From owner-sci-resources@net.bio.net Sun Jun 01 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: izumi@pinoko.berkeley.edu (Izumi Ohzawa)
Newsgroups: bionet.sci-resources
Subject: Re: Journals on-line
Date: 2 Jun 1997 09:10:38 -0700
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In article <v01540b00afb43daa027f@[137.132.43.97]> mcbsp@leonis.nus.sg (Paolo A. Sabelli) writes:

>does anybody know where I can get a list of scientific journals whose
>contents is available on-line (either free or by subscription).  Any help
>will be appreciated.

A list of journals (med/bio) with full-text access can be found at:

http://www.ncbi.nlm.nih.gov/PubMed/fulltext.html



From owner-sci-resources@net.bio.net Sun Jun 01 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: "Stephen C. Lougheed" <lougheed@biology.queensu.ca>
Newsgroups: bionet.sci-resources
Subject: Biodiversity Workshop
Date: 1 Jun 1997 17:52:54 -0700
Organization: Department of Biology, Queen's University
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INTERNATIONAL SUMMER SCHOOL ON BIODIVERSITY AND SYSTEAMTCIS 1997


* The Canadian Museum of Nature and Queen's University are presenting an
intensive workshop dedicated to providing a limited number of students (25)
the opportunity to interact with, and be taught by, some of the pre-eminent
researchers in the fields of ECOLOGY, EVOLUTION, CONSERVATION, ECONOMICS,
POLICY and LAW (SEE FACULTY LIST BELOW); all assembled to provide a
uniquely integrated approach to the study of biodiversity. For anyone who
has experienced the anonymity of large college classes or giant
conferences/professional meetings, the opportunity to discuss major
concepts and issues with some of the foremost thinkers in these fields will
prove an exciting, involving, and intellectually rewarding experience.

* The course runs from July 9 through August 7 in Ottawa and  Kingston
(Canada), and at the Queen's Biological Station (north of Kingston).
Although the course is 4 weeks long, the first five days (Ottawa) comprise
an overview module that can be attended without continuing for the
remainder of the course.  This primary module allows more time-constrained
participants an immersion into the field of issues centred on  biodiversity
and systematics.

* Further details and an on-line application form is provided at our web
site: http://biology.queensu.ca/~biodiv or call 613-545-6128.

FACULTY LIST

* Dr. James ANDERSON - University of Toronto * Dr. Robert ANDERSON -
Canadian Museum of Nature * Mr. Ian ATTRIDGE, LL.B. Canadian Institute of
Environmental Law and Policy * Dr. Robert BAILEY - University of Western
Ontario * Dr. Jamie BENEDICKSON - University of Ottawa * Dr. Irwin BRODO -
Canadian Museum of Nature * Dr. Adele CROWDER - Queen's University * Dr.
Chris ECKERT - Queen's University * Dr. Joel ELLIOTT - Queen's University *
Dr. Mark ENGSTROM - Royal Ontario Museum * Dr. Scott FINDLAY - University
of Ottawa * Dr. Claude GASCON - INPA (Brasil) & Smithsonian Institution *
Dr. Paul HANDFORD - University of Western Ontario * Dr. John HARTWICK -
Queen's University * Dr. Chris HUMPHRIES - Natural History Museum, London *
Dr. Michael HUSTON - Oakridge National Laboratory * Mr. Jeremy KERR, M.Sc.
- York University * Mr. Dale KRISTENSEN, M.Sc. - Queen's University * Dr.
Avrim LAZAR - Asst. Deputy Minister, Environment Canada (Fed) * Dr. Thomas
LOVEJOY - Smithsonian Institution * Dr. Denis LYNN - University of Guelph *
Mr. Kevin MCNAMEE, Canadian Nature Federation * Dr. Don MCALLISTER -
Canadian Museum of Nature * Dr. Robert MONTGOMERIE - Queen's University *
Dr. Karl NIKLAS - Cornell University * Dr. Tom NUDDS - University of Guelph
* Dr. Allen ORR, University of Roshester * Dr. Lawrence PACKER - York
University * Dr. Stuart PIMM - University of Tennessee * Ms. Irene PISANTY,
M.Sc. - Commision for Environmental Co-operation * Dr. Steven POLASKY -
Oregon State University * Mr. Steven PRICE, M.Sc. - WWF Canada * Ms. Leslie
RYE, M.Sc. - University of Guelph * Dr. Michael SANDERSON - University of
California at Davis * Dr. Gilles SEUTIN - McGill University * Dr. Dan
SIMBERLOFF - Florida State University * Dr. Gordon SURGEONER - University
of Guelph * Dr. Debora VANNIJNATTEN - Queen's University * Dr. Peter
WAINWRIGHT - Florida State University *



Dr. Stephen C. Lougheed
Director
International Summer School on Biodiversity and Systematics
Department of Biology
Queen's University
Kingston, Ontario
K7L 3N6 Canada
Telephone: (613) 545-6128
FAX: (613) 545-6617
email: lougheed@biology.queensu.ca  or  biodiv@biology.queensu.ca
http://biology.queensu.ca/~biodiv


From owner-sci-resources@net.bio.net Sun Jun 01 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: alm13@cornell.edu (Andreas Matern)
Newsgroups: bionet.sci-resources
Subject: Re: Journals on-line
Date: 1 Jun 1997 17:51:47 -0700
Organization: Cornell University
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Here are some (although technically most are not journals):

http://science.springer.de/
http://www.sciencemag.org/
http://www.america.nature.com/
http://www.ornl.gov/ORNL/EINS_Reports/Review/text/home.html
http://www.amsci.org/amsci/amsci.html
http://www.elsevier.com/
http://biomednet.com/hmsbeagle/
http://www.oup.co.uk:80/oup/smj/journals/ed/titles/nar/
http://www.oup.co.uk/oup/smj/journals/ed/
http://tto.trends.com/

I'm sure there are a lot more!

In article <v01540b00afb43daa027f@[137.132.43.97]>, mcbsp@leonis.nus.sg
(Paolo A. Sabelli) wrote:

> Dear Netters,
> 
> does anybody know where I can get a list of scientific journals whose
> contents is available on-line (either free or by subscription).  Any help
> will be appreciated.
> Thank you
> 
> 
> Paolo Sabelli
> 
> ----------------------------------------------------
> 
> Dr. Paolo A. Sabelli
> Institute of Molecular & Cell Biology
> National University of Singapore
> 10 Kent Ridge Crescent
> Singapore 119260
> Republic of Singapore
> 
> Tel: (65) 772 3019
> Fax: (65) 779 1117
> E-mail: mcbsp@leonis.nus.sg
> 
> ----------------------------------------------------

-- 
Andreas Matern
alm13@cornell.edu
266 Emerson Hall
Dept of Plant Breeding and Biometry
Cornell University
Ithaca, NY  14853


From owner-sci-resources@net.bio.net Sun Jun 01 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: Bob Kolouch <Kolouch@binah.cc.brandeis.edu>
Newsgroups: bionet.sci-resources
Subject: Drosophila KcO Cell Cultures
Date: 2 Jun 1997 09:15:14 -0700
Organization: Rosenstiel Center
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I hope you someone may be able to help me with this question: 

Would anyone be able to direct me to a lab or facility that could supply
me with Drosophila Kc0 tissue culture cells? I am particularly
interested in obtaining several liters of cells to prepare nuclear
extracts from.

I have checked or am in the process of checking American Type Culture
Collection,  Cell Culture and Hybridoma Facility,  and Flybase; but I
would appreciate any other suggestions.

Bob Kolouch
Brandeis University
Rosenstiel Center
Waltham, MA


From owner-sci-resources@net.bio.net Sun Jun 01 23:00:00 1997
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 May 1997
Date: 2 Jun 1997 15:26:46 -0700
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This message contains a summary of the documents added to the NSF STIS
system for the week ending May 31, 1997.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: News

   Title: Sea Sawdust Enriches Tropical Oceans  - Tipsheet
               File size (bytes):       4976
               STIS Filename:           tip70527.txt

Document Type: Program Guideline

   Title: Industry/University Cooperative Research Centers: Model
          Partnerships (NSF 93-97, Revised 7/96)
               File size (bytes):       377777
               STIS Filename:           nsf9397.txt

   Title: NSF 97-99 Interdisciplinary Grants in the Mathematical
          Sciences
               File size (bytes):       11776
               STIS Filename:           nsf9799.txt

Document Type: Recruit

   Title: Program Assistant (OA)
               File size (bytes):       7739
               STIS Filename:           vgs9756a.txt

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

Document Type: Letter

   Title: REULIST -- Current List of REU Sites
               File size (bytes):       111547
               STIS Filename:           reulist.txt

Document Type: Phone Book

   Title: NSF Alphabetical Telephone Directory
               File size (bytes):       112311
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Directory
               File size (bytes):       127152
               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 Mon Jun 02 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: Bob Kolouch <Kolouch@binah.cc.brandeis.edu>
Newsgroups: bionet.sci-resources
Subject: Drosophila KcO Cell Cultures
Date: 2 Jun 1997 17:22:40 -0700
Organization: Rosenstiel Center
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I hope you someone may be able to help me with this question: 

Would anyone be able to direct me to a lab or facility that could supply
me with Drosophila Kc0 tissue culture cells? I am particularly
interested in obtaining several liters of cells to prepare nuclear
extracts from.

I have checked or am in the process of checking American Type Culture
Collection,  Cell Culture and Hybridoma Facility,  and Flybase; but I
would appreciate any other suggestions.

Bob Kolouch
Brandeis University
Rosenstiel Center
Waltham, MA


From owner-sci-resources@net.bio.net Tue Jun 03 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA DE-97-002 - V26(18) 05/30/97
Date: 4 Jun 1997 13:31:34 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
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COMPREHENSIVE ORAL HEALTH RESEARCH CENTERS OF DISCOVERY

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFA:  DE-97-002

P.T. 04; K.W. 0715048, 0710030

National Institute of Dental Research

Letter of Intent Receipt Date:  March 1, 1998
Application Receipt Date:  May 8, 1998

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
for Comprehensive Oral Health Research Centers of Discovery (COHRCD).
Each COHRCD will be organized around an unifying scientific theme
related to dental, oral and craniofacial diseases and disorders.
Individual COHRCDs will encompass a full range of outstanding
multidisciplinary research pertinent to these diseases and disorders
and will be expected to: include basic, translational and applied
research projects with behavioral, health services and clinical
research components; accelerate transfer of research findings to
application by health professionals and the public as well as to
facilitate the development of marketable products and other effective
health promoting interventions; support research concerning
demonstration and outreach programs; and enhance the training of
health professionals and the public concerning health promotion and
the prevention, improved diagnosis and treatment of the dental, oral
or craniofacial diseases and disorders relating to the chosen theme.

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), Comprehensive Oral Health Research Centers of
Discovery, is related to the priority area of Oral 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).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by all domestic for-profit and non-
profit organizations, public and private, including universities,
colleges, hospitals, laboratories, units of State and local
governments and eligible agencies of the Federal government.
Applicants need not have submitted proposals or been awarded funds
for the developmental grants for these centers (RFA:  DE-96-004) nor
are applicants required to use the same central theme as the one that
may have been supported through the developmental grants. Foreign
organizations are not eligible to apply;  however, domestic
applications may include international components.  The NIDR
encourages applications that include investigators who are
racial/ethnic minority individuals, women and persons with
disabilities.  Although an application must be submitted from a
single institution, collaborative arrangements with other
institutions are strongly encouraged.  Also, applications are not
restricted to traditional dental, oral and craniofacial research
settings.

MECHANISM OF SUPPORT

The mechanism for the support of applications in response to this RFA
is the Comprehensive Center (P60).  Choice of an appropriate theme
and the direction and execution of the proposed activities are solely
the responsibility of the applicant.  This RFA is a onhealth
departments, industry and primate centers.  These comprehensive
centers may include free-standing specialized centers, program
projects, and investigator-initiated research projects as integral
components and could typically include research cores, newly proposed
research projects, support for feasibility studies and support for
demonstration and outreach research.  Support will not be provided
for routine patient care costs or training expenses.  The strength of
the COHRCDs lies in the fact that, as thematically-based
organizations, they will be capable of incorporating the full range
of expertise needed to accomplish the desired objectives.

Each COHRCD must be a clearly defined organizational entity with a
Director responsible for management of the center.  Evidence of
his/her strong and effective scientific leadership must be provided.
The Director will be responsible for the organization and operation
of the center, for communication within the center and with the NIDR
on scientific and administrative matters, for maintaining high
quality research efforts and for ensuring effective collaboration and
communication among scientists and cooperating institutions.

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 policy results from
the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43).

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 in the NIH
Guide for Grants and Contracts, Vol. 23, No. 11, March 18, 1994.

LETTER OF INTENT

Prospective applicants are asked to submit, by March 1, 1998, a
letter of intent that includes the number and title of this RFA and a
descriptive title for the COHRCD grant.  Potential applicants also
are asked to provide the name, mailing address, FAX, email address
and telephone number of the Center Director and the identities of
other key personnel and participating institutions and departments.

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 is helpful in estimating the potential
review workload and avoiding conflict of interest in the review.

The letter of intent is to be sent to Dr. Ann L. Sandberg at the
address listed under INQUIRIES.

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 Division 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 RFA label available in the PHS 398 application form kit must be
affixed to the bottom of the face page of the original and the
original must be placed on top of the entire package. 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, in order to identify the application as a response to this
RFA, the RFA title (Comprehensive Oral Health Research Centers of
Discovery) and number DE-97-002 must be typed in item 2 of the face
page of the application form and the YES box must be checked.  The
instructions accompanying Form PHS 398 must be followed as far as
possible.

Submit a signed, typewritten original of the application, including a
cover letter, the checklist 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 also be sent to:

Dr. H. George Hausch
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-38D
45 Center Drive MSC 6402
Bethesda, MD 20892-6402

Applications must be received by May 8, 1998.  If an application is
received after that date, it will be returned to the applicant
without review.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NIDR.  If NIDR staff finds that the
application io  appropriateness and relevance of the cores, their
modes of operation and the suitability of their facilities;

o  the provision of an environment conducive to training of health
professionals;

o  approach and potential effectiveness of outreach research;

o  evidence that the COHRCD will be able to establish partnerships
with other research organizations and agencies that can provide
educational and outreach activities;

o  feasibility of success of the demonstration research;

o  evidence of the availability of appropriate study populations and
ability of the COHRCD to recruit adequate samples consistent with the
NIH guidelines;

o  evidence of the ability to develop potentially marketable products
and other effective interventions;

o  appropriateness of the budget for the proposed activities;

o  ability to obtain and effectively utilize leveraged funding; and

o  a plan for monitoring and evaluating the productivity of each of
the components and the entire COHRCD.

AWARD CRITERIA

The earliest anticipated date of award is May, 1999. Applicants
should be aware that, in addition to scientific merit, program
priorities and program balance, the total cost of the proposed
project and the availability of funds will be considered by the NIDR
staff and the National Advisory Dental Research Council in making
funding recommendations.  In addition, the NIDR values complementary
funding from other public and private sources including foundations
and industrial concerns.  In circumstances in which applications have
similar scientific merit, but vary in cost-competitiveness, the NIDR
is likely to select the more cost-competitive application for
funding.

INQUIRIES

Written, email and telephone inquiries concerning this RFA are
encouraged.  The opportunity to clarify any issues or questions from
potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dr. Ann L. Sandberg
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-24A
45 Center Drive MSC 6402
Bethesda, MD 20892-6402
Telephone:  (301) 594-2419
FAX:  (301) 480-8318
Email:  ann.sandberg@nih.gov

Direct inquiries regarding grants management issues to:

Mr. Martin R. Rubinstein
Division of Extramural Research
National Institute of Dental Research
Natcher Building, Room 4AN-44A
45 Center Drive, MSC 6402
Bethesda, MD 20892-6402
Telephone:  301-594-4800
Email:  Martin.Rubinstein@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.121.  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.

From owner-sci-resources@net.bio.net Tue Jun 03 23:00:00 1997
Path: biosci!biosci!not-for-mail
From: BIOSCI Administrator <biosci-help@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 26, no. 18, pt. 1of1, 30 May 1997
Date: 4 Jun 1997 13:27:41 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
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NIH GUIDE - Vol. 26, No. 18 - May 30, 1997

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

                               NOTICES

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

THE NATIONAL DISEASE RESEARCH INTERCHANGE
National Center for Research Resources
INDEX:  RESEARCH RESOURCES

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

INTEGRATED PRECLINICAL/CLINICAL AIDS VACCINE DEVELOPMENT (PAR-97-056)
National Institute of Allergy and infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

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

AIDS VACCINE EVALUATION GROUP MUCOSAL IMMUNOLOGY LABORATORY (RFP NIH-
NIAID-DAIDS-98-06)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

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

RESEARCH UNITS ON PEDIATRIC PSYCHOPHARMACOLOGY: AUTISM AND OTHER
PERVASIVE DEVELOPMENTAL DISORDERS (RFP NIMH-97-CR-0001)
National Institute of Mental Health
INDEX:  MENTAL HEALTH

$$INDEX R2 **********************************************************

EVALUATION OF VACCINE AND THERAPEUTICS AGAINST INFECTIOUS DISEASES
OTHER THAN AIDS IN THE ELDERLY AND IN ADULTS (RFP
NIH-NIAID-DMID-98-12)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R3 08/26/97 *************************************************

COMMUNITY CLINICAL ONCOLOGY PROGRAM (RFA CA-97-015)
National Cancer Institute
INDEX:  CANCER

$$INDEX R4 05/08/98 *************************************************

COMPREHENSIVE ORAL HEALTH RESEARCH CENTERS OF DISCOVERY (RFA
DE-97-002)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

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

ALCOHOL, HORMONES, AND MEDICAL COMPLICATIONS (PA-97-062)
National Institute on Alcohol Abuse and Alcoholism
National Institute on Aging
National Institute of Diabetes and Digestive and Kidney Diseases
INDEX:  ALCOHOL ABUSE, ALCOHOLISM; AGING; DIABETES, DIGESTIVE, KIDNEY
DISEASES

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

PLANNING GRANTS FOR NCI CANCER RESEARCH CENTERS (PAR-97-063) National
Cancer Institute
INDEX:  CANCER

$$INDEX P3 **********************************************************

INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARD IN SLEEP RESEARCH (PA-
97-064)
National Heart, Lung, and Blood Institute
National Institute on Aging
National Institute on Alcohol Abuse and Alcoholism
National Institute of Child Health and Human Development
National Institute on Drug Abuse
National Institute of Mental Health
National Institute of Neurological Disorders and Stroke
National Institute of Nursing Research
INDEX: HEART, LUNG, BLOOD; AGING; ALCOHOL ABUSE, ALCOHOLISM; CHILD
HEALTH, HUMAN DEVELOPMENT; DRUG ABUSE; MENTAL HEALTH; NEUROLOGICAL
DISORDERS, STROKE; NURSING RESEARCH

                               ERRATA

$$INDEX E1 **********************************************************

EDWARD R. ROYBAL CENTERS FOR RESEARCH ON APPLIED GERONTOLOGY (RFA
AG-97-005)
National Institute on Aging
INDEX:  AGING

The NIH GUIDE is available electronically via LISTSERV subscription,
and is also on the nih gopher (gopher.nih.gov) and the NIH web site
(http://www.nih.gov).  Alternative access is available 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.

All competing (new, renewal, amended (revised) applications for
grants, cooperative agreements, and fellowships from 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)

ASKNIH is a service of the Division of Extramural Outreach &
Information Resources, Office of Extramural Research, Office of the
Director, NIH.  ASKNIH is the point of contact for obtaining general
information about NIH extramural research & research training
programs, requesting publications, and learning more about obtaining
the NIH GUIDE and other information on the NIH web site.  ASKNIH is
also the contact to which organizations should request application
kits and forms.

ASKNIH
NATIONAL INSTITUTES OF HEALTH
EMAIL:  ASKNIH@odrockm1.od.nih.gov
FAX:  (301) 480-0525
TELEPHONE:  (301) 435-0714

INQUIRIES ABOUT THE NOTICES, PAS, AND RFAS IN THIS PUBLICATION SHOULD
BE DIRECTED TO THE NIH STAFF MEMBER IDENTIFIED AT THE END OF EACH
ITEM.

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.

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

                               NOTICES

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

THE NATIONAL DISEASE RESEARCH INTERCHANGE

NIH GUIDE, Volume 26, Number 18, May 30, 1997

P.T. 34; K.W. 0780005

National Center for Research Resources

The National Disease Research Interchange (NDRI) is a center for the
procurement, preservation and distribution of normal and diseased
human tissues and organs available for biomedical research.  NDRI
currently provides 165 different types of human tissues obtained from
autopsies, eye banks, surgical procedures, and organ retrieval
programs.  NDRI tailors the procurement and preservation of human
tissue to the individual researcher's scientific protocol.  To
receive human tissue for research, investigators must submit a formal
brief application.  The requests are reviewed by a committee of
advisors for scientific merit and feasibility.  Once approved, a
protocol is developed with the investigator for each specific tissue,
outlining the constraints with regard to donor criteria, tissue size,
preservation and processing needs, and time/delivery limitations.
Investigators may request tissue to be delivered fresh with or
without tissue culture media, fixed, or frozen.  A modest service fee
for the retrieval, preservation, and delivery of tissue is paid by
the investigator.

INQUIRIES

Direct requests for applications and resource inquiries to:

The National Disease Research Interchange
2401 Walnut Street, Suite 408
Philadelphia, PA  19103
Telephone:  (800) 222-NDRI or (215) 557-7361

NDRI is supported by a cooperative agreement award from the Clinical
Research area, National Center for Research Resources, NIH.

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

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

INTEGRATED PRECLINICAL/CLINICAL AIDS VACCINE DEVELOPMENT

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA NUMBER:  PAR-97-056

P.T. 34; K.W. 0715008, 0740075

National Institute of Allergy and infectious Diseases

This notice is an addendum to Program Announcement (PA) PAR-97-056,
Integrated Preclinical/Clinical AIDS Vaccine Development, which was
published in the NIH Guide for Grants and Contracts, Vol. 26, No. 13,
April 25, 1997.  The purpose  of this notice is to inform potential
applicants of the following modification under MECHANISM OF SUPPORT
concerning the first year total costs:  P01 grant applications
submitted in response to this PA should not request more than $1
million first-year total (direct plus indirect) costs.  This limit
may be exceeded, but applicants will need to provide a comprehensive
and detailed justification for doing so.  This justification should
be included as part of the application and will be reviewed by the
Scientific Peer Review Group.

INQUIRIES

Direct inquiries regarding this addendum to:

Dr. Steven Bende
Division of AIDS
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 2A29
Bethesda, MD  20892-7620
Telephone:  (301) 435-3756
FAX:  (301) 402-3684
Email:  sb22k@nih.gov

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

$$N3 BEGIN **********************************************************

AIDS VACCINE EVALUATION GROUP MUCOSAL IMMUNOLOGY LABORATORY

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFP AVAILABLE:  NIH-NIAID-DAIDS-98-06

P.T. 34; K.W. 0715008, 0740075, 0710070

National Institute of Allergy and Infectious Diseases

This following correction is issued for RFP NIH-NIAID-DAIDS-98-06,
which was published in the NIH Guide, Vol. 26, No. 16, May 16, 1997.

Responses to this RFP will be due by the close-of-business on July
21, 1997.

INQUIRIES

Lawrence Butler
Contract Management Branch
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 3C07
Bethesda, MD  20892
Telephone:  (301) 496-0192
FAX:  (301) 402-0972
Email:  lb13t@NIH.GOV

$$N3 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$R1 BEGIN NIMH-97-CR-0001 ******************************************

RESEARCH UNITS ON PEDIATRIC PSYCHOPHARMACOLOGY: AUTISM AND OTHER
PERVASIVE DEVELOPMENTAL DISORDERS

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFP AVAILABLE:  NIMH-97-CR-0001

P.T. 34; K.W. 0710100, 1715162, 0745070, 0740021

National Institute of Mental Health

In September 1996, NIMH funded Research Units on Pediatric
Psychopharmacology (RUPPs), that are currently active in conducting
research in children and adolescents with anxiety disorders. The NIMH
plans to augment these sites with RUPPs which will focus on the much
understudied area of autism and other pervasive developmental
disorders.  The purpose of this requirement, "Research Units on
Pediatric Psychopharmacology: Autism and Other Pervasive
Developmental Disorders,"  is to support the establishment of
qualified clinical research units that, by building on existing
research resources at the host institution and combining the
necessary expertise in clinical pharmacology and child psychiatry,
can become national resources where the safety and efficacy of
psychotropic medications for patients suffering from autism, other
pervasive developmental disorders, and other psychiatric disorders of
childhood can be conducted in a prompt and cost effective manner.
These units will work as a network of research sites and conduct high
priority clinical studies in various pediatric ages, addressing
various aspects of pediatric psychopharmacology, including (but not
limited to): dose ranges, dosing regimen, pharmacokinetics, general
safety profile, efficacy and effectiveness, and long-term effects on
cognition, behavior and development. The successful offeror will need
to exhibit the availability of staff, facilities, and institutional
support necessary to conduct clinical trials on children, using FDA
approved psychotropic medications.  The offeror will also need to
exhibit the ability to obtain funding support from non-Federal
sources to perform clinical trials of this type.

