to the
principal investigator.  Such personnel may include medical
educators, curricula specialists, program evaluators, or other
specialists.

SPECIAL REQUIREMENTS

Use the following modifications in completing the standard PHS 398
application:

BUDGET INFORMATION - No current/future year budgets or justifications
(Form Pages 4 and 5) are required in the application.  However, the
anticipated level of effort in all years and a brief description of
responsibilities for the Principal Investigator and all key personnel
must be specifically stated at the beginning of the research plan.
Necessary budget information will be requested by NHLBI staff if
there is a possibility for an award.

BIOGRAPHICAL SKETCH - In addition to the standard information
requested on Form Page 6, the applicant has the option of providing
the title and source of any sponsored support relevant to the
proposed research.

OTHER SUPPORT - No other support information is required on the
"Other Support" page (Form Page 7).  Selected other support
information relevant to the proposed research may be included in the
Biographical Sketch as indicated above.  Complete other support
information will be requested by NHLBI staff if there is a
possibility for an award.

CHECKLIST - No "Checklist" page is required as part of the initial
application.  A completed Checklist will be requested by NHLBI staff
if there is a possibility for an award.

FACE PAGE - Currently, the Division of Research Grants requires that
requested costs be reflected on the face page for computer system
tracking purposes.  Because no budgetary information is required as
part of the "just-in-time" application process, we are requesting
that standard amounts be shown on the face page.  IT IS UNDERSTOOD
THAT THESE LEVELS ARE STRICTLY FOR ADMINISTRATIVE PURPOSES AND THAT
ACTUAL AWARD LEVELS ARE SUBJECT TO NEGOTIATION, PRIOR TO AWARD.  The
following amounts must be entered on the face page: 7a. Direct Costs
for Initial Budget Period - $70,000; 7b. Total Costs for Initial
Budget Period - $75,000; 8a. Direct Costs for Proposed Period of
Support - $350,000 and; 8b. Total Costs for Proposed Period of
Support - $375,000.

The applicant should be prepared to provide the name and phone number
of the individual to contact concerning fiscal and administrative
issues if additional information is necessary following the initial
review.

In the event that budget information, Other Support pages and/or
Checklist pages are submitted with the application, they will be
removed prior to review to allow for consistency with other
applications.

The following sections are specific cost guidelines that will apply
to those applications selected for award consideration.

1. Principal Investigator's Salary

The salary for the principal investigator must not exceed the actual
institutional salary rates for the effort being devoted to the
Academic Award.  In addition, salary rates must not exceed an annual
salary level of $125,000 plus fringe benefits (a maximum of $62,500
for 50 percent effort).  A candidate must devote at least 30 percent
effort and no greater than 50 percent effort to this award.

A principal investigator may devote up to a combined total of 100
percent effort on the Academic Award and as an investigator on any
other NIH-supported grant(s) or contract(s) and may receive
remuneration from such sources accordingly.

2. Program Support

Technical support will be provided up to a maximum of $20,000 per
year for the following:

o  personnel other than the PI if requested for the development,
implementation, and  evaluation of the program.  Salaries will be
allowable for technical and support staff and consultants, e.g.,
educational and evaluation specialists.

o  consumable supplies essential to the proposed program are
allowable, but equipment costs are not allowable;

o  funds for educational development to enable the awardee to develop
educational skills;

o  funds for travel for the Principal Investigator to meet with other
investigators and NHLBI staff to exchange ideas, to develop
collaborative projects, and to provide  needed technical support.
(Investigators may be requested to meet as a group up to two times a
year; $2,000 should be allocated for this purpose.)

3.  Indirect Costs

Awards will be provided for the reimbursement of actual indirect
costs at a rate up to, but not exceeding, 8 percent of the total
direct costs of each award.

4. Conditions of the Award

Institutions must provide documentation that the applicant would have
the necessary time and resources to implement the proposed plan.  In
some cases, it may be necessary for the applicant to be relieved of
some responsibilities for the five years of the grant award in order
to implement the proposed plan.

An institution may apply for an award on behalf of a named individual
meeting the criteria for this award.  Awards will be limited to one
>From each eligible school over the life of the award.  After the
first year, grants will be renewed for a maximum of four years on a
noncompetitive basis depending upon progress being made in meeting
the program's objectives.  An annual report will be required that
summarizes activities relevant to curriculum development at the
institution and other elements of the program plan and outlines
future plans.  This report will serve as the principal basis for
renewal of the grant.

Awards may not be transferred from one institution to another.  If an
awardee moves to another institution, the award will continue at the
original institution only upon acceptance by the Division of Lung
Diseases of a suitable replacement proposed by the grantee
institution.  Such a replacement will not lengthen the overall term
of the award.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 4922B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (F 59 1115), and reprinted in the
NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume 23,
Number 11.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

Although the TB Academic Award is not primarily a mechanism to
support research, human subjects may be involved.  If so,  protection
for human subjects must be addressed, and the approximate percent of
women and each minority group that you expect in the total population
must be included.

LETTER OF INTENT

Prospective applicants are asked to submit, by October 4, 1996, a
letter of intent that includes the name, address, and telephone
number of the Principal Investigator, the identities of other key
personnel and participating institutions, and the number and title of
the RFA in response to which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains allows NIH staff to estimate the potential review
workload and to avoid conflict of interest in the review.  The letter
of intent is to be sent to Dr. C. James Scheirer, at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 5/95).  Applications kits are available at most
institutional offices of sponsored research and may be obtained from
the Grants Information Office, Office of Extramural Outreach and
Information Resources, National Institutes of Health, 6701 Rockledge
Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/435-0714,
email:  ASKNIH@odrockm1.od.nih.gov.  To identify the application as a
response to this RFA, check "Yes" in item 2 of page 1 of the
application and enter the title "Tuberculosis Academic Award"
HL-96-022.

The RFA label available in form PHS 398 application kit (rev. 5/95)
must be affixed to the bottom of the face page of the original
completed application.  Failure to use this label could result in
delayed processing of the application such that it may not reach the
review committee in time for review.

Send or deliver the completed application and three signed
photocopies in one package to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, SUITE 1040 - MSC-7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

Send two additional copies of the application to the Chief, Review
Branch, DEA at the address listed under INQUIRIES.  It is important
to send these two copies at the same time as the original and three
copies are sent to the Division of Research Grants, otherwise, the
NHLBI cannot guarantee that the application will be reviewed in
competition for this RFA.

Applications must be received by November 1, 1996.  If an application
is received after this date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
This does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
DRG and responsiveness to this RFA by the NHLBI.  Incomplete
applications will be returned to the applicant without further
consideration.  If the application is not responsive to the RFA,
NHLBI staff will return the application to the applicant.
Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the Division of Extramural Affairs, NHLBI in
accordance with the review criteria stated below.

As part of the initial merit review, a process may be used by the
initial review group in which applications will be determined to be
competitive or noncompetitive based on their scientific merit
relative to other applications received in response to the RFA.
Applications judged to be competitive will be discussed and be
assigned a priority score.  Applications determined to be
noncompetitive will be withdrawn from further consideration and the
Principal Investigator and the official signing for the applicant
organization will be notified.

Review Criteria

Applications for this Tuberculosis Academic Award will be evaluated
in terms of the following criteria:

o  description of the magnitude of the tuberculosis problem and the
need for the program in the area to be served;

o  the overall merit of the proposed five year plan for improving the
institution's interdepartmental curricula in tuberculosis control;

o  the qualifications and background of the candidate, including
experience in teaching, curriculum development, and administration in
a medical school, planning and conduct of research, and level of
effort;

o  the ability and commitment to work cooperatively with other
investigators to make innovative tuberculosis curricula, materials,
and programs available;

o  the institution's commitment to implement the proposed curriculum
and to maintain a program in education about tuberculosis control
after the termination of the award;

o  the significant involvement of appropriate disciplines in the
development, implementation, and evaluation of the program;

o  design and evaluation of educational interventions for health care
providers and for patients with tuberculosis in areas with high
incidence of TB;

o  plans for communication and cooperation between specialists in
adult and pediatric pulmonary medicine, infectious disease, and
community medicine to ensure optimal treatment;

o  plans for collaborative projects with other organizations that
have responsibility for and interest in tuberculosis control, for
example, health departments, medical and nursing associations,
voluntary health agencies, and home care agencies;

o  plans for and availability of expertise to implement and evaluate
the proposed program, including strategies for both process and
impact evaluation;

o  the potential of the program for making an impact on the control
of tuberculosis among populations served;

o  the potential for replication or adaptation of the program at
other sites.

AWARD CRITERIA

The anticipated date of award is July 1, 1997.  Factors that will be
taken into consideration in making awards include the scientific
merit of the proposed program as evidenced by the priority score and
the availability of funds.  Subject to the availability of necessary
funds and consonant with the objectives of the Tuberculosis Academic
Award, the Division of Lung Diseases will provide funds for a project
period up to five years.

INQUIRIES

Inquiries concerning this RFA are encouraged, and the opportunity to
clarify any issues or questions from potential applicants is welcome.

To obtain a copy of the RFA please contact:

Melonie Shine
Division of Lung Diseases
National Heart, Lung, Blood Institute
6701 Rockledge Drive, Suite 10018, MSC-7952
Bethesda, MD  20892-7952
Telephone:  (301) 435-0222
FAX:  (301) 480-3557
Email:  ShineM@NIH.GOV

Direct inquiries regarding programmatic issues to:

Mary S. Reilly, M.S.
Division of Lung Diseases
National Heart, Lung, Blood Institute
6701 Rockledge Drive, Suite 10018, MSC-7952
Bethesda, MD  20892-7952
Telephone:  (301) 435-0222
FAX:  (301) 480-3557
Email:  ReillyM@NIH.GOV

Direct inquiries regarding review matters to:

C. James Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Room 7220, MSC 7924
Bethesda, MD  20892-7924
Telephone:  (301) 435-0266
FAX:  (301) 480-3541
Email:  ScheireJ@NIH.GOV

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Room 7154
Bethesda, MD  20892-7926
Telephone:  (301) 435-0171
FAX:  (301) 480-3310)
Email:  ZimmermR@NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.838.  Grants are made under the authorization of
the Public Health Service Act, Title III, Section 301 (Public Law
78-410, as amended by Public Law 99-158, 42 US 241 and 285) and
administered under PHS grants policies and Federal Regulations 42 CFR
52 and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or to
a review by a Health Systems Agency.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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Subject: NIH Guide, vol. 25, no. 31, pt. 1of1, 20 September 1996
Date: 24 Sep 1996 17:24:54 -0700
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X-comment: RFAs described: HL-96-022, HD-96-009, HL-96-019, PAR-96-073
X-URL: gopher://gopher.nih.gov:70/11/res/nih-guide/guide-files/96.09.20

NIH GUIDE - Vol. 25, No. 31 - September 20, 1996

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

NIH NATIONAL RESEARCH SERVICE AWARDS FOR INDIVIDUAL POSTDOCTORAL
FELLOWS GUIDELINES
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N2 **********************************************************

NIMH POLICY CHANGES FOR CAREER AWARDS (K-SERIES) AND SUPPLEMENTAL
INSTRUCTIONS TO THE NIH K AWARD PROGRAM ANNOUNCEMENTS
National Institute of Mental Health
INDEX:  MENTAL HEALTH

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 11/01/96 ************************************************

TUBERCULOSIS ACADEMIC AWARD (RFA HL-96-022)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX R2 11/19/96 ************************************************

ADOLESCENT MEDICINE HIV/AIDS RESEARCH NETWORK (RFA HD-96-009)
National Institute of Child Health and Human Development
National Institute of Allergy and Infectious Diseases
National Institute on Drug Abuse
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT; ALLERGY, INFECTIOUS
DISEASES; DRUG ABUSE

$$INDEX R3 02/13/97 ************************************************

GENE TRANSFER PRINCIPLES FOR HEART, LUNG AND BLOOD DISEASES (RFA
HL-96-019)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX P1 **********************************************************

EXPLORATORY/DEVELOPMENTAL GRANTS FOR HIGH RISK/HIGH IMPACT RESEARCH
(PAR-96-073)
National Institute on Deafness and Other Communication Disorders
INDEX:  DEAFNESS, OTHER COMMUNICATION DISORDERS

THE NIH GUIDE IS AVAILABLE ELECTRONICALLY VIA BITNET OR INTERNET, BY
SUBSCRIPTION, AND IS ALSO ON THE NIH GOPHER (GOPHER.NIH.GOV) AND THE
NIH WEBSITE (HTTP://WWW.NIH.GOV).  ALTERNATIVE ACCESS IS THROUGH THE
NIH GRANT LINE VIA MODEM (DATA LINE 301/402-2221); CONTACT DR. JOHN
JAMES AT 301/435-2801 FOR DETAILS ON THE NIH GRANT LINE.

THE PHS STRONGLY ENCOURAGES ALL GRANT AND CONTRACT RECIPIENTS TO
PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE OF ALL TOBACCO
PRODUCTS.  IN ADDITION, PUBLIC LAW 103-227, THE PRO-CHILDREN ACT OF
1994, PROHIBITS SMOKING IN CERTAIN FACILITIES (OR IN SOME CASES, ANY
PORTION OF A FACILITY) IN WHICH REGULAR OR ROUTINE EDUCATION,
LIBRARY, DAY CARE, HEALTH CARE OR EARLY CHILDHOOD DEVELOPMENT
SERVICES ARE PROVIDED TO CHILDREN.  THIS IS CONSISTENT WITH THE PHS
MISSION TO PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE
AMERICAN PEOPLE.

ALL COMPETING GRANT APPLICATIONS SUBMITTED TO THE NATIONAL INSTITUTES
OF HEALTH MUST BE SENT TO:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

THE GRANTS INFORMATION OFFICE, DRG, HAS BEEN INCORPORATED INTO THE
NEW OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES, OFFICE OF
EXTRAMURAL RESEARCH, OFFICE OF THE DIRECTOR, NIH.  REQUESTS FOR
APPLICATION FORMS, PUBLICATIONS, AND OTHER INFORMATION MAY BE
DIRECTED TO THE FOLLOWING:

OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, MSC 7910
BETHESDA, MD  20892-7910
TELEPHONE:  (301) 435-0714
EMAIL:  ASKNIH@ODROCKM1.OD.NIH.GOV

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

NIH NATIONAL RESEARCH SERVICE AWARDS FOR INDIVIDUAL POSTDOCTORAL
FELLOWS GUIDELINES

NIH GUIDE, Volume 25, Number 31, September 20, 1996

P.T.

National Institutes of Health

based on PA-94-055, NIH Guide for Grants and Contracts Vol. 23, No.
15, April 15, 1994  and Notice of New Policy on Tuition Costs on NIH
NRSA Training Grant and Fellowship Awards, ibid. Vol. 25, No. 2,
February 2, 1996

Purpose

The Congress of the United States enacted the National Research
Service Act (NRSA) Program in 1974 to help ensure that highly trained
scientists would be available in adequate numbers and in appropriate
research areas to carry out the Nation's biomedical and behavioral
research agenda.  Under this congressional authority, the National
Institutes of Health (NIH) awards NRSA individual postdoctoral
fellowships (F32) to the most promising applicants to support full-
time research training related to the mission of the NIH constituent
institutes and centers.

Eligibility Requirements

Citizenship.  By the time of award, individuals must be citizens or
noncitizen nationals of the United States, or have been lawfully
admitted to the United States for permanent residence (i.e., possess
a currently valid Alien Registration Receipt Card I-551, or other
legal verification of such status).  Noncitizen nationals are
generally persons born in outlying possessions of the United States
(i.e., American Samoa and Swains Island).  Individuals on temporary
or student visas are not eligible.

Degree Requirements.  Before an NRSA award can be activated, the
individual must have received a Ph.D., M.D., D.O., D.D.S., D.V.M.,
O.D., D.P.M., Sc.D., Eng.D., Dr. P.H., D.N.S., Pharm.D., D.S.W.,
Psy.D., or equivalent doctoral degree from an accredited domestic or
foreign institution.  Certification by an authorized official of the
degree-granting institution that all degree requirements have been
met is also acceptable.

Sponsorship.  Before submitting a fellowship application, the
applicant must identify a sponsoring institution and an individual
who will serve as a sponsor and will supervise the training and
research experience.  The sponsoring institution may be private
(profit or nonprofit) or public, including the NIH Intramural
Programs and other Federal laboratories.

The applicant's sponsor should be an active investigator in the area
of the proposed research who will directly supervise the candidate's
research.  The sponsor must document, in the application, the
availability of staff, research support, and facilities for high-
quality research training.  Applicants proposing training at their
doctorate institution or at the institution where they have been
training for more than a year must document thoroughly the
opportunity for new training experiences that would broaden their
scientific background.

Foreign Sponsorship.  Applicants requesting foreign training must
show in the application that the foreign institution and sponsor
offer special opportunities that are not currently available in the
United States.  Only if there is a clear scientific advantage will
foreign training be supported.

Period of Support

Individuals may receive up to 3 years of aggregate NRSA support at
the postdoctoral level, including any combination of support from
institutional training grants and individual fellowship awards.
Exceptions to the 3-year limit require a waiver from NIH.
Individuals interested in a waiver should consult with staff of the
relevant NIH institute.

Characteristics of Programs

The proposed NRSA training must be within the scope of biomedical or
behavioral research and must offer an opportunity for individuals to
broaden their scientific background or to extend their potential for
research in health-related areas.  For those who have a health
professional degree, the proposed training may be part of a research
degree program.

Individuals are required to pursue their research training on a full-
time basis, devoting at least 40 hours per week to the training
program.  Research clinicians must devote full-time to their proposed
research training and must restrict clinical duties within their
full-time research training experience to those that are part of the
research training experience.

The Secretary, U.S. Department of Health and Human Services (DHHS),
is required by law, considering the Nation's overall needs for
biomedical personnel, to give special consideration to physicians who
agree to undertake a minimum of 2 years of biomedical or behavioral
research.  NIH recognizes the critical importance of training
clinicians to become researchers and encourages them to apply.
Women, minorities, and individuals with disabilities are also
encouraged to apply.

An NRSA fellowship (F32) may not be used to support studies leading
to the M.D., D.O., D.D.S., D.V.M., or other similar health-
professional degrees.  Neither may these awards be used to support
the clinical years of residency training.

Payback

As required by the NIH Revitalization Act of 1993, postdoctoral
fellows incur a service obligation of 1 month for each month of
support during the first 12 months of the NRSA postdoctoral support.
The 13th and subsequent months of NRSA support are acceptable
postdoctoral payback service.  Thus, individuals who continue under
the award for 2 years would have paid off their first year obligation
by the end of the second year.

Applicants accepting an award for the first 12 months of NRSA
postdoctoral support must sign a payback agreement (PHS Form 6031) in
which they agree to engage in health-related research training,
research, and/or teaching for 12 months.

Those who do not pay back their obligation through continued NRSA
support may satisfy their obligation by serving in a full-time
position in which health-related research, research training, or
teaching are the primary activities or by engaging in such research,
research training, or teaching in a position(s) for more than an
average of 20 hours per week of a full work-year.  Payback service
may be conducted in an academic, governmental, commercial, or
nonacademic environment, in the United States or in a foreign
country.  Examples of acceptable payback service include research
associateships/assistantships, postdoctoral research fellowships, and
college or high school science teaching positions.  Examples of
unacceptable payback service include clinical practice and
administrative responsibilities not directly related to scientific
research.

Payback service positions are arranged by the individual, not by NIH.
The NIH institute supporting the fellowship will review and approve
the activity at the end of the year in which it occurs.  Service to
satisfy any outstanding obligation must be initiated within 2 years
after termination of NRSA support, and must be performed on a
continuous basis.  For individuals who fail to fulfill their service
obligation, the United States is entitled to recover the total amount
of NRSA funds paid to the individual for the obligated period plus
interest at a rate determined by the Secretary, U.S. Department of
Treasury.  Financial payback must be completed within 3 years,
beginning on the date the United States becomes entitled to recover
such amount.

Under certain conditions, the Secretary, DHHS, may extend the period
for starting service, permit breaks in service, extend the period of
repayment, or otherwise waive, in whole or in part, the payback
obligation of an individual.  Questions on payback should be directed
to the appropriate NIH institute contact.

Leave

Fellows may continue to receive stipends during periods of vacation
and holidays available to individuals in comparable training
positions at the sponsoring institution. Also, fellows may continue
to receive  stipends for up to 15 calendar days of sick leave per
year.  Sick leave may be used for the  medical conditions related to
pregnancy and childbirth pursuant to the Pregnancy Discrimination Act
[42 USC 2000 e (k)].  Fellows may continue to receive stipends for up
to 30 calendar days of parental leave per year for the adoption or
the birth of a child when those in comparable training positions at
the grantee or sponsoring institution have access to paid leave for
this purpose and the use of  parental leave is approved by the
sponsor. A period of terminal leave is not permitted and payment may
not be  made from grant funds for leave not taken. Individuals
requiring extended periods of time away from their research training
experience must seek approval from the NIH awarding component for an
unpaid leave of absence.

Stipends

NRSA awards provide stipends to postdoctoral researchers as a
subsistence allowance to help defray living expenses during the
research training experience.  The awards are not provided as a
condition of employment with either the Federal government or the
sponsoring institution.

The stipend level for the first year of NRSA support is determined by
the number of years of relevant postdoctoral experience at the time
the award is issued.  Relevant experience may include research
experience (including research in industry), teaching, internship,
residency, clinical duties, or other time spent in full-time studies
in a health-related field beyond that of the qualifying doctoral
degree.  Postdoctoral stipends are as follows:

Full Years of Relevant Experience                  Annual Amount

         <1                                        $19,608
          1                                         20,700
          2                                         25,600
          3                                         26,900
          4                                         28,200
          5                                         29,500
          6                                         30,800
        >7                                          32,300

The stipend for each subsequent year of NRSA support is the next
level in the stipend structure and begins on the anniversary date of
the award.  No departure from the standard stipend schedule may be
negotiated between the institution and the fellow.

For fellows sponsored by domestic nonfederal institutions, the
stipend will be paid through the sponsoring institution.  For fellows
sponsored by Federal or foreign institutions, the monthly stipend
payment will be deposited in the fellow's U.S. bank account or paid
directly to the fellow by U. S. Department of Treasury check.

Stipend Supplementation.  Supplementation or additional support to
offset the cost of living may be provided by the sponsoring
institution, but must not require any additional obligation from the
fellow.  Federal funds may not be used for supplementation unless
specifically authorized under the terms of both the program from
which such supplemental funds are to be received and the program
whose funds are to be supplemented.  Under no circumstances may
Public Health Service (PHS) funds be used for supplementation.