NIMH proposes to issue an unrestrictive competitive solicitation for
this requirement and anticipates the award of a cost reimbursement
contract for a period of three years.

INQUIRIES

Request for Proposal (RFP)  No. NIMH-97-CR-0001 will be available
electronically on or about May 27, 1997, with proposals due on or
about July 14,1997.  The RFP may be accessed through either the NIH
Home Page, the NIH Gopher or the NIMH Home Page by using the
following electronic addresses and instructions:

1.  NIH Home Page (via the World Wide Web):  Access the NIH Home Page
by using http://www.nih.gov.  Once you are at the NIH Home Page,
select "Grants and Contracts," then select "NIH Gopher directory,"
item listed under the "Contracts Page" Section.  The Uniform Resource
Locator (URL) for this gopher director is:
gopher://gopher.nih.gov:70/11/res/rd-rfp

2.  To access the NIH Gopher:  Point your gopher client to
GOPHER.NIH.GOV (you should now be in the NIH Gopher). Select "Grants
and Research Information," then select "R&D Requests for Proposals
(RFP)."

3.  NIMH Home Page: Access the NIMH Home page by using
http://www.nimh.nih.gov.  Once you are there, select "Grants,
Contracts & Committees," item listed under "NIMH Request for
Proposals (RFP)."

Please note that the RFP for this procurement has been revised to
include only the Statement of Work, deliverable and reporting
requirements, special requirements and mandatory qualifications, if
any, the Technical Evaluation Criteria, and proposal preparation
instructions.  All information required for the submission of an
offer will be contained in the electronic RFP package.  Following
proposal submission and the initial review process, offerors
comprising the competitive range will be requested to provide
additional documentation to the Contracting Officer.  All responsible
sources may submit a proposal that will be considered by the NIMH.

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

$$R2 BEGIN NIH-NIAID-DMID-98-12 *************************************

EVALUATION OF VACCINE AND THERAPEUTICS AGAINST INFECTIOUS DISEASES
OTHER THAN AIDS IN THE ELDERLY AND IN ADULTS SOL

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFP AVAILABLE:  NIH-NIAID-DMID-98-12

P.T. 34; K.W 0715125, 0740075

National Institute of Allergy and Infectious Diseases

The Clinical Studies Section of the Clinical and Regulatory Affairs
Branch, Division of Microbiology and Infectious Diseases, National
Institute of Allergy and Infectious Diseases has a requirement for a
specialized research unit to evaluate vaccines and therapeutics
against infectious diseases in the elderly and in adults with
compromised immune function as a result of underlying disorders and
diseases other than AIDS.  This Unit will conduct clinical
evaluations (including, but not limited to, Phase I and Phase II
studies) of vaccines and therapeutic agents against infectious
diseases, perform research studies that evaluate the senescent and/or
compromised immune system (other than from HIV infection), and
conduct infectious disease surveillance of these populations. Such a
unit will provide volunteer populations, staff, facilities, and
expertise to carry out such work.

It is anticipated that one cost-reimbursement, level of effort
contract will be awarded for a period of five years.  RFP
NIH-NIAID-DMID-98-12 will be available electronically on or about May
30, 1997, and may be accessed through either the NIAID Contract
Management Branch (CMB) Home Page or the NIH Gopher by using the
following electronic addresses and instructions: 1) NIAID/CMB Home
Page (via the World Wide Web): Access by using
http://www.niaid.nih.gov/contract and select the "RFPs" link. 2) To
access the NIH Gopher: Point your gopher client to GOPHER.NIH.GOV
PORT 70 (you should now be in the NIH Gopher). Select "Grants and
Research Information", then select "R&D Requests for Proposals
(RFP)." Please note that the RFP for this procurement has been
revised to include only the Work Statement, deliverable and reporting
requirements, special requirements and mandatory qualification, if
any, the Technical Evaluation Criteria, and proposal preparation
instructions.  All information required for the submission of an
offer will be contained in the electronic RFP package.  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 August 8, 1997.  Any responsible offeror may
submit a proposal which will be considered by the Government.  This
advertisement does not commit the Government to award a contract.
Point of Contact:  Sara Southard, Contract Specialist, (301)
402-6289.

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

$$R3 BEGIN CA-97-015 FULL-TEXT **************************************

COMMUNITY CLINICAL ONCOLOGY PROGRAM

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFA AVAILABLE:  CA-97-015

P.T. 34; K.W. 0715035, 0755015, 0745020, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  July 10, 1997
Application Receipt Date:  August 26, 1997

PURPOSE

The Division of Cancer Prevention and Control (DCPC), National Cancer
Institute (NCI), invites applications from domestic institutions for
cooperative agreements to the Community Clinical Oncology Program
(CCOP).  Applicants for new and currently funded Community Clinical
Oncology Programs (CCOP) and research bases are invited to respond to
this Request For Applications (RFA).

Using the national resource of highly trained oncologists in
community practice, the CCOP: 1) provides support for expanding the
clinical research effort in the community setting; 2) stimulates
quality care in the community through participation in protocol
studies; 3) fosters the growth and development of a scientifically
viable community cancer network able to work closely with
NCI-supported clinical cooperative groups and cancer centers; 4)
supports development of and community participation in cancer
prevention and control intervention research, which includes
chemoprevention, biomarkers and early detection, patient management,
rehabilitation, and continuing care research; 5) involves primary
care providers and other specialists in cancer prevention and control
clinical trials; and 6) increases the involvement of minority and
underserved populations in clinical research.  Combining the
expertise of community physicians and other health care professionals
with NCI-approved cancer treatment and prevention and control
clinical trials provides the opportunity for the transfer of the
latest research findings to the community level.

This issuance of the CCOP RFA seeks to build on the strength and
demonstrated success of the CCOP over the past fourteen years by:  1)
continuing the program as a vehicle for supporting community
participation in cancer treatment and prevention and control clinical
trials through research bases (clinical cooperative groups and cancer
centers supported by NCI); 2) expanding and strengthening the cancer
prevention and control research effort; 3) utilizing the CCOP network
for conducting NCI-assisted cancer prevention and control research;
and 4) evaluating on a continuing basis CCOP performance and its
impact in the community.

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,
Community Clinical Oncology Program, is related to the priority area
of cancer.  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.

Margaret E. Holmes, Ph.D.
Division of Cancer Treatment, Diagnosis and Centers
National Cancer Institute
6130 Executive Boulevard, Room 502, MSC 7383
Bethesda, MD  20892-7383
Telephone:  (301) 496-8531
FAX:  (301) 402-0181
Email:  mh67g@nih.gov

$$R3 END ************************************************************

$$R4 BEGIN DE-97-002 FULL-TEXT **************************************

COMPREHENSIVE ORAL HEALTH RESEARCH CENTERS OF DISCOVERY

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFA AVAILABLE:  DE-97-002

P.T. 04; K.W. 0715048, 0710030

National Institute of Dental Research

Letter of Intent Receipt Date:  March 1, 1998
Application Receipt Date:  May 8, 1998

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
for Comprehensive Oral Health Research Centers of Discovery (COHRCD).
Each COHRCD will be organized around an unifying scientific theme
related to dental, oral and craniofacial diseases and disorders.
Individual COHRCDs will encompass a full range of outstanding
multidisciplinary research pertinent to these diseases and disorders
and will be expected to: include basic, translational and applied
research projects with behavioral, health services and clinical
research components; accelerate transfer of research findings to
application by health professionals and the public as well as to
facilitate the development of marketable products and other effective
health promoting interventions; support research concerning
demonstration and outreach programs; and enhance the training of
health professionals and the public concerning health promotion and
the prevention, improved diagnosis and treatment of the dental, oral
or craniofacial diseases and disorders relating to the chosen theme.

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), Comprehensive Oral Health Research Centers of
Discovery, is related to the priority area of Oral 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) and 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. Ann L. Sandberg
Division of Extramural Research
National Institute of Dental Research
45 Center Drive, Room 4AN-24A, MSC 6402
Bethesda, MD  20892-6402
Telephone:  (301) 594-2419
FAX:  (301) 480-8318
Email:  ann.sandberg@nih.gov

$$R4 END ************************************************************

$$P1 BEGIN PA-97-062 FULL-TEXT **************************************

ALCOHOL, HORMONES, AND MEDICAL COMPLICATIONS

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA AVAILABLE:  PA-97-062

P.T. 34; K.W. 0404003, 0760025, 0710010, 0755030

National Institute on Alcohol Abuse and Alcoholism
National Institute on Aging
National Institute of Diabetes and Digestive and Kidney Diseases

PURPOSE

The National Institute on Alcohol Abuse and Alcoholism (NIAAA)
invites applications to investigate how alcohol-induced hormonal
changes can lead to medical complications. Alcohol intake can
influence the synthesis, secretion, and action  of many hormones
resulting in physiological and pathological disturbances.  Either
blunting or overstimulation of hormonal activities can disturb
intercellular signaling and create adverse consequences.  For
example, alcohol-induced hormonal changes are associated with
pancreatitis, perturbed alcohol metabolism and associated liver
injury, osteoporosis, immune system impairment, and impaired
fertility. Studies are encouraged to establish cause-and-effect
relationships and to clarify the biochemical and molecular mechanisms
by which alcohol influences the synthesis, secretion and action of
various hormones.  Also, studies are encouraged to interpret the
mechanisms of interactive effects of alcohol and hormones which may
cause tissue injury.  Such studies will provide information that can
be used to ameliorate alcohol-hormone-related medical complications.

The National Institute on Aging (NIA) is interested in research
applications examining how alcohol use influences the development of
age-related changes in the endocrine system.  The Endocrinology
Research Programs at the National Institute of Diabetes and Digestive
and Kidney Diseases (NIDDK), in particular, are interested in studies
that focus on hormonal regulation of gene expression under normal and
pathological conditions, including alcohol-induced altered conditions
of hormonal release and response.

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 is related to the priority area of reducing the medical
complications of alcohol abuse and alcoholism.  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.

Vishnudutt Purohit,  Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 402 MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-4224
FAX:  (301) 594-0673
Email:  vpurohit@willco.niaaa.nih.gov

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

$$P2 BEGIN PAR-97-063 FULL-TEXT *************************************

PLANNING GRANTS FOR NCI CANCER RESEARCH CENTERS

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA AVAILABLE:  PAR-97-063

P.T. 04; K.W. 0715035, 0413001, 0745020, 0745027

National Cancer Institute

Application Receipt Date:  January 7, 1998

PURPOSE

The Cancer Centers Branch (CCB), Division of Cancer Treatment,
Diagnosis, and Centers (DCTDC), of the National Cancer Institute
(NCI) invites planning grant applications for the development of
Cancer Research Centers in a variety of organizational settings.  The
purpose is to expand the scientific, geographic and demographic
diversity of the Cancer Centers Program of the NCI by encouraging
research-oriented organizations to develop the qualities of a strong
cancer research center and become competitive for a Cancer Center
Support Grant.  Cancer center planning strategies may focus on a
specific research theme (e.g., diagnosis, therapy, epidemiology) or
integrate a broad spectrum of research to include the basic,
clinical, prevention and control, and population sciences (i.e., an
NCI-designated comprehensive cancer center). All approaches to
planning cancer centers are encouraged, as long as they address the
six essential features of an NCI Cancer Center (i.e., cancer focus,
institutional commitment, organizational capabilities, facilities,
center director authority, and interdisciplinary coordination and
collaboration) and as long as they take advantage of the full range
of the organization's capabilities in cancer research.

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, Planning Grants for Cancer Research Centers, is related to the
priority area of cancer.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report: Stock No. 017-001-00473-0 or
Summary Report: Stock No. 017-001-00473-1) through the Superintendent
of Documents, Government Printing Office, Washington DC 20402-9235
(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.

Margaret E. Holmes, Ph.D.
Division of Cancer Treatment, Diagnosis and Centers
National Cancer Institute
6130 Executive Boulevard, Room 502, MSC 7383
Bethesda, MD  20892-7383
Telephone:  (301) 496-8531
FAX:  (301) 402-0181
Email:  mh67g@nih.gov

$$P2 END ************************************************************

$$P3 BEGIN PA-97-064 FULL-TEXT **************************************

INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARD IN SLEEP RESEARCH

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA AVAILABLE:  PA-97-064

P.T. 44; K.W. 0715187, 0720005, 0710030

National Heart, Lung, and Blood Institute
National Institute on Aging
National Institute on Alcohol Abuse and Alcoholism
National Institute of Child Health and Human Development
National Institute on Drug Abuse
National Institute of Mental Health
National Institute of Neurological Disorders and Stroke
National Institute of Nursing Research

PURPOSE

The National Institutes of Health (NIH) invites applications for
Institutional National Research Service Award (NRSA) in Sleep
Research. The overall goal of this training program is to increase
the number of sleep researchers that are available to investigate the
basic biology of sleep; to explore epidemiological, behavioral, and
clinical aspects of sleep-related disorders; and to develop new
approaches for the treatment and prevention of these conditions.  A
specific objective is to ensure that scientists, highly trained in
sleep research, are available in adequate numbers to address
important gaps in our biomedical and biological understanding of
sleep including those outlined in the NIH Director's Sleep Disorders
Research Plan.  Potential applicants are strongly urged to contact
the NCSDR before preparing an application.

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,
National Research Service Award Institutional Training Grants in
Sleep Research, is related to the priority areas of heart disease and
stroke, chronic disabling conditions, mental health and disorders,
and clinical prevention services.  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 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
program, may be obtained electronically through the NIH Grant Line
(data line 301-402-2221) and the NIH Gopher (gopher://gopher.nih.gov)
and by mail and E-mail from the program contact listed below.

James P. Kiley, Ph.D.
National Center on Sleep Disorders Research
National Heart, Lung, and Blood Institute/NIH
6701 Rockledge Drive, Suite 7024, MSC 7920
Bethesda, MD  20892-7920
Telephone:  (301) 435-0199
FAX:  (301) 480-3557
Email:  kileyj@gwgate.nhlbi.nih.gov

$$P3 END ************************************************************

                               ERRATA

$$E1 BEGIN R9 19970502 APPEND RFA AG-97-005 BOTH ***********************

EDWARD R. ROYBAL CENTERS FOR RESEARCH ON APPLIED GERONTOLOGY

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFA:  AG-97-005

P.T. 04; K.W. 0710010, 0404000

National Institute on Aging

Letter of Intent Receipt Date:  July 24, 1997
Application Receipt Date:  October 24, 1997

The following correction is issued for RFA AG-97-005, which was
published in the NIH Guide, Vol. 26, No. 14, May 2, 1997.

ELIGIBILITY REQUIREMENTS

Domestic public and private, for-profit and non-profit institutions
and organizations, such as universities, colleges, hospitals,
laboratories, units of state and local governments, and eligible
agencies of the Federal government are eligible to respond to this
RFA.  Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as Principal Investigators.
Foreign institutions are not eligible to apply.  The principal
investigator (PI) is required to have  at least two R01 (or similar)
grants as principal investigator.  One of these grants must be
currently active at the receipt date of this RFA, and the other grant
must have been awarded within 10 years of the receipt date of this
RFA.  Including the two grants held by the PI, the members of the
investigative team are required to have a total of at least three R01
(or similar) grants awarded within 10 years of the receipt date of
this RFA.

INQUIRIES

Questions about eligibility may be referred to:

Dr,. Jared B. Jobe
Behavioral and Social Research
National Institute on Aging
7201 Wisconsin Avenue, Room 533, MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-3137
FAX:  (301) 402-0051
Email:  Jared_Jobe@nih.gov

$$E1 END ************************************************************

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Path: biosci!biosci!not-for-mail
From: Alex! ID-DLO Lelystad NL <A.BOSSERS@id.dlo.nl>
Newsgroups: bionet.sci-resources
Subject: Re: Journals on-line
Date: 3 Jun 1997 17:34:59 -0700
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A 'complete' (biological) science orientated list of journals on-line (full,
abstract, contents, and/or editorial), books on-line (science based), as well
as other biology orientated resources, can be found at this FREQUENTLY updated
site:


	http://www.flnet.nl/~0bossers01/


Over 70 journals can be found from there!

Good Luck!





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organizational chart and a description of the research base
operations showing the relationship(s) between the scientific and
administrative functional units of the research base, vis-a-vis the
conduct of treatment and/or cancer prevention and control clinical
trials, must be provided.

The organizational focus within the research base for cancer
prevention and control research must be described, including the
composition and activities of the research base cancer prevention and
control committee, or equivalent, and its relationship to other
clinical trial committees and activities.

2.d. Collaboration with affiliated CCOPs/Minority-Based CCOPs in
treatment and/or cancer prevention and control research, as
applicable, is required. CCOP-research base affiliation agreements
must be included in the application.

For treatment research, each applicant must demonstrate the ability
to accrue a minimum of 50 credits per year from affiliated
CCOPs/Minority-Based CCOPs to treatment clinical trials. During the
initial funding period a research base must demonstrate that they
have developed sufficient CCOP affiliations to accrue a minimum of 50
cancer treatment credits by the end of the third year.

For cancer prevention and control research, each applicant must
demonstrate the ability to accrue a minimum of 50 credits per year
>From affiliated CCOPs/Minority-Based CCOPs, members and other
affiliates to cancer prevention and control clinical trials.  During
the initial funding period a research base must develop cancer
prevention and control protocols to allow accrual of a minimum of 50
cancer prevention and control credits by the end of the third year.

It is expected that selected cooperative group members and/or
Cooperative Group Outreach/cancer center affiliates other than the
CCOPs will participate in cancer prevention and control research.
The applicant must indicate the participants and their expected level
of participation, and describe their ability to participate.

2.e. A designated Principal Investigator is required and his/her
qualifications and experience must be described.  An individual must
be designated to coordinate cancer prevention and control research.
His or her qualifications and experience within the research base
structure should also be described.  Each applicant must also
demonstrate the ability to access professionals with the appropriate
expertise to design and implement the proposed treatment and/or
cancer prevention and control clinical trials. Basic scientists,
medical, surgical, radiation and other oncology specialists, nurse
oncologists, epidemiologists, health educators and/or other public
health professionals may be included.

2.f. Each applicant's ability to manage the data from
multi-institutional treatment and/or cancer prevention and control
clinical trials must be described.  Data management includes
development of data collection forms, procedures for data
transmittal, procedures for data entry, data editing, compilation,
and analysis, as well as procedures for quality control and
verification of submitted data.  Standards should exist for
determining eligibility and evaluability of patients/subjects entered
on protocols. Statistical capability must exist to develop protocol
statistical parameters, analyze the data, and report results.

2.g. Each applicant must demonstrate the ability to initiate
procedures for training and maintaining the proficiency of personnel
>From affiliated CCOPs/Minority-Based CCOPs on techniques for
successful management of treatment and/or cancer prevention and
control clinical trials research. Depending on the clinical trials
initiated and the interventions involved, this will include training
for data managers/nurses and any other individuals responsible for
data collection, monitoring, or carrying out the intervention(s).

2.h. Each applicant's ability to provide mechanisms for periodic
review of the performance of affiliated CCOPs/Minority-Based CCOPs,
including on-site monitoring (auditing) and written procedures and
criteria for continued affiliations, must be described.  Similar
measures must be described for other member/affiliates participating
in cancer prevention and control research.

2.i. Each applicant must describe their plans for independent data
and safety monitoring for all phase III prevention and control
clinical trials.

2.j. Requests for funds must reflect operations/statistical costs for
quality control and data management costs for CCOP participation in
protocols.  This estimate is based on the expected accrual credits of
affiliated CCOPs/Minority-Based CCOPs and for member/affiliate
accrual credits in cancer prevention and control.  CCOP-research base
affiliation agreements must be included.  Each applicant should
include a budget for monitoring and auditing activities.  Funding can
be requested for scientific development and pilot testing of new
cancer prevention and control research initiatives (including support
of a cancer prevention and control committee for the research base),
and funds can also be requested for appropriate travel to meetings
directly related to study activities (such as NCI-sponsored strategy
sessions/workshops).  Specific justification must be provided.

METHOD OF APPLYING

The research grant application form PHS-398 must be used in applying
for cooperative agreements.  These forms are available at most
institutional business offices; from the Office of Extramural
Outreach and Information Resources, 6701 Rockledge Drive, MSC 7910,
Bethesda, MD, 20892-7910, Phone number (301) 435-0714, E-mail:
asknih@odrockm1.od.nih.gov; and from the NCI program official named
in the LETTER OF INTENT Section.

A suggested format will be sent to all applicants requesting an RFA
or submitting a letter of intent.  All applicants are encouraged to
obtain and use the suggested format instructions for organizing the
specific information concerning the RFA programmatic requirements in
the PHS 398.

The RFA label available 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 2 of the face page of the application form and the YES box must
be marked.

Submit a signed, typewritten original of the application, including
the Checklist, and three signed, exact photocopies, in one package to
DRG at the address below.  The photocopies must be clear and single
sided.

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 also be sent to:

Ms. Toby Friedberg
Division of Extramural Activities
National Cancer Institute
6130 Executive Boulevard - Room 636
Bethesda, MD  20892
Rockville, MD  20852 (for express/courier service)

It is important to send these copies at the same time that the
original and three copies are sent to DRG; otherwise, the NCI cannot
guarantee that the applications will be reviewed in competition with
other applications received on or before the designated receipt date.

Applications must be received by August 26, 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.  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

A. REVIEW PROCEDURES

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

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 NCI in accordance with the review
criteria stated below.  As part of the initial merit review, all
applicants will receive a written critique and may undergo a process
in which only those applications deemed to have the highest
scientific merit will be discussed, assigned a priority score, and
received a second level review by the appropriate National Cancer
Advisory Board.

B. REVIEW CRITERIA

1.  CCOP Applicants

All applicants will be evaluated on the following criteria: 1.a.
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.  In describing the study population, it is required that a
description of the gender and minority population and subpopulation
served be provided, as well as an outreach plan.  This information
may be based on the institutional records and/or prior experience.

1.b. Ability to accrue a minimum of 50 credits per year to treatment
clinical trials and a minimum of 50 credits per year to cancer
prevention and control clinical trials.  Established CCOPs will be
funded at a yearly accrual goal that may be higher than 50 credits
for treatment clinical trials and 50 credits for cancer prevention
and control clinical trials.  These established CCOPs will be
evaluated for their past performance in meeting these accrual goals.
The minimum accrual requirement may be waived for applicants whose
specialty is pediatrics, or for applicants with an outstanding record
in prevention and control.  Each applicant's ability to access the
appropriate populations, professional disciplines, and facilities to
participate with affiliated research bases in NCI-approved cancer
prevention and control intervention protocols will be appraised.  Any
prior participation in cancer treatment and prevention and control
research will be considered.

1.c. Qualifications and experience of the principal
investigator/associate principal investigator, in terms of ability to
organize and manage a community oncology program that includes both
cancer treatment and prevention and control research as well as
accrual to such protocols, and related activities.

1.d. Training, experience, and commitment of participating physicians
for accruing individuals to protocols in which the applicant has
agreed to participate.  The experience of proposed investigators in
the entry and treatment of cancer patients on research trials (gained
>From residency, fellowships, postdoctoral training and/or subsequent
practice) will be appraised.  For multidisciplinary studies, evidence
of the availability of appropriate professional resources (e.g.,
radiotherapy, pediatrics, surgery, gynecology, urology, pathology,
internal medicine, family practice, nursing, and nutrition) will be
required.  Experience or special skills in cancer prevention and
control research and related activities will be considered, together
with availability of other community resources and personnel for such
clinical trials.

1.e. Stability of the functional unit or group applying to become a
CCOP. Preexisting organizational affiliations of at least a core of
the group applying, and evidence of stable working relationships,
will be appraised. Examples of established consortium arrangements,
and committee structure which demonstrates the participation of
appropriate physicians and administrators, may be submitted.
Evidence of previous success as a group in implementing clinical
cancer treatment and prevention and control research and related
activities will be considered.

1.f. Qualifications and experience of all proposed support personnel
relative to their position descriptions.  The relevant credentials
and expected contributions to the program of personnel resources not
fiscally supported by the award will be considered.

1.g. Adequacy of quality assurance mechanisms for both cancer
treatment and prevention and control interventions, and adequacy of
procedures for investigational drug monitoring and data management
and identification of false or otherwise unreliable data.

1.h. Adequacy of available facilities, including laboratories, in-
patient and outpatient resources, cancer registries, etc., and
adequacy of space for administrative activities and personnel.

1.i. Appropriateness of research base affiliations and of the cancer
treatment and prevention and control research protocols chosen.
Affiliation agreements must be provided in the application.

1.j. For competitive continuations, adequacy of progress during the
funding period, including ability to meet the accrual goals in cancer
treatment and prevention and control, progress made as a CCOP, and
evaluation of CCOP performance by affiliated research bases(s).
Consideration will be given to previous accrual and the ability to
meet the previous accrual projections for which the CCOP was funded.
The research base evaluation report(s) must be provided in the
application.  Plans for continued accrual and follow-up of subjects
on protocols will be evaluated.

The review group will critically examine the submitted budget and
will recommend an appropriate budget and period of support for each
favorably recommended application.

Allowable items in the budget are requests for full or part-time
administrative personnel, clinical research associates, data
managers, and study assistants; supplies and services directly
related to study activities (e.g., processing and sending material
for pathology review, processing and sending port films for radiation
therapy quality control); and appropriate travel to meetings directly
related to study activities (e.g., research base meetings,
NCI-sponsored strategy sessions/workshops, local travel).  Funding is
not allowed for clinical care provided to patients (e.g., patient
care reimbursement, transportation costs).  Funding is not allowed
for clinical support personnel (e.g. pharmacist, physicist, clinical
psychologist, dosimetrist).  Physician compensation is only an
allowable cost for the Principal Investigator (PI) and Co-PI,
specifically for time spent on CCOP organizational/administrative
tasks.  Justification must be provided for personnel time and effort
and funds requested.

The initial review group will also examine the provisions for the
protection of human subjects, recruitment plans for the inclusion of
women, minorities and sub-populations to clinical trials, and the
safety of the research environment.

2.  Research Base Applicants

All research base applicants will be evaluated on the following
criteria:

2.a. 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.  In describing the study population, it is
required that a description of the gender and minority population and
subpopulation served be provided, as well as an outreach plan.  This
information may be based on the institutional records and/or prior
experience.

2.b. Experience in conducting multi-institutional clinical trials;
demonstrated ability to develop such studies and act as a
coordinating and statistical center; adequate facilities to conduct
the clinical trials; adequate procedures to collect, monitor, and
analyze the data and assure the safety of patients/subjects.

2.c. Quality and availability of cancer treatment and/or prevention
and control protocols, as applicable, which are appropriate for CCOP
participation, or the potential for developing such clinical trials.
For new applications, a detailed description of at least two examples
of actual or planned cancer prevention and control protocols, with
professional expertise to assure the quality of the proposed
intervention clinical trial will be evaluated.

2.d. The ability to accrue a minimum of 50 credits per year from
affiliated CCOPs/Minority-Based CCOPs to treatment clinical trials.

The ability to accrue a minimum of 50 credits per year from
affiliated CCOPs/Minority-Based CCOPs to cancer prevention and
control clinical trials. Experience as well as the potential for
developing future clinical trials will be considered.

Documentation must include CCOP-research base affiliation agreements.

2.e. Organizational structure for involving appropriate personnel in
the design and implementation of treatment and/or cancer prevention
and control research.  The organizational focus within the research
base for cancer prevention and control research, including the
composition and activities of the cancer prevention and control
committee, and the designation of protocol chairpersons and its
relationship to other clinical trial committees and activities will
be assessed.

2.f. Qualifications and experience of the principal investigator
and/or the individual responsible for directly relating to the CCOPs.
The availability and experience of multidisciplinary health
professionals and allied professionals with skills needed to develop,
utilize, and analyze treatment and/or cancer prevention and control
clinical trials will also be evaluated.

2.g. Experience in working with community oncologists, orienting
community data management personnel to protocol requirements,
organizing scientific and educational meetings for those
participating in the clinical trials, and participating in intergroup
clinical trials.

2.h. Ability to establish quality control, quality assurance, and
data management procedures.  Experience in data management and
analysis of multi-institutional clinical trials and adequacy of data
management staff will be appraised.  The use of mechanisms for
periodic review of quality control, quality assurance, and data
management procedures, safety monitoring, including procedures for
data safety and monitoring committee and on-site auditing program
will be assessed.

2.i. For competitive continuations, adequacy of progress in
implementing a prevention and control clinical trials program
including cancer prevention and control protocol development and
implementation, accrual, data management, evaluation of performance
sites; current status of each protocol and progress towards meeting
planned accrual goals from CCOPs and members/affiliates; summary of
prior activities with a clear presentation of annual accrual;
completion of clinical trials, interim analyses, publication of
findings, or other dissemination of trial findings throughout the
research base; and other progress in meeting the requirements for a
CCOP research base.  During the initial funding period, a research
base must demonstrate the adequacy of progress in implementing a
cancer prevention and control clinical trials program that will
result in attainment of accrual goals by the end of the third year.

The review group will critically examine the submitted budget and
will recommend an appropriate budget and period of support for each
favorably recommended application.

Requests for funds must reflect operations/statistical costs for
quality control and data management costs for CCOP participation in
protocols.  This estimate is based on the expected accrual credits of
affiliated CCOPs/Minority-Based CCOPs and for member/affiliate
accrual credits in cancer prevention and control.  Research bases
should include a budget for monitoring and auditing costs.  Funding
may be requested for scientific development and pilot testing of new
cancer prevention and control research initiatives, other costs
related to implementation of specific cancer prevention and control
protocols (including support of a cancer prevention and control
committee for the research base), or for appropriate travel to
meetings directly related to study activities (such as NCI-sponsored
strategy sessions/workshops). Specific justification must be
provided.

The initial review group will also examine the provisions for the
protection of human subjects, the plans for the accrual of women,
minorities and sub-populations to clinical trials, and the safety of
the research environment.

AWARD CRITERIA

The anticipated date of award is June 1, 1998.  NCI program staff
will take into account demographic and geographic distribution of
applicants in the final funding selection process to assure inclusion
of minority and underserved populations.  Multiple CCOP applicants
for funding who are competing for the same patient population will be
considered, but all may not be awarded unless warranted by the
population density.

INQUIRIES

Written and telephone inquiries concerning the objectives and scope
of this RFA or inquiries about whether or not specific proposed
research would be responsive are encouraged.  The program official
welcomes the opportunity to clarify any issues or questions from
potential applicants.

Jeffrey A. Perlman, M.D., M.Sc.
Division of Cancer Prevention and Control
National Cancer Institute
6130 Executive Boulevard, Room 300-D - MSC-7340
Bethesda, MD  20892-7340
Telephone:  (301) 496-8541
Email:  PerlmanJ@dcpcepn.nci.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Crystal Wolfrey
Grants Administration Branch
Office of the Director, NCI
Executive Plaza South - Room 243
6120 Executive Boulevard
Bethesda, Maryland  20892
Telephone:  (301) 496-7800, Ext. 282
E-mail: WolfreyC@gab.nci.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 13.399, Cancer Control.  Awards are 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 Public Health Service 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 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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COMMUNITY CLINICAL ONCOLOGY PROGRAM

NIH GUIDE, Volume 26, Number 18, May 30, 1997

RFA:  CA-97-015

P.T.  34; K.W. 0715035, 0755015, 0745020, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  July 10, 1997
Application Receipt Date:  August 26, 1997

PURPOSE

The Division of Cancer Prevention and Control (DCPC), National Cancer
Institute (NCI), invites applications from domestic institutions for
cooperative agreements to the Community Clinical Oncology Program
(CCOP). Applicants for new and currently funded Community Clinical
Oncology Programs (CCOP) and research bases are invited to respond to
this Request For Applications (RFA).

Using the national resource of highly trained oncologists in
community practice, the CCOP: 1) provides support for expanding the
clinical research effort in the community setting; 2) stimulates
quality care in the community through participation in protocol
studies; 3) fosters the growth and development of a scientifically
viable community cancer network able to work closely with
NCI-supported clinical cooperative groups and cancer centers; 4)
supports development of and community participation in cancer
prevention and control intervention research, which includes
chemoprevention, biomarkers and early detection, patient management,
rehabilitation, and continuing care research; 5) involves primary
care providers and other specialists in cancer prevention and control
clinical trials; and 6) increases the involvement of minority and
underserved populations in clinical research.  Combining the
expertise of community physicians and other health care professionals
with NCI-approved cancer treatment and prevention and control
clinical trials provides the opportunity for the transfer of the
latest research findings to the community level.

This issuance of the CCOP RFA seeks to build on the strength and
demonstrated success of the CCOP over the past fourteen years by:  1)
continuing the program as a vehicle for supporting community
participation in cancer treatment and prevention and control clinical
trials through research bases (clinical cooperative groups and cancer
centers supported by NCI); 2) expanding and strengthening the cancer
prevention and control research effort; 3) utilizing the CCOP network
for conducting NCI-assisted cancer prevention and control research;
and 4) evaluating on a continuing basis CCOP performance and its
impact in the community.

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,
Community Clinical Oncology Program, is related to the priority area
of cancer.  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 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted from domestic institutions for
cooperative agreements to continue the Community Clinical Oncology
Program (CCOP).  New applicants and currently funded programs are
eligible as described below. Racial/ethnic minority individuals,
women, and persons with disabilities are encouraged to apply as
Principal Investigators.

A.  CCOP Applicants

1. An applicant may be a hospital, a clinic, a group of practicing
physicians, a health maintenance organization (HMO), or a consortium
of hospitals and/or clinics and/or physicians and/or HMOs that agree
to work together with a principal investigator and a single
administrative focus.

2. A university, Veterans Administration hospital, or military
treatment facility (MTF) may be included in an application as a
member of a consortium led by a community institution, but may not be
the applicant organization or the major contributor to accrual.  An
unfunded, non-university clinical trials cooperative group member is
eligible to apply.

3. Funded Cooperative Group Outreach Program (CGOP) participants are
eligible to apply, but should state in the application that CGOP
support will be relinquished if a CCOP award is received.

4. Institutions not eligible to apply as the CCOP applicant
organization include:

a. A comprehensive, consortial, or clinical cancer center holding an
NCI Cancer Center Support (CORE) grant;

b. A university hospital that is the major teaching institution for
that university; or

c. A university hospital clinical trials cooperative group member
funded by the Division of Cancer Treatment, Diagnosis, and
Centers,(DCTDC), NCI.

B.  Research Base Applicants

An applicant may be:

1. An NCI-funded clinical trials cooperative oncology group;

2. An NCI-funded clinical center, consortium, or comprehensive cancer
center.

Cooperative groups must participate in both cancer treatment and
prevention and control clinical trials; cancer centers as CCOP
research bases may participate in both cancer treatment and
prevention and control studies or cancer prevention and control
research only.

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U10), an "assistance" mechanism
(rather than an "acquisition" mechanism), in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during 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,m or a dominant role in the
activity. Details of the responsibilities, relationships and
governance of the study to be funded under cooperative agreement(s)
are discussed later in this document under the section "Terms and
conditions of Award."

The total project period for applications submitted in response to
this RFA may not exceed 3 years for new applicants, and no more than
5 years for applicants currently supported under this program.
Currently supported applicants will be funded for 3, 4, or 5 years
depending upon priority score/percentile, review committee
recommendations, and programmatic considerations.  The anticipated
award date is June 1, 1998.

Because the nature and scope of the research proposed in response to
this RFA may vary, it is anticipated that the sizes of awards will
vary also.  Awards and level of support depend on receipt of a
sufficient number of applications of high scientific merit.  Although
this program is provided for in the financial plans of the NCI,
awards pursuant to this RFA are contingent upon the availability of
funds for this purpose.

NCI has determined that there is a continuing program need for
community participation in cancer clinical research trials, both
cancer treatment and prevention and control.  While this RFA is a
one-time issuance, it is expected that a CCOP RFA will be published
in the NIH Guide for Grants and Contracts annually in the future
provided that funds are available.

FUNDS AVAILABLE

It is anticipated that up to $4.2 million in total costs per year for
5 years will be committed to specifically fund applications which are
submitted in response to this RFA.  Approximately four research base
awards and twelve CCOP awards will be made.  This level of support is
dependent on the receipt of a sufficient number of applications of
high scientific merit.  Although this program is provided for in the
financial plans of NCI, awards pursuant to this RFA are contingent
upon the availability of funds for this purpose.

RESEARCH OBJECTIVES

A.  Background

The CCOP was initiated in 1983 to bring the benefits of clinical
research to cancer patients in their own communities by providing
support for physicians to enter patients onto treatment research
protocols.  In the first three years of the CCOP, 62 community
programs in 34 states were funded and accrued 14,000 patients to NCI
approved treatment clinical trials.

The CCOPs were clearly effective in accruing patients to treatment
clinical trials.  The second CCOP RFA, issued in 1986, expanded the
focus to include cancer prevention and control research based on the
rationale that the multi-institutional clinical trials model
essential for testing new treatment regimens is also central for
conducting large-scale cancer prevention and control trials.  In
1996, there were 51 programs in 30 states plus the District of
Columbia involving over 300 hospitals and over 3,300 physicians.
Approximately 3,700 patients were entered onto treatment trials and
2,200 subjects on cancer prevention and control trials in 1996.

Cancer prevention and control research in the CCOPs is aimed at
reducing cancer incidence, morbidity, and mortality through the
identification, testing, and evaluation of interventions in
controlled clinical trials.  The development of cancer prevention and
control research in the CCOP network has been increasing steadily
since funding started in 1987.  Protocols cover the full spectrum of
cancer prevention and control research, from chemoprevention and the
validation of biomarkers, screening and early detection, pain control
and symptom management, and other rehabilitation and continuing care
interventions.  Several large chemoprevention trials have been
implemented through the CCOP network, including the breast cancer
prevention trial with tamoxifen, two head and neck chemoprevention
trials using 13-cis retinoic acid (13-cRA), the prostate cancer
prevention trial with finasteride, and other 13-cis retinoic
secondary tumor prevention trials.
The CCOPs are a vital resource for conducting NCI cancer prevention
and control research because they provide access to: 1) a national
network for cancer prevention and control trials which require large
sample sizes for completion; 2) geographic areas which include cross
sections of the population, providing mixes of patients/subjects not
always available in university or urban settings; 3) large
populations of cancer patients free of disease which provide a unique
resource for chemoprevention clinical trials; and 4) cancer patients'
family members and others who may be at increased risk of developing
cancer and thus be candidates for prevention and detection studies.
Participation in cancer prevention and control research by CCOPs also
further expands the network of community physicians, increasing the
potential for diffusion of state-of-the-art cancer prevention and
control practices.

B.  Goals and Scope

The CCOP initiative is designed to:

o Bring the advantages of state-of-the-art cancer treatment and
prevention and control research to individuals in their own
communities by having practicing physicians and their
patients/subjects participate in NCI-approved cancer treatment and
prevention and control clinical trials;

o Provide a basis for involving a wider segment of the community in
cancer prevention and control research and investigate the impact of
cancer therapy and control advances in community medical practices;

o Increase the involvement of primary health care providers and other
specialists (e.g., surgeons, family practitioners, urologists,
gynecologists) with the CCOP investigators in cancer treatment and
prevention and control research, providing an opportunity for
education and exchange of information;

o Facilitate wider community participation, including minorities,
women, and other underserved populations, in cancer treatment and
prevention and control research approved by NCI; and

o Reduce cancer incidence, morbidity, and mortality by accelerating
the transfer of newly developed cancer prevention, early detection,
treatment, patient management, rehabilitation, and continuing care
technology to widespread community application.

Participating community programs (CCOPs) will be required to enter
patients onto NCI-approved cancer treatment and prevention and
control clinical trials through the research base(s) with which each
CCOP is affiliated.  CCOPs may relate directly to NCI for assistance
and participation in selected cancer prevention and control
protocols.  CCOP performance will be evaluated on a continuing basis
by the NCI program director.

Participating research bases will be required to continue providing
clinical treatment and/or cancer prevention and control research
protocols, as applicable, and as studies progress and findings
indicate, to develop new protocols.  Cancer prevention and control
research should be intervention-oriented and may include such areas
as cancer prevention, early detection, patient management,
rehabilitation, and continuing care.  Research bases will be expected
to monitor the quality of protocol conduct, follow CCOP accrual, and
participate on a continuing basis in program evaluation.

SPECIAL REQUIREMENTS

A.  Terms and Conditions of Award for CCOP Awardees

The administrative and funding instrument used for this program is a
cooperative agreement (U10), an "assistance" mechanism (rather than
an "acquisition" mechanism) in which substantial NIH scientific
and/or programmatic involvement with the awardee is anticipated
during 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 awardee(s) for the project as a whole,
although specific tasks and activities in carrying out the studies
will be shared among the awardees and the NCI Program Staff.

The following terms and conditions pertaining to the scope and nature
of the interaction between NCI and the investigators will be
incorporated in the Notice of Award.  These terms will be in addition
to the customary programmatic and financial negotiations which occur
in the administration of grants.  The "Terms and Conditions of Award:
Nature of NCI Staff Involvement" and "Terms and Conditions:
Responsibilities of Awardees" described in this section are in
addition to, and not in lieu of, otherwise applicable OMB
administrative guidelines; DHHS grant administration regulations 45
CFR 74; other DHHS, PHS, and NIH grant administration policy
statements; and other NCI administrative terms of award.

1. Responsibilities of CCOP Awardees

The awardee's programmatic responsibilities for the conduct of the
research supported by this cooperative agreement are described in the
INVESTIGATOR'S HANDBOOK, a Manual for Participants in Clinical Trials
of Investigational Agents Sponsored by the Division of Cancer
Treatment, Diagnosis, and Centers (DCTDC), National Cancer Institute
and the NCI-CTMB GUIDELINES FOR ON-SITE MONITORING OF CLINICAL TRIALS
FOR COOPERATIVE GROUPS AND CCOP RESEARCH BASES and any subsequent
modifications of these documents.  These documents are hereby
incorporated by reference as term of award and are available on
request from the Cancer Therapy Evaluation Program (CTEP) or the
CORB/DCPC.

1.a. Protocols

All protocols used by the CCOPs must be reviewed and approved for
CCOP use by the Cancer Control Protocol Review Committee (CCPRC),
Division of Cancer Prevention and Control (DCPC), and/or the Protocol
Review Committee (PRC), Division of Cancer Treatment, Diagnosis, and
Centers (DCTDC), NCI, prior to implementation.

To be eligible to receive credit for accrual to a research base
protocol, the CCOP must have an affiliation agreement with the
research base responsible to NCI for that protocol.  The research
base is responsible for the development and implementation of high
quality cancer treatment and prevention and control clinical trials,
and for evaluation of the results of such studies.

1.b. Research Base Affiliation(s)

Each CCOP must affiliate with a national multi-specialty cooperative
group having a spectrum of cancer treatment and prevention and
control clinical trials.  Each CCOP can affiliate with a maximum of
four additional research bases.

Note:  A list of currently eligible research bases may be obtained
>From the program official listed in the Letter of Intent Section.

If participation in the protocols of one group competes with that of
another group with which the CCOP is affiliated, the CCOP must
prioritize the protocols in order to avoid bias in the allocation of
patients to competing protocols.

Initial affiliations should be maintained for the duration of the
funding cycle.  When circumstances require changes in research base
affiliations, prior written approval from the DCPC Program Director
is required.

1.c. Accrual

Each CCOP is required to accrue a minimum of 50 credits* per year to
treatment clinical trials that have been approved by the PRC, DCTDC,
NCI.  (For applicants whose specialty is pediatrics, the 50 credit
minimum requirement may be waived for those applicants who are able
to place a majority of their eligible patients on protocols.)  As one
measure of performance, it is expected that at least 10 percent of
patients for whom protocols are available will be placed on clinical
trials by CCOP physicians.

Each CCOP is required to accrue a minimum of 50 credits* per year to
cancer prevention and control clinical trials that have been approved
by the CCPRC, DCPC.

The CCOPs ability to meet projected accrual goals to both cancer
treatment and prevention and control clinical trials will be
assessed.  For CCOPs that have demonstrated an outstanding record of
accrual to cancer prevention and control clinical trials, the 50
credit minimum for treatment may be waived.

*  Each protocol approved for CCOP use will be assigned a credit
value. Credits will be based on the complexity of the intervention,
the amount of data management required, and the duration of follow-
up.  For example, each patient accrued to an average Phase II or
Phase III treatment protocol will count 1 credit; an
NCI-designated high-priority treatment protocol 1.5 credits; and a
childhood acute lymphocytic leukemia protocol 2 credits. Cancer
prevention and control protocols will be assessed for credit using a
similar approach.  For example, a randomized Phase III
chemoprevention protocol will be assigned a value of 1 credit per
subject entered.  Cancer control protocols involving limited
interventions will receive credit that is commensurate with the
amount of data management effort required, usually an assignment of
0.3 or 0.5 credit per subject entered.  Follow-up credit for
chemoprevention protocols may also be assigned.

1.d. Quality Control

The CCOP must establish and follow procedures for the assurance of
data quality and quality control in accordance with research base
guidelines and NCI policies.  The CCOP must follow NCI-approved
procedures developed by the research base for the prevention and/or
identification of false or otherwise unreliable data and for quality
assurance of data collected by the research base.

The CCOP must follow policies developed by the research base and
approved by the NCI for auditing the accuracy of scientific data
submitted to them by the research base participants.

1.e. Data Management

The CCOP must provide the DCPC Program Director with access to all
data generated under this award for periodic review of data
management procedures of the CCOP.  Data must also be available for
external monitoring if required by NCI's agreement with other federal
agencies, such as the FDA, and with NCI's agreements with
pharmaceutical companies for the co-development of investigational
agents.  The awardees will retain custody of and primary rights to
their data.

1.f. Investigational Drug Management

Investigators performing trials under cooperative agreements will be
expected, in cooperation with NCI, to comply with all FDA monitoring
and reporting requirements for investigational agents.

1.g. Organizational Changes

Certain CCOP organizational changes must have the prior written
approval of the DCPC Program Director.  These include the
addition/deletion of a participating physician, a health professional
other than a physician (who actively enters patients to cancer
prevention and control trials), an affiliate, component, or research
base.

1.h. Radiotherapy Equipment

Radiotherapy equipment must have its calibration verified according
to standards set by the Radiologic Physics Center (RPC) in order for
institutions to participate in protocols requiring radiation therapy,
as required by the affiliated research base(s).

1.i. Monitoring

Each CCOP must agree to periodic on-site audits by representatives of
its research base(s), NCI, or an NCI-designee.  Such on-site audits
may include review of the following:  use of investigational drugs;
compliance with regulations for Institutional Review Board (IRB)
approval and informed consent (compliance with 45 CFR 46); compliance
with protocol specifications; quality control and accuracy of data
recording; and completeness of reporting adverse drug reactions.
Reports of such on-site audits will be reviewed by the Clinical
Trials Monitoring Branch (CTMB), Cancer Therapy Evaluation Program
(CTEP), DCTDC, and by the DCPC Program Director.  In addition, NCI
program and grants management staff will review protocol accrual,
fiscal and administrative procedures.

CCOP members/affiliate performance sites and/or individual
investigators participating or collaborating on NCI-supported multi-
institutional clinical trials must be in compliance with the
monitoring  standards established by the research base.  They should
include the following standards:

o Medical records submitted in support of NCI multi-institutional
trials must conform to usual standard for the maintenance of clear,
accurate, and unambiguous medical records.  White-outs on medical
records are unacceptable.

o If it is the usual and customary practice of a department,
laboratory, clinic or office to prepare or issue official reports,
then only that department, laboratory, clinic or office can change
the report, and alterations of the medical record must be initialed
and dated by the person making such alterations.  For clinical
progress notes, the change must be dated and initialled by the person
making the change.  Only one line should be placed through the
initial entry, so that both the original entry and the change are
legible.

o The improper modification of important patient records will result
in additional investigations by the NCI Clinical Trials Monitoring
Branch (CTMB) and may lead to suspension of accrual and funding.

1.j. Reporting Requirements

Annual progress reports must be submitted to DCPC.  A suggested
format developed by the DCPC Program Director for this purpose will
be provided.  The inability of a CCOP to meet the performance
requirements set forth in the Terms and Conditions of Award in the
RFA, or significant changes in the level of performance, may result
in an adjustment of funding, withholding of support, suspension or
termination of the award.

1.k. Network Participation

CCOPs are part of a national network for conducting cancer treatment
and prevention and control clinical trials.  As such, each CCOP may
be asked to participate in strategy sessions or workshops and in the
continuing evaluation of the program and its impact in the community.

1.l. Patient/Subject Log

Each CCOP may be asked to periodically maintain a new patient/subject
log or minimal registry to include as applicable age, sex, race,
insurance status, risk factors, primary site of cancer, stage of
disease, and disposition for the potentially eligible patient/subject
pool seen by the CCOP investigators.