Compensation.  An institution may provide additional funds to a
fellow in the form of compensation (such as salary and/or tuition
remission) for services such as teaching or laboratory
assistantships.  A fellow may receive compensation for services as a
research assistant or in some other position on a Federal research
grant, including a PHS research grant.  However, compensated services
should occur on a limited, part-time basis apart from the normal
research training activities, which require a minimum of 40 hours per
week.  In addition, compensation may not be paid from a research
grant supporting research that is part of the research training
experience.

Under no circumstances may the conditions of stipend supplementation
or the services provided for compensation interfere with, detract
from, or prolong the fellow's approved NRSA training program.
Additionally, compensation must be in accordance with institutional
policies applied consistently to both federally and non-federally
supported activities and supported by acceptable accounting records
determined by the employer-employee relationship agreement.

Educational Loans or G.I. Bill.  An individual may make use of
Federal educational loan funds and assistance under the Veterans
Readjustment Benefits Act (G.I. Bill).  Such funds are not considered
supplementation or compensation.

Concurrent Awards.  An NRSA fellowship may not be held concurrently
with another Federally sponsored fellowship or similar award that
provides a stipend or otherwise duplicates provisions of the NRSA.

Tax Liability

The Internal Revenue Code, Section 117, applies to the tax treatment
of all scholarships and fellowships.  Under that section, non-degree
candidates are required to report, as gross income, all stipends and
any monies paid on their behalf for course tuition and fees required
for attendance.  Degree candidates may exclude from gross income
reported for tax purposes any amount used for tuition and related
expenses, such as fees, books, supplies, and equipment required for
courses of instruction at a qualified educational organization.

The taxability of stipends, however, in no way alters the
relationship between NRSA fellows and institutions.  NRSA stipends
are not considered salaries.  NRSA fellows are not considered to be
in an employee-employer relationship with NIH or with the institution
in which they are pursuing research training.

The interpretation and implementation of the tax laws are the domain
of the Internal Revenue Service (IRS) and the courts.  NIH takes no
position on the status of a particular taxpayer, and it does not have
the authority to dispense tax advice.  Individuals should consult
their local IRS office about the applicability of the law to their
situations and for information on the proper steps to be taken
regarding their tax obligations.

The business office of the sponsoring institution is responsible for
the annual preparation and issuance of the IRS form 1099 (statement
of miscellaneous income) for fellows paid through the institution
(fellows at domestic nonfederal institutions).  NIH will issue the
form for all fellows training at Federal or foreign laboratories and
receiving a stipend check from the U.S. Treasury.

Other Training Costs

NIH will provide an institutional allowance of $3,000 per 12-month
period to nonfederal, nonprofit sponsoring institutions to help
defray such awardee expenses as research supplies, equipment, and
travel to scientific meetings.  This allowance is intended to cover
training-related expenses for the individual awardee.  The allowance
is not available until the fellow officially activates the award.  If
an individual fellow is not enrolled or engaged in training for more
than 6 months of the award year, only one-half of that year's
allowance may be charged to the grant.  The Notice of Research
Fellowship Award will be revised and the balance must be refunded to
NIH.

Beginning in fiscal year 1997, NIH will provide up to $1,000 for
fellows sponsored by Federal laboratories or for-profit institutions
for expenses associated with travel to scientific meetings and books.
For fellows at for-profit institutions, the $1,000 will be paid to
the institution for disbursement to the fellow.  Funds for fellows at
Federal laboratories will be disbursed from the NIH awarding
institute.

Additional funds may be requested by the institution when the
training of a fellow involves extraordinary costs for: travel to
field sites remote from the sponsoring institution; or,
accommodations for fellows who are disabled, as defined by the
Americans With Disabilities Act.  The funds requested for
extraordinary costs must be reasonable in relationship to the total
dollars awarded under the fellowship and must be directly related to
the approved research training experience.  Such additional funds
shall be provided only in exceptional circumstances that are fully
justified and explained by the institution.

Tuition and Fees.  Beginning in Fiscal Year 1997, the NIH will offset
the combined cost of tuition, fees, and self-only health insurance at
the following rate: 100 percent of all costs up to $2,000 and 60
percent of costs above $2,000.  Costs associated with tuition and
fees are allowable only if they are required for specific courses in
support of the research training experience supported by the
fellowship.  Family medical insurance is not allowable under an NRSA
fellowship.  A description of this policy change appeared in the NIH
Guide for Grants and Contracts, Volume 25, No. 2, February 2, 1996.

Travel Expenses.  Awards for training at a foreign site include a
single economy or coach round-trip travel fare.  No allowance is
provided for dependents.  U.S. flag air carriers must be used to the
maximum extent possible when commercial air transportation is the
means of travel between the United States and a foreign country or
between foreign countries.

Funds are not provided to cover the cost of travel between the
fellow's place of residence and a domestic training institution.
However, in cases of extreme need or hardship, a one-way travel
allowance may be authorized by the sponsoring institution.  Such
travel must be paid from the institutional allowance. Indirect costs
are not allowed on individual fellowship awards.

Application Procedures

Individuals must submit the application form, PHS Individual National
Research Service Award (PHS 416-1, rev. 8/95), and include at least
three letters of reference.  If the applicant has been lawfully
admitted to the United States for permanent residence, the
appropriate item should be checked on the Face Page of the
application.  Applicants who have applied for and have not yet been
granted admission as a permanent resident should also check the
Permanent Resident block on the Face Page of the PHS 416-1
application, and also write in the word ~pending.~  A notarized
statement documenting legal admission for permanent residence must be
submitted prior to the issuance of an award.

Applicants and sponsoring institutions must comply with policies and
procedures governing the protection of human subjects, the humane
care and use of live vertebrate animals, and the inclusion of women
and minorities in study populations.

On the application face page, applicants should indicate in Item 3
the initials of the NIH institute (e.g., NIA, NIGMS) most appropriate
to the research area of the application.  The list of institutes at
the end of this announcement will be helpful in selecting the
appropriate initials.  Alternatively, if the application is submitted
in response to a Program Announcement (PA) or Request for Application
(RFA) from a particular NIH institute, the applicant should identify
the number of the PA or RFA in Item 3. This information will be used
as a guide in the application assignment process.

Applications kits and the brochure "Helpful Hints on Preparing a
Fellowship Application to the National Institutes of Health," are
available at most institutional offices of sponsored research and may
be obtained from the Grants Information Office, Office of Extramural
Outreach and Information Resources, National Institutes of Health,
6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone
301/435-0714, email:  ASKNIH@odrockm1.od.nih.gov.

Concurrent Applications.  An individual may not have more than one
individual NRSA fellowship or comparable application pending
concurrently with the NIH or other DHHS agencies.

Application Receipt Dates and Review Schedule

F32 applications undergo a review process that takes between 5 and 8
months.  The three annual review cycles are as follows:

Application        Initial          Secondary          Range of
Receipt            Review           Review             Likely
Date               Date             Date               Start Dates

Apr 5              Jun/Jul          Aug/Sep            Sep 1 - Dec 1
Aug 5              Oct/Nov          Dec/Jan            Jan 1 - Mar 1
Dec 5              Feb/Mar          Apr/May            May 1 - Jul 1

Review Considerations

Applications receive two sequential levels of review.  Initial review
groups (IRGs), composed primarily of nongovernment scientists who
have been selected for their competence in particular scientific
areas, evaluate applications for merit.  A scientific review
administrator (SRA), a designated Federal official, coordinates the
review of applications for each IRG.

After the initial review meeting, the SRA prepares the summary
statement for each application and forwards it to the appropriate NIH
institute.  There, a second level of review is provided by institute
staff members before a funding decision is made.

Review Criteria

The review criteria focus on three main components:

o  qualifications and potential of the applicant.
o  the scientific merit and training potential of the proposed
research.
o  the training resources and environment, including the sponsor.

It is important to remember that the F32 program is a training award
and not a research award.  Major considerations in the review are the
applicant's potential for a productive scientific career, the
applicant's need for the proposed training, and the degree to which
the research training proposal, the sponsor, and the environment will
satisfy these needs.  For more details, see the Peer Review Process
in the PHS 416-1 application instructions.

Notification

Shortly after the initial review meeting, each candidate will be sent
a mailer that includes the IRG recommendation, the priority score,
and the name of a program official in one of the NIH institutes or
centers.  The institute automatically forwards a copy of the summary
statement to the applicant as soon as possible after receipt from the
IRG.

Following the second-level review, the institute will notify each
applicant of the final disposition of the application.  Any questions
about initial review recommendations and funding possibilities should
be directed to the appropriate institute program official, not the
scientific review administrator of the IRG.

Award Criteria

The staff of the NIH institutes use the following criteria in making
awards:

o  IRG recommendation of the overall merit of the application
o  relevance of the application to institute research priorities and
program balance
o  availability of funds.

Activation.  An awardee has up to 6 months from the issue date on the
award notice to activate the award.  Under unusual circumstances, an
NIH institute may grant an extension of the activation period upon
receipt of a specific request from the fellow.

Terms and Conditions of Support

Fellowships must be administered in accordance with the current
National Research Service Award Guidelines for Individual Awards and
Institutional Grants, the current PHS Grants Policy Statement, and
any terms and conditions specified on the award notice. The following
policies are noted:

Certification and Reporting Procedures.  No application will be
accepted without the applicant signing the certification block, which
indicates, among other things, intent to meet the payback provisions
required under law.  Individuals admitted to the United States as
permanent residents must submit notarized evidence of legal admission
prior to the award.  No funds may be disbursed until the fellow has
started training under the award and an activation notice (PHS 416-5)
has been submitted to NIH, accompanied by a Payback Agreement (PHS
6031) when the award is for the individual's initial 12 months of
NRSA postdoctoral support.  When support ends, the fellow must submit
a Termination Notice (PHS 416-7) to the NIH, and if the fellow has a
payback obligation, he or she must notify the NIH of any change in
address and submit Annual Payback Activities Certification forms (PHS
6031-1) until the payback service obligation is satisfied.

Inventions and Publications.  Fellowships made primarily for
educational purposes are exempted from the PHS invention
requirements.  F32 awards will not contain any provision giving PHS
rights to inventions made by the awardee.

PHS policy is to make available to the public the results and
accomplishments of the activities that it funds.  Therefore, it is
incumbent upon fellows to make results and accomplishments of their
F32 activities available to the public.  There should be no
restrictions on the publication of results in a timely manner.

Except as otherwise provided in the terms and conditions of the
award, the recipient is free to arrange for copyright without
approval when publications, data, or other copyrightable works are
developed in the course of work under a PHS grant-supported project
or activity.  Any such copyrighted or copyrightable works shall be
subject to a royalty-free, nonexclusive, and irrevocable license to
the Government to reproduce, publish, or otherwise use them, and to
authorize others to do so for Federal Government purposes.

Nondiscrimination.  The NIH research training and career development
programs are conducted in compliance with applicable laws that
provide that no person shall, on the grounds of race, color, national
origin, handicap, or age, be excluded from participation in, be
denied the benefits of, or be subjected to discrimination under any
program or activity (or, on the basis of sex, with respect to any
education program or activity) receiving Federal assistance.

Authority and Regulations

NRSA awards are made under the authority of Section 487 of the Public
Health Service Act as amended (42 USC 288), and Title 42 of the Code
of Federal Regulations, Part 66.  The following Catalog of Federal
Domestic Assistance numbers are applicable to these awards: 93.121,
93.172, 93.173, 93.272, 93.278, 93.282, 93.306, 93.361, 93.398,
93.821, 93.837-93.839, 93.846-93.849, 93.853-93.856, 93.859, 93.862-
93.867, 93.880, 93.894, and 93.929.

This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency
review.

Additional Information

For further information, contact the appropriate individual listed
below:

National Institute of Aging (NIA)
Dr. Robin Barr
Telephone: (301) 496-9322
Email: rb42h@nih.gov

National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Dr. Ernestine Vanderveen
Telephone: (301) 443-1273
Email: tvanderv@willco.niaaa.nih.gov

National Institute of Allergy and Infectious Diseases (NIAID)
Dr. Milton Hernandez
Telephone: (301) 496-7291
Email: mh35c@nih.gov

National Institute of Arthritis and Musculoskeletal and Skin Diseases
(NIAMS)
Dr. Richard Lymn
Telephone: (301) 594-5128
Email: rl28b@nih.gov

National Cancer Institute (NCI)
Dr.Vincent Cairoli
Telephone: (301) 496-8580
Email: cairoliv@dcbdcep1.nci.nih.gov

National Institute of Child Health and Human Development (NICHD)
Dr. Danuta Krotoski
Telephone: (301) 402-2242
Email: krotoskd@hdo1.nichd.nih.gov

National Institute of Deafness and Other Communication Disorders
(NIDCD)
Dr. Daniel Sklare
Telephone: (301) 496-1804
Email: daniel_sklare@nih.gov

National Institute of Dental Research (NIDR)
Dr. James Lipton
Telephone: (301) 594-2618
Email: liptonj@de45.nidr.nih.gov

National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK)
Division of Diabetes, Endocrinology, and Metabolic Diseases
Dr. Ronald Margolis
Telephone: (301) 594-8819
Email:  margolisr@ep.niddk.nih.gov

Division of Digestive Diseases and Nutrition
Dr. Judith Podskalny
Telephone: (301) 594-8876
Email:  podskalnyj@ep.niddk.nih.gov

Division of Kidney, Urologic, and Hematologic Diseases
Dr. Charles Rodgers
Telephone: (301) 594-7726
Email:  rodgersc@ep.niddk.nih.gov

National Institute on Drug Abuse (NIDA)
Division of Basic Research
Dr. Charles Sharp
Telephone: (301) 443-1887
Email: cs107m@nih.gov

Division of Clinical and Services Research
Dr. Arthur Horton
Telephone: (301) 443-4060
Email: ah61x@nih.gov

Division of Epidemiology and Prevention Research
Ms. Ann Blanken
Telephone: (301) 443-6543
Email: ab108v@nih.gov

Medications Development Division
Dr. Jamie Biswas
Telephone: (301) 443-5280
Email: jb168r@nih.gov

National Institute of Environmental Health Sciences (NIEHS)
Dr. Michael Galvin, Jr.
Telephone: (919) 541-7825
Email: galvin@niehs.nih.gov

National Eye Institute (NEI)
Dr. Maria Giovanni
Telephone: (301) 496-0484
Email: mg37u@nih.gov

National Institute of General Medical Sciences (NIGMS)
Dr. Michael Martin
Telephone: (301) 594-3910
Email: martinm@gm1.nigms.nih.gov

National Heart, Lung, and Blood Institute (NHLBI)
Ms. Mary Reilly
Telephone: (301) 435-0222
Email: mr50w@nih.gov

National Institute of Mental Health (NIMH)
Office on AIDS
Dr. Leonard  L. Mitnick
Telephone: (301) 443-7281
Email: lmitnick@nih.gov

Division of Neuroscience and Behavioral Science
Dr. Henry Khachaturian
Telephone: (301) 443-8033
Email: hkhach@helix.nih.gov

Division of Clinical and Treatment Research
Dr. George T. Niederehe
Telephone: (301) 443-3264
Email: gniedere@nih.gov

Division of Epidemiology and Services Research
Dr. Kenneth G. Lutterman
Telephone: (301) 443-3373
Email: klutterma@nih.gov

National Institute of Neurological Disorders and Stroke (NINDS)
Mr. Edward Donohue
Telephone: (301) 496-4188
Email: ed25b@nih.gov

National Institute of Nursing Research (NINR)
Dr. Lynn Amende
Telephone: (301) 594-5965
Email:  la18g@nih.gov

National Center for Human Genome Research (NCHGR)
Dr. Bettie Graham
Telephone: (301) 496-7531
Email: grahamb@odder.nchgr.nih.gov

National Center for Research Resources (NCRR)
Dr. Harriet Gordon
Telephone: (301) 435-0790
Email:  harrietg@ep.ncrr.nih.gov

Office of Alternative Medicine (OAM)
Dr. Richard Nahin
Telephone: (301) 496-4792
Email: nahinr@od31em1.od.nih.gov

Note: The Office of Alternative Medicine (announced in the NIH Guide
for Grants and Contracts, Vol. 23, No. 1, January 7, 1994) will
provide funds for a limited number of postdoctoral fellowships in
fiscal year 1997.  The funds will be provided to the appropriate
institute identified above, which will award and administer the
fellowship.  Interested applicants should consult the program
announcement, PA-94-025, and if applicable, indicate the PA number in
item 3 on the face page of the application.

Other DHHS Organization Making F32 Awards:

Agency For Health Care Policy and Research (AHCPR)
Training Officer
Office of Scientific Affairs
Agency for Health Care Policy and Research
2101 E. Jefferson Street, Suite 400
Rockville, Maryland 20852
Telephone: (301) 594-1449
FAX: (301) 594-0154
Email:  training@po7.ahcpr.gov

Other NIH Programs That Support Research Training

For a complete description of NIH programs that provide research
training support at levels from high school to the senior
investigator level, at research institutions, colleges, and
universities around the United States, in other countries, and at the
NIH facilities, please refer to Research Training and Career
Development Programs Supported by the National Institutes of Health
(NIH Publication No. 93-2273), which can be obtained from the NIH
website at http://www.nih.gov/, and the Grants Information Office,
Extramural Outreach and Information Resources Office, Office of
Extramural Research, 6701 Rockledge Drive, Room 6207, MSC 7910,
Bethesda, MD 20892-7910, 301-435-0714, ASKNIH@ODROCKM1.OD.NIH.GOV.

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

NIMH POLICY CHANGES FOR CAREER AWARDS (K-SERIES) AND SUPPLEMENTAL
INSTRUCTIONS TO THE NIH K AWARD PROGRAM ANNOUNCEMENTS

NIH GUIDE, Volume 25, Number 31, September 20, 1996

P.T.

National Institute of Mental Health

This Notice is intended to provide current National Institute of
Mental Health (NIMH) career award (K series) holders and prospective
applicants with the latest policy changes regarding these awards.
This Notice supplements (with the exceptions noted below) the
previous Notice, which appeared in the NIH Guide, Vol. 24, No. 18,
May 19, 1995.  The NIH program announcements addressed in this Notice
are the following:

PA-95-049:  Mentored Research Scientist Development Award (K01)
PA-95-050:  Independent Scientist Award (K02)
PA-95-051:  Senior Scientist Award (K05)
PA-95-052:  Academic Career Award (K07)
PA-95-053:  Mentored Clinical Scientist Development Award (K08)

POLICY CHANGES

Senior Scientist Award (K05)
Independent Scientist Award (K02)

Effective January 1, 1997, NIMH will restrict the K05 awards to one
five year term only, and make these awards only to investigators who
are NIMH grantees at the time of award.  To implement this policy,
competing K05 renewal applications (type 2) will not be accepted, by
the NIMH after January 1, 1997.

K02 awards will continue to be available for two five year terms
(which includes one renewal).  Investigators with research support
>From other NIH Institutes may receive an initial K02 award from NIMH.
However, those individuals who previously have held an NIMH K01 or
K08 award must have NIMH research support at the time of their first
K02 award.  Eligibility for renewal of K02 awards will be limited to
NIMH grantees at the time of award.

Scientists who hold a position with firm salary support for research
or whose primary responsibility is administrative, must demonstrate a
compelling need for a K02 or K05 award.  For the purpose of these
policies, NIMH grantees are Principal Investigators (PIs) on R01,
R10, R18, R21, R24, R29, R37, P01, P20, P30, P50, and U01 grants
(investigators who direct subprojects on P series grants are not
eligible).  These policies will govern all K02 and K05 applications
submitted after January 1, 1997.  The NIMH expects that these policy
changes will result in distributing limited career award funds to
greater numbers of junior investigators seeking careers in mental
health research.

The NIMH recognizes that these policy changes may have a significant
impact on the research programs and plans of current holders of K02
and K05 awards, especially those currently in the last year of their
award.  Current K02 and K05 awardees who would be affected adversely
by this policy should contact an NIMH program official, listed under
INQUIRIES, for further assistance.

Academic Career Award (K07)

After January 1, 1997, NIMH will no longer accept new or revised
applications for grant support via the K07 mechanism.  Prospective
candidates for K07 awards are advised to consider applying instead
for the K08 award, which has similar eligibility criteria and
provides comparable forms of support for scientific career
development.  Any K07 applications submitted after January 1, 1997
receipt deadlines will be administratively re-coded and reviewed as
K08 applications.  Individuals submitting K07 applications will be
allowed to submit supplemental information addressing issues
pertinent to the K08 mechanism before their application is reviewed.
These changes do not apply to current K07 awardees or to K07
applications submitted on or before January 1, 1997.

Institutional Environment and Commitment

All of the following conditions apply to K01, K02, and K08
applicants, unless otherwise specified:

The sponsoring institution must document the availability of a
strong, well-established research program related to the candidate's
area of interest, including a high-quality research environment with
senior staff competent to collaborate with the candidate (K02
applicants), or the names of experienced faculty members in
departments relevant to the candidate's proposed training (K01 and
K08 applicants).  The sponsoring institution must also provide a
statement of commitment to the candidate's research career
development (K01 and K08) or research career enhancement (K02).
Specifically, evidence must be provided to ensure that the
applicant's salary is not contingent upon the receipt of this award.
Further, the K01 and K08 are not intended to be used in order to
maintain a promising person in postdoctoral status.  The most
appropriate evidence of the sponsoring institution's commitment to
K01 or K08 candidates is a full-time faculty appointment.  Evidence
must also be provided to ensure the feasibility of the proposed
research development (K01 and K08) or research enhancement (K02)
plan, including availability of office and laboratory space,
equipment and other resources, as well as access to clinical and/or
other research populations.  The sponsoring institution should also
describe actions it will take to ensure that the candidate will be
able to devote essentially full time (at least 75 percent) to
research.

A description of the department's overall research programs and
details of relevant research are required.  The department
chairperson or research director is to submit information on the
institution's research programs in mental health; plans to develop
these programs; and specific plans for the candidate.

The institution should provide plans for the use of institutional
(non-PHS) funds that would be released as a result of the award.  It
is expected that such funds will revert to the individual awardee's
department and be used in a manner which will further the spirit of
the award, i.e., to expand mental health research programs.
Consequently, when the award relieves a staff member of major
teaching or clinical duties, it is expected that the salary funds
released will be used to bring in another person to resume these
duties, thus enhancing the general capability of the department in
the awardee's specialty area.  Some departments use these funds to
hire persons of lower rank and apply the remaining excess funds to
related research needs, e.g., equipment or research assistance.