1.m. Federally Mandated Regulatory Requirements

Each CCOP must establish mechanisms to meet DHHS/PHS regulations for
the protection of human subjects.  At a minimum, these include:

o methods for assuring that each facility at which CCOP investigators
are conducting clinical trials has a current, approved assurance on
file with the Office for Protection from Research Risks (OPRR); that
each protocol is reviewed by the responsible IRB prior to patient
entry; and that each protocol is reviewed annually by the IRB so long
as the protocol is active;

o methods for assuring or documenting that each patient (or patient's
parent/legal guardian) gives fully informed written consent to
participation in a research protocol prior to the initiation of the
experimental intervention;

o a system for assuring timely reporting of all serious and
unexpected toxicities to the Investigational Drug Branch, CTEP,
DCTDC, according to DCTDC guidelines and/or to DCPC according to DCPC
guidelines; and

o implementation of DCPC/DCTDC requirements for storage and
accounting for investigational agents provided under DCPC/DCTDC
sponsorship.

1.n. Publications

Timely publication of major findings is encouraged.  Publication or
oral presentation of work done under this agreement requires
acknowledgement of NCI support.

2.  Nature of NCI Staff Involvement

2.a. Protocol Review

All protocols used by the CCOPs must be reviewed and approved for
CCOP use by the Cancer Control Protocol Review Committee (CCPRC),
DCPC, NCI, and/or the Protocol Review Committee (PRC), DCTDC, NCI,
prior to implementation.

NCI will not provide investigational drugs, permit expenditure of NCI
funds, or allow accrual credit for a protocol that has not been
approved, or that has been closed (except for patients already on
study).

2.b. Monitoring

There will be periodic on-site audits of each CCOP by representatives
of its research base(s), NCI, or an NCI-designee, such as DCTDC's
current Clinical Trials Monitoring Service contractor.

The DCPC and CTMB/CTEP will review and provide advice regarding
mechanisms established for study monitoring including the on-site
auditing program.

DCPC/CTEP and/or its contractor staff may attend the on-site audits
conducted by the Research Base or its NCI designee as observers.

2.c. Data Management

The DCPC Program Director will have access to all data generated
under this award and will periodically review the data management
procedures of the CCOP. Data must also be available for external
monitoring if required by NCI's agreement with other federal
agencies, such as the Food and Drug Administration (FDA).

2.d. Investigational Drug Management

The Regulatory Affairs Branch (RAB), Pharmaceutical Management Branch
(PMB), CTEP, DCTDC, and Chemoprevention Branch (CB), Chemoprevention
Research Program (CPRP), and DCPC staff will advise investigators of
specific requirements and changes in requirements about
investigational drug management that the FDA and NCI may mandate.

2.e. Organizational Changes

The DCPC program director will review requests for certain
organizational changes and provide written approval.  These changes
include the addition/deletion of a participating physician or other
health professional entering patients/subjects in cancer prevention
and control research in the CCOP, an affiliate, component, or
research base.

2.f. Program Review

The DCPC program director will review the annual progress report
submitted by each CCOP.  A suggested format will be developed by the
DCPC Program Director for this purpose.  The DCPC Program Director
will review the progress of each CCOP through consideration of the
CCOP annual report, program site visits, and reports from affiliated
research bases.  This review may include, but not be limited to,
overall accrual credits, percent of available patients/subjects
placed on study, eligibility and evaluability of individuals entered
on study, and timeliness and quality of data reporting.  The
inability of a CCOP to meet the performance requirements set forth in
the Terms and Conditions of Award in the RFA, or significant changes
in the level of performance, may result in an adjustment of funding,
withholding of support, suspension or termination of the award.

2.g. Strategy Sessions

The DCPC Program Director or designee will sponsor strategy sessions
when indicated, attended by principal investigators from the CCOPs
and appropriate DCPC/DCTDC staff.  At these meetings, information
relevant to the CCOPs will be reviewed and discussed, including such
issues as overall CCOP performance and the science of current or
proposed clinical trials.  Data will be analyzed and the outstanding
research questions established and prioritized into national research
goals by CCOP investigators and the DCPC/DCTDC attendees. The
principal investigators will have the primary responsibility for
analyzing and prioritizing the research questions to be developed
into clinical trials. The DCPC Program Director will also assist the
CCOP investigators in exploring mutual interests in cancer prevention
and control research.

2.h. Federally Mandated Regulatory Requirements

The DCPC Program Director or designee and DCTDC staff will review
mechanisms established by each CCOP to meet the Department of Health
and Human Services (DHHS)/Public Health Service (PHS) regulations for
the protection of human subjects and FDA requirements for the conduct
of research using investigational agents.

2.i. Arbitration Process

The Terms and Conditions of Award require that the DCPC Program
Director make post-award administrative decisions related to program
performance, programmatic decisions on scientific-technical matters,
and funding adjustments.  NCI will establish an arbitration process
when a mutually acceptable agreement cannot be obtained between the
awardee and the DCPC Program Director.  An arbitration panel (with
appropriate expertise) composed of one member of the recipient group,
one NCI nominee, and a third member chosen by the other two will be
formed to review the NCI decision and recommend a course of action to
the Director, DCPC.  These special arbitration procedures in no way
affect the awardee's right to appeal an adverse action in accordance
with PHS regulations 42 CFR Part 50, Subpart D, and DHHS regulations
45 CFR Part 16.

B.  Terms and Conditions of Award for Research Base Awardees

1.  Responsibilities of Awardees

It is the responsibility of the Research Base in accordance with its
constitution, bylaws, policies and procedures to develop the details
of the research design, including definition of objectives and
approaches, planning, implementation, analysis, and publication of
results, interpretations and conclusions of studies.  The research
base shall designate research base investigators to serve as Protocol
Chairpersons for each proposed study. Protocols will be developed in
accordance with the instructions in the INVESTIGATOR'S HANDBOOK.

1.a. Protocol Development

The research base is responsible for the development and
implementation of high quality cancer treatment and prevention and
control clinical trials, and for evaluation of the results of such
clinical trials.

The protocol should be a document mutually acceptable to the research
base and to DCPC/DCTDC.  Communication at the various stages of
development is encouraged.

1.b. Concept/Protocol Submission

All research base protocols utilized by the CCOPs must be reviewed
and approved for CCOP use by the Cancer Control Protocol Review
Committee (CCPRC), DCPC, and/or the Protocol Review Committee (PRC),
DCTDC, NCI, prior to implementation.  Treatment and cancer prevention
and control protocols should be submitted to the Protocol Information
Office (PIO), CTEP, DCTDC for review by the appropriate committee.

All cancer prevention and control protocols must be preceded by the
submission of a concept proposal for review by the DCPC Cancer
Control Concept Review Committee (CCCRC).  The CCCRC considers
scientific merit and the feasibility of implementing prospective
cancer control protocols in the CCOP research network.  Similarly,
concept proposals for cancer treatment protocols must precede
protocol development.  Cancer treatment concepts are reviewed by the
CTEP Protocol Review Committee (PRC) in the DCTDC.  All concept and
protocol documents should be submitted to the PIO, CTEP, DCTDC.
DCTDC may also require a letter of intent for new cancer treatment
trials.

1.c. Accrual

A research base for treatment research is required to accrue a
minimum of 50 credits* per year from affiliated CCOPs to treatment
clinical trials that have been approved by the PRC, DCTDC, NCI.
During the initial funding period, a research base is required to
develop sufficient affiliations to accrue 50 cancer treatment credits
by the end of the third year.

A research base for cancer prevention and control research is
required to accrue a minimum of 50 credits* per year from CCOPs,
members and other affiliates to cancer prevention and control
clinical trials that have been approved by the CCPRC, DCPC.  During
the initial funding period, a research base is required to develop
cancer prevention and control protocols to allow accrual of 50 cancer
control credits by the end of the third year.

*  Each protocol approved for CCOP use will be assigned a credit
value. Credits will be based on the complexity of the intervention,
the amount of data management required, and the duration of follow-
up.  For example, each patient accrued to an average Phase II or
Phase III treatment protocol will count 1 credit; an
NCI-designated high-priority treatment protocol 1.5 credits; and a
childhood acute lymphocytic leukemia protocol 2 credits. Cancer
prevention and control protocols will be assessed for credit using a
similar approach.  For example, a randomized Phase III
chemoprevention protocol will be assigned a value of 1 credit per
subject entered.  An additional 0.3 credits may be assigned for
chemoprevention trials requiring multiply years of follow-up.  Cancer
control protocols involving limited interventions will receive credit
that is commensurate with the amount of data management effort
required.

1.d. Data Management and Analysis

The research base shall establish and implement mechanisms for data
management and analysis that ensure that data collection and
management procedures are: (a) adequate for quality control and
analysis; (b) as simple as appropriate in order to encourage maximum
participation of physicians entering patients and to avoid
unnecessary expense; and (c) sufficiently uniform across research
bases.  CCOP members/affiliate performance sites are required to
follow procedures for data management and analysis.

Data generated is the property of the awardee; however, the research
base must provide DCPC/DCTDC with access to all data generated under
this award.

Data must also be available for external monitoring if required by
NCI's agreement with other Federal agencies, such as the FDA and by
NCI's agreements with pharmaceutical companies for the co-development
of investigational agents.

1.e. Quality Control

A DCPC/DCTDC-funded research base must follow all the policies and
procedures for quality control established by NCI.  Similar policies
and procedures for quality control will be expected from cancer
centers.

The research bases shall establish mechanisms for quality control of
all procedures and modalities employed in its trials.  CCOP
member/affiliates are required to follow research base procedures for
quality control.

The research base shall establish mechanisms for study monitoring.
CCOP Members/Affiliates are required to follow the awardee procedures
for study monitoring.

The research base is responsible for assuring accurate and timely
knowledge of the progress of each study through:

o tracking and reporting of patient accrual and adherence to defined
accrual goals;

o ongoing assessment of case eligibility and evaluability;

o timely medical review and assessment of patient data;

o Medical records used in support of NCI multi-institutional trials
must conform to usual standard for the maintenance of clear,
accurate, and unambiguous medical records.  White-outs on medical
records are unacceptable;

o rapid reporting of treatment-related morbidity and measures to
ensure communication of this information to all parties;

o interim evaluation and consideration of measures of outcome as
consistent with patient safety and good clinical trials practice;

o timely communication of results of studies; and

o an on-site monitoring program.

The research base is responsible for ensuring that all performance
sites have routine audits which are reported to the NCI in accordance
with the NCI/CTMB GUIDELINES FOR ON-SITE MONITORING OF CLINICAL
TRIALS FOR COOPERATIVE GROUPS AND CCOP RESEARCH BASES.  In the event
that the NCI determines that the awardee failed to comply with these
guidelines, the accrual of new patients/subjects to the research
base's protocols at the affected performance site shall be suspended
immediately upon notice of the NCI determination.  The suspension
will remain in effect until the awardee conducts the required audit
and the audit report is accepted by the NCI.

The research base will be responsible for notifying any affected
performance site of the suspension.  During the suspension period, no
funds from this award may be provided to the performance site for new
accruals, and no changes to the award for new accruals will be
permitted.  The NCI will also notify an institution that is the
direct recipient of a cooperative agreement from the NCI if it is
necessary to suspend accrual at that institution.

1.f. Quality Assurance of Data

The research base must develop and follow procedures for the
assurance of data quality and quality control in accordance with
research base guidelines and NCI policies.  The research base must
follow NCI-approved procedures for the prevention and/or
identification of false or otherwise unreliable data and for quality
assurance of data collected.

The research base must develop and implement NCI-approved policies
for auditing the accuracy of scientific data submitted to them.

In the event that there is a finding through the quality assurance
and/or quality control programs of any indication of a pattern of
non-compliance with protocol or regulatory requirements or a finding
of possible alteration of data, these findings must be reported in
accordance with the NCI-CTMB GUIDELINES FOR ON-SITE MONITORING OF
CLINICAL TRIALS FOR COOPERATIVE GROUPS AND CCOP RESEARCH BASES.

1.g. Data and Safety Monitoring Committees

The research base must establish and maintain Data and Safety
Monitoring Committees (DSMCs) for Phase III prevention and control
clinical trials.  The policies and procedures of the DSMC must be
approved by the NCI.  The research base must comply with the approved
policies and procedures of the DSMC.

1.h. Protocol Closure

The research base shall establish a mechanism for interim monitoring
of results and monitoring protocol progress.  If the research base
wishes to close accrual to a study prior to meeting the initially
established accrual goal, the interim results and other documentation
should be made available to NCI staff for review and concurrence
prior to closure.  It is recommended that statistical guidelines for
early closure be presented as explicitly as possible in the protocol
in order to facilitate these decisions.  In the event that the DSMC
has recommended early closure, DSMC procedures regarding notification
of DCPC must be followed.

1.i. Protocol Reporting Requirements

Reporting requirements will be in agreement with FDA regulations and
NCI procedures.  Interim reports of each activated and ongoing study
shall appear in the minutes of each research base meeting and shall
include specific data on patient/subject accrual as well as, when
appropriate, detailed reports of treatment-associated morbidity.
Quarterly accrual reports must be provided as appropriate to CTEP for
all active studies.  A system for providing such information in a
timely manner should be in place.

1.j. Annual Progress Report

Annual progress reports, including an annual performance report on
each affiliated CCOP, must be submitted to DCPC.  A suggested format
developed by the DCPC Program Director for this purpose will be
provided.  The DCPC Program Director will review the performance of
each research base.

The annual report will include, at a minimum, information on:
overall case accrual credits; cancer prevention and control research,
existing or planned; eligibility and evaluability of
patients/subjects entered on study; timeliness and quality of data
reporting; and results of quality control review and audits if
performed during that year.

Research base funding is contingent on accrual from affiliated
CCOPs/Minority-Based CCOPs and annual adjustments may be made.  The
inability of a research base to meet the performance requirements set
forth in the Terms and Conditions of Award in the RFA, or significant
changes in the level of performance, may result in an adjustment of
funding, withholding of support, suspension or termination of the
award.

1.k. Adverse Event Procedures

In order to be in compliance with FDA regulations, all recipients of
NCI support for clinical trials, including research bases responsible
for coordinating and monitoring such trials, must promptly report
adverse events (including adverse drug reactions) to the NCI and any
other trial sponsors according to directions provided in the adverse
event reporting section of the protocol.

The awardee will notify all institutions/investigators participating
in this project, funded or unfunded, about the above requirement and
about the institutions'/investigators' responsibility to report
adverse events as specified in the protocol.  The awardee will also
notify the Investigational Drug Branch (IDB),CTEP, DCTDC Drug Monitor
for DCTDC-sponsored investigational agents and the Program Director
for other agents, of serious or life-threatening events, as specified
in the protocol.

1.l. Performance Review

The research base shall establish policies and procedures for
credentialing participating CCOPS and conducting periodic review of
the performance and membership status of each performance site
conducting prevention and control clinical trials.  This review
should examine scientific contributions, patient accrual, data
accuracy and timeliness, protocol compliance, and audit results.

1.m. Data Files Available to NCI Upon Request

Upon the request of the Grants Management Officer, NCI, true copies
of data files and supporting documentation for all NCI-supported
protocols that have a major impact on patterns of care, as determined
by the NCI, shall be made available to the NCI in a timely manner.

1.n. Investigational Drug Management

Investigators performing trials under cooperative agreements will be
expected, in cooperation with DCPC/DCTDC to comply with all FDA
distribution, monitoring, and reporting requirements for
investigational agents.

1.o. Network Participation

Research bases are part of a national network for conducting cancer
treatment and prevention and control clinical trials.  As such, each
research base may be asked to participate in strategy sessions or
workshops and the continuing evaluation of the program and its impact
in the community.

1.p. Federally Mandated Regulatory Requirements

Each research base must establish mechanisms to meet FDA regulatory
requirements for clinical trials involving DCPC/DCTDC-sponsored
investigational agents and DHHS/PHS regulations for the protection of
human subjects.  These regulations include but are not limited to
Title 21 CFR 50,56 and 312 and Title 45 CFR 46.  At a minimum the
research base must be able to:

o demonstrate that each participant has a current approved assurance
on file with the NIH Office for Protection from Research Risks
(OPRR).

o demonstrate that each protocol and informed consent is approved by
the responsible Institutional Review Board (IRB) prior to patient
entry, that each investigator has a current FDA Form 1572 and
curriculum vitae on file with the Pharmaceutical Management Branch,
(PMB), CTEP.

o demonstrate that each patient (or legal representative) gives
written informed consent prior to entry on study.

o implement the CTEP requirement for storage and accounting for
investigational agents provided under DCPC/DCTDC sponsorship.

o establish an on-site audit program for periodic data verification
and review of regulatory responsibilities at each CCOP, cooperative
group member, and Cooperative Group Outreach/cancer center affiliate
institution.

o provide a method, upon DCPC/DCTDC request, of summarizing efficacy
and toxicity data to be included in DCPC/DCTDC's annual reports to
the FDA for each investigational agent.

o establish a method for the timely reporting of all serious and
unexpected toxicities.

1.q. CCOPS/Minority-Based CCOPs

Research bases must agree to affiliate with CCOPs/Minority-Based
CCOPs when they are funded, according to guidelines established by
each research base for its affiliates, and as appropriate.

1.r. Publications

Timely publication of major findings is encouraged.  Publication or
oral presentation of work done under this agreement requires
acknowledgement of NCI support.

1.s. Procedures in the Event of Scientific Misconduct

If a duly authorized governmental or institutional body issues a
final determination that scientific misconduct has occurred or if the
awardee determines that other events have occurred which have
significantly affected the quality or integrity of the Group data or
patient safety, the awardee is responsible for notifying the Group
Data and Safety Monitoring Committee (DSMC), the CTMB, the
collaborating investigators, the appropriate Institutional Review
Boards (IRBs), and other sponsors of the affected work. The awardee
is also responsible, if the events described above have occurred, for
ensuring that submitted but unpublished abstracts and manuscripts are
corrected, if possible.  If publication deadlines have passed or if
abstracts and/or manuscripts containing the affected data have
already been published, the awardee is responsible, within 90 days
after learning of the event(s) significantly affecting the quality of
the Group data or patient safety, for submitting to NCI a re-analysis
of the results deleting the false or otherwise unreliable data, and
disclosing within the text the reason(s) for the reanalysis.  The
awardee must submit the reanalysis for publication.  The NCI may
disseminate information about the reanalysis as broadly as it deems
necessary.

The awardee must use its best efforts to notify all scientists,
research laboratories, and other organizations to which the awardee
has sent research materials affected by false or otherwise unreliable
data.

True copies of data files and other supporting documentation from
studies affected by scientific misconduct or other findings affecting
the quality or integrity of data or patient safety shall be made
available to the NCI in a timely manner upon the request of the
Grants Management Officer, NCI.  The NCI reserves the right to
reanalyze, to publish, or to distribute its analyses of these data
when it is in the interest of public health.  Prior to release,
publication or distribution of such analyses, the NCI will provide
such analyses to the awardee.

1.t. Notification of Patients by the Awardee During Patient's
Lifetime

In order for there to be an appropriate response in the event the NCI
determines, either while a protocol is active or (if relevant) during
the lifetime of the subjects following protocol closure, that a
medically important toxicity or side effect is associated with
protocol-directed treatment or that the medical care of one or more
subjects may have been compromised by scientific misconduct or other
finding affecting the integrity of the data or patient safety at the
awardee institution or at a third-party institution, funded or
unfunded, the awardee shall assure that the institution(s)
responsible for these subject(s') accrual, whether funded or
unfunded, will have procedures in place to; (a) contact each subject
individually at his or her last known address on file with the
institution and which give each subject contacted appropriate
information and the right to communicate with an appropriate
institutional representative and, in the event of misconduct, to meet
with a physician not connected with the clinical trial or study in
which the subject has participated; and (b) encourage subjects to
notify the institution of any changes of address.  The procedure must
provide for informing the subjects fully of the consequences of the
toxicity or misconduct for their care and well-being, if any, and the
availability of follow-up; and their opportunity to examine any
portion of their medical records relevant to the potential effect of
the toxicity or side effect upon them or that may be affected by
scientific misconduct or other findings affecting the quality or
integrity of the data or patient safety.

It is understood that under regulations at 45 CFR Section 74.53, NCI
has a right of access to research records pertinent to the NCI
funding.  In exceptional circumstances, such as a public health
emergency, the institutions will be required to provide subject names
and treatments to the NCI in a format which allows direct
notification of the patient by the NCI.

2.  Nature of NCI Staff Involvement

2.a. Scientific Resource

The Division of Cancer Prevention and Control (DCPC) and Division of
Cancer Treatment, Diagnosis, and Centers (DCTDC) staff will serve as
a resource for specific scientific information on cancer prevention
and control clinical trials, treatment regimens, and clinical trial
design.  The DCPC Program Director will assist the research base as
appropriate in developing information concerning the scientific basis
for specific trials and will also be responsible for advising the
research base of the nature and results of relevant trials being
carried out nationally or internationally.  The DCPC Program Director
will sponsor strategy sessions when indicated, attended by leading
investigators from the research bases, other extramural scientists,
and appropriate experts to discuss specific research initiatives.
The Investigational Drug Branch (IDB), Cancer Therapy Evaluation
Program (CTEP), DCTDC,  Chemoprevention Branch (CB), DCPC, through
the DCPC Program Director, will provide updated information on the
efficacy, toxicity and availability of all Investigational New Drugs
(INDs) supplied by NCI to the research base.

2.b. Protocol Development

The protocol should be a document mutually acceptable to the research
base and to DCPC/DCTDC.  Communication at the various stages of
development is encouraged.  DCPC/DCTDC will assist the research base
in protocol design as appropriate by providing information regarding:
a) the existence and nature of concurrent clinical trials in the area
of research, with an emphasis on preventing duplication of effort; b)
relevant pharmacokinetic and pharmacodynamic data on investigational
agents; c) availability of investigational agents, including biologic
response modifiers; d) feasibility and appropriateness of the
research for use by the CCOPs and/or in a community setting; and e)
basic research in cancer centers and other NCI-funded programs which
may be ready for clinical trials.  DCPC/DCTDC will also comment on
the scientific rationale, programmatic relevance, priority, design,
statistical requirements, and implementation of the proposed study.

2.c. Concept/Protocol Review

All research base protocols utilized by the CCOPs must be reviewed
and approved for CCOP use by the (CCPRC), DCPC, NCI and/or the (PRC),
DCTDC, NCI, prior to implementation.

The major considerations in protocol review by DCPC or DCTDC include;
a) strength of the scientific rationale supporting the study; b)
importance of the question being proposed; c) avoidance of
undesirable duplication with ongoing clinical trials; d)
appropriateness and feasibility of study design; e) satisfactory
projected accrual rate and follow-up period; f) patient/subject
safety; g) compliance with NIH and the federal regulatory
requirements; h) adequacy of data management; and i) appropriateness
of patient/subject selection, evaluation, assessment of toxicity,
response to intervention, and follow-up.

The DCPC/DCTDC review committee chairperson will provide the research
base with a consensus review that describes recommended modifications
and other suggestions as appropriate.  If a protocol is disapproved,
reasons will be communicated to the research base principal
investigator as a consensus review within a reasonable time.

The DCPC Program Director will work with the research base, where
appropriate, to develop a mutually acceptable protocol compatible
with the research interests, abilities, and needs of the base, its
affiliates, and NCI.  Credit will be assigned following final
approval of the protocol.

NCI will not provide investigational drugs, permit expenditure of NCI
funds, or allow accrual credit for a protocol that has not been
approved.

2.d. Data Management and Analysis

The awardees will retain custody of and primary rights to their data;
however, DCPC/DCTDC will have access to all data generated under this
award.  The DCPC Program Director or a DCTDC representative may
review data management and analysis procedures of the research base,
under mutually agreeable circumstances, for consistency with policies
and procedures established by DCPC/DCTDC for awardees conducting
cancer treatment and prevention and control clinical trials.

Data must also be available for external monitoring if required by
NCI's agreement with other federal agencies, such as the Food and
Drug Administration (FDA) and by NCI's agreements with pharmaceutical
companies for the co-development of investigational agents.

2.e. Quality Control and Monitoring

The Clinical Trials Monitoring Branch (CTMB), CTEP, DCTDC/DCPC
Program Director may review quality control and monitoring procedures
of the research base including the on-site auditing program for
consistency with policies and procedures established by DCTDC/DCPC
for awardees conducting cancer treatment and prevention and control
clinical trials.

2.f. Review of Quality Control and Study Monitoring

The DCPC and CTMB/CTEP will review and provide advice regarding
mechanisms established for study monitoring including the on-site
auditing program.

DCPC/CTEP and/or its contractor staff may attend as observers, the
on-site audits conducted by the Research Base or its NCI designee.
The frequency of participation by an NCI representative as observer
will be determined by the NCI.

2.g. Data and Safety Monitoring Committees

The NCI Staff will assess the research base compliance with NCI
established policies on Data and Safety Monitoring Committees for
Phase III trials.  One or more DCPC/CTEP staff will serve as non-
voting members on the DSMC.

2.h. Investigational Drug Management

The Regulatory Affairs Branch, CTEP, DCTDC, and CISB, CPRP, DCPC,
staff will advise investigators of specific requirements and changes
in requirements concerning investigational drug management that the
FDA may mandate.

2.i. Program Review

Annual progress reports, including an annual performance report on
each affiliated CCOP, must be submitted to DCPC.  DCPC staff will
provide a suggested format for this purpose.  The DCPC Program
Director will review the progress of each research base through
consideration of the research base quarterly accrual reports, annual
report and program site visits. The DCPC program director will make
funding recommendations based on accrual from affiliated
CCOPs/Minority-Based CCOPs and annual adjustments in funding may be
made.  The inability of a research base to meet the performance
requirements set forth in the Terms and Conditions of Award in the
RFA, or significant changes in the level of performance, may result
in an adjustment of funding, withholding of support, suspension or
termination of the award.

2.j. Protocol Closure

DCPC/DCTDC will review research base mechanisms for interim
monitoring of results and will monitor protocol progress.  DCPC/DCTDC
may request that a protocol study be closed for reasons including:
a) insufficient accrual rate; b) accrual goal met; c) poor protocol
performance; d) patient/subject safety; e) already conclusive study
results; and f) emergence of new information which diminishes the
scientific importance of the study question.

NCI will not provide investigational drugs, permit expenditure of NCI
funds, or allow accrual credit for a study after requesting closure
(except for patients already on study).

2.k. Federally Mandated Regulatory Requirements

The DCPC Program Director and a DCTDC representative will review
mechanisms established by each research base to meet Department of
Health and Human Services (DHHS)/Public Health Service (PHS)
regulations for the protection of human subjects and FDA requirements
for the conduct of research using investigational agents.

2.l. CCOPs/Minority-Based CCOPs

The DCPC Program Director will notify research bases when
CCOPs/Minority-Based CCOPs are funded.

2.m. Arbitration Process

The Terms and Conditions of Award require that the DCPC Program
Director make post-award decisions related to protocol review,
program performance and adjustments in funding.  NCI will establish
an arbitration process when a mutually acceptable agreement cannot be
obtained between the awardee and NCI staff.  An arbitration panel
(with appropriate expertise) composed of one member of the recipient
group, one NCI nominee, and a third member chosen by the other two
will be formed to review the NCI decision and recommend an
appropriate course of action to the Director, DCPC.  These special
arbitration procedures in no way affect the awardee's right to appeal
an adverse action in accordance with PHS regulations 42 CFR Part 50,
Subpart D, and DHHS regulations 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 is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This policy results from
the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43).

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

LETTER OF INTENT

Prospective applicants are asked to submit, by July 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 subsequent applications, the information
that it contains is helpful in planning for the review of
applications.  It allows NCI staff to estimate the potential review
workload and to avoid possible conflict of interest in the review.

The letter of intent is to be sent to:

Jeffrey A. Perlman, M.D., M.Sc.
Division of Cancer Prevention and Control
National Cancer Institute
6130 Executive Boulevard, Room 300-D - MSC-7340
Bethesda, MD  20892-7340
Telephone:  (301) 496-8541
Email:  PerlmanJ@dcpcepn.nci.nih.gov

APPLICATION PROCEDURES

A. PREPARATION OF APPLICATION

General instructions for the preparation of the cooperative agreement
application are contained in the Grant Application Form PHS-398 (rev.
5/95). Responses to the instructions concerning "Human Subjects"
verification must be provided when the application is initially
submitted.

1. CCOP Applicants

Because the Terms and Conditions of Award (discussed in the SPECIAL
REQUIREMENTS Section above) will be included in all awards issued as
a result of this RFA, it is critical that each applicant include
specific plans for responding to these terms.  Plans must describe
how the applicant will comply with NCI staff involvement as well as
how all the responsibilities of awardees will be fulfilled.

An application from a currently funded program will be a competitive
continuation and must include a progress report, which at a minimum
consists of: (1) a summary of prior CCOP activities/accomplishments,
including a clear presentation of annual accrual over the funding
period.  Accrual tables from previous annual progress reports should
be included.  A summary of accrual to all cancer treatment and a
summary of accrual to all cancer prevention and control protocols by
gender and ethnicity must be provided; progress in meeting DCPC's
established accrual goals must be presented;  (2) a plan for
continuing to meet prevention and control accrual requirements
including plans for follow-up of subjects from the large prevention
trials as well as plans for implementation of additional cancer
control protocols; (3) tables of the current budget and FTEs with a
justification for any request for additional resources; (4) an
evaluation of CCOP performance by affiliated research base(s); and
(5) a complete description of how the applicant has met the special
cooperative agreement terms and conditions of the award.

For ALL Applicants:

1.a. Each applicant must delineate its catchment area.  A map of the
service area, designating counties or zip codes from which
approximately 80 percent of the patients will be drawn, should be
provided.  A description of other cancer care resources in the
catchment area (i.e., hospitals, clinics, physicians, cancer centers)
which are not part of the application should be included.  In
describing the study population, a breakdown by percentage of the
gender and minority composition of the study population should be
provided.  This information may be based on the institutional records
and/or prior experience.

1.b. Each applicant must demonstrate the potential and stated
commitment to accrue a minimum of 50 credits per year to treatment
clinical trials (except if waived for applicants whose specialty is
pediatrics or those with an outstanding record in cancer prevention
and control accrual).  Documentation must include any prior
participation in treatment research clinical trials with a clear
presentation of the total number of patients and credits accrued to
NCI-approved treatment clinical trials.

A list of the NCI approved treatment protocols in which the applicant
expects to participate and the projected accrual to each must be
provided.  Plans for recruiting women and minority participants must
be included.

1.c. Each applicant must demonstrate the potential and plans for
accrual of a minimum of 50 credits per year to cancer prevention and
control protocols. Documentation must include any prior participation
in cancer prevention and control research clinical trials with a
clear presentation of the total number of patients and credits
accrued to NCI approved cancer prevention and control clinical
trials.  A list of the NCI approved prevention and control protocols
in which the applicant expects to participate and the projected
accrual must be provided.  Plans for recruiting women and minority
subjects must be included.

For NEW Applicants:

New applicants must provide at least two examples of NCI-approved
intervention cancer prevention and control protocols appropriate for
CCOP's participation. The applicant should describe their
implementation, including specifics on patient/subject recruitment,
compliance and follow-up.  These studies must come from research
base's with which they propose to affiliate.

The CCOP applicant must document the ability to access the
appropriate physicians and patient/subject populations, and adequate
facilities to participate in the proposed clinical trials.

1.d. A designated Principal Investigator is required.  An associate
principal investigator should also be named to assure continuity in
the event of resignation of the principal investigator.  The
qualifications and experience of both, in terms of ability to
organize and manage a community oncology program that includes cancer
treatment and prevention and control research and related activities,
as well as experience in accruing patients/subjects to treatment and
cancer prevention and control clinical trials must be described.

1.e. Each applicant is expected to have a committed multidisciplinary
professional group appropriate for its expected protocol
participation.  This team may include medical oncologists, surgeons,
radiation oncologists, pathologists, oncology nurses, data managers,
health educators, and other disciplines (e.g., gynecology, urology,
pediatrics, internal medicine, family practice) as appropriate.  The
training and experience of participating physicians must be provided,
along with a description of working relationships. Any experience
working together as a group, particularly in implementing clinical
cancer treatment and prevention and control research and related
activities, should be included.  An organizational chart showing how
the group will function must also be included.

1.f. Each applicant must provide the qualifications and experience of
all proposed support personnel as well as a description of the
proposed duties for each position.

1.g. Through formal affiliations with a maximum of five research
bases, only one of which may be a national multi-specialty
cooperative group, each applicant must demonstrate access to both
cancer treatment and prevention and control research protocols.
Evidence must be provided that an affiliation has been established
with at least one NCI-approved research base which has the capacity
to provide both clinical cancer treatment and prevention and control
protocols.  In addition, affiliations with research bases offering
only cancer prevention and control protocols are appropriate.  The
conditions of affiliation must be provided in the CCOP-research base
affiliation agreement(s).  Initial affiliations should be maintained
during the funding cycle.

Multiple research base affiliations are permitted provided they are
not conflicting.  The affiliation agreements must state specifically
how the problem of competing protocols will be resolved.

Note:  A list of currently eligible research bases may be obtained
>From the program official listed in the Letter of Intent Section.

1.h. Quality control procedures must be described in detail.
Assurance of quality is the joint responsibility of the CCOP and its
research base(s). Quality control procedures of the research base
will be applied to the CCOPs and should be specified in the CCOP-
research base affiliation agreement.

Procedures for investigational drug monitoring and data management
must also be described.

1.i. The availability of facilities, including laboratories,
inpatient and outpatient resources, cancer registries, etc., must be
described.  A statement of commitment from each participating
institution or organization and/or documentation of consortium
arrangements must be provided.  Evidence of involvement with
community-based voluntary organizations may be submitted.  In
addition, each applicant must have a defined space for administrative
activities and administrative personnel which will serve as a focus
for data management, quality control, and communication.

1.j. Allocation of funds to support community costs for receipt,
handling, and quality control of patient data must be specified.
Allowable items in the budget are requests for full or part-time
administrative personnel, clinical research associates, data
managers, and study assistants; supplies and services directly
related to study activities (e.g., processing and sending material
for pathology review, processing and sending port films for radiation
therapy quality control); and appropriate travel to meetings directly
related to study activities (e.g., research base meetings,
NCI-sponsored strategy sessions/workshops, local travel).  Funding is
not allowed for clinical care provided to patients (e.g.,
reimbursement of patient care expenses; transportation costs).
Funding is not allowed for clinical support personnel (e.g.
pharmacist, physicist, clinical psychologist, dosimetrist).
Physician compensation is only an allowable cost for the Principal
Investigator (PI) and Co-PI, specifically for time spent on CCOP
organizational/administrative tasks.  Justification must be provided
for personnel time, effort and funds requested.

2. RESEARCH BASE Applicants

Because the Terms and Conditions of Award (discussed in the Special
Requirements Section above) will be included in all awards issued as
a result of this RFA, it is critical that each applicant include
specific plans for responding to these terms.  Plans must describe
how the applicant will comply with NCI staff involvement as well as
how all the responsibilities of awardees will be fulfilled.

An application from a currently funded research base will be a
competitive continuation and must include a progress report, which at
a minimum consists of: 1) a summary of prior research base
activities/accomplishments, including a clear presentation of annual
accrual to cancer treatment and annual accrual to cancer prevention
and control protocols (gender and racial/ethnic minority composition)
>From affiliated CCOPs over the funding period; 2) progress in
developing and implementing a cancer prevention and control research
program. Include the process and organizational structure for
protocol development and implementation, selection and evaluation
(auditing) of performance sites, data management, quality control,
statistical analysis, and study safety monitoring; 3) a clear
presentation of annual accrual to each NCI-approved prevention and
control clinical trial for CCOPs, and research base members and
affiliates; (4) status of concepts and protocols under development;
(5) a description of how the applicant has met the special
cooperative agreement terms and conditions of the award.

Cooperative groups must participate in both cancer treatment and
prevention and control clinical trials; cancer centers may
participate in cancer treatment and prevention and control clinical
trials or cancer prevention and control research only.

In describing the study population, it is required that a description
of the gender and minority population and subpopulation served be
provided, as well as an outreach plan.  This information may be based
on the institutional records and/or prior experience.

2.a. Each applicant must demonstrate the ability to design and
implement multi-institutional treatment clinical trials (if
applicable).

A list of treatment protocols available for CCOP participation must
be provided.

2.b. Each applicant must demonstrate the ability to design and
implement multi-institutional cancer prevention and control clinical
trials.

A list of cancer prevention and control protocols available for CCOP
participation must be provided.

New research base applicants must also provide a least two examples
of active or proposed cancer prevention and control intervention
clinical trials and describe plans for study design, intervention(s),
and statistical considerations; access to potential patients/subjects
to be studied; and procedures for data management, quality control,
and follow-up.  The availability of appropriate expertise to design,
implement, and analyze the results of the proposed clinical trials
must be documented.

2.c. Each applicant must have an organizational structure for
involving appropriate personnel in the design and implementation of
treatment and/or cancer prevention and control research.  An

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ALCOHOL, HORMONES, AND MEDICAL COMPLICATIONS

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA NUMBER:  PA-97-062

P.T. 34; K.W. 0404003, 0760025, 0710010, 0755030

National Institute on Alcohol Abuse and Alcoholism
National Institute on Aging
National Institute of Diabetes and Digestive and Kidney Diseases

PURPOSE

The National Institute on Alcohol Abuse and Alcoholism (NIAAA)
invites applications to investigate how alcohol-induced hormonal
changes can lead to medical complications. Alcohol intake can
influence the synthesis, secretion, and action  of many hormones
resulting in physiological and pathological disturbances.  Either
blunting or overstimulation of hormonal activities can disturb
intercellular signaling and create adverse consequences.  For
example, alcohol-induced hormonal changes are associated with
pancreatitis, perturbed alcohol metabolism and associated liver
injury, osteoporosis, immune system impairment, and impaired
fertility. Studies are encouraged to establish cause-and-effect
relationships and to clarify the biochemical and molecular mechanisms
by which alcohol influences the synthesis, secretion and action of
various hormones.  Also, studies are encouraged to interpret the
mechanisms of interactive effects of alcohol and hormones which may
cause tissue injury. Such studies will provide information that can
be used to ameliorate alcohol-hormone-related medical complications.

The National Institute on Aging (NIA) is interested in research
applications examining how alcohol use influences the development of
age-related changes in the endocrine system.

The Endocrinology Research Programs at the National Institute of
Diabetes and Digestive and Kidney Diseases (NIDDK), in particular,
are interested in studies which focus on hormonal regulation of gene
expression under normal and pathological conditions, including
alcohol-induced altered conditions of hormonal release and response.
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 is related to the priority area of reducing the medical
complications of alcohol abuse and alcoholism.  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, D.C. 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 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) Awards (R29).

MECHANISM OF SUPPORT

Research support may be obtained through applications for a research
project grant (R01) or First Independent Research Support and
Transition (FIRST) Award (R29).  Applicants may also submit
Investigator-Initiated Interactive Research Project Grants (IRPG)
under this program announcement.  Interactive Research Project Grants
require the coordinated submission of related regular research
project grant applications and, to a limited extent, FIRST Award
applications from investigators who wish to collaborate on research,
but do not require extensive shared physical resources.  Further
information on the IRPG mechanism is available in program
announcement PA-96-001, NIH Guide for Grants and Contracts, Vol. 24,
No. 35, October 6, 1995, and from the program staff listed under
INQUIRIES at the end of this announcement. The FIRST Award and IRPG
program announcements are also available on the NIAAA Home Page at
http://www.niaaa.nih.gov. Program project grant applications (P01)
will not be accepted for this announcement. Investigators who wish to
submit an application that requests more than $500,000 for direct
costs in any one year must contact program staff prior to submitting
an application.

RESEARCH OBJECTIVES

Examples of important research on consequences of alcohol-induced
hormone disorders include, but are not limited to the following:

1.  Alcoholic Liver Disease (ALD):

Despite recent advances in our understanding of ALD, it remains a
major cause of mortality and morbidity in this country. Of the 25,407
people who died of cirrhosis in this country in 1992, at least 11,868
deaths were due to alcoholic cirrhosis (NIAAA, 1996). Alcohol-induced
liver damage occurs not only from exposure to high blood alcohol
concentrations in the portal circulation, but also from toxic
metabolites generated by alcohol metabolism. The metabolism of
alcohol is known to generate reactive oxygen intermediates (ROI)
which have been implicated in the genesis of ALD. In addition,
alcohol metabolism is influenced by a number of hormones. For
example, the activity of liver alcohol dehydrogenase (ADH) is
influenced by growth hormone (GH), testosterone,  thyroid hormones,
and glucocorticoids (Mezey et al., 1993), the plasma levels of which
are affected by alcohol.  Also, GH, known to be influenced by alcohol
intake, was shown to regulate the production of CYP2E1 in hepatic
microsomes (Chen et al., 1995). Whether alcohol-induced hormone
alterations  can significantly  influence the course of liver injury
via modulating the activities of ADH and CYP2E1 and subsequent
alcohol metabolism needs investigation.  Women are more susceptible
than men to alcohol-induced liver injury (NIAAA, 1993) which could be
due in part to the effects of estrogen.  Estrogen has recently been
shown to sensitize Kupffer cells to LPS leading to increased
production of NO and TNF,  known mediators of liver injury (Ikejima
et al., 1996). The role of alcohol-induced changes in sex hormones in
the susceptibility to  liver injury needs clarification.

2.  Pancreatitis:

Chronic alcohol abuse is associated with 70 to 80 percent of cases of
chronic pancreatitis in this country (Serles et al., 1989), affecting
about 100,000 people annually. This condition can lead to
maldigestion, diabetes, and pancreatic cancer. Animal studies suggest
that premature activation of pancreatic enzyme precursors within the
pancreas itself injures the tissue by autodigestion, triggering the
process of pancreatitis. Chronic alcohol intake increases the
activity of pancreatic proteolytic enzymes (Ponnappa et al., 1990).
Several studies suggest that the intestinal hormone cholecystokinin
(CCK)  is associated with alcohol-induced pancreatitis.  In rats,
both intragastric and intravenous infusions of alcohol increase by
several-fold the plasma levels of CCK ( Liddle et al., 1984; Saluja
et al., 1993), a hormone known to stimulate pancreatic enzymes. In
addition, a CCK analogue (caerulin) induces pancreatitis in
experimental animals (Saluja et al., 1987). Furthermore, alcohol-fed
rats were  more susceptible than control rats to the development of
caerulin-induced pancreatitis (Quon et al., 1991). Studies are
required to elucidate the molecular and biochemical mechanisms by
which alcohol stimulates the synthesis and/or  secretion of CCK from
the intestinal epithelial cells.

3.  Osteoporosis:

Chronic heavy alcohol intake is associated with decreased bone
mineral density, increased bone loss, and increased risk for  bone
fractures (Bikle, 1993; Griffiths et al., 1993). An estimated 20-25
million Americans are afflicted with osteoporosis, resulting in an
estimated 1.5 million fractures each year (Peck et al., 1988).
Adverse effects of alcohol on bone appear to be direct as well as
indirect. Alcohol directly inhibits the proliferation and function of
the bone forming cells, osteoblasts (Chavassieux et al., 1993) and
increases the activity of the bone resorbing cells, osteoclasts
(Cheung et al., 1995).  In addition, alcohol can influence the plasma
levels of various hormones which play important roles in the bone
remodeling process. For example, chronic alcohol consumption can
depress plasma levels of testosterone (Mendelson et al., 1978),
required for maintaining bone mineral density in males  (Rosen et
al., 1995).

In women, estrogens  are required for maintaining bone integrity as
observed by the increased incidence of osteoporosis in postmenopausal
women. Surprisingly, moderate alcohol consumption in postmenopausal
women is associated with increased plasma levels of estradiol (Tivis
and Gavaler, 1994), a hormone commonly used to prevent bone loss in
postmenopausal women. Furthermore, both moderate  (Laitinen et al.,
1991) and heavy (Felson et al., 1995) alcohol intake were associated
with increased bone mineral density in postmenopausal women. In
contrast, in premenopausal women, alcohol consumption was not
associated with increased plasma estrogens levels (Dorgan et al.,
1994), and there was a negative correlation between alcohol intake
and axial bone mineral density (Stevenson et al., 1989).  Alcohol
also influences plasma levels of other hormones which regulate the
bone remodeling process, such as GH, glucocorticoids, parathyroid
hormone, vitamin D3, and calcitonin. It is important to understand
the mechanisms  of hormone-mediated effects of alcohol on bone
formation and bone resorption.

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.

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 Division of Extramural Outreach and Information
Resources, National Institutes of Health, 6701 Rockledge Drive, MSC
7910, Bethesda, MD 20892-7910, telephone 301/435-0715, E-mail:
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. Applications for the FIRST Award (R29) must include at
least three sealed letters of reference attached to the face page of
the original application.  FIRST Award (R29) applications submitted
without the required number of reference letters will be considered
incomplete and will be returned without review.

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  20817-7710 (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 the applications under review will be discussed, assigned a
priority score, and receive a second level review by the appropriate
national advisory council.

Review Criteria

Criteria to be used in the scientific and technical merit review of
alcohol research grant applications will include the following:

1.  The scientific, technical, or medical significance and
originality of the proposed research.

2.  The appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research.

3.  The adequacy of the qualifications (including level of education
and training) and relevant research experience of the principal
investigator and key research personnel.

4.  The availability of adequate facilities, general environment for
the conduct of the proposed research, other resources, and
collaborative arrangements necessary for the research.

5.  The reasonableness of budget estimates and duration in relation
to the proposed research.

6.  When applicable, the adequacy of procedures to protect or
minimize effects on animal and human subjects and the environment.

7.  When applicable, compliance with NIH policy on inclusion of women
and minorities in research involving human subjects.

The review criteria for FIRST Awards (R29) are contained in the FIRST
program announcement (revised August 1996).

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications.  Applications approved by the appropriate National
Advisory Council will be considered for funding on the basis of the
overall scientific and technical merit of the application as
determined by peer review, programmatic needs and balance, and the
availability of funds.

INQUIRIES

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

Direct inquiries regarding scientific aspects of proposed research
to:

Vishnudutt Purohit,  Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 402 MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-4224
FAX:  (301) 594-0673
Email: vpurohit@willco.niaaa.nih.gov

Jules Selden, V.M.D., Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 402 MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-2678
FAX:  (301) 594-0673
Email:  jselden@willco.niaaa.nih.gov

Frank Bellino, Ph.D.
Biology of Aging Program
National Institute on Aging
Gateway Building, Suite 2C231
Bethesda, MD  20892-9205
Telephone:  (301) 496-6402
FAX:  (301) 402-0010
Email:  bellinof@gw.nia.nih.gov

Ronald N. Margolis, Ph.D.
Endocrinology Section
National Institute of Diabetes and Digestive and Kidney Diseases
Building 45, Room 5AN-12J
Bethesda, MD  20892-6600
Telephone:  (301) 594-8819
FAX:  (301) 480-3503
Email:  rm76f@nih.gov

Direct inquiries regarding fiscal matters to:

Linda Hilley
Office of Planning and Resource Management
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 504 MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-3891
Email:  lhilley@willco.niaaa.nih.gov

Robert Pike
Grants and Contracts Management Office
National Institute on Aging
Gateway Building, Suite 2N212
Bethesda, MD  20892
Telephone:  (301) 496-1472
FAX:  (301) 402-3672
Email:  pikeb@gw.nia.nih.gov

Kim Law
Grants Management Specialist
National Institute of Diabetes and Digestive and Kidney Diseases
Building 45, Room 6AS-49A
Bethesda, MD  20892-6600
Telephone:  (301) 594-8869

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, Nos. 93.273 (NIAAA), 93.866 (NIA), and  93.847 (NIDDK).
Awards are made under the authorization of the Public Health Service
Act, Sections 301 and 464H, and administered under the PHS policies
and Federal Regulations at Title 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 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.