INQUIRIES

Consultation with NIMH staff is encouraged especially during the
planning phase of the application.  Below are the names of the NIMH
staff who can provide further information:

Henry Khachaturian, Ph.D.
Division of Neuroscience and Behavioral Science
5600 Fishers Lane, Room 11-103
Rockville, MD  20857
Telephone:  (301) 443-8033
FAX:  (301) 443-1731
Email:  hk11b@nih.gov

Kenneth G. Lutterman, Ph.D.
Division of Epidemiology and Services Research
5600 Fishers Lane, Room 10-95
Rockville, MD  20857
Telephone:  (301) 443-3373
FAX:  (301) 443-4045
Email:  klutterm@nih.gov

Leonard L. Mitnick, Ph.D.
Office on AIDS
5600 Fishers Lane, Room 10-75
Rockville, MD  20857
Telephone:  (301) 443-6100
FAX:  (301) 443-9719
Email:  lmitnick@nih.gov

George Niederehe, Ph.D.
Division of Clinical and Treatment Research
5600 Fishers Lane, Room 18-101
Rockville, MD  20857
Telephone:  (301) 443-3264
FAX:  (301) 443-6784
Email:  gniedere@nih.gov

$$N2 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN HL-96-022 FULL-TEXT **************************************
TUBERCULOSIS ACADEMIC AWARD

NIH GUIDE, Volume 25, Number 31, September 20, 1996

RFA AVAILABLE:  HL-96-022

P.T.

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  October 4, 1996
Application Receipt Date:  November 1, 1996

PURPOSE

The purpose of this solicitation is to stimulate the development
and/or improvement of the quality of medical curricula,
physician/patient/nurse/and community education, and clinical
practice for the prevention, management, and control of Mycobacterium
tuberculosis (TB) in the United States.  The candidate for the award
must be an established physician and a faculty member, who has
sufficient clinical training and practical experience in the control
of TB, and who is aware of the training and educational needs of
health care professionals at all levels who are working in the area
of TB control.  The candidate must also be a leader in providing the
appropriate instructional programs for these individuals, and must
have the unqualified support of the Dean and the educational
leadership at the institution.  The mechanism of support is the
National Institutes of Health Academic Award (K07).  Up to five years
of support may be requested.  The estimated funds (total costs)
available for the first year of support for the entire program is
$300,000.  It is anticipated that no more than three awards will be
issued under this program.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Tuberculosis Academic Award, is related to
the priority areas of immunization and infectious diseases and HIV
Infection.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0 or Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone 202-
512-1800).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Melonie Shine
Division of Lung Diseases
National Heart, Lung, Blood Institute
6701 Rockledge Drive, Suite 10018, MSC-7952
Bethesda, MD  20892-7952
Telephone:  (301) 435-0222
FAX:  (301) 480-3557
Email:  ShineM@NIH.GOV

$$R1 END ************************************************************

$$R2 BEGIN HD-96-009 FULL-TEXT **************************************

ADOLESCENT MEDICINE HIV/AIDS RESEARCH NETWORK

NIH GUIDE, Volume 25, Number 31, September 20, 1996

RFA AVAILABLE:  HD-96-009

P.T.

National Institute of Child Health and Human Development
National Institute of Allergy and Infectious Diseases
National Institute on Drug Abuse

Letter of Intent Receipt Date:  October 15, 1996
Application Receipt Date:  November 19, 1996

PURPOSE

The National Institute of Child Health and Human Development (NICHD),
the National Institute of Allergy and Infectious Diseases (NIAID),
and the National Institute on Drug Abuse (NIDA) invite applications
for cooperative agreements (U01) to expand the clinical science
component of an existing adolescent health research network, the
Adolescent Medicine HIV/AIDS Research Network. This Network is
conducting basic and clinical research on the medical, biobehavioral,
and psychosocial aspects of HIV/AIDS in adolescents infected with HIV
through sexual or drug-taking behaviors.  The network, established in
1994, is recruiting adolescents ages 12 through 18 years.  Additional
funding from Health Resources and Services Administration (HRSA) has
been provided to the Network to fund the infrastructure to support
research in clinical sites including outreach efforts and to develop
and disseminate treatment and policy guidelines specific to
HIV-infected adolescents.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Request
for Applications (RFA), Adolescent Medicine HIV/AIDS Research
Network, is related to the priority areas of maternal and infant
health and HIV infection.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (Telephone: 202-512-1800).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Audrey Smith Rogers, Ph.D., M.P.H.
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B11 - MSC 7510
Bethesda, MD  20892-7510
Telephone:  (301) 496-7339
FAX:  (301) 496-8678
Email:  rogersa@hd01.nichd.nih.gov

$$R2 END ************************************************************

$$R3 BEGIN HL-96-019 FULL-TEXT **************************************

GENE TRANSFER PRINCIPLES FOR HEART, LUNG AND BLOOD DISEASES

NIH GUIDE, Volume 25, Number 31, September 20, 1996

RFA AVAILABLE:  HL-96-019

P.T.

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  January 10, 1997
Application Receipt Date:  February 13, 1997

PURPOSE

The National Heart, Lung, and Blood Institute (NHLBI) invites Program
Project (P01) grant applications for support of research efforts to
advance gene transfer technology and its potential application to
cardiovascular, pulmonary, and hematologic diseases.  The overall
objective of this program is to foster research that will provide the
basic science foundation necessary for gene transfer technology and
its application to somatic gene transfer by:  (1) promoting the
alliance of a critical mass of talented and dedicated investigators
with expertise in the diverse areas essential for successful
implementation of this research program; (2) providing the
infrastructure needed to establish the collaboration of experts in a
wide-ranging number of scientific areas; and (3) funding innovative
pilot and feasibility studies to attract new and established
investigators into the field of gene transfer for cardiovascular,
pulmonary, and hematologic diseases.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of Healthy People 2000, a
PHS-led national activity for setting priority areas.  This request
for applications (RFA), Gene Transfer Principles for Heart, Lung, and
Blood Diseases, is related to the priority area of heart disease and
stroke, diabetes and chronic disabling diseases, and maternal and
infant health.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No.017-001-00474-0 or Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-512-1800).

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Sonia Skarlatos, Ph.D.
Division of Heart and Vascular Diseases
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 10186
Bethesda, MD  20892-7956
Telephone:  (301) 435-0550
FAX:  (301) 480-2858
Email:  SKARLATS@GWGATE.NHLBI.NIH.GOV

$$R3 3ND ************************************************************

$$P1 BEGIN PAR-96-073 FULL-TEXT *************************************

EXPLORATORY/DEVELOPMENTAL GRANTS FOR HIGH RISK/HIGH IMPACT RESEARCH

NIH GUIDE, Volume 25, Number 31, September 20, 1996

PA AVAILABLE:  PAR-96-073

P.T.

National Institute on Deafness and Other Communication Disorders

Application Receipt Date:  November 20, 1996

PURPOSE

The National Institute on Deafness and Other Communication Disorders
(NIDCD) invites grant applications from basic and clinical
investigators who are interested in pursuing high risk/high impact
(HR/HI) research focused on hearing, balance, smell, taste, voice,
speech, or language related to the specific mission of the NIDCD.
This HR/HI research involves pilot/feasibility studies in which the
technological, methodological, or theoretical approach to the problem
lacks a traditional historical basis or pilot data, but which could
have a major impact on a scientific area or field. Descriptions for
the characteristics of this HR/HI research have included
"groundbreaking," "revolutionary," and "paradigm shifting" (High
Risk/Innovative Research Identification in NIH Peer Review Notes,
Division of Research Grants, June 1993).  This research program will
be supported through Exploratory/Developmental (R21) Grants
restricted in level of support and in time.  These grants provide
support for the development of a basis for more extensive research
projects.  This Program Announcement (PA) is a solicitation for a
single receipt date, November 20, 1996.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Exploratory/Developmental Grants for High Risk/High Impact Research,
is related to the priority areas of diabetes and chronic disabling
conditions and special population objectives.  Potential applicants
may obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-512-1800).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Dr. Chyren Hunter
Division of Human Communication
National Institute on Deafness and Other Communication Disorders
6120 Executive Boulevard, Room 400-C - MSC-7180
Bethesda, MD  20892-7180
Telephone:  (301) 402-3458
Email:  Chyren_Hunter@nih.gov
FAX: (301) 402-6251

$$P1 END ************************************************************

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Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA HL-96-019 - V25(31) 09/20/96
Date: 24 Sep 1996 17:26:07 -0700
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GENE TRANSFER PRINCIPLES FOR HEART, LUNG, AND BLOOD DISEASES

NIH GUIDE, Volume 25, Number 31, September 20, 1996

RFA:  HL-96-019

P.T.

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  January 10, 1997
Application Receipt Date:  February 13, 1997

PURPOSE

The National Heart, Lung, and Blood Institute (NHLBI) invites Program
Project grant applications for support of research efforts to advance
gene transfer technology and its potential application to
cardiovascular, pulmonary, and hematologic diseases.  The overall
objective of this program is to foster research that will provide the
basic science foundation necessary for gene transfer technology and
its application to somatic gene transfer by:(1)promoting the alliance
of a critical mass of talented and dedicated investigators with
expertise in the diverse areas essential for successful
implementation of this research program; (2)providing the
infrastructure needed to establish the collaboration of experts in a
wide-ranging number of scientific areas; and (3)funding innovative
pilot and feasibility studies to attract new and established
investigators into the field of gene transfer for cardiovascular,
pulmonary, and hematologic diseases.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of Healthy People 2000, a
PHS-led national activity for setting priority areas.  This request
for applications (RFA), "Fundamental Biological Principles for Gene
transfer for Cardiovascular, Pulmonary, and Hematologic Diseases", is
related to the priority area of Heart Disease and Stroke, Diabetes
and Chronic Disabling Diseases, and Maternal and Infant Health.
Methodologies and biotechnological advances resulting from these
studies may also be applicable to the priority areas of Cancer, and
Food and Drug Safety. Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No.017-001-00474-0) or
"Healthy People 2000" (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, D.C. 20402-9325 (telephone 202-783-3283).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic, for-profit and nonprofit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of State or local governments, and
eligible agencies of the Federal government.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as Principal Investigators.

All current policies and requirements that govern the research grant
programs of the NIH will apply to grants awarded under this RFA.
Awards under this announcement will not be made to foreign
institutions.

MECHANISM OF SUPPORT

This RFA will use the NIH Program Project grant (P01) mechanism of
support (containing research projects and the requisite shared
infrastructural resources (cores) as subcomponents under the aegis of
the parent grant).  A Program Project grant is for the support of a
broadly-based multidisciplinary or multifaceted research program that
has a specific major objective or central theme.  The award may
support research components and core functions. Collectively, these
components should demonstrate essential elements of unity and
interdependence and result in a greater contribution to program goals
than if each activity were pursued individually.

Applications must be prepared and awards will be made according to
NHLBI Program Project policies.  NHLBI Guidelines for the preparation
of the Program Project Grant applications may be obtained from Dr. C.
James Scheirer at the address listed under LETTER OF INTENT.

Applicants are expected to furnish their own estimates of time
required to achieve the objectives of the proposed research project.
Up to 5 years of support may be requested.

This RFA is a one-time solicitation.  Future unsolicited competing
continuation applications will compete with all
investigator-initiated applications and be reviewed according to the
customary peer review procedures.  It is anticipated that support for
this program will begin in September 1997.  Administrative
adjustments in project period and/or amount may be required at the
time of the award.

FUNDS AVAILABLE

It is anticipated that for fiscal year 1997, approximately $5,130,000
total costs will be available for the first year of support for this
initiative.  Applicants may request up to $1,140,000 direct costs,
not including indirect costs for collaborating institutions, in the
first year with a maximum increase of no more than 4 percent in each
additional year requested.  Award of grants pursuant to this RFA is
contingent upon receipt of funds for this purpose.  It is anticipated
that three program project grants will be awarded under this program.
The specific number to be funded will, however, depend on the merit
and scope of the applications received and on the availability of
funds.

Pilot and feasibility studies may be submitted to pursue promising
but untested methodologies or highly novel research.  Funding for
such projects is included in the $1,140,000 direct cost cap.  Each
pilot and feasibility project may request up to $60,000 in total
costs per year for a maximum of two years.  New projects, subjected
to the same dollar and time limits, may be proposed to replace those
that terminate.  At any one time, a maximum of 3 pilot and
feasibility projects will be allowed per program project research
grant.  The mechanism for selecting and reviewing initial and
subsequent pilot/feasibility projects during the 5 year tenure of
this program is detailed in the special guidelines governing this
program, available from the program administrators listed at the end
of this announcement.

Equipment is included in the budget limitation.  However, requests
for special equipment that cause an application to exceed this limit
may be permitted on a case-by-case basis following staff
consultation.  Such equipment requires strong justification.  Final
decisions will depend on the nature of the justification and the
availability of funds.

CONSORTIUM ARRANGEMENTS

If a grant application includes research activities that involve
institutions other than the grantee institution, the program is
considered a consortium effort.  Such activities may be included in a
Program Project grant application, but it is imperative that a
consortium application be prepared so that the programmatic, fiscal,
and administrative considerations are explained fully.  In addition,
NHLBI requires that at least half of both the subprojects and cores
submitted and funded be in the applicant institution.

The published policy governing consortia is available in the business
offices of institutions that are eligible for Federal grants-in-aid.
Consult the latest published policy governing consortia before
developing the application.

If clarification of the policy is needed, contact William Darby,
(301)435- 0177.  Applicants for Program Project grants should clearly
describe the interactions of the participants and the integration of
the consortium project(s) with those of the parent institution,
because synergism and cohesiveness can be diminished when projects
are located outside the group at the parent institution.  Indirect
costs paid as part of a consortium agreement are excluded from the
limit on the amount of direct costs that can be requested.

INTER- AND INTRA-INSTITUTIONAL COLLABORATIONS

A key ingredient for the success of this program is the
multidisciplinary collaboration of investigators skilled in pursuing
basic science principles in areas such as gene expression with
researchers who are skilled in the application of such principles to
gene transfer for cardiovascular, pulmonary and hematologic diseases.
Hence, one of the objectives of this program is to foster the
alliance of a critical mass of talented and dedicated investigators
with expertise in the diverse areas essential for successful
implementation of this research program.  This intensive,
multi-disciplinary enterprise will require substantial interaction
and coordination among individuals skilled in molecular biology,
virology, developmental biology, cellular biology, bioengineering,
pathology, genetics, biochemistry, physiology and other disciplines
dealing with biologic mechanisms and health and diseases.

Program Project guidelines require that at least half of both the
subprojects and cores submitted and funded be in the applicant
institution.

INFRASTRUCTURAL RESOURCES

Another important objective of this initiative is to provide the
infrastructure needed to establish the collaboration of experts in a
wide-ranging number of scientific areas.  In order to provide the
appropriate infrastructure, funds may be utilized to support core
resources as shared facilities.

These "shared" resources form the structural foundation for the areas
of scientific need and are an important goal of this program.  Rather
than being purely service oriented cores for performance of routine
functions, there may be a need for some of these cores to be involved
in technological developments, such as in the area of vectors.  These
"shared" infrastructural resources must be flexible enough to meet
the needs of the constantly evolving science.  As such, the
investigators will be required to provide yearly progress reports
delineating the functions of these cores for the previous and future
project periods to assure that the cores are meeting the scientific
and technical needs requisite for advancing gene therapy.

PILOT AND FEASIBILITY STUDIES

An important goal of this program is to attract new and established
investigators into the field of gene therapy by providing access to
critical technologies (in the form of shared resources described
above) and funds to pursue innovative pilot/feasibility studies.
Pilot and feasibility studies, when combined with appropriate core
support, will provide established investigators who have not
previously worked in gene transfer and new young investigators with
state-of-the-art core technologies to be competitive in the field.

In addition, pilot and feasibility studies will allow investigators
to pursue promising but untested methodologies or highly novel,
research avenues that may offer significant results and insight.
However, funds for these pilot/feasibility studies are not intended
to support or supplement ongoing funded research of an investigator.

It is anticipated that by providing preliminary results and
establishing feasibility data, these pilot studies will lead to new
research proposals in the area of gene transfer as it will relate to
prevention and treatment of cardiovascular, pulmonary and hematologic
diseases.

Applicants are requested to propose a Pilot and Feasibility Committee
that will be responsible for developing and selecting those projects
most likely to aid progress in achieving successful gene transfer.
Each pilot and feasibility project may request up to $60,000 in total
costs per year for a maximum of two years.  New projects, subjected
to the same dollar and time limits, may be proposed to replace those
that terminate.  At any one time, a maximum of 3 pilot and
feasibility projects will be allowed per program project research
grant.

RESEARCH OBJECTIVES

Background

The introduction of genetic material into human cells with successful
expression of the inserted gene is a historic technological advance.
It allows the development of novel strategies for prevention control,
and treatment of disease through the use of gene transfer.
Conceptually, gene transfer can be used to correct or replace
defective genes. Current approaches for gene transfer attempt to
introduce genes in addition to the endogenous genome in an effort to
restore or enhance normal cellular activities or to confer new
cellular activities.  This approach does not attempt to correct
resident, nonfunctional mutant genes.  The introduction of genetic
material to prevent the expression of disease-causing genes is
another gene transfer approach.

At the present time, however, molecular genetic interventions for
cardiovascular, pulmonary, and hematologic diseases face many
difficult technical hurdles.  Critical basic science issues must be
addressed prior to transfer of this technology to the clinic.
Expanded and new research efforts are necessary to develop the basic
tasks involved in gene transfer, such as insuring regulated, stable
and cell-specific expression of transferred genes in target cells,
developing efficient gene transfer delivery systems, and producing
animal models of cardiovascular, pulmonary, and hematologic disease
in order to develop and test novel therapeutic approaches.  In
addition, gene transfer research affords the opportunity to further
the understanding of the genetic components of single gene and
multifactorial gene diseases.  Hence, it is critical to facilitate
research efforts that include molecular, cellular, genetic and
preclinical studies to advance gene transfer technology and its
application to a wide range of cardiovascular, pulmonary, and
hematologic diseases.

The potential of gene transfer to treat cardiovascular diseases is
substantial.  However, there are unique features of cardiovascular
diseases that require special gene transfer approaches.  For example,
the focal nature of coronary artery disease and restenosis may
require direct delivery of therapeutic genetic material to specific
myocardial or vascular sites.  Additional challenges encountered with
cardiovascular cells include the non-dividing nature of some cell
types, such as heart myocytes.  Strategies for other cardiovascular
diseases might include gene transfer to:  treat myocardial ischemia
by promoting collateral circulation; prevent vascular smooth muscle
proliferation following angioplasty; and prevent cardiac
transplantation rejection by altering the cell surface properties to
deter an immune response.

There are many opportunities for application of gene transfer
techniques to prevention and treatment of pulmonary disorders.
Although there have been several promising advances in the use of
gene transfer approaches for cystic fibrosis, major barriers for this
and other pulmonary diseases to further progress exist.  Mechanisms
that underlie the immune response to viral vectors need to be
elucidated.  The development and characterization of more efficient
gene transfer delivery systems need to be established.  The use of
gene transfer to ameliorate or prevent inflammatory lung disorders
such as ARDS and asthma is just beginning to be explored.  Gene
transfer to the pulmonary vasculature is also largely unexplored.
The role of this approach to treating pulmonary thrombosis, pulmonary
hypertension, or other conditions needs to be evaluated.
Bronchopulmonary dysplasia, pulmonary fibrosis, and chronic
obstructive pulmonary disease are other potential targets for the use
of gene transfer.

Many of the problems and needs relevant to gene transfer in the
cardiovascular and pulmonary areas are generally applicable to
hematologic genetic diseases, such as hemophilia, sickle cell
disease, and thalassemia.  Choice of the appropriate target cell
ranges from important to critical for hematologic disorders.  In the
case of hemophilia, the normal site of production of factors VIII and
IX is believed to be the liver; however, other target cells such as
myoblasts and fibroblasts have been used in preliminary experiments.
Also critical is access of the secreted gene product to the
circulation.  Studies of mechanisms of development and suppression of
immunity to newly expressed gene products will also be an important
issue.  Thus, although much progress has been made, many basic issues
crucial to clinical success remain.

OBJECTIVES

In order for key advances to take place in the needs outlined above,
there are critical biological tasks that must be solved.  Hence, the
focus of this initiative will be on the fundamental questions related
to applications of gene transfer technology for use in the
cardiovascular, pulmonary, and hematologic systems.  Clinical gene
transfer trials are beyond the scope of this initiative.

Research needs include:

Gene Expression:  It is important to understand the underlying
mechanisms that determine how the transferred gene is expressed in
sufficient amounts in the physiologically correct manner.  Too much,
too little, or inappropriately timed expression may be harmful.  More
information is also needed about secretion of expressed proteins into
appropriate compartments or into the circulation.  An understanding
of cell specific and tissue specific gene expression, as it relates
to gene transfer, is required.  An understanding of the biological
consequences of recombinant gene expression needs to be gained.
Studies aimed at examining the effect of gene transfer on the normal
biological function of the target cell, tissue and animal will be
important.

Gene Delivery and Transfer:  Current techniques for inserting genes
into target cells must be improved and new ones need to be developed
to insure efficient gene transfer. Studies might involve viral,
physical, chemical and fusion techniques to develop improved
packaging and more effective gene delivery.  Recent developments in
controlled drug release technology, including the use of
biodegradable polymers in the form of layers or microspheres and
containing the desired gene, may be applicable to gene delivery.
Relevant issues of immunity, safety, efficacy, and production require
exploration.  Research aimed at designing methods to insure
cell-specific and stable long-term expression of transferred genes is
essential. Development of techniques to target genes to specific
chromosomal locations by homologous recombination need further
exploration.

Target Cells:  There is a need to identify appropriate target cell
populations for successful gene transfer treatment of cardiovascular,
pulmonary, and hematologic diseases.  Identification of stem cell
populations, if appropriate, would be encouraged.  In addition,
methods for improved cell purification and routine isolation of
highly purified cell populations, as have been developed for bone
marrow cells, need to be established for other cells. Improved cell
culture techniques for growth and maintenance of nontransformed cells
are necessary and may involve the identification and use of cytokines
and receptors that regulate cell growth.  Efforts need to be directed
toward isolating, purifying and maintaining cardiac and vascular
myocytes, endothelial cells and cells in other organs that
participate in cardiovascular, pulmonary, and hematologic disorders.

Disease Pathophysiology:  Basic studies in disease pathophysiology
are critical to the eventual success of gene therapy.  Such studies
can lead to a better definition of the important target cell(s) and
to more effective designs of therapeutic approaches.