References:

Bikle DD: Alcohol-induced bone diseases. World Rev Nutr Diet
73:53-79, 1993

Chavassieux P, Serre CM, Vergnaud P, Delmas PD, Meunier PJ: In Vitro
evaluation of dose effects of ethanol on human osteoblastic cells.
Bone Mineral 22:95-103, 1993

Chen G, Ronis MJ, Badger TM: Pituitary Regulation of rat hepatic
microsomal CYP2E1. Toxicologist 15:113, 1995

Cheung RCY, Gray C, Boyde A, Jones SJ: Effects of ethanol on bone
cells in vitro resulting in increased resorption. Bone 16:143-147,
1995

Dorgan JF, Reichman ME, Judd JT, Brown C: The relationship of
reported alcohol ingestion to plasma levels of estrogens and
androgens in premenopausal women. Cancer Causes Control 5:53-60, 1994

Felson DT, Zhang Y, Hannan MT, Kannel WB, Kiel DP: Alcohol intake and
bone mineral density in elderly men and women. Am J Epidemiol
142:485-492, 1995

Griffiths HJ, Parantainen H, Olson P: Alcohol and bone disorders.
Alcohol Health and Res World 17:299-304, 1993

Keith LD, Crabbe JC, Robertson LM, Kendall JW: Ethanol stimulated
endorphin and corticotropin secretion in vitro. Brain Res
367:222-229, 1986

Laitinen KL, Valimaki M, Keto P: Bone mineral density measured by
dual energy X-ray absorptiometry in healthy Finnish women. Calcif
Tissue Int 48:224-231, 1991

Liddle RA, Goldfine ID, Williams JA: Bioassay of plasma
cholecystokinin in rats: effects of food, trypsin inhibitor, and
alcohol. Gastroenterology 87:542-549, 1984

MacGregor RR: Alcohol and immune defense. JAMA 256:1474-1479, 1986

Mendelson JH, Ellingboe J, Mello NK, Kuehnle J: Effects of alcohol on
plasma testosterone and luteinizing hormone levels. Alcohol Clin Exp
Res 2:255-258, 1978

Mezey E, Potter JJ, Yang VW: Hormonal regulation of the rat class I
alcohol dehydrogenase. Alcohol Alcohol Suppl 2:57-62, 1993

NIAAA: Alcohol and Health. Eighth Special Report to the U.S.
Congress, NIAAA, NIH, PHS, DHHS, pp 166, 1993

NIAAA: State trends in alcohol-related mortality, 1979-1992. Alcohol
Epidemiological Data Reference Manual 5, First Edition:166-171, 1996

Peck WA, Riggs BL, Bell NH, Wallace RB, Johnston CC, Gordon SL:
Research directions in osteoporosis. Am J Med 84:275-282, 1988

Ponnappa BC, Hoek JB, Jubinski E: Ethanol withdrawal stimulates
protein synthesis in rat pancreatic lobules. Biochem Biophys Acta
1036:107-112, 1990

Quon MG, Kugelmas M, Wood RL, Chandrasoma P, Valenzuela JE: Cellular
events of caerulin-induced pancreatitis in alcoholic rats.
Gastroenterology 100:A295, 1991

Redei E, Branch BJ, Taylor AN: Direct effect of ethanol on
adrenocorticotropin (ACTH) release in vitro. J Pharmacol Exp Ther
237:59-64, 1986

Rivier C, Bruhn T, Vale F: Effect of ethanol on the
hypothalamic-pituitary-adrenal axis in the rat: Role of
corticotropin-releasing Factor (CRF). J Pharmacol Exp Ther
229:127-131, 1984

Rivier C: Alcohol stimulates ACTH secretion in the rat: mechanisms of
action and interactions with other stimuli. Alcohol Clin Exp Res
20:240-254, 1996

Rosen HN, Tollin S, Balena R, Middlebrooks VL: Bone density is normal
in male rats treated with finasteride. Endocrinology 136:1381-1387,
1995

Saluja A, Hashimoto S, Saluja M, Powers RE, Meldolesi J, Steer ML:
Subcellular redistribution of lysosomal enzymes during
caerulin-induced pancreatitis. Am J Physiol 253(4 Pt 1)G508-16, 1987

Saluja A, Maitre N, Runzi M, Saluja M, Dawya R, Nishino H, Steer ML:
Ethanol-induced increase in plasma cholecystokinin level mediated by
the release of CCK-releasing into the duodenum. Gastroenterology
104:A333, 1993

Sarles H, Bernard JP, Johnson C, Chir M: Pathogenesis and
epidemiology of chronic pancreatitis. Ann Rev Med 40:453-468, 1989

Stevenson JC, Lees B, Davenport, M, Cust MP, Ganger RF: Determinants
of bone density in normal women: risk factors for future
osteoporosis. Br Med J 298:924-928, 1989

Tivis LJ, Gavaler JS: Alcohol, hormones, and health in postmenopausal
women. Alcohol Health and Research World 18:185-191, 1994

Wand G: Differential regulation of anterior pituitary corticotrope
function is observed in vivo but not in vitro in two lines of ethanol
sensitive mice. Alcohol Clin Exp Res 14:100-106, 1990

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PLANNING GRANTS FOR NCI CANCER RESEARCH CENTERS

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA NUMBER:  PAR-97-063

P.T. 04; K.W. 0715035, 0413001, 0745020, 0745027

National Cancer Institute

Application Receipt Date:   January 7

PURPOSE

The Cancer Centers Branch (CCB), Division of Cancer Treatment,
Diagnosis, and Centers (DCTDC), of the National Cancer Institute
(NCI) invites planning grant applications for the development of
Cancer Research Centers in a variety of organizational settings.  The
purpose is to expand the scientific, geographic and demographic
diversity of the Cancer Centers Program of the NCI by encouraging
research-oriented organizations to develop the qualities of a strong
cancer research center and become competitive for a Cancer Center
Support Grant.  Cancer center planning strategies may focus on a
specific research theme (e.g. diagnosis, therapy, epidemiology) or
integrate a broad spectrum of research to include the basic,
clinical, prevention and control, and population sciences (i.e., an
NCI-designated comprehensive cancer center). All approaches to
planning cancer centers are encouraged, as long as they address the
six essential features of an NCI Cancer Center (i.e. cancer focus,
institutional commitment, organizational capabilities, facilities,
center director authority, and interdisciplinary coordination and
collaboration) and as long as they take advantage of the full range
of the organization's capabilities in cancer research.

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, Planning Grants for Cancer Research Centers, is related to the
priority area of cancer.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report: Stock No. 017-001-00473-0 or
Summary Report: Stock No. 017-001-00473-1) through the Superintendent
of Documents, Government Printing Office, Washington DC 20402-9235
(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, and laboratories units of State and local governments, and
eligible agencies of the Federal government.  Applications may be
>From a single institution or several institutions (collaborating
institutions or consortia) that do not have a Cancer Center Support
Grant (CCSG), is not one of a set of collaborating institutions that
make up a CCSG-supported NCI cancer center, or has not been supported
by a CCPG or a CCSG in the last three years.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as principal investigators.

MECHANISM OF SUPPORT

Support for the planning and development of NCI cancer research
centers will be through the National Institutes of Health (NIH)
planning grant (P20) mechanism, which the NCI refers to in this PA as
the cancer center planning grant (CCPG).  CCPGs provide up to
$175,000 in direct costs in the first year with cost-of-living
increases in future years according to existing NCI policy.
Applicants may request up to five (5) years of support.

Applicants will be responsible for the execution of all activities
supported by this grant.  Applications submitted in response to this
program announcement will compete with other CCPG applications
submitted during the same fiscal year.  The time and amount of all
CCPG awards will be contingent upon the recommendations of peer
reviewers and the availability of funds.  Awards will be administered
under PHS grants policy as stated in the Public Health Service Grants
Policy Statement (rev. 4/94).

RESEARCH OBJECTIVES

Background:

The Cancer Centers Program of the NCI currently supports
multidisciplinary cancer research centers in a variety of
institutions through the Cancer Centers Support Grant (P30)
mechanism).  Since the National Cancer Act of 1971, the legislative
charge of the Program has been to support cancer centers that perform
research in the basic, clinical, prevention and control, and
population sciences; that promote and enhance multidisciplinary,
interdisciplinary and translational research; and that influence how
the results of research are coupled to medical practice in the
communities and regions that they serve. While every cancer center
does not meet all of these broad expectations (i.e. some are
specialized in their research approaches), all cancer centers are
organized to take maximum advantage of their research capability and
opportunities in such a way that they can have an impact on reducing
cancer incidence, mortality and morbidity.

Research Goals and Scope:

The strength of the NCI's Cancer Centers Program is founded in the
diversity of academic, free-standing, and consortial institutions
that have become NCI-supported cancer centers.  The aim of this
initiative is to ensure that the scientific, institutional,
geographical and demographic diversity of the Program is maintained
and expanded by encouraging new research-oriented organizations to
apply for CCPGs and develop the research, leadership and organization
capabilities expected of an NCI cancer center.  The ultimate goal is
to see new institutions become successful in competing for Cancer
Center Support Grants and be designated as NCI cancer centers.

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 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 policy results from
the NIH Revitalization Act of 1993 (Section 4928 of Public Law
103-43).

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 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).  Applications must be received by January 7 each
year.  Application kits are available at most institutional offices
of sponsored research and may be obtained from the Office of
Extramural Outreach and Information Resources, 6701 Rockledge Drive,
MSC 7910, Bethesda, MD 20892-7910, telephone (301) 435-0715, email:
asknih@odrockm1.od.nih.gov.  The title and number of the announcement
must be typed in Section 2 on the face page of the application.  The
format for submission of a Cancer Center Planning Grant is detailed
in NCI guidelines entitled, "Planning Grants for NCI-Supported Cancer
Research Centers.  These guidelines can be obtained from the Cancer
Centers Branch of the NCI (see INQUIRIES section).

Submit a signed, typewritten original of the application, and three
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 the same time of submission, please submit two additional copies
of the application to:

Ms. Toby Friedberg
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
6130 Executive Boulevard
Bethesda, MD 20892
Rockville, MD 20852 (for express mail)

REVIEW CONSIDERATIONS

The review criteria for CCPGs are outlined in the NCI guidelines
entitled, "Planning Grants for NCI-Supported Cancer Research Centers.
These guidelines can be obtained from the Cancer Centers Branch of
the NCI (see INQUIRIES section).

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.

INQUIRIES

In order to obtain the NCI guidelines for "Planning Grants for NCI-
Supported Cancer Research Centers," which are needed to prepare the
application in the proper format and which contain the specific
criteria for peer review, and for information regarding programmatic
issues please contact:

Margaret E. Holmes, Ph.D.
Division of Cancer Treatment, Diagnosis and Centers
National Cancer Institute
6130 Executive Boulevard, Room 502, MSC 7383
Bethesda, MD  20892-7383
Telephone:  (301) 496-8531
FAX:  (301) 402-0181
Email:  mh67g@nih.gov

Written and telephone inquiries about Cancer Center Planning Grants
and the Cancer Centers Program in general are encouraged.

Direct inquiries regarding fiscal matters to:

Ms. Carolyn Mason
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD 20892
Telephone: (301) 496-7800, ext. 259
FAX: (301) 496-8601
email: CM113G@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal and Domestic
Assistance No. 93.397, Cancer Research.  Awards are made under the
authorization of the Public Health Service Act, Title IV, Part A
(Public Law 78-410, as amended, Public Law 99-158, 42 USC 241 and
285) and administered under PHS grants policies and Federal
Regulations at 42 CFR Part 52 and 45 CFR Part 74 and 92.  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 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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INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARD IN SLEEP RESEARCH

NIH GUIDE, Volume 26, Number 18, May 30, 1997

PA NUMBER:  PA-97-064

P.T. 44; K.W. 0715187, 0720005, 0710030

National Heart, Lung, and Blood Institute
National Institute on Aging
National Institute on Alcohol Abuse and Alcoholism
National Institute of Child Health and Human Development
National Institute on Drug Abuse
National Institute of Mental Health
National Institute of Neurological Disorders and Stroke
National Institute of Nursing Research

PURPOSE

The National Institutes of Health (NIH) invites applications for
National Research Service Award (NRSA) Institutional Training Grants
(T32) to develop or enhance sleep research training opportunities for
individuals selected by eligible institutions.  A specific objective
is to ensure that scientists, highly trained in sleep research, are
available in adequate numbers to address important gaps in our
biomedical and biological understanding of sleep including those
outlined in the NIH Director's Sleep Disorders Research Plan.  For
this program announcement, the National Center on Sleep Disorders
Research (NCSDR) will serve as a primary contact for applicants and
work closely with relevant NIH Institutes to support the training
opportunities identified in this announcement. Potential applicants
are strongly urged to contact the NCSDR before preparing an
application.

Background

It has become apparent over the past decade that sleep disorders and
sleep deprivation are major public health problems affecting as many
as 40 million Americans.  Progress in understanding the neurobiology
of sleep/awake states and the pathophysiological mechanisms of sleep
disorders, especially molecular and genetic aspects, has been
hampered by an inadequate number of health professionals trained in
sleep biology, sleep disorders medicine and relevant research.
Currently, there is a critical shortage of scientists with the needed
skills to bring state-of-the-art multidisciplinary approaches to
sleep research.  In addition, few or no investigators are studying
some key research areas identified in the NIH Director's Sleep
Disorders Research Plan (http://www.nhlbi.nih.gov/nhlbi/
sleep/sleep.htm) developed and coordinated by the NCSDR.

The overall goal of this training program is to increase the number
of sleep researchers that are available to investigate the basic
biology of sleep; to explore epidemiological, behavioral, and
clinical aspects of sleep-related disorders; and to develop new
approaches for the treatment and prevention
of these conditions.  A specific objective is to ensure that
scientists, highly trained in sleep research, are available in
adequate numbers to address important gaps in our biomedical and
biological understanding of sleep including those outlined in the NIH
Director's Sleep Disorders Research Plan.  Among the areas identified
in the Plan is basic research at molecular, cellular, and systems
levels to understand the mechanisms for sleep regulation and
homeostasis; the fundamental functions of sleep during development
and with age; the cause of chronic sleepiness; the effects of sleep
deprivation; the interactions between circadian and
neurophysiological systems that regulate sleep and wakefulness; and
the genetic factors influencing sleep control and responsible for
sleep-related disorders such as narcolepsy and restless legs
syndrome.  The Sleep Disorders Research Plan also identifies areas of
patient-oriented clinical and applied research to study the effects
of chronic sleepiness and sleep disturbances on performance and
lifestyle; the pathogenesis of sleep disorders and its
pathophysiological links to cardiovascular disease, psychiatric
disorders, and other morbid conditions; the epidemiology of sleep
disorders to determine etiology and the role of factors such as
gender, age, and ethnicity; and the relative efficacy and
effectiveness of different treatment modalities for common sleep
disorders such as sleep apnea and insomnia.  Addressing these
questions will require a combination of approaches.  Innovative,
multidisciplinary and collaborative training programs with
interactive training provided by investigators from different
disciplines and with complementary skills are strongly encouraged.

Successful training programs will attract individuals with
backgrounds in relevant scientific disciplines and should have
flexibility to provide interdisciplinary training to individual
candidates.  It is important that trainees receive thorough training
in multidisciplinary approaches to modern basic and patient-oriented
research.  The possibility exists for this goal to be achieved
through collaborative arrangements with one or more cooperating
institutions offering unique opportunities for sleep research
training.  In these cases, the parent program must have a continuous
and substantive role in the training process.

It is anticipated that this new sleep training program will act as a
source of
trainees and activities to enhance the research programs of the
participating NIH Institutes.  The application should indicate how
this goal will be achieved.  It is essential that the applicant
institution as well as all participating academic units and
departments fully support the training 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 PA,
"National Research Service Award Institutional Training Grants in
Sleep Research," is related to the priority areas of heart disease
and stroke, chronic disabling conditions, mental health and
disorders, and clinical prevention services. 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 printing office, Washington D.C.
20402-9325 (Telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applicant Eligibility Requirements

Only domestic, non-profit, private or public institutions, may apply
for grants to support the research training programs described
herein.  The applicant institution must have a strong research
program in the area proposed for research training and must have the
staff and facilities required for a substantive portion of the
proposed program.  Collaborative arrangements with one or more
cooperating institutions may be proposed to provide multidisciplinary
sleep research training not available at the applicant institution.
The research training program director at the parent institution will
be responsible for the selection and appointment of trainees to
receive NRSA support and for the overall direction of the program.

Trainees appointed to the training program must have the opportunity
to carry out supervised  research with the primary objective of
developing or extending their research skills and knowledge in
preparation for a basic science or clinical research career in the
field of sleep and sleep disorders.

Levels of Training

Predoctoral:  Predoctoral research training must lead to the Ph.D. or
a comparable research doctorate degree in a sleep-related science.
Relevant disciplines include, but are not limited to, neuroscience,
physiology, cellular biology, epidemiology, behavioral science,
psychology, endocrinology, immunology, pharmacology, biochemistry,
and genetics.  The completion of two years of training at the post-
baccalaureate level in a relevant science program leading to the
Ph.D. or an equivalent degree prior to being appointed to this T32 is
encouraged.  Students enrolled in health-professional programs that
are not part of a formal, combined program (i.e., M.D./Ph.D.) and who
wish to postpone their professional studies in order to gain
experience in sleep research may also be appointed. Predoctoral
research training must emphasize fundamental training in areas of
basic biomedical and behavioral sciences related to sleep and sleep
disorders.

Since some NIH Institutes support pre-doctoral research training on a
limited basis, applicants are strongly urged to contact the NCSDR or
appropriate Institute staff, before requesting predoctoral training
positions in a T32 application.

Postdoctoral:  Postdoctoral research training is for individuals who
have received a Ph.D., an M.D., or comparable health-professional
doctoral degree from an accredited domestic or foreign institution.
Comparable doctoral degrees include, but are not limited to the
following:  D.D.S., D.O., D.V.M., O.D., D.P.M., Sc.D., Eng.D., Dr.
P.H., D.N.Sc., D. Pharm., D.S.W., and Psy.D.  Research training at
the postdoctoral level must emphasize specialized training to meet
national research priorities in the biomedical, behavioral,
epidemiologic and patient-oriented aspects of sleep and sleep
disorders.

Research training grants are a desirable mechanism for the
postdoctoral training of physicians and other health professionals
who may have had extensive clinical training, but limited research
experience.  For such individuals, the training may be a part of a
research degree program; in all cases, health-professional
postdoctoral trainees should agree to engage in at least two years of
research, research training, or comparable experiences beginning at
the time of appointment.

Short-Term Research Training Positions for Health-Professional
Students: T32 applications may include a request for short-term
positions reserved specifically to train medical or other health-
professional students on a full-time basis during the summer or other
"off quarter" periods. Short-term appointments are intended to
provide health-professional students with opportunities to
participate in sleep related biomedical and/or behavioral research in
an effort to attract these individuals into sleep research careers.

Short-term positions should be longer than two months but may not
last longer than three months.  Students should be encouraged to
obtain two or more periods of short-term research training during
their studies leading to a health professional degree.  Such
appointments may be consecutive or may be reserved for summers or
other "off quarter" periods.

Since some NIH Institutes support short-term research training
positions on a limited basis, applicants are strongly urged to
contact the appropriate NIH Institute representative listed at the
end of this announcement, before requesting short-term research
training positions in a T32 application.

Trainee Eligibility Requirements

To be appointed to a research training grant, an individual must be a
citizen or a non-citizen national of the United States or must have
been lawfully admitted for permanent residence (i.e., in possession
of a currently valid Alien Registration Receipt Card I-551, or must
be in possession of other legal verification of such status).
Individuals on temporary or student visas are not eligible.

Predoctoral Trainees:  Predoctoral trainees must have received a
baccalaureate degree in a relevant science program at the beginning
date of their NRSA appointment.  Health-professional students who
wish to interrupt their studies for a year or more to engage in full-
time research training before completing their professional degrees
are also eligible.

Postdoctoral Trainees:  Postdoctoral trainees must have received, as
of the beginning date of the NRSA appointment, a Ph.D., M.D., or
comparable doctoral degree from an accredited domestic or foreign
institution.  Written certification by an authorized official of the
degree-granting institution that all degree requirements have been
met, prior to the date training is to begin, is acceptable.

Short-Term Health Professional Trainees:  To be eligible for short-
term research training positions, health-professional students must
have completed at least one quarter in a program leading to a
clinical doctorate prior to participating in the program.
Individuals matriculated in a formal research degree program or those
holding an M.S., a Ph.D., or an M.D./Ph.D. degree or equivalent
graduate level research degree are not eligible for short-term
training positions.  Within schools of pharmacy, only individuals who
are candidates for the Pharm.D. degree are eligible for short-term
positions.

MECHANISM OF SUPPORT

The support mechanism for grants made in response to this program
announcement will be the NIH National Research Service Award (NRSA)
Institutional Training Grant (T32).  The announcement will remain in
effect through the end of fiscal year 2000.

Institutional NRSA research training grants may be made for periods
up to five years and are renewable.  Awards within an approved
competitive segment are normally made in 12-month increments with
support for additional years contingent on satisfactory progress and
the availability of funds.

GENERAL PROVISIONS

Positions on NRSA institutional grants may not be used for study
leading to the M.D., D.D.S., or other clinical, health-professional
degrees except when those studies are a part of a formal combined
research degree program such as the M.D./Ph.D.  Similarly, trainees
may not accept NRSA support for studies which are a part of residency
training leading to a medical specialty or subspecialty except when
the residency program credits a period of full-time, postdoctoral
research training toward board certification and the trainee intends
to pursue a research career.

Students enrolled in health-professional doctoral degree programs may
receive support for short-term research training for one or more
periods lasting up to three months each.  Such students may also
interrupt their studies for a year or more to engage in full-time
research training before completing their professional degree.

Trainees are required to pursue their research training on a full-
time basis, devoting at least 40 hours per week to the program.
Within the 40 hours per week training period, research trainees in
clinical areas must devote their time to the proposed research
training and must confine clinical duties to those that are an
integral part of the research training experience.

Duration of Support

Trainee appointments are normally made in 12-month increments with
support for additional years dependent on satisfactory progress and
the continued availability of funds.  No trainee may be appointed for
less than nine months during the initial period of appointment,
except with the prior approval of the NIH awarding unit or when
health-professional students are appointed to approved, short-term
research training positions.

No individual trainee may receive more than five years of aggregate
NRSA support at the predoctoral level or three years of aggregate
NRSA support at the postdoctoral level, including any combination of
support from institutional training grants and individual fellowship
awards.  Any exception to the total duration of trainee support at
either the predoctoral or postdoctoral level requires a waiver from
the director of the NIH Institute or Center that supports the award.
Requests for extension must be made in writing by the trainee,
endorsed by the director of the training program and the appropriate
institutional official, and addressed to the director of the awarding
component.  The request must include a sound justification for an
extension of the statutory limits on the period of support.

Recruitment and Appointment of Trainees

The primary objective of the NRSA program is to prepare qualified
individuals for careers that significantly impact the Nation's
research agenda.  Within the framework of the program's longstanding
commitment to excellence and projected needs for investigators in
particular areas of research, it is important that attention also be
given to recruiting individuals from minority groups that are
underrepresented nationally in the biomedical and behavioral
sciences.  Groups that have been shown to be underrepresented in
biomedical and behavioral research nationally include: African
Americans, Hispanics, Native Americans, Alaskan Natives, and Pacific
Islanders.  In the science areas of some sponsoring Institutes,
additional groups have been identified.  Applicants should contact
the appropriate NIH Institute representative listed at the end of
this announcement for further information.  Future use of the term
"minority" in this announcement will refer to the underrepresented
groups identified by the appropriate Institute.

Other considerations relate to the duration of training and the
movement of trainees to individual support mechanisms.  Studies have
shown that the length of the appointment to a training grant for
postdoctoral trainees with health-professional degrees is strongly
correlated with subsequent application for and receipt of independent
NIH research support.  Program directors, therefore, are strongly
encouraged to limit appointments to individuals who plan to remain on
the grant or in some other type of research experience for a minimum
of two years.  It has also been shown that individuals who have been
supported by an individual postdoctoral fellowship are more likely to
apply for and receive NIH research support than individuals who have
received support from a training grant alone. Program directors are
therefore encouraged to identify candidates for individual
postdoctoral fellowships or early career development (K awards) in
order to stimulate applications.  During the review of applications,
peer reviewers will examine the training record to determine the
average duration of training for health-professional postdoctoral
trainees and whether there is a record of transition to individual
support mechanisms.

Past studies have shown that trainees from programs oriented
exclusively toward health-professionals are less likely to apply for
and receive research grant support than health-professionals who
train with postdoctoral researchers who have an intensive background
in research.  Programs that focus on research training for
individuals with an M.D. or other health-professional degrees should
consider developing strong ties to basic science departments or
modifying their program to include individuals with research doctoral
degrees if such changes are consistent with the goals of the program.
Applications should describe the contribution of basic science
departments to the research training experience and indicate whether
both health professional trainees and trainees with research
doctorates are included in the training program.

Payback Provisions

As specified in the NIH Revitalization Act of 1993, NRSA recipients
incur a service payback obligation only during the first 12 months of
postdoctoral support.  Additionally, the NIH Revitalization Act of
1993 specifies that the second and subsequent years of postdoctoral
NRSA training will serve to pay back a postdoctoral service payback
obligation. Accordingly, the following guidelines apply:

o  Predoctoral trainees are not required to sign the Payback
Agreement Form (PHS Form 6031) and do not incur a service payback
obligation.

o  Postdoctoral trainees in the first twelve months of postdoctoral
NRSA support must sign the payback agreement form and incur a period
of service payback obligation equal to the period of support.

o  Postdoctoral trainees in the thirteenth and subsequent months of
NRSA support are not required to sign the Payback Agreement Form and
do not incur a service payback obligation.

o  The thirteenth and subsequent months of postdoctoral NRSA support
are considered acceptable payback service for prior postdoctoral
support. Individuals appointed to their initial NRSA postdoctoral
period on or after June 10, 1993, and who continue under that award
for two years, have fulfilled their obligation by the end of the
second year. Service payback obligations can also be paid back by
conducting health-related research or teaching for more than 20 hours
per week of a full year after terminating NRSA support.

Recipients must begin to undertake any remaining obligated service on
a continuous basis within two years after termination of NRSA
support.  The period for undertaking payback service may be delayed
for such reasons as temporary disability, completion of residency
requirements, or completion of the requirements for a graduate
degree.  Requests for an extension must be made in writing to the
awarding unit specifying the need for additional time and the length
of the required extension.  Recipients of NRSA support are
responsible for informing the awarding unit of changes in status or
address.  For individuals who fail to fulfill their obligation
through service, 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 of the Treasury.
Financial payback must be completed within three years, beginning on
the date the United States becomes entitled to recover such amount.
Under certain conditions,  the Secretary, Department of Health and
Human Services (or those delegated this authority) may extend the
period for starting service or repayment, permit breaks in service,
or in rare cases in which service or financial repayment would
constitute an extreme hardship, the approving official may waive or
suspend the payback obligation of an individual.

Officials at the awardee institution have the responsibility of
explaining the terms of the payback requirements to all prospective
training candidates before appointment to the training grant.
Additionally, all trainees recruited into the training program should
be provided with information related to the career options available
to individuals who complete the program and whether the types of
positions available are consistent with the nature of the training
provided and where applicable whether those positions are likely to
satisfy any outstanding service payback obligation.

Trainee Reporting Requirements

The institution must submit a completed Statement of Appointment (PHS
Form 2271) for each trainee appointed or reappointed to the training
grant at the beginning of the appointment period.  Additionally, a
completed Payback Agreement (PHS Form 6031) must be submitted for
each trainee in their first twelve months of postdoctoral support.
Within 30 days of the end of the total support period for each
trainee, the institution must submit a Termination Notice (PHS Form
416-7).  Failure to submit the required forms in a timely manner may
result in an expenditure disallowance or a delay in any continuation
funding for the award.

Leave

In general, trainees may receive stipends during periods of vacation
and holidays observed by individuals in comparable training positions
at the grantee institution.  For the purpose of these awards,
however, the period between the spring and fall semesters is
considered to be an active time of research and research training and
is not considered to be a vacation or holiday.

Trainees may 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)).  Trainees may also 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 institution have access to paid
leave for this purpose and the use of parental leave is approved by
the program director.

A period of terminal leave is not permitted and payment may not be
made from grant funds for leave not taken.  Individuals requiring
periods of time away from their research training experience longer
than specified here must seek approval from the NIH awarding
component for an unpaid leave of absence.  At the beginning of a
leave of absence, the trainee must submit a Termination Notice (PHS
Form 416-7) and upon return from the leave of absence, the trainee
must be formally reappointed to the grant by submitting an updated
Statement of Appointment (PHS Form 2271). Trainees within the first
twelve months of postdoctoral support must also submit a Payback
Agreement (PHS Form 6031) upon return from a leave of absence.

Stipends

National Research Service Awards provide funds, in the form of
stipends, to graduate students and postdoctoral trainees.  A stipend
is provided as a subsistence allowance for trainees to help defray
living expenses during the research training experience.  It is not
provided as a condition of employment with either the Federal
Government or the awardee institution. Stipends must be paid to all
trainees at the levels approved by the Secretary of the Department of
Health and Human Services.

Predoctoral: Beginning in FY 97, the annual stipend for predoctoral
trainees is $11,496.  For appointments of less than a year, the
stipend will be based on a monthly proration that is currently $958
per month.

Postdoctoral:  The current annual stipend for postdoctoral trainees
is determined by the number of FULL years of relevant postdoctoral
experience at the time of appointment.  Relevant experience may
include research experience (including industrial), teaching,
internship, residency, clinical duties, or other time spent in full-
time studies in a health-related field following the qualifying
doctoral degree.  The stipend for each additional year of NRSA
support is the next level on the stipend scale. Current postdoctoral
stipends are as follows:

Years of Relevant Experience                   Annual Amount

Less than 1                                           $20,292 Greater
than or equal to 1 but less than 2             21,420 Greater than or
equal to 2 but less than 3             25,600 Greater than or equal
to 3 but less than 4             26,900 Greater than or equal to 4
but less than 5             28,200 Greater than or equal to 5 but
less than 6             29,500 Greater than or equal to 6 but less
than 7             30,800 Greater than or equal to 7
          32,300

A trainee with a health-professional doctoral degree who is enrolled
in a graduate degree program is considered to be in postdoctoral
training and will receive the appropriate postdoctoral stipend listed
above.

No departure from the established stipend schedule may be negotiated
by the institution with the trainee.  The stipend for each additional
full year of stipend support is the next level in the stipend
structure and does not change mid-year.  The sponsoring institution
is allowed to provide funds to an individual in addition to the
stipends paid by the NIH.  Such additional amounts may be either in
the form of augmented stipends (supplementation) or in the form of
compensation, such as salary or tuition remission for services such
as teaching or serving as a laboratory assistant, provided the
following conditions are met:

Stipend Supplementation:  Supplementation or additional support to
offset the cost of living may be provided by the awardee institution
but must not require any additional obligation from the trainee.
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 DHHS funds be used
for supplementation.

Compensation:  An institution may provide additional funds to a
trainee in the form of compensation (as salary and/or tuition
remission) for services such as teaching or serving as a laboratory
assistant.  A trainee may receive compensation for services as a
research assistant or in some other position on a Federal research
grant, including a DHHS 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 that supports 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 trainee's approved NRSA training program.

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

More specific information on stipend supplementation and compensation
is available in the current Guidelines for NRSA Individual Awards -
Institutional Grants and in the current PHS Grants Policy Statement.

Tax Liability

Section 117 of the Internal Revenue Code applies to the tax treatment
of all scholarships and fellowships.  Under that section, non-degree
candidates are required to report all stipends, and any monies paid
on their behalf for course tuition and fees required for attendance
as gross income.  Degree candidates may exclude from gross income
(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 trainees and institutions.  NRSA stipends
are not considered salaries.  In addition, trainees supported under
the NRSA are not considered to be in an employee-employer
relationship with the NIH or the awardee institution.

It must be emphasized that the interpretation and implementation of
the tax laws are the domain of the Internal Revenue Service and the
courts.  The PHS takes no position on what the status may be for 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.

Tuition, Fees, and Health Insurance

Tuition, fees, and self-only medical insurance, are allowable trainee
costs if such charges are required of all individuals in a similar
training status at the institution, regardless of their source of
support.  Family medical insurance coverage is not an appropriate
charge to the NRSA research training grant. Tuition at the
postdoctoral level is limited to that required for specific courses
in support of the approved research training program.  On an annual
basis, for each trainee, the training grant will cover 100 percent of
the first $2,000 of the combined cost of tuition, fees, and self-only
health insurance and 60 percent of any amount above $2,000.
Institutions are instructed to request the full amount of these costs
in competing applications.  Noncompeting awards will reimburse
tuition, fees, and health insurance costs in the amount paid in the
previous award year, unless there is a change in the scope of the
award.

Other Training Costs

Trainee travel, including attendance at scientific meetings that the
institution determines to be necessary to the individual's research
training, is an allowable trainee expense.  In addition, support for
travel to a research training experience away from the grantee
institution may be permitted.  Research training experiences away
>From the parent institution must be justified considering the type of
opportunities for training available, how these opportunities differ
>From those offered at the parent institution, and the relationship of
the proposed experience to the trainee's career stage and career
goals.  This type of research training requires prior approval from
the NIH.  Letters requesting such training may be submitted to the
NIH awarding component at any time during the award period.

Institutional costs of up to $1,500 per year per predoctoral trainee
and up to $2,500 per year per postdoctoral trainee may be requested
to defray the costs of other research training related expenses, such
as staff salaries, consultant costs, equipment, research supplies,
and staff  travel.

Under exceptional circumstances, which can include accommodating the
disabilities of a trainee, it is possible to request institutional
costs above the standard rate.  These additional costs must be
explained in detail and carefully justified in the application.
Consultation with program staff in advance of such requests is
strongly advised.

The institution may receive up to $125 per month to offset the cost
of tuition, fees, health insurance, travel, supplies, and other
expenses for each short-term, health-professional research training
position.

A facilities and administration allowance (indirect cost allowance)
based on eight percent of total allowable direct costs (this excludes
amounts for tuition, fees, health insurance, and equipment), may be
requested.

APPLICATION PROCEDURES

Applicants must use the grant application form PHS 398 (rev. 5/95).
It contains special instructions for Institutional National Research
Service Awards (T32).  Applications kits are available at most
institutional offices of sponsored research and may be obtained from
the Division 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 PA title and number should be typed on line 2 of the application
face page.  Applicants must observe the 25-page limit on the
narrative section of the PHS 398 application.

Applicants who wish to include a request for short-term research
training positions for Health Professional Students should identify
the short-term positions separately within the "Stipends" and
"Training Related Expenses" categories on the budget page.  Under
"Stipends," short-term positions should be listed in the "Other"
category.  Tuition, fees, health insurance, and trainee travel, and
other expenses, are to be included in "Training Related Expenses."
The description of the short-term research training program should be
included in the application for the regular research training
program, but should be separated from the description of the regular
program within each section of the application.  In addition to the
information requested in the "Program Plan" section, the applicant
should address the relationship of the proposed short-term program to
the regular research training program and provide assurance that the
short-term program will not detract from the regular program.

Submit an original of the application with both required signatures
and
checklist, and five exact single-sided copies of the application 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)

Application Schedule

Many Institutes review T32 applications only once or twice per year.
Applicants should contact the NCSDR or appropriate Institute staff
for specific schedule information before preparing and submitting an
application.  The following table provides general guidance for
possible receipt dates and the review of applications:

Application Receipt Date:  Jan 10      May 10
Initial Review Meeting:    Jun         Oct/Nov
Council/Board Meeting:     Sep/Oct     Jan/Feb
Earliest Start Date:       Dec 1       Apr 1

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
Division of Research Grants.  Incomplete applications will be
returned to the applicant without further consideration.

Review Criteria

Applications are evaluated for merit by NIH initial review groups
based on the following criteria:

o  Past research training record of both the program and the
designated preceptors as determined by the success of former trainees
in establishing independent and productive research careers.
Evidence of further career development can include receipt of
fellowships, career awards, further training appointments, and
similar accomplishments.  Evidence of a productive scientific career
can include a record of successful competition for research grants,
receipt of special honors, a record of publications, receipt of
patents, promotion to scientific positions, and any other measure of
success consistent with the nature and duration of the training
received.

o  Objectives, design, and direction of the training program in sleep
related research;

o  Caliber of preceptors as researchers in sleep-related disciplines,
including successful competition for research support;

o  The institutional training environment, including the level of
institutional commitment, the quality of the facilities, availability
of appropriate courses, and the availability of support for sleep
research;

o  Recruitment and selection plans for trainees, and the availability
of high quality candidates;

o  The record of the research training program in retaining health-
professional postdoctoral trainees for at least two years in research
training or other research activities;

o  When appropriate, the concomitant research training of
health-professional postdoctorates (i.e., individuals with the M.D.,
D.O., D.D.S., etc.) with basic science postdoctorates (i.e.,
individuals with a Ph.D., etc.) or linkages with basic science
departments.

Short-Term Research Training Positions:  In addition to the above
criteria, applications that request short-term research training
positions will also be assessed using the following criteria:

o  The quality of the proposed short-term training program in sleep
research including the commitment and availability of the
participating faculty, the program design, the availability of
research support, and the training environment;

o  Access to candidates for short-term research training and the
ability to recruit high quality, short-term trainees from the
applicant institution or some other health-professional school;

o  The characteristics of the research training program that might be
expected to persuade short-term trainees to consider
academic/research careers in sleep research, particularly in clinical
areas;

o  The success in attracting students back for multiple appointments
(competing renewal applications);

o  The effects of the short-term training program on the quality of
the regular research training program, including the appropriateness
of the number of short-term positions, and the plan to integrate the
short-term training program into the regular research training
program;

o  The plan to follow former short-term trainees and assess the
effect of such research training on their subsequent careers in sleep
research.

Additional Review Considerations

Minority Recruitment Plan:  The NIH remains strongly committed to
increasing the participation of individuals from underrepresented
minority groups in biomedical and behavioral research.  As announced
in 1989, all competing applications for institutional NRSA research
training grants must include a specific plan to recruit
underrepresented minorities, and competing continuation applications
also must include a report on the recruitment and retention record
during the previous award period.  If an application is received
without a plan, or without a report on the previous award period, the
application will be considered incomplete and may be returned to the
applicant without review.  Additional information on this requirement
was published in the NIH Guide for Grants and Contracts, Volume 22,
Number 25, July 16, 1993.

Competing renewal applications for research training grants must
include a detailed account of experiences in recruiting individuals
>From underrepresented groups during the previous award period.
Information on the types of recruitment strategies used and which
have been successful and unsuccessful must be included.  The report
should provide information on the racial/ethnic distribution of:

(a) students and/or postdoctorates in the department(s) relevant to
the training grant,

(b) individuals who applied for research training,

(c) individuals who were offered admission, and

(d) individuals who were appointed to the research training grant.

For those trainees who were appointed to the grant, the report should
include information about the duration of research training and
whether those trainees have finished their training in good standing.

After the overall educational and technical merit of an application
has been assessed, peer reviewers will examine and evaluate the
minority recruitment plan and any record of recruitment and
retention.  For competing continuation applications, the reviewers
will examine and evaluate the record of the program in recruiting and
retaining underrepresented minority trainees during the previous
award period.  The panel also will consider whether the experience in
recruitment during the previous award period has been incorporated
into the formulation of the recruitment plan for the next award
period.  The findings of the panel will be included in an
administrative note in the summary statement.  If the minority
recruitment plan or if the record of recruitment and retention of
minorities is judged to be unacceptable, funding will be withheld
until a revised plan that addresses the deficiencies is received.
Staff within the NIH awarding component, with guidance from the
appropriate national advisory committee or council, will determine
whether amended plans and reports submitted after the initial review
are acceptable.

Training in the Responsible Conduct of Research:  Every predoctoral
and postdoctoral NRSA trainee supported by an institutional research
training grant must receive instruction in the responsible conduct of
research.  For more information on this provision, please consult a
notice in the NIH Guide for Grants and Contracts, Volume 21, Number
43, November 27, 1992.

Applications must include a description of a program to provide
formal or informal instruction in scientific integrity or the
responsible conduct of research.  Applications without plans for
instruction in the responsible conduct of research will be considered
incomplete and may be returned to the applicant without review.

o  Although the NIH does not establish specific curricula or formal
requirements, all programs are encouraged strongly to consider
instruction in the following areas: conflict of interest, responsible
authorship, policies for handling misconduct, policies regarding the
use of human and animal subjects, and data management. Within the
context of training in scientific integrity it is also beneficial to
discuss the mutual responsibilities of the institution and the
graduate students or postdoctorates appointed to the program.

o  Plans must address the subject matter of the instruction, the
format of the instruction, the degree of faculty participation,
trainee attendance, and the frequency of instruction.  The rationale
for the proposed plan of instruction must be provided.

o  Program reports on the type of instruction provided, topics
covered, and other relevant information, such as attendance by
trainees and faculty participation, must be included in future
competing and noncompeting applications.

The NIH encourages institutions to provide instruction in the
responsible conduct of research to all graduate students and
postdoctorates in a training program or department, regardless of the
source of support.

NIH initial review groups will assess the applicant's plans on the
basis of the appropriateness of topics, format, amount and nature of
faculty participation, and the frequency and duration of instruction.
The plan will be discussed after the overall determination of merit,
so that the quality of the plan will not be a factor in the
determination of the priority score. Plans will be judged as
acceptable or unacceptable.  The acceptability of the plan will be
described in an administrative note on the summary statement.
Regardless of the priority score, applications with unacceptable
plans will not be funded until a revised, acceptable plan is provided
by the applicant.  The acceptability of the revised plan will be
judged by staff within the awarding component at the NIH.

Following initial review, applications are also reviewed by the
appropriate NIH Institute or Center Council, Board, or other advisory
group.  These advisory groups will consider, in addition to the
assessment of the scientific and educational merit of the research
training grant application, the initial review group's comments on
the recruitment of individuals from underrepresented minority groups
into the research training program and the plan for instruction in
the responsible conduct of research.

AWARD CRITERIA

Applications are selected for funding primarily on the basis of
scientific and educational merit, but other factors are considered,
such as:  availability of funds, research program priorities, balance
among types of research training supported by the awarding component,
the acceptability of the plan for minority recruitment, and the
acceptability of the proposal for instruction in the responsible
conduct of research.  The awarding NIH Institute will notify the
applicant of the final action shortly after the advisory group
meeting.

Additional information

For additional information, see the document titled "Guidelines for
National Research Service Awards, Individual Awards - Institutional
Grants" available from the applicant's institution or by contacting
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, E-mail:
asknih@odrockm1.od.nih.gov.

INQUIRIES

Applicants are strongly encouraged to contact the individuals
designated below, in advance of preparing an application, for
additional information concerning the areas of research, receipt
dates, and other types of pre-application consultation.

Direct inquiries regarding programmatic issues to:

James P. Kiley, Ph.D.
National Center on Sleep Disorders Research
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 7024, MSC 7920
Bethesda, MD  20892-7920
Telephone:  (301) 435-0199
Email:  kileyj@gwgate.nhlbi.nih.gov

Additional contacts for Institute-specific program issues are:

Andrew 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
Email:  am39m@nih.gov

Ellen D. Witt, Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 402, MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-6545
Email:  ewitt@willco.niaaa.nih.gov

Marian Willinger, Ph.D.
Pregnancy and Perinatology Branch
National Institute of Child Health and Human Development
6100 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-5575
Email:  willingm@hd01.nichd.nih.gov

Paul Coulis,  Ph.D.
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A/08
Rockville, MD  20857
Telephone:  (301) 443-1801
Email:  pcoulis@aoada.ssw.dhhs.gov

Israel Lederhendler, Ph.D.
National Institute of Mental Health
5600 Fishers Lane, Room 11/102
Rockville, MD  20857
Telephone:  (301) 443-1576
Email:  ilu@cu.nih.gov

Joseph Drage, M.D.
Training and Special Programs Officer
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1016
Bethesda, MD  20892
Telephone:  (301) 496-4188
Email:  dragej@nswide.ninds.nih.gov

Mary Leveck, Ph.D., R.N.
National Institute of Nursing Research
45 Center Drive, Room 3AN12, MSC 6300
Bethesda, MD 20892-6300
Telephone:  (301) 594-5963
Email:  mleveck@ep.ninr.nih.gov

Direct inquires regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 7160, MSC 7926
Bethesda, MD  20892-7920
Telephone:  (301) 435-0171
Email:  zimmermr@gwgate.nhlbi.nih.gov

Crystal Ferguson
Grants Management Office
National Institute on Aging
7201 Wisconsin Avenue, Suite 2C212, MSC 9205
Bethesda, MD  20892-9205 (Courier Zip: 20814)
Telephone:  (301) 496-1472
Email:  Ferguson%nihniagw.bitnet@cu.nih.gov

Linda Hilley
Grants Management Branch
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 504 MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-0915
Email:  lhilley@wilco.niaaa.nih.gov

Douglas Shawver
Office of Grants and Contracts
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 8A17
Bethesda, MD  20892
Telephone:  (301) 496-1303
Email:  Shawver@hd01.nichd.nih.gov

Gary Fleming
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20892
Telephone:  (301) 443-6710
Email:  gfleming@aoada.ssw.dhhs.gov

Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-08
Rockville, MD  20857
Telephone:  (301) 443-3065
Email:  dt21a@nih.gov

Karen Shields
Grants Management Branch
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1004
Bethesda, MD  20892-9190
Telephone:  (301) 496-9231

Jeff Carow
Grants Management Officer
National Institute of Nursing Research
Building 45, Room 3AN-12
Bethesda, MD  20892-6301
Telephone:  (301) 594-6869
Email:  jcarow@ep.ninr.nih.gov

AUTHORITY AND REGULATIONS

NRSA Institutional Research Training Grants are made under the
authority of Section 487 of the Public Health Service Act as amended
(42 USC 288). Title 42 of the Code of Federal Regulations, Part 66,
is applicable to this program.  This program is also described under
the following numbers in the Catalog of Federal Domestic Assistance:
93.121, 93.172, 93.173, 93.233, 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, 93.862-93.868, 93.871, 93.880, 93.894, and 93.929.

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 Sat Jun 14 23:00:00 1997
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From: BIOSCI Administrator <biosci-help@net.bio.net>
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Subject: NSF - Summary of new documents on STIS, 7 June 1997
Date: 14 Jun 1997 22:02:27 -0700
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This message contains a summary of the documents added to the NSF STIS
system for the week ending June 7, 1997.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: International Document

   Title: INT 97-22  NSF/Tokyo Report: US-Japan Seminar:
          Classification of Algebraic Variables
               File size (bytes):       4952
               STIS Filename:           int9722.txt

Document Type: News

   Title: COASTAL GROWTH, NOT CLIMATE CHANGE, BLAMED FOR JUMP IN
          HURRICANE TOLLS
               File size (bytes):       4656
               STIS Filename:           tip70606.txt

Document Type: Press Release

   Title: REACTIONS FOLLOWING DISASTERS DON'T FIT STEREOTYPES
               File size (bytes):       3697
               STIS Filename:           pr9742.txt

Document Type: Program Guideline

   Title: NSF 97106 [D[D[D[D-106 -- High Performance
          International Internet Services
               File size (bytes):       38107
               STIS Filename:           nsf97106.txt

   Title: NSF- NIST Interaction in Chemistry and Chemical
          Engineering (NSF 97-109)
               File size (bytes):       6291
               STIS Filename:           nsf97109.txt

   Title: NSF 97-112 - INTEGRATIVE GRADUATE EDUCATION AND RESEARCH
          TRAINING PROGRAM
               File size (bytes):       34053
               STIS Filename:           nsf97112.txt

Document Type: Recruit

   Title: Program Manager(Inspections)
               File size (bytes):       7404
               STIS Filename:           vex9715.txt

   Title: Secretary (OA)
               File size (bytes):       10452
               STIS Filename:           vgs9762.txt

   Title: Supervisory Accountant (Branch Chief)
               File size (bytes):       10816
               STIS Filename:           vgs9764.txt

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

Document Type: Letter

   Title: REULIST -- Current List of REU Sites
               File size (bytes):       111587
               STIS Filename:           reulist.txt

Document Type: Phone Book

   Title: NSF Alphabetical Telephone Directory
               File size (bytes):       113120
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Directory
               File size (bytes):       127101
               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
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           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
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From owner-sci-resources@net.bio.net Sat Jun 14 23:00:00 1997
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From: BIOSCI Administrator <biosci-help@net.bio.net>
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Subject: NIH GUIDE - RFA HS-98-001 - V26(20) 06/13/97
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NATIONAL RESEARCH SERVICE AWARD--INSTITUTIONAL GRANTS POLICY AND
GUIDELINES

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA:  HS-98-001

P.T. 22, 44; K.W 0720005, 1014006

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  July 10, 1997
Application Receipt Date:  September 23, 1997

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) awards
National Research Service Award (NRSA) institutional training grants
(T32) to eligible institutions to develop research training
opportunities for qualified individuals selected by the institution
who have demonstrated an interest in health services research and who
seek to prepare for careers in the systematic examination of the
organization, provision, financing, and effectiveness of health care
services.  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, in order to improve
quality, assure value for health dollars spent, and enhance access to
services.  A goal is to equip students with the necessary knowledge,
skills, and experiences to conduct future research which will meet
the needs of patients, providers, plans, purchasers, and/or policy
makers.  Accomplishing the above effectively will require fostering a
mixture of academic and applied training opportunities to meet the
needs of students who wish to pursue traditional academic careers, as
well as those who opt for careers in applied research settings.
Applicants are encouraged to foster cooperation and partnerships with
relevant components of the health care delivery system.

NRSA institutional training grants assist domestic institutions in
supporting predoctoral and postdoctoral academic training.  The
awards allow trainees to gain one or more years of experience in
applying research methods to the evaluation of health services.  The
AHCPR will not support short-term training through this mechanism.

Predoctoral Training.  Predoctoral research training must lead to the
Ph.D. Degree or a comparable research doctoral degree.  Students
enrolled in health-professional programs that are not part of a
formal, combined program (e.g., M.D./Ph.D.) and who wish to postpone
their professional studies in order to gain research experience may
also be appointed to a T32 grant.  Predoctoral research training must
emphasize fundamental training in areas relevant to health services
research.

Postdoctoral Training.  Postdoctoral research training is for
individuals who have a Ph.D., M.D., D.D.S., or comparable doctoral
degree from an accredited domestic or foreign institution.  Research
training at the postdoctoral level must emphasize specialized
training to meet national priorities in health services research.