Cellular and Humoral Immunity:  The role of cellular and humoral
immunity in the gene transfer process needs clarification.
Interventions to suppress the immune response are in need of
exploration, as well as the development of novel vector systems that
selectively minimize or repress the immune response of the host
organism.

Model Systems:  Model systems (in vivo and in vitro) need to be
developed and explored to assess the safety and efficacy of viral and
nonviral vector systems.  Animal models of human diseases allow
researchers to design and evaluate gene transfer strategies that
cannot be assessed in humans. Naturally occurring animal models that
mimic human diseases occur occasionally.  It is now possible,
however, to use transgenic and gene targeting approaches to create
and utilize animal models of human diseases.  Hence, the generation
and use of genetically altered animal models to develop and test gene
transfer approaches needs to be encouraged.

Clinical Applications:  While funding for clinical gene therapy
trials is beyond the scope of this initiative, the development of
programs which will lead to cardiovascular, pulmonary, and
hematologic gene transfer trials is encouraged.  This might include
the identification of candidate therapeutic genes; development of
vector systems to optimize gene delivery and expression in target
cells; and to test the safety and efficiency of gene expression in
animal models.

SPECIAL REQUIREMENTS

Upon initiation of the program, the NHLBI will sponsor periodic
meetings to encourage exchange of information among investigators who
participate in this program.  In the budget for the grant
application, applicants should request travel funds for a 1-day
meeting each year, most likely to be held in Bethesda, Maryland.
Applicants should also include a statement in their applications
indicating their willingness to participate in these meetings.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH-supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), that
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research", which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513)and reprinted
in the NIH Guide to Grants and Contracts, Volume 23, Number 11, March
18, 1994.  Investigators also may obtain copies of the policy from
the program staff listed under INQUIRIES.  Program staff may also
provide additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by January 10, 1997, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Although a letter of intent
is not required, is not binding, and does not enter into the review
of a subsequent application, the information that it contains allows
staff to estimate the potential review workload and to avoid conflict
of interest in the review.

The letter of intent is to be mailed, or faxed, to:

Dr. C. James Scheirer Chief,
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Room 7220, MSC 7924
Bethesda, MD  20892-7924
Telephone:  (301)435-0266
FAX:  (301)480-3541
Email:  James_Scheirer@NIH.GOV

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  Applications kits are available at
most institutional offices of sponsored research and may be obtained
>From the Grants Information Office, Office of Extramural Outreach and
Information Resources, National Institutes of Health, 6701 Rockledge
Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/435-0714,
email:  ASKNIH@odrockm1.od.nih.gov; and from the program staff listed
under INQUIRIES.

Special program project guidelines have been developed to meet the
special features and needs of this RFA program and must be used in
applying for these grants.  These guidelines can be obtained from Dr.
Sonia Skarlatos at the address listed under INQUIRIES.

The RFA label found in the PHS 398 application form must be affixed
to the bottom of the face page of the application. Failure to use
this label could result in delayed processing of the application such
that it may not reach the review committee in time for review.  In
addition, the RFA title and number must be typed on line 2a of the
face page of the application form and the YES box must be marked.

Submit a signed, typewritten original of the application and three
signed, photocopies, in one package to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

At the time of submission, two additional copies of the application
must be sent to Dr. C. James Scheirer, at the same address given
above in the section on LETTER OF INTENT.

Applications must be received by February 13, 1997.  If an
application is received after that date, it will be returned to the
applicant without review.  The Division of Research Grants (DRG) will
not accept any application in response to this RFA that is
essentially the same as one currently pending initial review, unless
the applicant withdraws the pending application.  This does not
preclude the submission of substantial revisions of applications
already reviewed, but such applications must include an introduction
addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and for responsiveness by the NHLBI.  Incomplete applications will be
returned to the applicant without further consideration.  If NHLBI
staff find that the application is not responsive to the RFA, it will
be returned without further consideration.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened in accordance with NIH peer review procedures.
As part of the initial merit review, all applications will receive a
written critique and undergo a triage process in which only those
applications deemed to have the highest scientific merit, generally
the top half of applications under review, will be discussed,
assigned a priority score, and receive a second level review by the
National Heart, Lung, and Blood Advisory Council. The NIH will
withdraw from further competition those applications judged to be
noncompetitive for award and notify the applicant Principal
Investigator and institutional official.

The personnel category will be reviewed for appropriate staffing
based on the requested percent effort and any changes requested in
future years.  The total budget request will be reviewed for
consistency with the proposed methods and specific aims.  The
duration of support will be reviewed to determine if it is
appropriate to ensure successful completion of the recommended scope
of the project.

Other review criteria will include:

o scientific, technical or medical significance and originality of
proposed research

o appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research

o appropriateness and design of the shared core facilities proposed
to provide infrastructural support to the major scientific components
of the gene therapy effort, including plans to monitor their
performance and ability to meet changing scientific needs

o adequacy and availability of the resources and facilities to
support proposed clinical and basic research

o qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research originality of proposed research
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research originality of proposed research

o adequacy of internal and external procedures for monitoring and
evaluating the proposed research and for providing on-going quality
control and scientific review

o scientific merit of any proposed pilot/feasibility studies and the
quality of the internal and external review mechanism established by
the parent institution to evaluate the scientific merit of the
initial and subsequently selected pilot/feasibility projects,
including development of a detailed plan for maintaining oversight
and review of on-going pilot/feasibility studies and for providing
written documentation of these actions, copies of which will be
forwarded to the NHLBI Program Administrators

o commitment of the grantee institution and any cooperating
institution to the program, and the appropriateness of its resources
and policies for the administration of a research program of the type
proposed; and the appropriateness of the requested budget to the work
proposed

The initial review group will also examine the provisions for the
protection of human and animal subjects and the safety of the
research environment.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications.  The following will be considered in making funding
decisions:  quality of the proposed project as determined by peer
review, availability of funds, and program priority.

Schedule

Letter of Intent Receipt Date:    January 10, 1997
Application Receipt Date:          February 13, 1997
Initial Review:                    April/May 1997
Review by NHLBI Advisory Council:  September 1997
Anticipated Award Date:            September 30, 1997

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues and requests for the
Program Project Guidelines to:

Sonia Skarlatos, Ph.D.
Division of Heart and Vascular Diseases
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 10186
Bethesda, MD  20892-7956
Telephone:  (301)435-0550
FAX:  (301) 480-2848
Email:  SKARLATS@GWGATE.NHLBI.NIH.GOV

Susan Banks-Schlegel, Ph.D.
Division of Lung Diseases
National Heart, Lung and Blood Diseases
6701 Rockledge Drive, Suite 10220
Bethesda, MD  20892-7952
Telephone:  (301)435-0202
FAX:  (301)435-3557
Email:  SCHLEGES@GWGATE.NHLBI.NIH.GOV

Carol Letendre, Ph.D.
Division of Blood Diseases and Resources
National Heart, Lung and Blood Diseases
6701 Rockledge Drive, Suite 10162
Bethesda, MD  20892-7950
Telephone:  (301) 435-0080
FAX:  (301) 435-0867
Email:  LETENDRC@GWGATE.NHLBI.NIH.GOV

Direct inquiries regarding fiscal matters to:

Mr. William Darby
Grants Operations Branch
National Heart, Lung, and Blood Institute
Two Rockledge Center
6701 Rockledge Drive, Suite 7128
Bethesda, MD  20892-7128
Telephone:  (301) 435-0177
FAX:  (301) 480-3310
Email:  William_Darby@NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.837.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants' policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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EXPLORATORY/DEVELOPMENTAL GRANTS FOR HIGH RISK/HIGH IMPACT RESEARCH

NIH GUIDE, Volume 25, Number 31, September 20, 1996

PA NUMBER:  PAR-96-073

P.T.

National Institute on Deafness and Other Communication Disorders

Application Receipt Date:  November 20, 1996

PURPOSE

The National Institute on Deafness and Other Communication Disorders
(NIDCD) invites grant applications from basic and clinical
investigators who are interested in pursuing high risk/high impact
(HR/HI) research focused on hearing, balance, smell, taste, voice,
speech, or language related to the specific mission of the NIDCD.
This HR/HI research involves pilot/feasibility studies in which the
technological, methodological, or theoretical approach to the problem
lacks a traditional historical basis or pilot data, but which could
have a major impact on a scientific area or field. Descriptions for
the characteristics of this HR/HI research have included
"groundbreaking," "revolutionary," and "paradigm shifting" (High
Risk/Innovative Research Identification in NIH Peer Review Notes,
Division of Research Grants, June 1993).  This research program will
be supported through Exploratory/Developmental (R21) Grants
restricted in level of support and in time.  These grants provide
support for the development of a basis for more extensive research
projects.  This Program Announcement is a solicitation for a single
receipt date, November 20, 1996.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This Program
Announcement (PA), Exploratory/Developmental Grants for High
Risk/High Impact Research, is related to the priority areas of
diabetes and chronic disabling conditions and special population
objectives.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0 or Summary
Report: Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of state or local governments, and
eligible agencies of the Federal government.  Applications from
minority individuals, women, and individuals with disabilities are
encouraged.  Foreign organizations or organizations in foreign
countries are not eligible; subcontracts to these organizations are
allowable, with sufficient justification.

Submission of an application under this Program Announcement
precludes concurrent submission of any other application containing
substantially the same research proposal.  In addition, these R21
awards may not be used to supplement research projects currently
supported by Federal or non-Federal funds, or to provide interim
support of projects under review by the Department of Health and
Human Services.

MECHANISM OF SUPPORT

Support for this program will be provided through the National
Institutes of Health (NIH) Exploratory/Developmental Grants (R21)
mechanism.  These pilot/feasibility projects provide support for
HR/HI activities that lack a traditional historical basis or
preliminary data.  Indeed, areas of science in which there is a
sufficient historical basis or sufficient preliminary data to support
the submission of a regular research project grant application do not
qualify as HR/HI under this Program Announcement.  However, the
applicant does have the responsibility for developing a demonstrably
sound research plan designed to assess the feasibility of the
proposed pilot projects.

This initiative provides nonrenewable, one-year awards of up to
$50,000 in direct costs; indirect costs applicable to
sub-contract/consortium activity must be included under the direct
cost ceiling levels.  The grants may be extended in time, but not
amount, at the discretion of the applicant organization.  It is
expected that the preliminary data generated by these grants will
serve as a basis for more extensive research projects.

Investigators are encouraged to consider carefully whether their
research can best be accomplished through this or other grant
mechanisms, such as the R01, the broad program of Small Grants for
Innovative Technology of the National Center for Research Resources
(NCRR) (NIH Guide, Vol. 20, No. 31, August 16, 1991), or the Small
Grant Program of the NIDCD for scientists who are in the early stages
of pursuing an independent research career (NIH Guide, Vol. 34, No.
38, October 27, 1995).

Investigators who have questions about the appropriateness of their
research plan to this initiative should contact one of the program
officials listed under INQUIRIES.

RESEARCH OBJECTIVES

The purpose of this PA is to encourage the submission of applications
>From basic and clinical investigators who are interested in pursuing
HR/HI research that has the potential for leading to a technological,
methodological, or conceptual breakthrough or major contribution in
biomedical or behavioral research. Studies that enhance payoff
potential by bridging one line of investigation with another are
encouraged.  The research must be focused on one or more areas within
the scientific mission of the NIDCD:  hearing, balance, smell, taste,
voice, speech, or language.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
>From the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which was reprinted in the Federal
Register of March 28, 1994 (FR 59 14508-14513) to correct typesetting
and errors in the earlier publication, and reprinted in the NIH GUIDE
FOR GRANTS AND CONTRACTS of March 18, 1994, Volume 23, Number 11.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev.
5/95).  Applications kits are available at most institutional offices
of sponsored research and may be obtained from the Grants Information
Office, Office of Extramural Outreach and Information Resources,
National Institutes of Health, 6701 Rockledge Drive, MSC 7910,
Bethesda, MD 20892-7910, telephone 301/435-0714, email:
ASKNIH@odrockm1.od.nih.gov.
The title and number of the program announcement must be typed in
Section 2 on the face page of the application.

The following modifications regarding the budget are to be used in
conjunction with the information accompanying application form
PHS-398 (rev. 5/95).

Detailed Budget for Initial Budget Period (page 4).  Do not submit
this page. Certain details of the budget may be requested prior to
any award.

Budget for Entire Proposed Period of Support (page 5).  Enter total
direct costs requested in the box at the bottom of the table.

Justification (page 5)

o  List the name, role on project and percent effort for all project
personnel (salaried or unsalaried) and provide a narrative
justification for each person based on his/her role on the project
and proposed level of effort.

o  Identify all consultants by name and organizational affiliation
and describe the services to be performed.

o  Provide a narrative justification for any major budget items,
other than personnel, that are requested for the conduct of the
project that would be considered unusual for the scope of research.
No specific costs for items or categories should be shown.

o  Indirect costs will be calculated at the time of the award using
the institution's actual indirect cost rate.  Applicants will be
asked to identify the indirect cost exclusions prior to award.

o  If consortium/contractual costs are requested, provide the
percentage of the subcontract total costs (direct and indirect)
relative to the total direct costs of the overall project.  The
subcontract budget justification should be prepared following the
instructions provided above.

The completed original application and three legible copies must be
sent or delivered to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817-7710 (EXPRESS MAIL)

At the time of submission, send two additional copies of the
application to:

Chief, Scientific Review Branch
National Institute on Deafness and Other Communication Disorders
Executive Plaza South, Room 400-C
6120 Executive Boulevard  MSC 7180
Bethesda, MD  20892-7180

Schedule

The application receipt date is November 20, , 1996.  Applications
received after this date will be returned to the applicant.  The
earliest date of award is July, 1997.  This program announcement may
be reissued.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications whose specific aims are not
relevant to the mission of NIDCD will not be accepted for review
under this Program Announcement.  Applications will be reviewed for
scientific and technical merit in accordance with the standard NIH
procedures by a review group convened by the NIDCD.  As part of the
initial review, all applications will receive a written critique and
undergo a process in which only those applications deemed to have the
highest merit, generally the top half of applications under review,
will be discussed, assigned a priority score, and receive a second
level of review by the NDCD Advisory Council.

Review Criteria

o  potential scientific, technical, or medical significance of the
proposed pilot/feasibility studies, including the potential to lead
to a major conceptual breakthrough or to remove a major obstacle to
progress;

o  originality of proposed exploratory/developmental research;

o  appropriateness and adequacy of the experimental approach and
methodology, including a demonstrably sound research plan designed to
assess the feasibility of these pilot projects;

o  qualifications and research experience of the Principal
Investigator and staff in the areas of the proposed research,
particularly those demanding unusual technical sophistication;

o  availability of the resources necessary to perform the research;

o  availability of special opportunities for furthering research
programs through the use of unusual talent resources, populations, or
environmental conditions;

o  appropriateness of the budget and timeline for the proposed
research; and

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.

The initial review group will also examine the provisions for the
protection of human subjects and animal welfare and the safety of the
research environment.

REPORTING REQUIREMENTS

If an award is made in response to a R21 application, a Final
Progress Report, an Invention Statement, and a Financial Status
Report must be submitted within ninety days after the termination of
the award.  This reporting requirement is the same as that of other
types of research grants and is in accord with 42 CFR 52 and 45 CFR
74.  This information will be of assistance to the NIDCD in
evaluating the usefulness of this R21 mechanism.  If an R21 leads to
the submission of another research grant, a statement to that effect
would also be much appreciated; the applicant is not required to
submit this statement.

AWARD CRITERIA

Applications will compete for available funds with all other
favorably recommended applications.  Funding decisions will be based
on the quality of the proposed project as determined by peer review,
relevance to the mission of the NIDCD, program priorities, and
availability of funds.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is encouraged.

Direct inquiries regarding programmatic issues to:

Hearing:
Dr. Chyren Hunter
Telephone: (301) 402-3458
E-Mail:  Chyren_Hunter@nih.gov

Balance/Vestibular:
Dr. Daniel Sklare
Telephone: (301) 496-1804
E-Mail:  Daniel_Sklare@nih.go

Smell/Taste:
Dr. Jack Pearl
Telephone: (301) 402-3464
E-Mail:  Jack_Pearl@nih.gov

Dr. Rochelle Small
Telephone: (301) 402-3464
E-Mail:  Rochelle_Small@nih.gov

Voice/Speech:
Dr. Beth Ansel
Telephone: (301) 402-3461
E-Mail:  Beth_Ansel@nih.gov

Language:

Dr. Judith Cooper
Telephone: (301) 496-5061
E-Mail:  Judith_Cooper@nih.gov

The address and FAX number for the above named persons are:

Division of Human Communication
National Institute on Deafness and Other Communication Disorders
Executive Plaza South, Room 400-C
6120 Executive Boulevard MSC-7180
Bethesda, MD  20892-7180
FAX: (301) 402-6251

Direct inquiries regarding fiscal matters to:

Sharon Hunt, Chief
Grants Management Branch
Division of Extramural Activities
National Institute on Deafness and Other Communication Disorders
Executive Plaza South, Room 400-B
6120 Executive Boulevard, MSC  7180
Bethesda, MD  20892-7180
Telephone:  (301) 402-0909
FAX:  (301) 402-1758
Email:  SH79F@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.173.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410), as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products.
In addition, Public Law 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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Date: 27 Sep 1996 20:19:03 -0700
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X-comment: RFAs described: OD-97-001, PA-96-074, PA-96-075
X-URL: gopher://gopher.nih.gov:70/11/res/nih-guide/guide-files/96.09.27

NIH GUIDE - Vol. 25, No. 32 - September 27, 1996

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

MODIFIED COMPETING AND NONCOMPETING APPLICATION INSTRUCTIONS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N2 **********************************************************

AHCPR POSTPONEMENT OF NRSA APPLICATION RECEIPT DATE
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX N3 **********************************************************

DEVELOPMENT OF NEW GENE THERAPY VECTORS AND DELIVERY SYSTEMS
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 **********************************************************

THE PROTECTIVE EFFECTS OF PATTERNED ELECTRICAL STIMULATION ON THE
DEAFENED AUDITORY SYSTEM (RFP NIH-DC-97-03)
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX R2 03/11/97 *************************************************

INFORMED CONSENT IN RESEARCH INVOLVING HUMAN PARTICIPANTS (RFA OD-97-
001)
National Cancer Institute
National Center for Human Genome Research
National Institute on Aging
National Institute on Alcohol Abuse and Alcoholism
National Institute of Allergy and Infectious Diseases
National Institute of Child Health and Human Development
National Institute on Drug Abuse
National Institute of Mental Health
National Institute of Nursing Research
Office of Extramural Research
Department of Energy
Department of Veteran Affairs
INDEX:  CANCER; HUMAN GENOME RESEARCH; AGING; ALCOHOL ABUSE,
ALCOHOLISM; ALLERGY, INFECTIOUS DISEASES; CHILD HEALTH, HUMAN
DEVELOPMENT; DRUG ABUSE; MENTAL HEALTH; NURSING RESEARCH; DEPARTMENT
OF ENERGY; DEPARTMENT OF VETERAN AFFAIRS

$$INDEX P1 **********************************************************

DRUG USE, SEXUAL RISK BEHAVIORS, AND HIV IN MEN (PA-96-074)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

$$INDEX P2 **********************************************************

ECONOMICS OF DRUG TREATMENT SERVICES (PA-96-075)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

THE NIH GUIDE IS AVAILABLE ELECTRONICALLY VIA BITNET OR INTERNET, BY
SUBSCRIPTION, AND IS ALSO ON THE NIH GOPHER (GOPHER.NIH.GOV) AND THE
NIH WEBSITE (HTTP://WWW.NIH.GOV).  ALTERNATIVE ACCESS IS THROUGH THE
NIH GRANT LINE VIA MODEM (DATA LINE 301/402-2221); CONTACT DR. JOHN
JAMES AT 301/435-2801 FOR DETAILS ON THE NIH GRANT LINE.

THE PHS STRONGLY ENCOURAGES ALL GRANT AND CONTRACT RECIPIENTS TO
PROVIDE A SMOKE-FREE WORKPLACE AND PROMOTE THE NON-USE OF ALL TOBACCO
PRODUCTS.  IN ADDITION, PUBLIC LAW 103-227, THE PRO-CHILDREN ACT OF
1994, PROHIBITS SMOKING IN CERTAIN FACILITIES (OR IN SOME CASES, ANY
PORTION OF A FACILITY) IN WHICH REGULAR OR ROUTINE EDUCATION,
LIBRARY, DAY CARE, HEALTH CARE OR EARLY CHILDHOOD DEVELOPMENT
SERVICES ARE PROVIDED TO CHILDREN.  THIS IS CONSISTENT WITH THE PHS
MISSION TO PROTECT AND ADVANCE THE PHYSICAL AND MENTAL HEALTH OF THE
AMERICAN PEOPLE.

ALL COMPETING GRANT APPLICATIONS SUBMITTED TO THE NATIONAL INSTITUTES
OF HEALTH MUST BE SENT TO:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

THE GRANTS INFORMATION OFFICE, DRG, HAS BEEN INCORPORATED INTO THE
NEW OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES, OFFICE OF
EXTRAMURAL RESEARCH, OFFICE OF THE DIRECTOR, NIH.  REQUESTS FOR
APPLICATION FORMS, PUBLICATIONS, AND OTHER INFORMATION MAY BE
DIRECTED TO THE FOLLOWING:

OFFICE OF EXTRAMURAL OUTREACH & INFORMATION RESOURCES
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, MSC 7910
BETHESDA, MD  20892-7910
TELEPHONE:  (301) 435-0714
EMAIL:  ASKNIH@ODROCKM1.OD.NIH.GOV

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

MODIFIED COMPETING AND NONCOMPETING APPLICATION INSTRUCTIONS

NIH GUIDE, Volume 25, Number 32, September 27, 1996

P.T. 34; K.W. 1014006

National Institutes of Health

As part of the design and implementation of Electronic Research
Administration, the National Institutes of Health (NIH) is assessing
measures for protecting private information, including the Social
Security Number (SSN), currently collected about personnel identified
in research grant and cooperative agreement applications.  Although
the provision of the SSN is voluntary, it is critically important to
NIH for the accurate identification, referral, and review of
applications and for management of NIH grant programs.  NIH is
pursuing long-term strategies in this area.  Interim measures are
being implemented immediately, however, to further enhance the
protection of this private information.  Thus, effective with the
October 1, 1996, submission date, instructions for submitting
competing applications to the NIH are modified as follows:

1.  The Social Security Number (SSN) of the Principal Investigator,
Program Director, or Fellowship applicant should be provided along
with the applicant~s name at the top of the Personal Data form page
only (PHS Form 398, page KK, and PHS Form 416-1, page GG).  The SSN
should not be listed on the face page of the application, nor
provided elsewhere in the application, e.g., top of each application
page.

2.  In accordance with the instructions for completing the Personal
Data form page, do not attach copies of that form to the duplicated
copies of the application.  Upon receipt of the application by NIH,
this form is separated from the application and the data, including
the SSN, are encrypted in the NIH database.  A partially completed
Personal Data form page is acceptable to NIH, i.e., applicants may
elect to provide some items but not all.

3.  When submitting competing renewal applications using the PHS 398
grant application kit, do not complete or submit the Personnel Report
form page (JJ).  This form page will be requested, if necessary, at
time of award.

Effective immediately, instructions for submitting non-competing
applications have also changed as follows:

1.  The Social Security Number of the Principal Investigator, Program
Director, or Fellow should not be provided on the face page of the
application.

2.  When using the PHS 2590 kit, the Personnel Report form page (G)
should be completed and submitted only with the original application.
Do not attach copies of that form to the duplicated copies of the
application.

Similar changes affecting Small Business Innovation Research Grant
and Small Business Technology Transfer Grant application forms will
be implemented for the Fiscal Year 1997 solicitations.  Applicants
are strongly encouraged, to the extent possible, to follow the new
procedures for the October 1 submission date.

INQUIRIES

Questions regarding these procedures may be directed to the Referral
Office, Division of Research Grants at 301/435-0715 for issues
relating to receipt of competing applications, or to Institute or
Center grants management offices for issues relating to noncompeting
applications.

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

AHCPR POSTPONEMENT OF NRSA APPLICATION RECEIPT DATE

NIH GUIDE, Volume 25, Number 32, September 27, 1996

P.T. 44; K.W. 0720005, 1014006

Agency for Health Care Policy and Research

This notice is to inform the research community that the Agency for
Health Care Policy and Research (AHCPR) will not accept applications
for National Research Service Award (NRSA) institutional training
grants (T32) on January 10, 1997 as stated in the Program
Announcement (PAR-95-002) "NRSA Fellowships - Institutional Grants
Policy and Guidelines,"NIH Guide, Vol. 23, No. 36, October 14, 1994.
The purpose of the NRSA program is to help ensure that adequate
numbers of highly trained individuals are available to carry out the
Nation's health services research agenda.  AHCPR plans to accept NRSA
applications in September 1997, contingent upon publication of an
AHCPR RFA in the spring of 1997 for the support of training programs.
The RFA will encourage greater emphasis on issues relevant to the
changing health care delivery system identified in the Institute of
Medicine report "Health Services Research:  Work Force and
Educational Issues," and by the National Advisory Council on Health
Care Policy, Research, and Evaluation, and by others.  Grants enable
eligible institutions to develop or enhance research training
opportunities for individuals seeking to prepare for careers in
conducting health services research which systematically examines the
organization, provision, and financing of health care services.
AHCPR currently supports 22 institutional programs.  Grant support
for each of these is scheduled to expire either in the summer of 1998
or 1999.  It is the intent of AHCPR to honor all continuation
commitments, to the extent feasible, during the transition period.

INQUIRIES

Office of Scientific Affairs
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908
Telephone:  (301) 594-1398
Email:  training@po7.ahcpr.gov

$$N2 END ************************************************************

$$N3 BEGIN **********************************************************

DEVELOPMENT OF NEW GENE THERAPY VECTORS AND DELIVERY SYSTEMS

NIH GUIDE, Volume 25, Number 32, September 27, 1996

P.T. 34; K.W. 0745032, 0740022

National Heart, Lung, and Blood Institute

Annual Receipt Dates:  April 1, August 1, and December 1 for STTR
                       April 15, August 15, and December 15 for SBIR

PURPOSE

The purpose of this notice is to emphasizes the importance of this
research topic to the National Heart, Lung, and Blood Institute
(NHLBI), National Institutes of Health (NIH).  Collaboration between
small business concerns and research institutions, including colleges
and universities, is encouraged to design and develop gene therapy
vectors and delivery systems for cardiovascular, pulmonary and
hematologic gene therapy.  Such collaboration is essential in order
to qualify for support under the Small Business Technology Transfer
(STTR) program and is permissible under the Small Business Innovation
Research (SBIR) program.

The "development of new gene therapy vectors and delivery systems" is
a research topic of special interest to the NHLBI, NIH, and is
identified in the OMNIBUS SOLICITATION OF THE NATIONAL INSTITUTES OF
HEALTH FOR STTR GRANT APPLICATIONS (PHS 95-4) on pages 78-81,
subtopics NN and E.  It is identified also in the OMNIBUS
SOLICITATION FOR SBIR GRANT APPLICATIONS (PHS 96-2) on pages 122-127,
subtopics JJJ, BB, Q,and Y.

The solicitations are available electronically through the NIH,
Office of Extramural Research "Small Business Funding Opportunities"
Home Page located at: HTTP://WWW.NIH.GOV/GRANTS/FUNDING/SBIR.HTM.  In
addition, a limited number of hard copies of the solicitations have
been produced.  Subject to availability, they may be obtained from
the PHS STTR/SBIR Solicitation Office, phone (301) 206-9385; fax:
(301) 206-9722; e-mail: a2y@cu.nih.gov.

RESEARCH OBJECTIVES

Background

Gene therapy or the introduction of genetic material into human cells
with successful expression of the inserted gene is a historic
technological advance.  It allows the development of novel strategies
for prevention, control, and treatment of disease through the use of
gene transfer.  However, gene therapy is still in its infancy and
faces many difficult biotechnical hurdles before it can achieve
widespread clinical application.

Somatic gene therapy entails two critical steps: delivery of the gene
to the appropriate cells and its subsequent maintenance and
expression.  In order to deliver the gene to the appropriate cell,
there must be a vehicle, or vector that will enter the cell and
transfer the genetic material into the host genome without adverse
effects.  To date, several vector systems such as RNA viruses
(retroviruses), DNA viruses (adenoviruses, adeno-associated viruses,
herpesviruses, and poxviruses), and naked or complexed DNA have been
developed.  However, none of these vectors are entirely satisfactory.

Presently, retroviruses and adenoviruses are the most extensively
employed vectors in clinical protocols.  However, both have
advantages and disadvantages.  Most retroviruses are efficient in
entering cells and integrating the transferred material into the host
genome but only if the cells are dividing.  In addition, their
preparation is cumbersome, titer yields are often low and they have a
limited carrying capacity for added genetic material.  On the other
hand, adenoviruses can enter dividing or nondividing cells, have high
titers and levels of expression, and relative ease of handling.
Their major drawback is that they may elicit immunogenic responses
from the host.  Experience with other DNA viral or nonviral systems
is less extensive and in its infancy.

Expanded and new research in collaboration with industry will enhance
the development of gene transfer technology.  Development of novel
vectors, modifications of existing vectors, and production of GMP-
grade vectors for clinical testing are areas particularly suited to
industry/academia collaborations.  Modern biotechnology and
pharmaceutical companies have important attributes: (1) skill in
translational research and the development of drug products; (2)
significant experience in meeting high manufacturing and quality
control standards; (3) professional staffs expert in regulatory and
clinical issues; and(4) high level of scientific and technical
expertise.  Involvement of industry in gene therapy technology will
facilitate the transfer of technology from the bench to the bedside
and bring products into the marketplace and into clinical practice at
the most rapid rate.

The potential of gene transfer to treat cardiovascular diseases is
substantial.  However, there are unique features of cardiovascular
diseases that require special gene transfer approaches.  For example,
the focal nature of coronary artery disease and restenosis may
require direct delivery of therapeutic genetic material to specific
myocardial or vascular sites.  Additional challenges encountered with
cardiovascular cells include the non-dividing nature of some cell
types, such as heart myocytes.  Strategies for other cardiovascular
diseases might include gene transfer to: treat myocardial ischemia by
promoting collateral circulation; modify vascular smooth muscle
contractility to reduce the total peripheral vascular resistance
observed to occur in hypertensive patients; and prevent cardiac
transplantation rejection by altering the cell surface properties to
deter an immune response.

There are many opportunities for application of gene transfer
techniques to prevention and treatment of pulmonary disorders.
Although there have been several promising advances in the use of
gene transfer approaches for cystic fibrosis, major barriers for this
and other pulmonary diseases to further progress exist.  Mechanisms
that underlie the immune response to viral vectors need to be
elucidated. The development and characterization of more efficient
gene transfer delivery systems need to be established.  The use of
gene transfer to ameliorate or prevent inflammatory lung disorders
such as ARDS and asthma is just beginning to be explored.  Gene
transfer to the pulmonary vasculature is also largely unexplored.
The role of this approach to treating pulmonary thrombosis, pulmonary
hypertension, or other conditions needs to be evaluated.
Bronchopulmonary dysplasia, pulmonary fibrosis, and chronic
obstructive pulmonary disease are other potential targets for the use
of gene transfer.

Many of the problems and needs relevant to gene transfer in the
cardiovascular and pulmonary areas are generally applicable to
hematologic genetic diseases such as hemophilia, sickle cell disease,
and thalassemia.  Choice of the appropriate target cell ranges from
important to critical for hematologic disorders.  In the case of
hemophilia, the normal site of production of factors VIII and IX is
believed to be the liver; however, other target cells such as
myoblasts and fibroblasts have been used in preliminary experiments.
Studies of mechanisms of development and suppression of immunity to
newly expressed gene products will also be an important issue.  Thus,
although much progress has been made, many basic issues crucial to
clinical success remain.

Objectives

This program is open to all approaches for effective gene therapy
vector designs and delivery methods.  Research needs include, but are
not limited to, the following:

Gene Expression:  The transferred gene must be expressed in
sufficient amounts and in a physiologically correct manner.

Gene Delivery and Transfer:  Studies might involve viral, physical,
chemical and fusion techniques to develop improved packaging and more
effective gene delivery.  Recent developments in controlled drug
release technology, including the use of biodegradable polymers in
the form of layers or microspheres and containing the desired gene,
may be applicable to gene delivery.

Target Cells:  Appropriate target cell population for gene transfer
of cardiovascular, pulmonary, and hematologic diseases should be
identified.

Cellular and Humoral Immunity:  Interventions to suppress the immune
response are in need of exploration, as well as the development of
novel vector systems that selectively minimize or repress the immune
response of the host organism.

Model Systems:  Model systems (in vivo and in vitro) need to be
developed to assess the safety and efficacy of viral and nonviral
vector systems.

INQUIRIES

Eligibility requirements, definitions, application procedures, review
considerations, application forms and instructions, and other
pertinent information (including policy information, for example,
Inclusion of Women and Minorities in Research Involving Human
Subjects) are contained in the STTR and SBIR solicitations identified
in ~Purpose~ above.

Inquiries concerning this notice are encouraged. Direct inquiries
regarding programmatic issues to:

Sonia Skarlatos, Ph.D.
Division of Heart and Vascular Diseases
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 10186, MSC 7956
Bethesda, MD  20892-7956
Telephone:  (301) 435-0550
FAX:  (301) 480-2848
Email:  ss90g@nih.gov

Susan Banks-Schlegel, Ph.D.
Division of Lung Diseases
National Heart, Lung and Blood Diseases
6701 Rockledge Drive, Suite 10220, MSC 7952
Bethesda, MD  20892-7952
Telephone:  (301) 435-0202
FAX:  (301) 480-3557
Email:  ss141w@nih.gov

Carol Letendre, Ph.D.
Division of Blood Diseases and Resources
National Heart, Lung and Blood Diseases
6701 Rockledge Drive, Room 10162, MSC 7950
Bethesda, MD  20892-7950
Telephone:  (301) 435-0080
FAX:  (301) 480-0867
Email:  cl44m@nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Marie Willett
Grants Operations Branch
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 7128, MSC 7128
Bethesda, MD  20892-7128
Telephone:  (301) 435-0177
FAX:  (301) 480-3310
Email:  mw48f@nih.gov

$$N3 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN NIH-DC-97-03 *********************************************

THE PROTECTIVE EFFECTS OF PATTERNED ELECTRICAL STIMULATION ON THE
DEAFENED AUDITORY SYSTEM

NIH GUIDE, Volume 25, Number 32, September 27, 1996

RFP AVAILABLE:  NIH-DC-97-03

P.T. 34; K.W. 0715050, 0740030

National Institutes of Health

The National Institute on Deafness and Other Communication Disorders
(NIDCD), National Institutes of Health, is recompeting an ongoing
project, which is currently being performed by the Regents of the
University of California, San Francisco (Contract No. N01-DC-4-2143).

This requirement is for research to develop methods of protecting the
remaining portions of the auditory system from degeneration after
hair cell loss.  Previous studies have shown that certain forms of
electrical stimulation provide such a protective effect.  The offeror
shall evaluate the possibility that certain forms of chronic
electrical stimulation of selected portions of the auditory system
can maintain and possibly enhance the anatomical and physiological
viability of the remaining auditory system following loss of hair
cells in a manner compatible with preserving and possibly extending
the function of an implanted auditory prosthesis.

It is anticipated that a cost reimbursement, term type contract will
be awarded for a three year period.  The offeror will be required to
come to Bethesda yearly to present progress on their work at the
Neural Prosthesis Workshop sponsored by the Neural Prosthesis
Program.  It is planned that RFP No. NIH-DC-97-03 will be available
on or about October 11, 1996.  Proposals will be due approximately 60
days after the date of issuance of the solicitation.  All responsible
sources may submit a proposal that will be considered by the
Government.

INQUIRIES

Copies of the solicitation can be obtained by sending a written
request to:

Donna M. Winters
Division of Research Contracts
National Institutes of Health
6100 Executive Boulevard, Room 6E01, MSC 7540
Bethesda, MD  20892-7540

$$R1 END ************************************************************

$$R2 BEGIN OD-97-001 FULL-TEXT **************************************

INFORMED CONSENT IN RESEARCH INVOLVING HUMAN PARTICIPANTS

NIH GUIDE, Volume 25, Number 32, September 27, 1996

RFA AVAILABLE:  OD-97-001

P.T. 34; K.W. 0783005

National Cancer Institute
National Center for Human Genome Research
National Institute on Aging
National Institute on Alcohol Abuse and Alcoholism
National Institute of Allergy and Infectious Diseases
National Institute of Child Health and Human Development
National Institute on Drug Abuse
National Institute of Mental Health
National Institute of Nursing Research
Office of Extramural Research
Department of Energy
Department of Veteran Affairs

Application Receipt Date:  March 11, 1997

PURPOSE

The National Cancer Institute (NCI), the National Center for Human
Genome Research (NCHGR), the National Institute on Aging (NIA), the
National Institute on Alcohol Abuse and Alcoholism (NIAAA), the
National Institute of Allergy and Infectious Diseases ((NIAID), the
National Institute of Child Health and Human Development (NICHD), the
National Institute on Drug Abuse (NIDA), the National Institute of
Mental Health (NIMH), the National Institute of Nursing Research
(NINR), the Department of Energy (DOE), and the Department of
Veterans Affairs (VA) invite applications for a three year research
grant program to stimulate investigations into the informed consent
process in scientific research.  There is an ethical as well as a
legal responsibility to ensure that individuals both consent to and
understand their participation in research.  For consent to
participate in research to be truly informed, the information
imparted to potential participants must clearly explain study
procedures, distinguish research from treatment, realistically
portray the potential for medical or other benefits from
participation and the nature of potential benefit, carefully explain
the potential for discomfort, toxicity, or other risks that may
accompany participation in the research, and clearly delineate the
participant~s rights and limits regarding confidentiality and
withdrawal from participation.

The sponsoring organizations are jointly issuing this Request for
Applications (RFA) because voluntary informed consent is the defining
aspect of interactions between researchers and participants, and is
integral to the conduct of the scientific research funded by all of
these organizations.  One of the goals of this RFA is to bring
together perspectives of these different agencies, since their
different research foci reflect a diversity of issues relating to
informed consent.  Of course, many facets of understanding the
informed consent process are shared, and hence a combined effort is
efficient for the agencies and scientists alike.

Little empirical work exists to document the degree of understanding
achieved by research participants regarding: (1) identity of the
sponsoring federal agency or agencies; (2) purposes for which the
research is being conducted; (3) comprehension of a study's methods
and procedures; (4) relative risks and benefits (including financial)
of deciding to consent or refuse participation; (5) confidentiality
and any exceptions to confidentiality; (6) the implications of
withdrawal from a study and (7) planned and other possible use of the
data.  Such data should be useful in designing informed consent
procedures that are readily comprehended by prospective participants
and impart all critical information.  The goal of the present
initiative is to develop and test alternative strategies for
obtaining informed consent in diverse populations and determine
optimal ways to obtain informed consent for research participation.
This RFA will use the NIH individual research project grant (R01)
mechanism of support.  However, specific application instructions
have been modified to reflect "Modular Grant" and "Just-in-Time"
procedures being used under an NIH Reinvention Initiative.

INQUIRIES

The RFA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contacts listed below.

Eric Meslin, Ph.D.
National Center for Human Genome Research
38 Library Drive, Room 617, MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 402-4997
FAX:  (301) 402-1950
Email:  Eric_Meslin@nih.gov

Leslie G. Ford, M.D.
National Cancer Institute
6130 Executive Boulevard, Room 300
Rockville, MD  20852-7343
Telephone:  (301) 496-0265
FAX:  (301) 496-8667
Email:  Fordl@DCPCEPN.NCI.NIH.GOV

Andrew A. Monjan, Ph.D., M.P.H.
Neuroscience and Neuropsychology of Aging Program
National Institute on Aging
7201 Wisconsin Avenue, Suite 3C307 - MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-9350
FAX:  (301) 496-1494
Email:  MonjanA@GW.NIA.NIH.GOV

Theodore Pinkert, M.D.
Division of Clinical and Prevention Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 505 - MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-1206
FAX:  (301) 443-8774
Email:  tpinkert@willco.niaaa.nih.gov

Amy R. Sheon, PhD, MPH
Division of AIDS
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, MSC 7620
Bethesda, MD  20892-7620
Telephone:  (301) 496-6177
FAX:  (301) 402-3684
Email:  as31r@nih.gov

Sarah L. Friedman
National Institute of Child Health and Human Development
Building 61E, Room 4B05
Bethesda, MD  20892
Telephone:  (301) 496-6591
FAX:  (301) 402-2085
Email:  SF2@NIHCU(BITNET)

Dorynne Czechowicz, M.D.
Division of Clinical and Services Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-08
Rockville, MD  20857
Telephone:  (301) 443-0107
FAX:  (301) 443-2317
Email:  Dczechow@aoada2.ssw.dhhs.gov

John K. Hsiao, M.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
Parklawn Building, Room 18C-14
Rockville, MD  20857
Telephone:  (301) 443-3524
FAX:  (301) 443-6000
Email:  jhsiao@helix.nih.gov

June Lunney, Ph.D., RN
Division of Extramural Programs
National Institute of Nursing Research
Building 45, Room 3AN-12
Bethesda, MD  20892-6300
Telephone:  (301) 594-6908
FAX:  (301) 480-8260
Email:  Jlunney@ep.ninr.nih.gov

Susan L. Rose, Ph.D.
U.S. Department of Energy
ER-72/OHER
19901 Germantown Road
Germantown, MD  20874-1290
Telephone:  (301) 903-5468
FAX:  (301) 903-8521
Email:  Susan.L.Rose@oer.doe.gov

Dennis Roth
Department of Veterans Affairs
Office of Research and Development (12)
810 Vermont Avenue, N.W., Room 775J
Washington, DC  20420
Telephone:  (202) 273-8284
FAX:  (202) 273-6526
Email:  Roth@mail.va.gov

$$R2 END ************************************************************

$$P1 BEGIN PA-96-074 FULL-TEXT **************************************

DRUG USE, SEXUAL RISK BEHAVIORS, AND HIV IN MEN

NIH GUIDE, Volume 25, Number 32, September 27, 1996

PA AVAILABLE:  PA-96-074

P.T. 34; K.W. 0715008, 0404009, 0411005

National Institute on Drug Abuse

PURPOSE

The purpose of this program announcement (PA) is to support
epidemiological and HIV prevention research on drug use, sexual risk
behaviors, and HIV in an especially high risk group: men who use
drugs and have sex with men (DU MSM).  DU MSM use drugs by injection
and/or noninjection means (e.g., crack cocaine and smokable or
intranasal forms of methamphetamine and heroin) and have same-gender
sex regardless of their self-identified sexual orientation (gay,
bisexual, or heterosexual).  Because DU MSM may engage in both high
risk drug use and sexual practices, and may have multiple and
different drug use and sex partners and networks, they not only
constitute an important HIV risk group in and of themselves but also
have the potential to serve as a bridge for HIV transmission to
heterosexual injecting drug users (IDUs) and non-IDU MSM.  Promising
directions for the epidemiology and prevention of HIV in this dual
risk group will draw from cumulative research related to the
epidemiology and prevention of HIV in MSM, IDUs, and noninjecting
drug users.  This PA seeks to stimulate research on (1) the
co-occurrence of HIV risk behaviors among men who use injection
and/or non-injection drugs and who have sex with men, and the adverse
health consequences, (2) antecedents and correlates of high risk,
especially social/situational contexts of HIV risk and protective
behaviors among DU MSM and their drug use and/or sex partners and
networks; (3) the efficacy and effectiveness of behavioral and
biological HIV prevention interventions for diverse groups of DU MSM,
including comparative evaluations of intervention outcomes and
costs/benefits of community-based outreach, prevention, and treatment
approaches to averting new HIV infection; and (4) development and
evaluation of new behavioral therapies, drug abuse treatment
approaches, health services, and health care services delivery to DU
MSM.  Within these research themes, investigators are encouraged to
expand, test, and improve current identification and recruitment
strategies, research designs, methods, and measures of behavioral
risk and intervention effects among hard-to-reach subgroups of DU
MSM.  Research support mechanisms under this PA will include
investigator-initiated research project grant (R01), Small Grant
(R03), and First Independent Research Support and Transition (FIRST)
(R29) awards.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Drug Use, Sexual Risk Behaviors, and HIV in Men, is related to the
priority areas of reducing alcohol and other drug use and the
transmission of HIV.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-512-1800).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

Richard H. Needle, Ph.D., M.P.H.
or Elizabeth Y. Lambert, M.Sc. and Helen Cesari, M.Sc.
Division of Epidemiology and Prevention Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 9A-42
Rockville, MD  20857
Telephone:  (301) 443-6720
FAX:  (301) 443-2636
Email:  RN28E@NIH.GOV or EL46I@NIH.GOV or HC30X@NIH.GOV

$$P1 END ************************************************************

$$P2 BEGIN PA-96-075 FULL-TEXT **************************************

ECONOMICS OF DRUG TREATMENT SERVICES

NIH GUIDE, Volume 25, Number 32, September 27, 1996

PA AVAILABLE:  PA-96-075

P.T. 34; K.W. 0404009, 0745070, 0408006

National Institute on Drug Abuse

PURPOSE

This program announcement (PA) encourages research on the economics
of drug abuse treatment services.  This field of economic research is
concerned with the behavior of consumers, providers, governments, and
third party payers, and how they respond to economic incentives
related to drug abuse treatment services.  Applications are sought
that would employ the methods of economic analysis to the most
pressing problems facing the financing and delivery of drug abuse
treatment services in the United States.  Particular concern is
directed to understanding the structure of public and private drug
abuse treatment markets at a time when new insurance benefits and
alternative organizations for service delivery are being created.
Applied research on alternative payment systems, public and private
financing systems, and the design of insurance for drug abuse
treatment is of special interest.  Research support mechanisms under
this PA will include investigator-initiated research project grant
(R01), Small Grant (R03), and First Independent Research Support and
Transition (FIRST) (R29) awards.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Economics of Drug Treatment Services, is related to the priority area
of alcohol and other drugs.  Potential applicants may obtain a copy
of "Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (Telephone 202-512-1800).

INQUIRIES

The PA, which describes the research objectives, application
procedures, review considerations, and award criteria for this
solicitation, may be obtained electronically through the NIH Grant
Line (data line 301/402-2221), the NIH GOPHER (gopher.nih.gov), and
the NIH Website (http://www.nih.gov), and by mail and email from the
program contact listed below.

William S. Cartwright, Ph.D.
Services Research Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A30
Rockville, MD  20857
Telephone:  (301) 443-4060
FAX:  (301) 443-2317
Email:  WC34B@NIH.GOV

$$P2 END ************************************************************

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INFORMED CONSENT IN RESEARCH INVOLVING HUMAN PARTICIPANTS

NIH GUIDE, Volume 25, Number 32, September 27, 1996

RFA:  OD-97-001

P.T. 34; K.W. 0783005

National Cancer Institute
National Center for Human Genome Research
National Institute on Aging
National Institute on Alcohol Abuse and Alcoholism
National Institute of Allergy and Infectious Diseases
National Institute of Child Health and Human Development
National Institute on Drug Abuse
National Institute of Mental Health
National Institute of Nursing Research
Office of Extramural Research
Department of Energy
Department of Veteran Affairs

Application Receipt Date:  March 11, 1997

PURPOSE

The National Cancer Institute (NCI), the National Center for Human
Genome Research (NCHGR), the National Institute on Aging (NIA), the
National Institute on Alcohol Abuse and Alcoholism (NIAAA), the
National Institute of Allergy and Infectious Diseases ((NIAID), the
National Institute of Child Health and Human Development (NICHD), the
National Institute on Drug Abuse (NIDA), the National Institute of
Mental Health (NIMH), the National Institute of Nursing Research
(NINR), the Department of Energy (DOE), and the Department of
Veterans Affairs (VA) invite applications for a three year research
grant program to stimulate investigations into the informed consent
process in scientific research.  There is an ethical as well as a
legal responsibility to ensure that individuals both consent to and
understand their participation in research.  For consent to
participate in research to be truly informed, the information
imparted to potential participants must clearly explain study
procedures, distinguish research from treatment, realistically
portray the potential for medical or other benefits from
participation and the nature of potential benefit, carefully explain
the potential for discomfort, toxicity, or other risks that may
accompany participation in the research, and clearly delineate the
participant~s rights and limits regarding confidentiality and
withdrawal from participation.

The sponsoring organizations are jointly issuing this Request for
Applications (RFA) because voluntary informed consent is the defining
aspect of interactions between researchers and participants, and is
integral to the conduct of  the scientific research funded by all of
these organizations.  One of the goals of this RFA is to bring
together perspectives of these different agencies, since their
different research foci reflect a diversity of issues relating to
informed consent.  Of course, many facets of understanding the
informed consent process are shared, and hence a combined effort is
efficient for the agencies and scientists alike.

Little empirical work exists to document the degree of understanding
achieved by research participants regarding: (1) identity of the
sponsoring federal agency or agencies; (2) purposes for which  the
research is being conducted; (3) comprehension of a study's methods
and procedures; (4) relative risks and benefits (including financial)
of deciding to consent or refuse participation; (5) confidentiality
and any exceptions to confidentiality; (6) the implications of
withdrawal from a study and (7) planned and other possible use of the
data.  Such data should be useful in designing informed consent
procedures that are readily comprehended by prospective participants
and impart all critical information.  The goal of the present
initiative is to develop and test alternative strategies for
obtaining informed consent in diverse populations and determine
optimal ways to obtain informed consent for research participation.

ELIGIBILITY

Applications may be submitted by any domestic or foreign, for-profit
or non-profit organizations, public or private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, or eligible agencies of the Federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

This RFA will use the NIH individual research project grant (R01)
mechanism of support.  However, specific application instructions
have been modified to reflect "MODULAR GRANT" and "JUST-IN-TIME"
procedures being used under an NIH Reinvention Initiative.  The
modular grant concept established specific modules (increments) in
which direct costs may be requested as well as a maximum level for
requested budgets.  Only limited budgetary information is required
under the approach.  The just-in-time concept allows applicants to
submit certain information only when there is a possibility for an
award.  It is anticipated that these changes will reduce the
administrative burden for the applicants, reviewers, and government
staff.

For this RFA, funds must be requested in $50,000 direct cost modules
and a maximum of four modules ($200,000 direct costs) per year may be
requested.  A feature of the modular grant concept is that no
escalation is provided for future years, and all anticipated expenses
for all years of the project must be included within the number of
modules being requested.  Only limited budget information will be
required and any budget adjustments recommended by the Initial Review
Group will be in modules of $50,000.

In accordance with JUST-IN-TIME procedures, instructions for
completing the Biographical Sketch have also been modified.  In
addition, Other Support information and the application Checklist
page are not required as part of the initial application.  If the
initial review suggests that there is a possibility for an award, the
necessary budget, Other Support, and Checklist information will be
requested by NIH staff.  The APPLICATION PROCEDURES section of this
RFA provides specific details of modifications to standard PHS 398
application kit instructions.

FUNDS AVAILABLE

It is anticipated that for fiscal year 1997, $2,250,000 total funds
(direct and indirect costs) will be available. Award of grants
pursuant to this RFA is contingent upon receipt of such funds for
this purpose.  Between 8 to 11 awards are anticipated.  The exact
amount of funding awarded will depend on the quality of applications
and the availability of funds.

Applicants are requested to furnish estimates of the time required to
achieve the objective of the proposed research project.  Applicants
may request support for up to three years.  The usual PHS policies
governing grants administration and management will apply.  Annual
awards will be made, subject to continued availability of funds and
progress achieved.  This RFA is a one-time solicitation.  At the end
of the official award period, competitive renewal applications may be
submitted for peer review and competition for support through the
regular grant programs of the NIH.  It is anticipated that awards
resulting from RFA OD-97-001 will begin October 1, 1997.
Administrative adjustments in project period of amount of support may
be required at the time of the award.  Since a variety of approaches
would represent valid responses to this RFA, it is anticipated that
there will be a range of costs among the grants awarded.  All current
policies and requirements that govern the research grant programs of
the NIH will apply to grants awarded in connection with this RFA.

RESEARCH OBJECTIVES

Background

This RFA is a joint effort of the  Department of Health and Human
Services, the Department of Energy, and the Department of Veterans
Affairs.  The co-sponsoring organizations share a common vision of
how research should be conducted, as indicated by their support of
the common rule (45 CFR Part 46, Subpart A: June 18, 1991).

This program is being coordinated under the auspices of the Office of
Extramural Research (OER) Office of the Director, of the National
Institutes of Health.  The OER is responsible for developing
regulations, policies, and procedures concerning the  NIH extramural
program, including the oversight of the protection of human subjects
for the entire Department of Health and Human Services.

Several of NIH's  Institutes and Centers have joined together in the
support of this project, and each seeks to encourage research related
to its own mission.  The NCHGR supports research activities that
address the ethical, legal, and social issues that may arise from
human genetics research, and is especially interested in research on
informed consent as it pertains to participation in genetics
research, the role of IRBs in dealing with genetics research, the
involvement of individuals and families in genetics research,
policies related to maintaining privacy and confidentiality of
genetic information obtained through genetics research participation,
issues raised by the commercialization of products from genetics
research, and issues surrounding the development and use of
experimental gene-based diagnostic tools and therapies.  The National
Cancer Institute seeks to advance understanding of the informed
consent process by supporting research to simplify the process,
improve comprehension, and to identify methods to provide
study-specific information to diverse populations in cancer
prevention and treatment trials.  The National Institute on Aging
conducts and supports biomedical, social, and behavioral research and
training related to the special needs and capacities of elderly
participants in research, and is particularly interested in the role
of cognitive function in aging,  and the ability of the elderly to
understand and remember so that information related to the consent
process is meaningful.  The National Institute on Alcohol Abuse and
Alcoholism is interested in research designed to improve the informed
consent process for clinical research, especially with regard to
special populations such  as women of child bearing age, alcohol
dependent individuals, and individuals with a family history of
alcohol problems.  The National Institute of Allergy and Infectious
Diseases supports research to prevent and treat allergic and
immunologic diseases and disorders, and is interested in research to
enhance the process of informed consent for participation in a
variety of clinical trials, including asthma, transplantation,
sexually transmitted disease, and HIV therapies, vaccines and other
preventative measures.  The National Institute of Child Health and
Human Development supports research on biological and behavioral
human development, including reproduction and population studies,
perinatal biology, maternal and infant well-being, congenital
defects, developmental biology and nutrition, human learning and
behavior, mental retardation  and developmental disabilities, and
medical rehabilitation.  The National Institute of Drug Abuse
supports research on the causes and consequences, prevention, and
treatment of drug abuse and addiction, and is interested in research
to understand and improve the informed consent process for
participation in clinical research.  The National Institute of Mental
Health conducts and supports research on mental illness and mental
health, including studies of the brain, behavior, and mental health
services, and is interested in research to understand and enhance the
informed consent process for participation in clinical mental health
research.  Finally, the National Institute of Nursing Research is
interested in establishing better approaches to promoting health and
preventing disease; and to improving clinical environments by testing
interventions that influence patient health outcomes and
participation in clinical research.

Joining the NIH in funding this RFA is the Department of Energy
(DOE), Office of Health and Environmental Research (OHER) which
supports fundamental science to identify, understand, and anticipate
the long-term health and environmental consequences of energy
production, development, and use. With respect to this  RFA, the DOE
is particularly interested in consent issues arising in research
related to mapping the structure of the human genome, developing
advanced medical technologies and radiopharmaceutical. and
determining biological structure and function at the molecular and
cellular level.

Also co-sponsoring this RFA is the Department of Veterans Affairs
(VA), which conducts biomedical, health services, and rehabilitation
research related to the special needs of veterans. The VA seeks to
ensure that clinical research in its medical centers is conducted in
full compliance with the spirit and letter of the common rule, and is
interested in research relevant to any component of informed consent
or other requirements for the protection of human subjects.

 Full consideration of the components of informed consent is an
essential part of every research project involving human subjects.
Indeed, the Code of Federal Regulations (45 CFR Part 46, Subpart A:
June 18, 1991) requires that "...no investigator may involve a human
being as a subject in research...unless the investigator has obtained
the legally effective informed consent of the subject or the
subject's legally authorized representative."  As stated in 45 CFR
Part 46:

(a) ...in seeking informed consent, the following information shall
be provided to each subject:

1) A statement that the study involves research, an explanation of
the purposes of the research and the expected duration of the
subject's participation, a description of the  procedures to be
followed, and identification of any procedures which are
experimental;

2) A description of any reasonably foreseeable risks or discomforts
to the subject;

3) A description of any benefits to the subject or to others which
may reasonably be expected from the research;

4) A disclosure of appropriate alternative procedures or courses of
treatment, if any, that might be advantageous to the subject;

 5) A statement describing the extent, if any, to which
confidentiality of records identifying the subject will be
maintained;

6) For research involving more than minimal risk, an explanation as
to whether any compensation and any medical treatments are available
if injury occurs and, if so, what they consist of or where further
information may be obtained;

7) An explanation of whom to contact for answers to pertinent
questions about the research and research subjects' rights, and whom
to contact in the event of a research-related injury to the subject;

8) A statement that participation is voluntary, refusal to
participate will involve no penalty or loss of benefits to which the
subject is otherwise entitled, and the subject may discontinue
participation at any time without penalty or loss of benefits to
which the subject is otherwise entitled.

(b) Additional elements of informed consent. When appropriate, one or
more of the following elements of information shall be provided to
each subject:

1) A statement that the particular treatment or procedure may involve
risks to the subject (or to the embryo or fetus, if the subject is or
may become pregnant) which are currently unforeseeable;

 2) Anticipated circumstances under which the subject's participation
may be terminated by the investigator without regard to the subject's
consent;

3) Any additional costs to the subject that may result from
participation in the research;

4) The consequences of a subject's decision to withdraw from the
research and procedures for orderly termination of participation by
the subject;

5) A statement that significant new findings developed during the
course of the research which may relate to the subject's willingness
to continue participation will be provided to the subject; and

6) The approximate number of subjects involved in the study.

  While 45 CFR Part 46 is quite specific about the content of
informed consent, the responsibility for ensuring that this
information is presented and understood is left to the researcher and
his or her Institutional Review Board.  It is clear that informed
consent involves much more than a signature on a consent form.
Willingness to participate in research may wax and wane depending on
a participant~s expectations and satisfaction.  This may be further
complicated by changes in cognitive abilities and judgment over time.
In some instances, obtaining consent from a legally authorized
representative may be a requirement, as with research on children,
comatose patients, or older participants with advanced dementias.
The issues of substituted judgment  can be germane as well, if an
individual's competency to consent is in question.  Finally, the
research setting may play a role in the informed consent process.
For instance, the degree of risk is affected by whether a study
involves inpatients or outpatients, how closely these participants
are monitored, and by different legal requirements in community,
clinical, and institutional research settings.  Since these and other
complex issues have an impact on informed consent, there is much to
be learned and understood about this process.

Research Goals and Topics

Through this RFA, the NIH,  DOE, and VA seek to encourage research
designed to gather empirical data on the informed consent process,
particularly with respect to studies involving research populations.
Possible research topics are listed below. This list should not be
considered exhaustive; it is expected that applicants will identify
other topics as well.

 This RFA encourages research with a focus on:

 o Evaluating the degree of comprehension and reasoning ability
required to understand and consent to specific experimental
procedures and risks (e.g., placebo controls, stored tissue),
differentiate between research and standard treatment, and
distinguish between discretionary and obligatory activities

o  Applying existing knowledge in basic behavioral, cognitive
neuroscience, social, and educational research to develop methods for
efficiently assessing comprehension and reasoning ability in a
research setting

o  Identifying the cognitive processes underlying complex decisions,
and evaluating methods for enhancing the decision making process

o  Identifying the determinants for participation, retention, and
satisfaction in research (e.g., altruism, remuneration,  hopes for
new or better treatment, closer follow up, free care, interest in
science, risk-taking behavior)

 o  Developing and assessing innovative methods for clearly and
efficiently conveying consent information that 1) meets basic
requirements, and  2) offers extra material for the active
information seeker (e.g., audio-visual aids, computer-assisted
instruction)

o  Developing and evaluating outcome measures to monitor progress in
improving the consent process (e.g., resource use, number and type of
procedural reviews, incidence of injuries, exposure to unwarranted
risk, educational outcomes)

o  Assessing whether a participant understands experimental
procedures over time, including assessment throughout the full
duration of participation in a study; developing methods to inform
patients of new relevant information during participation In a trial


o  Determining if appropriate inclusion of a participant's relatives
or friends in the consent process changes participation and retention
rates within a study or alters the reported satisfaction with
participation in research

o  Determining the impact of families, communities of interest,
limited -English proficiency, durable powers of attorney, or advance
directives on participation and outcomes

o Identifying and developing ways to address special issues related
to records (e.g., protection of confidentiality while providing a
mechanism for future patient notification of unanticipated benefits
or risks resulting from study participation)

o  quantifying and defining comprehension of social harms, and
improving participant understanding of the risk of social harms
associated with research participation (e.g.,  discrimination by
insurance companies or in employment resulting from participation in
HIV treatment or vaccine research, genetics research)

 o  Identifying and determining the impact of special age-related
issues related to informed consent in research involving: 1) children
and adolescents (e.g., parental responsibilities and consent,
autonomy issues in adolescents, emancipated or institutionalized
minors, additional protections from risk and meaning of minimal risk,
young children~s ability to understand in relation to giving assent,
sense of altruism in children volunteering for research to help
others), and 2) older individuals whose cognitive states may affect
their abilities to fully comprehend the conditions of the experiment

 o  Examining the role of cultural and educational differences,
ethnicity, and gender on the informed consent process and
participation in research

 o  Identifying and determining the impact of special issues related
to informed consent in specialized populations such as women of child
bearing potential, drug abusers, HIV positive, mentally ill,
institutionalized, alcohol dependent, terminally ill,  or comatose
individuals, individual with genetic disorders, and individuals with
questionable competence  (e.g., worsening of cognitive impairment
over the course of a study, durable power of attorney)

o  Assessing the impact of special informed consent issues in
research involving individuals in specialized settings such as
emergency care, the workplace, the military,  prisons,  and outer
space (e.g., potential for confusion resulting from similarity of the
research project to routine duties and procedures; effect of
generalized deference to authority; effect of presence or absence
during recruitment of unit officers,  prison guards or other official
personnel)

 o  Examining how the research setting, timing, presence of an
ombudsman, and qualities of the individual obtaining informed consent
(e.g., cultural similarity, gender) affect the process.

ANNUAL MEETINGS AND COLLABORATION

Successful applicants will be asked to participate in yearly meetings
to report progress, discuss problems, and share information related
to the conduct of their grants.  It is  recommended that costs
associated with attendance at these meetings, to be held in the
Washington DC area, be included as a part of the budget proposal.
Previous experience with meetings of this kind has shown that they
can provide an opportunity  to work collaboratively with other
Investigators on various issues, which might include common core
instruments, joint publication, sharing of protocols and data, or
other avenues of collaboration that may arise.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH-supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of the Public
Service Act, added by Public Law 103-43) and supersedes and
strengthens the previous policies (Concerning the Inclusion of Women
in Study Populations, and Concerning the Inclusion of Minorities in
Study Populations) which have been in effect since 1990.  The new
policy contains some new provisions that are substantially different
from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which has been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.  Investigators may obtain copies from these sources of
from the program staff or contact the person listed below.  Program
staff may also provide additional relevant information concerning the
policy.

LETTER OF INTENT

Prospective applicants are asked to submit by January 30, 1997, a
letter of intent that includes a descriptive title of the proposed
research and identification of any other participating institutions.
Such letters are requested only for the purpose of providing an
indication of the number and scope of applications to be received:
Therefore, their receipt is usually not acknowledged.  A letter of
intent is not binding, and it will not enter into the review of any
application subsequently submitted, nor is it necessary to have sent
a letter of intent to submit an application. The letter of intent is
to be sent to:

        Referral Office
        Division of Research Grants
        National Institutes of Health
        MSC 7720
        6701 Rockledge Drive
        Bethesda  MD  20892-7720

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and may be obtained from
the Office of Grants Information, Division of Research Grants,
National Institutes of Health, 6701 Rockledge Drive, Room 3034--MSC
7762, Bethesda, MD 20892-7910, telephone 301/435-0714, E-mail:
girg@drgpo.drg.nih.gov.

 This RFA use the Just-in-Time" concept.  The following modifications
must be made to the standard PHS 398 application instructions
(applications not conforming to these  Guidelines will be considered
unresponsive to this RFA and will be returned  without further
review):

o  INITIAL BUDGET PERIOD - Only the names of personnel and level of
effort must be itemized in the Personnel section of the "Detailed
Budget for the Initial Period" (Form Page 4).  In addition, list
consultants, equipment, supplies, travel, patient care activities,
alterations and renovations, and other needs, as appropriate.  Costs
are not to be indicated for these individual items or categories.  If
subcontracts are involved, state the name(s) of collaborating
institutions in the "Consortium/Contractual Costs" section and
provide individual budgets as detailed in the "SUBCONTRACTS section
below.  The "Total Direct Costs" line at the bottom of the page must
be completed based on the number of $50,000 modules being requested.
Applicants may not request a change in the amount of each module.  A
maximum of four modules ($200,000 direct costs) per year may be
requested.  Any large one-time purchases, such as large equipment
requests, must be accommodated within these limits.

o  FUTURE BUDGET PERIODS - It is anticipated that direct cost budgets
will remain the same for each year of the period of award (i.e., the
same number of modules requested for each and every budget period).
Any necessary escalation must be considered when determining the
number of modules to be requested.  However, in the event that the
number of modules requested must change in any future year,
appropriate justification must be provided.  The "Budget for Entire
Proposed Project Period" (top section of Form Page 5) must include
Total Direct Costs requested for each year and the Total Direct Costs
for the Entire Proposed Project Period.  The Justification section
must be completed based on instructions provided on Form Page 5.

o  SUBCONTRACTS - If collaborations or subcontracts are involved that
require transfer of funds from the grantee to other institutions, it
is necessary to establish formal subcontract agreements with each
collaborating institution.  A letter of agreement from each
collaborating institution must be submitted with the application.
Initial and future year budgets for subcontracts must be prepared
using the same guidelines as for the main grant except that total
subcontract costs need not be in $50,000 modules.  Requested amounts
must be based on individual needs of the subcontract and must reflect
both direct and indirect costs.  The subcontract costs are included
in the total budget request, which must conform with the number of
$50,000 modules requested.

o  BIOGRAPHICAL SKETCH - In addition to the standard information
requested on Form Page 6, the applicant has the option of providing
the title and source of any sponsored support relevant to the
proposed research.

o  OTHER SUPPORT - No other support information is required on "Other
Support" pages (Form Page 7).  Selected other support information
relevant to the proposed research may be included in the Biographical
Sketch as indicated above.  Complete other support information will
be requested by NIH staff if there is a possibility for an award.

o  CHECKLIST - No "Checklist" page is required as part of the initial
application.  A completed Checklist will be requested by NIH staff if
there is a possibility for an award.

o  The applicant must provide the name and phone number of the
individual to contact concerning fiscal and administrative issues if
additional information is necessary following the initial review.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research
Resources may wish to identify the GCRC as a resource for conducting
the proposed research.  If so, a letter of agreement from either the
GCRC program director or principal investigator could be included
with the application.

To identify the application as a response to this RFA, the RFA title
"Informed consent in research involving human participants," and
number "OD-97-001," must be typed under item 2 of the face page of
the application form, and YES box must be checked.  The RFA label
available in the PHS 398 application kit must be affixed to the
bottom of the face page of the original copy of the application.
Failure to use this label could result in delayed processing the
application such that it may not reach the review committee in time
for review.

Submit a signed, typewritten original of the application and four
signed, exact photocopies, in one package to:

Division of Research Grants
National Institutes of Health
6701 Rockledge Drive, Room 1040 - MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express/courier service)

At time of submission, an additional copy  of the application must
also be sent under separate cover to:

Susan D. Solomon, Ph.D.
Office of Extramural Research
National Institutes of Health
Building One, Room 156
One Center Drive, MSC 0155
Bethesda, MD  20892

All applicants must provide a Protection of Human Subjects Assurance
Identification/Certification/Declaration as specified in the policy
described on the Optional Form 310.  If there is a question regarding
the applicability of this assurance, contact the Office for
Protection from Research Risks of the National Institutes of Health
at (301) 496-7041.

Applications must be received by March 11, 1997.  If an application
is received after that date, it will be returned to the applicant.
The Division of Research Grants (DRG) will not accept any application
in response to this RFA that is essentially the same as one currently
pending initial review, unless the applicant withdraws the pending
application.  The DRG will not accept any application that is
essentially the same as one already reviewed.  This does not preclude
the submission of substantial revisions of applications previously
reviewed, but such applications must include an introduction
addressing the previous critique.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG,
and for responsiveness by the NIH, DOE, and/or VA program staff.
Incomplete applications will be returned to the applicant without
further consideration.  In addition, if program staff find that the
application is not responsive to the RFA, it will be returned to the
applicant without review.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened in accordance with NIH peer review procedures.
As part of the initial merit review, all applications will receive a
written critique and undergo a process in which only those
applications deemed to have the highest scientific merit, generally
the top half of applications under review, will be discussed, and
assigned a priority score; those with the potential for funding will
receive a second level review by the National Advisory Council of the
relevant NIH institute.

Applications will be judged on the following criteria:

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research;

o  adequacy of plans to include both genders and minorities and their
subgroups as appropriate for the scientific goals of the research.

Plans for the recruitment and retention of subjects will also be
evaluated.  The initial review group will also examine the provisions
for the protection of human participants and the safety of the
research environment.

Receipt and Review Schedule

Application Receipt Date:  March 11, 1997
Initial Review:            June/July
Advisory Council Review:   September
Earliest Start Date:       October 1, 1997

AWARD CRITERIA

Funding decisions will be made on the basis of scientific and
technical merit as determined by peer review, program priorities and
balance, potential policy and practice relevance, and the
availability of funds.

INQUIRIES

Inquiries concerning this RFA are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.
Program staff of the NIH, DOE, and VA are available for consultation
concerning application development before or during the process of
preparing an application.  Potential applicants should contact
program staff as early as possible for information and assistance in
initiating the application process and developing an application.

Inquiries regarding programmatic issues may be directed to:

Eric Meslin, Ph.D.
National Center for Human Genome Research
38 Library Drive, Room 617, MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 402-4997
FAX:  (301) 402-1950
Email:  Eric_Meslin@nih.gov

Leslie G. Ford, M.D.
National Cancer Institute
6130 Executive Boulevard, Room 300
Rockville, MD  20852-7343
Telephone:  (301) 496-0265
FAX:  (301) 496-8667
Email:  Fordl@DCPCEPN.NCI.NIH.GOV

Andrew A. Monjan, Ph.D., M.P.H.
Neuroscience and Neuropsychology of Aging Program
National Institute on Aging
7201 Wisconsin Avenue, Suite 3C307 - MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-9350
FAX:  (301) 496-1494
Email:  MonjanA@GW.NIA.NIH.GOV

Theodore Pinkert, M.D.
Division of Clinical and Prevention Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 505 - MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-1206
FAX:  (301) 443-8774
Email:  tpinkert@willco.niaaa.nih.gov

Amy R. Sheon, PhD, MPH
Division of AIDS
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, MSC 7620
Bethesda, MD  20892-7620
Telephone:  (301) 496-6177
FAX:  (301) 402-3684
Email:  as31r@nih.gov

Sarah L. Friedman
National Institute of Child Health and Human Development
Building 61E, Room 4B05
Bethesda, MD  20892
Telephone:  (301) 496-6591
FAX:  (301) 402-2085
Email:  SF2@NIHCU(BITNET)

Dorynne Czechowicz, M.D.
Division of Clinical and Services Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-08
Rockville, MD  20857
Telephone:  (301) 443-0107
FAX:  (301) 443-2317
Email:  Dczechow@aoada2.ssw.dhhs.gov

John K. Hsiao, M.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
Parklawn Building, Room 18C-14
Rockville, MD  20857
Telephone:  (301) 443-3524
FAX:  (301) 443-6000
Email:  jhsiao@helix.nih.gov

June Lunney, Ph.D., RN
Division of Extramural Programs
National Institute of Nursing Research
Building 45, Room 3AN-12
Bethesda, MD  20892-6300
Telephone:  (301) 594-6908
FAX:  (301) 480-8260
Email:  Jlunney@ep.ninr.nih.gov

Susan L. Rose, Ph.D.
U.S. Department of Energy
ER-72/OHER
19901 Germantown Road
Germantown, MD  20874-1290
Telephone:  (301) 903-5468
FAX:  (301) 903-8521
Email:  Susan.L.Rose@oer.doe.gov

Dennis Roth
Department of Veterans Affairs
Office of Research and Development (12)
810 Vermont Avenue, N.W., Room 775J
Washington, DC  20420
Telephone:  (202) 273-8284
FAX:  (202) 273-6526
Email:  Roth@mail.va.gov

Direct inquiries regarding fiscal matters to:

Jean M. Cahill
Grants and Contracts Management Branch
National Center for Human Genome Research
38 Library Drive, Room 613 - MSC 6050
Bethesda, MD  20892-6050
Telephone:  (301) 402-0733
FAX:  (301) 402-1951
Email:  Jean_Cahill@nih.gov

Eileen Natoli
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496 7800 ext 256
FAX:  (301) 496 8601
Email:  natolie@gab.nci.nih.gov

David Reiter
National Institute on Aging
7201 Wisconsin Avenue, Room 2N212
Bethesda, MD  20892-9205
Telephone:  (301) 466-1472
FAX:  (301) 402-3672
Email:  reiterd@gw.nia.nih.gov

Linda Hilley
Grants Management Branch
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 505, MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-4703
FAX:  (301) 443-3891
Email:  lhilley@willco.niaaa.nih.gov

Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 4B22
Bethesda, MD  20892-7610
Telephone:  (301) 496-7075
FAX:  (301) 480-3780
Email:  Jane_Unsworth@nih.gov

Douglas E. Shawver
Grants Management Branch
National Institute of Child Health and Human Development
Building 61 E, Room 8A 17F
Bethesda, MD  20982
Telephone:  (301) 496-1303
FAX:  (301) 496 0915
Email:  Douglas_Shawver@nih.gov

Gary Fleming, J.D., M.A.
Office of Planning and Resource Management
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
FAX:  (301) 594-6847
Email:  gfleming@aoada2.ssw.dhhs.gov

Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-08
Rockville, MD  20857
Telephone:  (301) 443-3056
FAX:  (301) 443-6885
Email:  diana_trunnell@nih.gov

Jeff Carow
Grants and Contracts Management Branch
National Institute of Nursing Research
Building 45, Room 3AN-32
Bethesda, MD  20892-6301
Telephone:  (301) 594-5074
FAX:  (301) 480-8256
Email:  JCAROW@ep.ninr.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Nos. 93.172 (NCHGR), 93.242 (NIMH), 93.273 (NIAAA), 93.279
(NIDA), 93.361 (NINR), 93.395 (NCI), 93.856, 93.855 (NIAID), 93.865
(NICHD), and 93.886 (NIA).  Awards are made under authorization of
section 301 and Title IV (42 USC 241 and 281) of the Public Health
Service Act, and are administered under PHS grants policies and
Federal Regulations 42 CFR Part 52, and 45 CFR Part 74. This program
is not subject to the intergovernmental review requirements of
Executive order 12372, or Health Systems Agency Review.  Awards by
PHS agencies will be administered under PHS grants policy as stated
in the Public Health Service Grants Policy Statement (April 1, 1994).

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the nonuse of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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DRUG USE, SEXUAL RISK BEHAVIORS, AND HIV IN MEN

NIH GUIDE, Volume 25, Number 32, September 27, 1996

PA NUMBER:  PA-96-074

P.T. 34; K.W. 0715008, 0404009, 0411005

National Institute on Drug Abuse

PURPOSE

The purpose of this program announcement (PA) is to support
epidemiological and HIV prevention research on drug use, sexual risk
behaviors, and HIV in an especially high risk group: men who use
drugs and have sex with men (DU MSM).  DU MSM use drugs by injection
and/or noninjection means (e.g., crack cocaine and smokable or
intranasal forms of methamphetamine and heroin) and have same-gender
sex regardless of their self-identified sexual orientation (gay,
bisexual, or heterosexual).  Because DU MSM may engage in both high
risk drug use and sexual practices, and may have multiple and
different drug use and sex partners and networks, they not only
constitute an important HIV risk group in and of themselves but also
have the potential to serve as a bridge for HIV transmission to
heterosexual injecting drug users (IDUs) and non-IDU MSM.  Promising
directions for the epidemiology and prevention of HIV in this dual
risk group will draw from cumulative research related to the
epidemiology and prevention of HIV in MSM, IDUs, and noninjecting
drug users. This PA seeks to stimulate research on (1) the
co-occurrence of HIV risk behaviors among men who use injection
and/or non- injection drugs and who have sex with men, and the
adverse health consequences, (2) antecedents and correlates of high
risk, especially social/situational contexts of HIV risk and
protective behaviors among DU MSM and their drug use and/or sex
partners and networks; (3) the efficacy and effectiveness of
behavioral and biological HIV prevention interventions for diverse
groups of DU MSM, including comparative evaluations of intervention
outcomes and costs/benefits of community-based outreach, prevention,
and treatment approaches to averting new HIV infection; and (4)
development and evaluation of new behavioral therapies, drug abuse
treatment approaches, health services, and health care services
delivery to DU MSM.  Within these research themes, investigators are
encouraged to expand, test, and improve current identification and
recruitment strategies, research designs, methods, and measures of
behavioral risk and intervention effects among hard-to-reach
subgroups of DU MSM.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Drug Use, Sexual Risk Behaviors, and HIV in Men, is related to the
priority areas of reducing alcohol and other drug use and the
transmission of HIV.  Potential applicants may obtain a copy of
"Healthy People 2000" (Summary Report: Stock No. 017-001-00473-1)
through Superintendent of Documents, Government Printing Office,
Washington DC 20402 (Telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal Government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as principal investigators.
Foreign institutions are not eligible for First Independent Research
Support and Transition (FIRST) (R29) awards.

MECHANISM OF SUPPORT

Research support mechanisms under this PA will include the
traditional research project grant (R01), small grants (R03), and
FIRST (R29) awards.   Because the nature and scope of the research
proposed in response to this PA may vary, it is anticipated that the
size of an award will also vary.

RESEARCH OBJECTIVES

Background

Historically, HIV epidemiology and prevention research has focused on
the highest prevalence and incidence exposure groups, i.e., either
men who have sex with men or injecting drug users and noninjecting
users of crack cocaine.   Little attention has been given to the dual
risk category of DU MSM, who may acquire HIV infection either
sexually or parenterally.  Nor has much attention focused on DU MSM
who have recently initiated injecting drug use, though a recent
report suggests new drug injectors may be at especially high risk for
the HIV infection and hepatitis B and C, possibly from sexual
activity prior to injecting drugs (Garfein et al., 1996).

Fifteen years into the HIV/AIDS epidemic, attention has begun to
focus on exposure groups in which HIV infection is emerging or
increasing in prevalence and on the need to formulate new strategies
for primary prevention and behavior change interventions for these
populations.  Compared to men who report sex with men as their only
HIV risk factor (in whom the incidence of  HIV is stable or
declining), increasing proportions of HIV incidence cases are
occurring among men who report injecting drug use as their only risk
and among men who report dual risks from both drug injecting and sex
with men, especially men of color.  Since first recognized in early
1981,
AIDS has been diagnosed in 434,719 male adolescents and adults in the
U.S.(CDC, 1995).  Of these, 259,672 cases (60%) occurred in MSM;
95,244 (22%) in IDUs; and 33,195 (8%) in the dual risk category of
IDU MSM.  In addition, an estimated half of all HIV incident
infections in the U.S. are occurring among injecting drug users
(Holmberg, 1996).  Drug injection has gained a proportionately
greater share of cases as a HIV risk category among Hispanic, African
American, and American Indian/Alaskan Native men.

HIV/AIDS surveillance data do not provide reports about noninjecting
drug use among MSM; however, this group is at high risk, especially
if they trade sex for drugs and/or money or engage in high risk
sexual practices as a result of drug use before or during sex.
Noninjecting drug users may have been former injectors or may never
have injected drugs out of concern of exposure to the HIV infection
from contaminated syringes, but many of these men are using crack,
methamphetamines, and other drugs as well as engaging in high risk
sexual practices.  In certain situations and settings, they are also
at risk of initiating injection drug use and resulting health
consequences.

Though the epidemiology, determinants, and mediators of high risk
drug and sex practices, as well as HIV prevention strategies have
been researched for some time with respect to IDUs, crack cocaine
users, and gay men, the risk behaviors, consequences, and prevention
strategies to limit the spread of HIV among the dual risk group of DU
MSM remain inadequately understood.  Only a handful of studies have
focused on this group, though their risks of HIV infection are
strikingly high. A recent multivariate analysis of data from NIDA~s
Cooperative Agreement for AIDS Community-Based Outreach/ Intervention
Research Program found that the strongest single predictor of HIV
seropositivity in a sample of not-in-treatment male drug users was
being homosexual.  Other significant predictors were having ever
injected drugs and residing in a high HIV seroprevalence (15% and
higher) area.  Bisexual status alone was not a significant predictor
of seropositivity, but being both bisexual and African American
increased the likelihood to over 4 times that of heterosexual IDUs.
In 1995, NIDA and CDC initiated a multi-site pilot study of the drug
use and sex risk behaviors of not-in-treatment MSM who injected drugs
or used crack cocaine.  Although all the men reported drug use and
having sex with men, there was a wide range in types and frequencies
of drugs us-ed and in sex partners and sexual risk behaviors as well
as a wide array of age groups and racial/ethnic categories involved.
Findings from this study attest to the diversity of the DU MSM
population and point to the need to go beyond uniform health models
to better address their HIV risk-taking behaviors.  NIDA and CDC plan
to use study data to develop appropriate HIV intervention strategies,
but to date, no prevention programs have been specifically tailored
for this under-researched population.

It is important to understand the extent to which HIV research and
prevention efforts designed to study and moderate the risk behaviors
of gay men and/or heterosexual drug users can be adopted and made
effective for the dual risk group of DU MSM, especially with respect
to contextual factors that influence HIV risk behaviors.  Moreover,
understanding the future of this epidemic will improve dramatically
if researchers begin to shift their thinking from an individual-level
perspective of behavior to viewing risk behaviors as social
transactions between individuals and groups and begin to focus on the
contexts in which multiperson use of drug injection equipment and sex
risks take place.  Applicants are encouraged to pay attention to
social factors which can influence the initiation of risk as well as
behavior change among DU MSM and that involve not only the individual
but also couples, groups, or networks to which the DU MSM belongs and
in which norms of behavior are practiced and preserved.

Various research approaches, including epidemiology, ethnography,
controlled clinical trials, and evaluation are applicable to a
comprehensive HIV prevention research portfolio alone or in phased
stages of multidisciplinary study.

Research Areas

This PA will support research on the epidemiology and prevention of
HIV-related behaviors and adverse health consequences among DU MSM.
Researchers are encouraged to review the cumulative literature on the
epidemiology and prevention of HIV in gay men, IDUs, and
non-injection drug users and to adapt and refine research protocols
and models of HIV prevention that have proven to be effective with
drug using men or men who have sex with men.  Investigators are
encouraged to integrate such information into new theory-based
primary prevention and behavior change interventions and health
services.  A broad range of studies are envisioned, including but not
limited to the following research areas:

(1) Epidemiology of HIV-related behaviors and health consequences
(morbidity/mortality) in DU MSM.  Suggested topics include, but are
not limited to:

o  Studies in areas of high, moderate, and low HIV seroprevalence of
the incidence, prevalence, trends and predictions of DU MSM~s drug
use patterns and the co- occurrence of high risk drug use and sex
behaviors (e.g., types of drug used, multiperson use of injection
equipment, numbers and types of sex partners).

o  Studies of syringe acquisition, drug acquisition, drug
preparation, injection practices, and syringe disposal behaviors
among IDU MSM as well as biological/ serological studies of the HIV
transmissibility risks associated with these behaviors.

o  Studies of risk and/or protective antecedents and correlates
associated with the initiation of drug injection among MSM, including
factors influencing the transition from non-injection to injection
use (e.g., roles of community culture, social networks, peer
influence) and the continuation of use (may involve
injection/non-injection patterns associated with specific drugs or
drug combinations).

o  Research on the epidemiology of physical, sexual, and emotional
violence (including stigmatization) against or among DU MSM, and on
the relationship of such violence to the co-occurrence of HIV-related
risk behaviors and other adverse health consequences.

o  Research to improve epidemiologic methods and measures for
monitoring, reporting, and predicting the course and spread of HIV
seroincidence in DU MSM and among their drug use and sex partners.

(2) Antecedents, correlates, and contexts of HIV risk/protective
behaviors.  Suggested topics include, but are not limited to:

o Studies of the effects of macro-level factors on the epidemiology
and adoption, maintenance, change, and relapse of HIV-related
behaviors of DU MSM (e.g., community policies toward needle exchange
and condom distribution programs, including closures/relocations of
services); law enforcement practices in areas where sex is traded for
drugs or money or where drugs are used in public settings; and other
access and barrier issues related to community-based HIV/AIDS
education and prevention programs.

o  Social network research to characterize the HIV-related behaviors
of DU MSM in their immediate injection/non- injection drug use risk
networks, sex risk networks, and combined drug use and sex risk
networks.  Social network research is also needed to understand the
out-group contacts and mixing strategies of DU MSM who act as bridges
to other networks (e.g., networks of non-drug using MSM; networks of
IDUs who do not engage in same- gender sex).

o  Research on intrapersonal, dyadic, and group factors affecting the
adoption, maintenance, and change of HIV risk and protective
behaviors among DU MSM (e.g., testing seropositive or learning that
one's drug use or sex risk partner has seroconverted, interpersonal
skills at negotiating behavior change, economic dependence on one~s
partner, affiliative ties, coercion and violence) as well as factors
associated with relapse to risky behavior, relapse prevention, and
recovery.

o  Factors which influence HIV seropositive DU MSM to notify
injecting drug use and sex risk partners of their serostatus, to take
precautions against secondary spread of the HIV infection to others,
or to risk transmitting HIV to persons who are not infected by
sharing injecting equipment and/or by engaging in unprotected sex.

(3)  Evaluation of behavioral and biological HIV prevention
interventions specifically tailored for DU MSM.  Multilevel,
multicomponent interventions are encouraged, and the complexity of
sexual and drug-related risks should be addressed when developing
appropriate interventions.  Suggested studies include, but are not
limited to:

o  Theoretically guided, community-based studies to investigate the
effectiveness and acceptability of new HIV prevention and
intervention approaches, singly or in combination, among divergent
groups and risk networks of DU MSM.  Studies of community outreach,
condom and bleach distribution, syringe exchange, HIV counseling and
testing, and partner notification projects are needed to evaluate
what works, for whom it works, under what circumstances it works, and
how long it works.

o  Studies of the optimal sequencing of risk reduction interventions
taking into account the types and levels of risk engaged in as well
as the episodic nature of HIV risk behaviors/ behavior change and
need for intermittent reinforcement.

o  Studies of the diffusion of innovative interventions, including
credible opinion leaders and social change processes affecting the
adoption and/or maintenance of lower sexual and drug using risk
behaviors of DU MSM.

o  Single-site studies or comparative evaluations are needed to
address the attributes and relative costs/benefits of peer-initiated,
social network-based, and community-based risk reduction
interventions and/or treatment programs with respect to changing
multiple risk behaviors and averting HIV infections.

(4) Research on Drug Abuse Treatment and Health Care Delivery for DU
MSM.  Suggested topics include but are not limited to:

o  Research to develop and pilot test new behavioral therapies for
drug abuse or to modify existing therapies for use with DU MSM.

o  Studies to identify, develop, and pilot test HIV risk reduction
interventions which can be integrated within drug abuse treatment
programs for DU MSM.

o  Clinical trials of well-specified behavioral therapies and risk
reduction interventions identified as promising in pilot testing with
divergent groups of DU MSM both within and outside of the gay
community.

o  Health services research on the delivery of drug abuse treatment
and other health care to DU MSM, including studies of factors that
impact access and utilization of services, effectiveness of services,
barriers to effective service delivery, and strategies for improving
service delivery.

NIDA POLICY ON HIV COUNSELING AND TESTING

Researchers funded by NIDA, who are conducting research in community
outreach settings, clinics, hospital settings, or clinical
laboratories, and have ongoing contact with clients at risk for HIV
infection, are strongly encouraged to provide HIV risk-reduction
education and counseling.  HIV counseling should include offering HIV
testing available on-site or by referral to other HIV testing
services.  Persons at risk for HIV infection include injection drug
users, crack cocaine users, and sexually active drug users and their
sex partners.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators may also obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning this policy.

Confidentiality.  The Public Health Service (PHS) has a formal policy
concerning Certificates of Confidentiality and communicable disease
reporting.  In brief, the policy reflects the expectation that
research projects will cooperate with State and local health
departments to assure that the purposes of reporting are
accomplished, and the expectation that health departments will
develop relationships with research projects that assist their
mission without thwarting the research goals. A description of the
policy as well as Instructions for Applicants can be obtained after
award.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 5/95) and will be accepted at the standard AIDS receipt
dates indicated in the application kit.  Application kits are
available at most institutional offices of sponsored research and may
be obtained from the Grants Information Office, Office of Extramural
Outreach and Information Resources, NIH, 6701 Rockledge Drive, MSC
7762, Bethesda, MD 20892-7762, telephone 301-435-0714, email:
asknih@odrockm1.od.nih.gov.  The title and number of this PA must be
typed in Item 2 on the face page of the application.

The completed original and five legible copies must be sent or
delivered to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE MSC-7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for courier/overnight service)

REVIEW CONSIDERATIONS

Applications that are complete will be evaluated for scientific and
technical merit by an appropriate peer review group convened in
accordance with standard NIH peer review procedures.  As part of the
initial merit review, all applications will receive a written
critique and undergo a process in which only those applications
deemed to have the highest scientific merit, generally the top half
of the applications under review, will be discussed, assigned a
priority score, and receive a second level review by the appropriate
national advisory council or board.

Review Criteria

o  scientific or technical significance and originality of the
proposed research;

o  appropriateness and adequacy of the research approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the principal
investigator and staff;

o  availability of resources necessary to the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research; and

o  adequacy of plans to include minorities and their subgroups as
appropriate for the scientific goals of the research.  Plans for the
recruitment and retention of subjects will also be evaluated.

The initial review group will also examine the provisions for the
protection of human and animal subjects, and safety of the research
environment.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to the Institute.  The following will be
considered in making funding decisions:  quality of the proposed
project as determined by peer review, availability of funds, and
program priority.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues involving
epidemiologic and HIV prevention and intervention research to:

Richard H. Needle, Ph.D., M.P.H.
or Elizabeth Y. Lambert, M.Sc. and Helen Cesari, M.Sc.
Division of Epidemiology and Prevention Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 9A-42
Rockville, MD  20857
Telephone:  (301) 443-6720
FAX:  (301) 443-2636
Email:  RN28E@NIH.GOV; EL46I@NIH.GOV; HC30X@NIH.GOV

Direct inquiries regarding programmatic issues involving research in
clinical/drug abuse treatment settings to:

Robert J. Battjes, D.S.W.
Division of Clinical and Services Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-38
Rockville, MD  20857
Telephone:  (301)443-6697
FAX:  (301) 443-2317
Email:  RB97H@NIH.GOV

Direct inquiries regarding fiscal matters to:

Gary Fleming, J.D., M.A.
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8-A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
FAX:  (301) 594-6847
Email:  GF6S@NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.279 and 93.242.  Awards are authorized under the
Public Health Service Act, Section 301 and administered under PHS
grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.
Grants will be administered under PHS grants policy as stated in the
Public Health Service Grants Policy Statement (DHHS Publication No.
(OASH) 82-50-000 GPO 0017-020-0090-1 (rev. April 1994).  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency Review.

The PHS strongly encourages all grant recipients to provide a
smoke-free workplace and promote the non-use of all tobacco products.
In addition, Public Law 103- 227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care of early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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ECONOMICS OF DRUG TREATMENT SERVICES

NIH GUIDE, Volume 25, Number 32, September 27, 1996

PA NUMBER:  PA-96-075

P.T. 34; K.W. 0404009, 0745070, 0408006

National Institute on Drug Abuse

PURPOSE

This program announcement encourages research on the economics of
drug abuse treatment services.  This field of economic research is
concerned with the behavior of consumers, providers, governments, and
third party payers, and how they respond to economic incentives
related to drug abuse treatment services. Applications are sought
that would employ the methods of economic analysis to the most
pressing problems facing the financing and delivery of drug abuse
treatment services in the United States.  Particular concern is
directed to understanding the structure of public and private drug
abuse treatment markets at a time when new insurance benefits and
alternative organizations for service delivery are being created.
Applied research on alternative payment systems, public and private
financing systems, and the design of insurance for drug abuse
treatment is of special interest.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This program
announcement, ECONOMICS OF DRUG TREATMENT SERVICES, is related to the
priority area of Health Promotion/Alcohol and Other Drugs.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0 or Summary Report: Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (Telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
nonprofit organizations, such as universities, colleges, hospitals,
laboratories, units of State and local governments, and eligible
agencies of the Federal government.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as Principal Investigators.  Foreign institutions are not
eligible for the First Independent Research Support and Transition
(FIRST) (R29) award.

MECHANISM OF SUPPORT

Research support mechanisms include the research project grant (R01),
small grant (R03), and FIRST awards (R29).  There are special
requirements for FIRST and R03 mechanisms; the applicant intending to
apply utilizing either of these mechanisms, should contact the
program officer under INQUIRIES for further information.

Because the nature and the scope of the research proposed in response
to this announcement may vary, it is anticipated that the size of an
award will also vary.

RESEARCH OBJECTIVES

Summary.  Research studies are sought on (1) financing of drug abuse
treatment services, including health insurance and/or payment
mechanisms, (2) alternative delivery systems and managed care, (3)
cost-benefit, cost-effectiveness, and cost-utility analysis, (4) cost
of drug abuse treatment, and (5) methodological research.  Studies of
financing include issues of health insurance and/or payment
mechanisms.

Background.  Economic research on drug abuse treatment services has
the goal to inform society about fundamental issues in health care
reform and managed care as restructuring of the health care system
proceeds at a rapid pace.  In this environment of social
experimentation and institutional change, there are numerous natural
experiments available for the application of economic analysis that
would increase understanding of the demand and supply for drug abuse
treatment and the unique factors that contribute to public and
private markets for drug treatment.  Applied research on alternative
payment systems, public and private financing systems, and the design
of insurance for drug abuse treatment must be grounded in sound
microeconomic principles.

The economics of drug abuse treatment services studies factors that
determine supply such as:  (1) the price of drug abuse treatment; (2)
technological factors in drug abuse treatment; (3) price of resource
inputs; (4) prices of related goods; (5) market organization; and (6)
special influences such as government treatment standards, subsidies,
insurance, and risk sharing.

The economics of drug abuse treatment also studies factors that
determine demand for drug treatment: (1) the price of drug abuse
treatment; (2) average income of patients; (3) population
characteristics and need for treatment; (4) price of related goods;
(5) preferences or tastes; and (6) special influences such as patient
health, court intervention, family intervention, barriers, drug
testing, insurance coverage and benefit structure.

Drug abuse treatment services research is complicated by the factor
of direct government involvement in the production, financing, and
regulation of treatment services.  Market segmentation between the
private and public treatment providers is another special
consideration.  There is face validity to the notion of competitive
market failure given external costs of drug abuse, imperfect
information, insurance coverage, and interdependence of preferences
among addicts, families, courts, employers, and treatment providers.

Financing of drug abuse treatment is derived from Federal, State, and
local government funds and also private sector funds from health
insurance, consumer out-of-pocket expenditures, and charity.  The
scientific inquiry into financing of drug treatment requires
normative and positive economic analysis on allocation and
distribution issues.  For example, because different levels of
government are involved in public financing, fiscal federalism is a
central issue.  For health services needs of the poor, distributive
issues must be addressed.  Analysis of both public and private
provision of health insurance is essential to financing studies.
Furthermore, payment mechanisms for drug abuse treatment affect the
allocation and distribution of drug treatment resources within
specific health care delivery systems that are created through public
policy.

The history of medical and behavioral delivery systems has been a
move from traditional, fee-for-service to alternatives such as Health
Maintenance Organizations (HMOs), Preferred Provider Organizations
(PPOs), and Point of Service (POS) plans.  In the drug abuse
treatment field, there has been the rise of the behavioral health
care organization, usually for profit, to administer the mental
health, alcohol, and drug abuse treatment benefits in private or
public insurance plans.  Under these organizations, managed care is a
set of mechanisms designed to manage the quality, access, outcomes,
and costs of service delivery to enhance the efficiency and equity of
the system. Managed care systems require research on principal-agent
relationships and the design of incentives, contracts, and
regulations.

Cost-benefit, cost-effectiveness, and cost-utility analyses are
collaborative activities by economic and drug abuse treatment
researchers who are investigating the effectiveness of innovative
medical and behavioral therapies as well as effectiveness in
real-world health care delivery systems. Methodological work is
needed on measuring common denominators, the costs of services, and
benefits.  Economic analysis also has a role in interpreting the
results of monitoring outcomes to improve the allocation and
distribution of resources within a delivery system.

Areas of research interest include direct and indirect treatment
costs as well as social benefits and costs.  Treatment costs for
other disease disorders can be increased if a drug disorder is
present, and cost savings (or "cost-offsets") are recognized as a
major consideration in integrated health care networks.   From a
social viewpoint, measurement of cost-offsets in criminal justice
populations is also needed.  Unfortunately,  information on the unit
service costs of drug treatment has been rudimentary,  which has
hampered full cost pricing of service delivery for innovative and
standard drug abuse treatments.  Conceptualizing and measuring the
relationships among accounting costs, marginal costs, average costs,
and total costs in drug treatment programs and systems has received
little attention.  Research in these areas is needed so that a
precise measurement of treatment costs can be established and further
economic analysis be stimulated in such areas as the drug abuse
treatment cost function.

Researchers are encouraged to develop rigorous designs for studies in
the economics of drug abuse treatment services.  The following are
illustrative of problem areas that may be addressed under this
announcement.  The examples are not exhaustive, and other types of
studies are anticipated to be submitted.

Financing of Drug Abuse Treatment Services

Research is needed on financing of public and private drug abuse
treatment. For analysis, such fundamental questions must be asked:
(1) What criteria should be applied in judging budget policies?;  (2)
What are the social, political, economic, and historical forces which
have formed the shape of the present funding pattern and which will
determine the formulation of contemporary and future funding
patterns?;  and (3) What are the interactions between the private and
public treatment sectors as various funding plans are devised?
Research topics in this broad area may be further refined into two
subtopic areas:

Health Insurance.  Research is encouraged on issues concerning the
provision of private and public health insurance for drug abuse
treatment.  Examples of research topics include:

o  Incentives, structure, and behavior of private and public
insurers;

o  Incentives and behavior of patients with insurance coverage and
those patients without coverage;

o  Analysis of market functioning, moral hazard, adverse selection,
and risk pool development;

o  Design of drug abuse treatment benefits in public and private
health insurance packages;

o  Economic evaluation of regulatory controls and mandates;

o  Analysis of the prevalence of drug treatment insurance coverage
and types of coverage among the insured, underinsured, as well as
studies about the uninsured in need of treatment;

o  Economic barriers to the adoption of effective pharmacotherapies
in standard drug treatment services;

o  Insurance studies related to patients with HIV/AIDS; and

o  Prevalence impact and consequences of cost shifting among various
payers.

Payment Mechanisms.  Payment mechanisms affect the delivery, access
to services, utilization, and quality of drug abuse treatment
services.  Examples of such studies include:

o  Federal and State health care reform and payment mechanisms;

o  Prepayment, fee-for-service, capitation, and price regulation;

o  Risk sharing, coinsurance, deductibles, catastrophic limits,
stop-limits, and reinsurance;

o  Risk adjustment methods; and

o  Reimbursement levels and service adjustments.

Alternative Delivery Systems and Managed Care

Studies of managed care and behavioral health care organizations are
encouraged.  Some illustrative, but by no means exhaustive areas of
consideration are:

o  Economic evaluation of well-defined managed care systems on
quality, access, outcomes, and costs of service delivery;

o  Managed care effects on clinical decision making and on the
structure and function of the treatment provider organization;

o  Organization of drug abuse treatment delivery that is either
"carved-out of" or "integrated into" a managed care system;

o  Impact of managed care systems on Medicaid or Medicare; and

o  Economics of drug abuse treatment to HIV/AIDS patients under a
managed care system.

Cost-Benefit, Cost-Effectiveness, and Cost-Utility Analysis

The analysis of the economic costs and benefits of drug abuse
treatment has been derived in conjunction with effectiveness studies.
Additional studies are needed to assess the economic benefits and
costs of a variety of treatment interventions.  Cost-effectiveness
studies are useful in  comparing novel treatment technologies to a
standard treatment technology.  Examples of such studies include:

o  Cost-benefit or cost-effectiveness of innovative treatment
methods, targeted at special populations of injection drug users,
women, pregnant women, and women with children, correction's
populations,  adolescents, and patients with co-occurring disorders;

o  Cost-benefit or cost-effectiveness analysis of the utilization of
new or alternative medications for treating drug disorders and other
brain and behavioral disorders;

o  Cost-benefit or cost-effectiveness of medical, mental health,
alcohol, and drug treatment service integration; and

o  Cost-benefit or cost-effectiveness of integrating drug abuse
treatment with criminal justice interventions.

Cost of Drug Abuse Treatment

Improved measures of costs are needed for management decisions that
will assist clinical and program treatment staff as well as local,
State and national health policy makers.  For scientific research,
measures of costs must be improved both conceptually and
operationally so that precise costs of treatment interventions may be
determined.  Examples of such cost research include:

o  Estimation of the direct and indirect costs of treatment as well
as the cost of ancillary services;

o  Measurement of component unit service costs and full costs of drug
abuse treatment services that comprise standard and innovative
treatments; and

o  Cost-offset studies of integrated drug abuse treatment and other
health services.

Methodological Research

Research is encouraged that will develop and test the application of
new methods of economic analysis in drug abuse treatment services
research. Examples include:

o  Improvements for assessing economic efficiency and equity
associated with the problems of drug abuse treatment;

o  Improvements in health insurance theory and practices associated
with drug abuse treatment services;

o  Improvements in assessing the impacts of alternative delivery
systems and managed care;

o  Development of new statistical methods associated with economic
analysis of drug abuse treatment studies;

o  Development of simulation models that advance analysis of drug
abuse treatment financing at the national and State levels; and

Improving methodologies of cost-benefit, cost-effectiveness, and
cost-utility analysis.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations), which
have been in effect since 1990.  The new policy contains some
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and reprinted
in the NIH Guide for Grants and Contracts, Volume 23, Number 11,
March 18, 1994.

Investigators also may obtain copies of the policy from the program
staff listed under INQUIRIES.  Program staff may also provide
additional relevant information concerning the policy.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 5/95) and will be accepted at the standard application
deadlines as indicated in the application kit.  Application kits are
available at most institutional offices of sponsored research and may
be obtained from the Grants Information Office, Office of Extramural
Outreach and Information Resources, National Institutes of Health,
6701 Rockledge Drive, Bethesda, MD 20892, telephone 301-435-0714,
email: ASKNIH@ODROCKM1.OD.NIH.GOV.  The title and number of the
program announcement must be typed in Item 2 on the face page of the
application.

FIRST award applicants must include at least three sealed letters of
reference attached to the face page of the original application.
FIRST award applications submitted without the required number of
reference letters will be considered incomplete and will be returned
without review.

The completed original and five legible copies must be delivered to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM MSC-7710
BETHESDA, MD 20892-7710
BETHESDA, MD 20817 (for express/courier service)

REVIEW CONSIDERATIONS

Applications that are complete will be evaluated for scientific and
technical merit by an appropriate peer review group convened in
accordance with the standard NIH peer review procedures.  As part of
the initial merit review, all applications will receive a written
critique and undergo a process in which only those applications
deemed to have the highest scientific merit, generally the top half
of applications under review, will be discussed, assigned a priority
score and receive a second level review by the appropriate national
advisory board or council.  Small grants do not receive a
second-level review.

Review Criteria

o  scientific, technical, or medical significance and originality of
proposed research; appropriateness and adequacy of the experimental
approach and methodology proposed to carry out the research;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research; and

o  adequacy of the plans to include both genders and minorities and
their subgroups as appropriate for the scientific goals of the
research.

The initial review group will also examine the provisions for the
protection of human and animal subjects, and the safety of the
research environment.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to the Institute.  The following will be
considered in making funding decisions:  quality of the proposed
project as determined by peer review, availability of funds, and
program priority.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

William S. Cartwright, Ph.D.
Services Research Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room l0A30
Rockville, MD  20857
Telephone:  (301) 443-4060
FAX:  (301) 443-2317
Email:  WC34B@NIH.GOV

Direct inquiries regarding fiscal matters to:

Gary Fleming, J.D., M.A.
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
Email:  GF6S@NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.279.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.  Grants must be administered in accordance with the Public
Health Service Grants Policy Statement, (DHHS Publication No. (OASH)
82-50-000 GPO 0017-020-0090-1 (rev. 10/01/90).

The PHS strongly encourages all grant recipients to provide a
smoke-free work place and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular education, library, day care,
health care or early childhood development services are provided to
children.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

References

Cartwright, W.S. and Ingster, L. "A Patient Based Analysis of Drug
Disorder Diagnosis on Length of Stay and Total Charges for the
Medicare Population," Health Care Financing Review, 15, 1993, pp.
89-101.

Feldstein, P.J. Health Care Economics, 4th Edition. New York:  Delmar
Publishers Inc., 1993.

Frank, R.G. and Manning, Jr., W.G. Economics and Mental Health.
Baltimore: The Johns Hopkins Press, 1992.

Gerstein, D.R. and Harwood, H.J. (Eds.) Treating Drug Problems,
Volumes 1 and 2.  Washington, DC: National Academy Press, 1990.

Ginzberg, E.(ed.) Health Services Research, Key to Health Policy.  A
report for the Foundation for Health Services Research, Cambridge:
Harvard University Press, 1991.

Greenberg, W. Competition, Regulation, and Rationing. Michigan:
Health Administration Press, 1991.

Institute of Medicine, Broadening the Base of Treatment For Alcohol
Problems. Washington, DC:  National Academy Press, 1990.

Hu, T. and Rupp, A (Eds.). Advances in Health Economics and Health
Services Research, Volume 14. Greenwich: JAI Press Inc., 1993.

Musgrave, R.A. and Musgrave, P.B. Public Finance in Theory and
Practice. New York:  McGraw-Hill Book Company, 1973.

National Institute on Drug Abuse. "Recommendations" in Economic
Costs, Cost-Effectiveness, Financing, and Community Drug Treatment.
NIDA Research Monograph 113. DHHS Pub. No.(ADM)91-1823. Washington
DC:  U.S. Government Printing Office, 1991, pp. 205-211.

Rice, D.P.; Kelman, S.; Miller, L.S.; and Dunmeyer, S. The Economic
Costs of Alcohol and Drug Abuse and Mental Illness:  1985. Report
submitted to the Office of Financing and Coverage Policy of the
Alcohol, Drug Abuse, and Mental Health Administration, U.S.
Department of Health and Human Services.  San Francisco: Institute of
Health and Aging, University of California, 1990.

From owner-sci-resources@net.bio.net Sun Sep 29 23:00:00 1996
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS, 28 September 1996
Date: 29 Sep 1996 22:22:47 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 168
Sender: daemon@net.bio.net
Approved: biosci-help@net.bio.net
Distribution: world
Message-ID: <52nlf7$bsc@net.bio.net>
NNTP-Posting-Host: net.bio.net

This message contains a summary of the documents added to the NSF STIS
system for the week ending September 28, 1996.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: International Document

   Title: INT 96-27 Special Scientific Report 96-05, Investigation
          of Thermal and Fluid Dynamic Phenomena for Design of Cryogenic Pulse
          Tube Cooler Components for Optimum Performance.
               File size (bytes):       3508
               STIS Filename:           int9627.txt

   Title: INT 96-28 Special Scientific Report 96-07, Reliable Logic
          Circuits with Byte Error Control Codes  - A Feasibility Study -
               File size (bytes):       7050
               STIS Filename:           int9628.txt

   Title: INT 96-30 Special Scientific Report 96-09,  INTELLIGENT
          CONTROL OF COMPLEX  ROBOT SYSTEMS
               File size (bytes):       2527
               STIS Filename:           int9630.txt

   Title: INT 96-31- TRM 96-22 Overview of Japanese National School*
          Facilities
               File size (bytes):       26658
               STIS Filename:           int9631.txt

   Title: INT 96-33- TRM 96-24 Venture Business Laboratories at
          Japanese National Universities
               File size (bytes):       5515
               STIS Filename:           int9633.txt

   Title: INT 96-34- TRM 96-23 Technology Policy in a World Economy
               File size (bytes):       32900
               STIS Filename:           int9634.txt

Document Type: Issuance

   Title: iin91 - Principles Related to the Use and Operation of
          National Science Foundation-Supported Research Instrumentation and
          Facilities
               File size (bytes):       14905
               STIS Filename:           iin91.txt

Document Type: Press Release

   Title: MAJOR PLANT GENOME RESEARCH PROJECT UNDERWAY
               File size (bytes):       4184
               STIS Filename:           pr9650.txt

   Title: GLOBAL NEIGHBORHOOD WATCH
               File size (bytes):       4025
               STIS Filename:           pr9651.txt

Document Type: Recruit

   Title: Secretary (Office Automation)
               File size (bytes):       16139
               STIS Filename:           v2362-cj.txt

   Title: Engineer (Program Director)
               File size (bytes):       6979
               STIS Filename:           vex9630.txt

   Title: Office Automation Clerk
               File size (bytes):       9989
               STIS Filename:           vgs9648a.txt

   Title: Program Assistant (Office Automation)
               File size (bytes):       10241
               STIS Filename:           vgs9649a.txt

   Title: Librarian
               File size (bytes):       10574
               STIS Filename:           vgs9658.txt

   Title: Civilian Pay Technician (Office Automation)
               File size (bytes):       9418
               STIS Filename:           vgs9659.txt

   Title: Accountant
               File size (bytes):       8691
               STIS Filename:           vgs9660.txt

Document Type: Report

   Title: NSF 96-139 -- Shaping the Future New Expectations for
          Undergraduate Education in Science, Mathematics, Engineering, and
          Technology
               File size (bytes):       220402
               STIS Filename:           nsf96139.txt

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Bulletin

   Title: BUL 96-09 -- NSF September 1996 Bulletin V-24; No. 1
               File size (bytes):       63305
               STIS Filename:           bul9609.txt

   Title: BUL 96-10 -- NSF October Bulletin V-24; No. 2
               File size (bytes):       103928
               STIS Filename:           bul9610.txt

Document Type: International Document

   Title: INT 96-33- TRM 96-24 Venture Business Laboratories at
          Japanese National Universities
               File size (bytes):       5515
               STIS Filename:           int9633.txt

   Title: INT 96-33- TRM 96-24 Venture Business Laboratories at
          Japanese National Universities
               File size (bytes):       5515
               STIS Filename:           int9633.txt

Document Type: Phone Book

   Title: NSF Alpha Telephone Directory
               File size (bytes):       113585
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Telephone Directory
               File size (bytes):       128568
               STIS Filename:           phnorg.txt

------------------------------------------------------------------------
               ** FOR YOUR REFERENCE (updated 8/23/96) **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS 

We are currently migrating to a completely Web-based information
dissemination system.  Please visit our Web site at the following
URL:

           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
If you are familiar with STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve phnorg.txt, the text of your message should be 
     as follows:
                       get phnorg.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve phnorg.txt, you would
     enter:
                       ftp> get phnorg.txt

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov".

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov".