A research training grant is a desirable mechanism for the
postdoctoral training of physicians and other health professionals
who have extensive clinical training, but limited research
experience.  For such individuals, the training may be a part of a
research degree program.  In all cases, health-professional
postdoctoral trainees should agree to engage in at least two years of
research, research training, or comparable activities beginning at
the time of appointment since the duration of training has been shown
to be strongly correlated with post-training research activity.

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 high priority areas.  AHCPR
encourages applicants to submit grant applications with relevance to
the specific objectives of this initiative.  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

Applicant Institutions

Only domestic non-profit private and public institutions may apply
for grants to support doctoral and postdoctoral health services
research training programs.  The applicant institution must have the
staff and facilities required for the proposed program.  The research
training program director at the institution will be responsible for
the selection and appointment of trainees and for the overall
direction of the program.

Institutions may apply for support for predoctoral students,
postdoctoral students, or a combination.  Applicants should include a
rationale for their proposed choice of supporting the level(s) of
students requested.  An applicant may request as many postdoctoral or
predoctoral positions as the proposed program can adequately
accommodate; but the number of positions awarded will be determined
by the review process, program needs, and availability of funds.

Institutions currently approved for receipt of AHCPR institutional
training support beyond FY 1997 in response to applications they
submitted under AHCPR's program announcement entitled, "National
Research Service Award-- Institutional Grants Policy and Guidelines
(PAR-95-002, NIH guide, Volume 23, Number 36, October 14, 1994) are
eligible to apply.  If these institutions opt not to apply, they will
still continue to receive support under conditions stipulated in
their existing grant.  However, upon completion of the existing grant
projects, the next opportunity for these institutions to apply for
competing grant support from AHCPR will be when AHCPR announces a new
RFA.

Trainees

Trainees appointed to the proposed training program must have the
opportunity to carry out supervised health services research with the
primary objective of extending their research skills and knowledge in
preparation for a health services research career.  Prospective
trainees must be U.S. citizens or noncitizen nationals or permanent
residents of the United States in possession of an Alien Registration
Receipt Card I-551, or other legal verification of such status at the
time of appointment.  Individuals on temporary or student visas are
not eligible.

Positions on NRSA institutional grants may not be used for study
leading to the M.D., D.D.S., or other clinical, health-professional
degrees except when those studies are a part of a formal combined
research degree program, such as the M.D./Ph.D.  Similarly, trainees
may not accept NRSA support for studies which are part of residency
training leading to certification in a medical specialty or
subspecialty, except when the residency program credits a period of
full-time, postdoctoral research training toward board certification
and the trainee intends to pursue a research career.

A postdoctoral student, as of the beginning date of the NRSA
appointment, must have a Ph.D., M.D., O.D., D.D.S., Dr.P.H., Sc.D,
D.N.Sc. or other doctoral degree, or an equivalent degree from any
accredited domestic or foreign institution. (Persons holding the J.D.
as the sole advanced degree are not considered postdoctoral for
purposes of NRSA appointments.) Certification by an authorized
official of the degree-granting institution that all requirements for
the doctoral degree have been met is acceptable.

Trainees are required to pursue their research training on a
full-time basis, devoting at least 40 hours per week to the program.
Within the 40 hours per week training period, research trainees in
clinical areas must devote their time to the proposed research
training and must confine clinical duties to those that are an
integral part of the research training experience.

MECHANISM OF SUPPORT

The mechanism of support will be the National Research Service Award
(NRSA) institutional training grant (T32). The total requested
project period for an application may not exceed 5 years.  The
earliest anticipated award date is May 1, 1998.

FUNDS AVAILABLE

Depending on the availability of funds, AHCPR expects to award up to
$3,500,000 in FY 1998 to support the first year for approximately
15-24 projects under this RFA.  The number of awards is dependent on
the number of high quality applications and their individual budget
requirements; it is not the intent of AHCPR that the awards be equal
in size. Funding beyond the initial budget period will depend upon
annual progress reviews by AHCPR and the availability of funds.

RESEARCH OBJECTIVES

Areas of Training

AHCPR-sponsored NRSA Awards emphasize multidisciplinary health
services research training.  Training should provide individuals with
rigorous academic and health services research experiences that will
allow them to address emerging issues in our changing health care
system.  It is expected that AHCPR-supported health services research
training programs be responsive to research needs associated with the
ongoing shifts in the source and demand for services, and provide
training in identified areas of need, such as outcomes/health status
measurement, biostatistics, epidemiology, health economics, decision
analysis, cost- effectiveness analysis, and health policy.  At the
conclusion of the training program, trainees should have the
conceptual, methodological, and practical foundation to conduct
research that would:

o  Help consumers make more informed choices;

o  Determine what works best in clinical care;

o  Measure and improve quality of care;

o  Monitor and evaluate health care delivery;

o  Improve the cost-effective use of health care resources;

o  Provide health care policy makers with the information needed to
make informed decisions;

o  Address issues of relevance to priority populations, including
women, children, persons with chronic diseases or disabilities, the
elderly, and minority populations; and

o  Build and sustain the health services research infrastructure.

Duration of Support

Institutional NRSA research training grants may be made for periods
of up to five years.  Awards are normally made in 12-month increments
with support for additional years based on satisfactory progress and
the continued availability of funds.  As noted below, an award
received in response to this RFA will supersede previous AHCPR
approved NRSA institutional awards, which extend beyond FY 1997.

Trainee appointments are normally made in 12-month increments.  No
trainee may be appointed for less than nine months during the initial
period of appointment, except with the prior approval of the Grants
Management Office.  No individual trainee may receive more than five
years of aggregate NRSA support at the predoctoral level and three
years of aggregate NRSA support at the postdoctoral level, including
any combination of support from institutional training grants and
individual fellowship awards.  Any exception to this policy requires
a waiver from AHCPR.

Payback Provisions

As specified in the NIH Revitalization Act of 1993, NRSA recipients
incur a service payback obligation only during their first 12 months
of postdoctoral support. Additionally, the NIH Revitalization Act of
1993 specifies that the second and subsequent years of postdoctoral
NRSA training will serve to pay back a postdoctoral service payback
obligation.  Accordingly, the following guidelines apply:

o  Predoctoral trainees are not required to sign the payback
agreement and do not incur a service payback obligation.

o  Postdoctoral trainees in the first 12 months of postdoctoral NRSA
support must sign the payback agreement form (PHS form 6031) and will
incur 1 month of service payback obligation for each month of
support.

o  Postdoctoral trainees in the 13th and subsequent months of NRSA
postdoctoral support are not required to sign the payback agreement
form and will not incur a service payback obligation.

o  The 13th and subsequent months of postdoctoral NRSA support are
considered acceptable payback service for prior postdoctoral support.
Individuals who continue under that award for 2 years, have fulfilled
their obligation by the end of the second year.  Service payback
obligations can also be paid back by conducting health-related
research or teaching averaging more than 20 hours per week of a full
work year after the award.

o  Recipients must begin to undertake obligated service on a
continuous basis within two years of NRSA support termination.  The
period for undertaking payback service may be delayed for such
reasons as temporary disability, completion of residency
requirements, or completion of the requirements for a graduate
degree.  Requests for an extension must be made in writing to AHCPR's
Grants Management Office, specifying the need for additional time and
the length of the required extension.

o  Recipients of NRSA support are responsible for informing the AHCPR
Grants Management Office of changes in status or address.

o  For individuals who fail to fulfill their obligation through
service, 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 of the Treasury.
Financial payback must be completed within 3 years, beginning on the
date the United States becomes entitled to recover such amount.

o  Under certain conditions, the Secretary, U.S. Department of Health
and Human Services (or those delegated this authority), may extend
the period for starting service or repayment, permit breaks in
service, or in cases in which service or financial repayment would
constitute an extreme hardship, the approving official may waive or
suspend the payback obligation of an individual.

o  Officials at the awardee institution have the responsibility of
explaining the terms of the payback requirements to all prospective
training candidates before appointment to the training grant.
Additionally, all trainees recruited into the training program should
be provided with information related to the career options available
to individuals who complete the program and whether the types of
positions available are consistent with the nature of the training
provided and where applicable whether those positions are likely to
satisfy any outstanding service payback obligation.

Trainee Reporting Requirements

The institution must submit a completed Statement of Appointment (PHS
Form 2271) for each trainee appointed or reappointed to the training
grant.  Additionally, a completed Payback Agreement (PHS Form 6031)
must be submitted for each trainee in his/her first twelve months of
postdoctoral support.  At the end of the total support period for
each trainee, the institution must submit a Termination Notice (PHS
Form 416-7).  Failure to submit the required forms in a timely manner
may result in an expenditure disallowance.

Leave

In general, trainees may receive stipends during periods of vacation
and holidays observed by individuals in comparable training positions
at the grantee institution.  For the purpose of these awards,
however, the period between the spring and fall semesters is
considered to be an active time of research and research training,
and is not considered to be a vacation or a holiday.

Trainees may 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(l)). Trainees may also 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 institution have access to paid
leave for this purpose and the use of parental leave is approved by
the program director.

A period of terminal leave is not permitted and payment may not be
made from grant funds for leave not taken. Individuals requiring
periods of time away from their research training experience longer
than specified must seek approval from AHCPR's Grants Management
Office for an unpaid leave of absence.  At the beginning of a leave
of absence, the trainee must submit a Termination Notice (PHS Form
416- 7) and upon return form 2271).  Trainees within the first twelve
months of postdoctorate support must also submit a Payback Agreement
(PHS Form 6031) upon return from a leave of absence.

Stipends and Other Trainee Support

Stipends

National Research Service Awards provide funds in the form of
stipends to predoctoral and postdoctoral trainees.  A stipend is
provided as an allowance for trainees to help defray living expenses
during the research training experience.  It is not provided as a
condition of employment with either the Federal Government or the
institution. Stipends must be paid to all trainees at the levels
approved by the Secretary of the Department of Health and Human
Services.  Trainees may not receive stipends for periods during which
they are not enrolled in the training program.

For predoctoral trainees at all levels of experience, the stipend
level (effective October 1, 1996) is $11,496 per year.  For
appointments of less than a year, the stipend will be based on a
monthly proration.

For postdoctoral trainees, the current annual stipend for
postdoctoral trainees is determined by the number of FULL years of
relevant postdoctoral experience at the time of appointment.
Relevant experience may include research experience (including
industrial), teaching, internship, residency, clinical duties, or
other time spent in full-time studies in a health-related field
following the date of the qualifying doctoral degree.  Current
postdoctoral stipend levels, effective October 1, 1996, are as
follows:

Full years of relevant experience       Stipend

   Less than 1                          $20,292
             1                           21,420
             2                           25,600
             3                           26,900
             4                           28,200
             5                           29,500
             6                           30,800
             7 or more                   32,300

A trainee with a health-professional doctoral degree who is enrolled
in a graduate degree program is considered to be in postdoctoral
training and will receive the appropriate postdoctoral stipend listed
above.

No departure from the established stipend schedule may be negotiated
by the institution with the trainee.  The stipend for each additional
full year of stipend support is the next level in the stipend
structure and does not change in the middle of an appointment.  The
grantee institution is allowed to provide funds to an individual in
addition to the stipends paid by the AHCPR.  Such additional amounts
may be either in the form of augmented stipends (supplementation) or
in the form of compensation, such as salary or tuition remission for
services such as teaching or serving as a laboratory assistant,
provided the following conditions are met:

o  Stipend Supplementation.  Supplementation or additional support to
offset the cost of living may be provided by the grantee institution,
but must not require any additional obligation from the trainee.
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 PHS funds be used for
supplementation.

o  Compensation.  An institution may provide additional funds to a
trainee in the form of compensation (as salary and/or tuition
remission) for services such as teaching or serving as a laboratory
assistant.  A trainee 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 trainee's approved NRSA training program.

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.  A NRSA traineeship may not be held concurrently
with another federally sponsored fellowship or similar Federal award
that provides a stipend or otherwise duplicates provisions of the
NRSA.

Tax Liability

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 (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 trainees and institutions.  NRSA stipends
are not considered salaries.  In addition, trainees supported under
the NRSA are not considered to be in an employee-employer
relationship with the AHCPR or the awardee institution.

It must be emphasized that the interpretation and implementation of
the tax laws are the domain of the Internal Revenue Service (IRS) and
the courts.  AHCPR takes no position on what the status may be for 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 situation and for information
on their tax obligations.

Tuition Fees and Health Insurance

Tuition and fees, including self-only medical insurance, are
allowable trainee costs if such charges are required of all
individuals in a similar training status at the institution,
regardless of  their source of support.  Family medical insurance
coverage is not an appropriate charge to the NRSA research training
grant.  Tuition at the postdoctoral level is limited to that required
for specific courses in support of the approved research training
program.  On an annual basis, for each trainee, the training grant
will cover 100% of the first $2,000 of the combined cost of tuition,
fees, and self-only  health insurance and 60% of any amount above
$2,000.  Institutions are instructed to reflect the full amount of
these costs in competing applications.

Other Training Costs

Trainee travel, including attendance at scientific meetings that the
institution determines to be necessary to the individual's research
training, is an allowable trainee expense.  In addition, support for
travel to a research training experience away from the institution
may be permitted.  Research training experiences away from the parent
institution must be justified considering the type of opportunities
for training available, how these opportunities differ from those
offered at the parent institution, and the relationship of the
proposed experience to the trainee's career stage and goals.
Justification for research training experience away from the
institution must be described in detail in the budget justification
section of the application.

Institutional costs of up to $1,500 a year per predoctoral trainee
and up to $2,500 a year per postdoctoral trainee may be requested to
defray the costs of other research training related expenses, such as
staff salaries, consultant costs, equipment, research supplies, and
staff travel.

Under exceptional circumstances, which can include accommodating the
disabilities of a trainee, it is possible to request institutional
costs above the standard rate. Requests for additional costs must be
explained in detail and carefully justified in the application.
Consultation with program staff in advance of such requests is
strongly advised.

A facilities and administration allowance (indirect cost allowance)
based on 8 percent of total allowable direct costs (this excludes
tuition) may be requested. Applications from State and local
government agencies may request full indirect cost reimbursement (see
PHS Grants Policy Statement).

SPECIAL REQUIREMENTS

Confidentiality of Data

Information obtained in the course of this study that identifies an
individual or entity must be treated as confidential in accordance
with section 903(c) of the Public Health Service Act.  Applicants
must describe in the Human Subjects section of the application
procedures for ensuring the confidentiality of identifying
information.  The description of the procedure should include a
discussion of who will be permitted access to the information, both
raw data and machine readable files, and how personal identifiers
will be safeguarded.

This special term of award is in addition to, and not in lieu of,
otherwise applicable PHS grant policies and Federal regulations.

INCLUSION OF WOMEN, MINORITIES, AND CHILDREN IN RESEARCH STUDY
POPULATIONS INVOLVING HUMAN SUBJECTS

It is the policy of AHCPR that women and members of minority groups
be included in all AHCPR-supported 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.

The NIH policy resulting from the NIH Revitalization Act of 1993
(Section 492B of Public Law 103-43) supersedes and strengthens the
NIH's previous policies (concerning the Inclusion of Women in Study
Populations, and Concerning the Inclusion of Minorities in Study
Populations), which were in effect since 1990 and which AHCPR had
adopted.  The NIH policy contains provisions that are substantially
different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines on the 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 in the
NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume 23,
Number 11.  AHCPR follows the revised NIH Guidelines, as applicable.

Investigators may obtain copies from those sources or from the AHCPR
contractor, Global Exchange, Inc., listed under INQUIRIES.

AHCPR is also encouraging investigators to consider including
children in study populations, as appropriate. AHCPR announced in the
NIH Guide, Volume 26, Number 15, May 9, 1997, that it is developing a
policy and implementation plan on the inclusion of children in health
services research.  The Notice is available through AHCPR's WEB site
(http://www.ahcpr.gov) and AHCPR Instant FAX.  For instruction in
using Instant FAX, call (301) 594-2800, using a fax machine with a
telephone handset.

AHCPR program staff may also provide information concerning this
policy (See INQUIRIES).

LETTER OF INTENT

Prospective applicants are asked to submit, by July 10, 1997, a
letter of intent that includes the names, addresses, and telephone
numbers of the proposed Program Director and other key personnel; and
the number and title of the RFA. Although a letter of intent is not
required, is not binding, and does not enter into the consideration
of any subsequent application, the information allows AHCPR staff to
estimate the potential review workload and avoid conflicts of
interest in the review.  AHCPR will not provide responses to letters
of intent.

The letter of intent is to be addressed to:

Karen Rudzinski, Ph.D.
NRSA Project Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908
Email:  training@ahcpr.gov

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  State and local government applicants
may use form PHS 5161-1, Application for Federal Assistance (rev.
5/96), and follow those requirements for copy submission.  Applicants
are reminded that the 25-page limit on the narrative section must be
observed.

Application kits are available at most institutional offices of
sponsored research and may be obtained from the Division of
Extramural Outreach and Information Resources, Office of Extramural
Research, National Institutes of Health, 6701 Rockledge Drive MSC
7910, Bethesda, MD 20892-7910, Telephone: 301-435-0714, E-mail:
asknih@odrockm1.od.nih.gov.

AHCPR applicants should obtain application materials from the AHCPR
contractor:  Global Exchange, Inc., 7910 Woodmont Avenue, Suite 400,
Bethesda, MD 20814-3015, Telephone: 301- 656-3100, Fax: 301-652-5264.

The RFA label available in the form PHS 398 (rev. 5/95) must be
affixed to the bottom of the face page of the original application.
Failure to do so 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 2 of the face page of the application form and YES must be
marked.

Submit a signed, typewritten original of the application, including
the checklist, 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:

Karen Rudzinski, Ph.D.
NRSA Project Officer
Office of Scientific Affairs
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908

Applications submitted under this RFA must be received in the
Division of Research Grants, NIH, by September 23, 1997. If an
application is received after that date, it will be returned to the
applicant without review.  Applications received on that date will be
for awards to begin no earlier than July 1, 1998.

REVIEW CONSIDERATIONS

Applications will be reviewed for technical and educational merit by
an AHCPR peer review group.

Review Criteria

The peer review group will consider the following criteria in its
review:

Program Characteristics

o  Objectives, design, and direction of the research training program
-- including the probability of achieving stated goals.

o  Substantive and methodological content of the proposed program and
its relevance to the Program Objectives noted above, including
relevant descriptions of courses and experiential opportunities
offered and/or required.

o  The extent to which proposed approaches address areas in need of
research given changes in the health care delivery system.

Program Support and Organizational Structure and Plans

o  The institutional training environment, including the level of
institutional commitment, quality of the facilities, availability of
appropriate courses, and availability of research support.

o  Organizational structure of the proposed training program,
including delineation of administrative responsibilities for
planning, oversight, and evaluation.

o  Demonstration of cooperation by any proposed collaborating
facilities, institutions, or departments in providing research
experiences and/or sites for trainees, including (where applicable)
documentation of mechanisms by which trainees will be integrated into
the ongoing health services research activities of other entities.

o  Demonstration of extent to which and ways in which AHCPR support
will be (has been in the past) leveraged through the use of other
Federal and private resources to maximize health services research
training within the institution.

o  Availability of other relevant support.

Trainee Recruitment & Retention Plans

o  Recruitment and selection plans for trainees and the availability
of high quality candidates, including minority trainees (see below
for details).

o  When appropriate, record of the research training program in
retaining health-professional postdoctoral trainees for at least two
years in research training or other research activities.

Program Record and Evaluation Plans

o  Past research training record of both the program and the
designated preceptors as determined by the success of former trainees
in seeking further career development and in establishing productive
scientific careers.  Evidence of further career development can
include receipt of fellowships, career awards, a prestigious training
appointment, and similar accomplishments.  Evidence of a productive
scientific career can include a record of successful competition for
individual research grants, receipt of special honors, a record of
publications, receipt of patents, promotion to prestigious positions
in academe, industry, or health policy and any other appropriate
measure of success consistent with the nature and duration of the
training received.

o  Record of the research training program in recruiting and
retaining trainees, noting past annual success rates in filling
committed slots;

o  Proposed methods for monitoring and evaluating performance of
trainees and the overall program, including tracking of graduates
after completion of training, record of trainees in obtaining
individual research awards or fellowships following training and in
establishing careers in health services research.

Budget

o  Reasonableness of the proposed budget, including number and levels
of trainees, in relation to the research training.

Additional Review Considerations

Minority Recruitment Plan:  The AHCPR remains committed to increasing
the participation of individuals from underrepresented minority
groups in health services research.  As announced in 1989, all
applications for institutional NRSA research training grants must
include a specific plan to recruit minorities.  If an application is
received without a plan, it will be considered incomplete and may be
returned to the applicant without review. Additional information on
this requirement was published in the NIH Guide for Grants and
Contracts, Volume 22, Number 25, July 16, 1993.

After the overall educational and technical merit of an application
has been assessed, peer reviewers will examine and evaluate the
minority recruitment plan and any record of recruitment and
retention.

The findings of the panel will be included in an administrative note
in the summary statement.  If the minority recruitment plan of the
application is judged to be unacceptable, funding will be withheld
until a revised plan that addresses the deficiencies is received.
Staff within the AHCPR will determine whether amended plans and
reports submitted after the initial review are acceptable.

Training in the Responsible Conduct of Research:  Every Predoctoral
and Postdoctoral NRSA trainee supported by an institutional research
training grant must receive instruction in the responsible conduct of
research.  (or more information on this provision, see the NIH Guide
for Grants and Contracts, Volume 21, Number 43, November 27, 1992.)

Applications must include a description of a program to provide
formal or informal instruction in scientific integrity or the
responsible conduct of research. Applications without plans for
instruction in the responsible conduct of research will be considered
incomplete and may be returned to the applicant without review.

o  Although the AHCPR does not establish specific curricula or formal
requirements, all programs are encouraged strongly to consider
instruction in the following areas:  conflict of interest,
responsible authorship, policies for handling misconduct, policies
regarding the use of human and animal subjects, data management, and
confidentiality and privacy. Within the context of training in
scientific integrity it is also useful to discuss the mutual
responsibilities of the institution and the graduate students or
postdoctorates appointed to the program.

o  Plans must address the subject matter of the instruction, the
format of the instruction, the degree of faculty participation,
trainee attendance, and the frequency of instruction.

o  The rationale for the proposed plan of instruction must be
provided.

o  Program reports on the type of instruction provided, topics
covered, and other relevant information, such as attendance by
trainees and faculty participation, must be included in future
competing continuation and noncompeting applications.

The AHCPR encourages institutions to provide instruction in the
responsible conduct of research to all graduate students and
postdoctorates in a training program or department, regardless of the
source of support.

AHCPR initial review groups will assess the applicant's plans on the
basis of the appropriateness of topics, format, amount and nature of
faculty participation, and the frequency and duration of instruction.
The plan will be discussed after the overall determination of merit,
so that the quality of the plan will not be a factor in the
determination of the priority score.  Plans will be judged as
acceptable or unacceptable.  The acceptability of the plan will be
described in an administrative note on the summary statement.
Regardless of the priority score, applications with unacceptable
plans will not be funded until a revised, acceptable plan is provided
by the applicant.  The acceptability of the revised plan will be
judged by AHCPR staff.

AWARD CRITERIA

Funding decisions will be based on peer review, research program
priorities, the need for research personnel in specified program
areas, balance among types of research training supported by AHCPR,
and the availability of funds. Awards made under this announcement
will automatically supersede all prior awards received in response to
AHCPR's program announcement entitled, "National Research Service
Award--Institutional Grants Policy and Guidelines" (PAR-95- 002, NIH
Guide, Volume 23, Number 36, October 14, 1994).

INQUIRIES

Written and telephone inquires concerning this RFA are encouraged.
Copies of the RFA and related materials are available from:

Global Exchange, Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

This RFA is available through the AHCPR's website:
http:\\www.ahcpr.gov and through AHCPR InstantFAX at 301- 594-2800.
To use InstantFAX, you must call from a facsimile (FAX) machine with
a telephone handset.  Follow the voice prompt in order to obtain a
copy of the table of contents which has the document order number
(not the same as the RFA number).  The RFA will be sent at the end of
the ordering process.  AHCPR InstantFAX operates 24 hours a day, 7
days a week.  For questions about this service, call AHCPR's Division
of Communications at 301-594-1364, ext. 1389.

Direct inquiries regarding programmatic issues, including information
on the inclusion of women, minorities, and children in study
populations, to:

Karen Rudzinski, Ph.D.
NRSA Project Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908
Telephone:  (301) 594-1452
Email:  training@ahcpr.gov

Direct fiscal and administrative inquiries to:

Mable L. Lam
Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852
Telephone:  (301) 594-1447, ext. 1165
FAX:  (301) 594-3210
Email:  mlam@ahcpr.gov

AUTHORITY AND REGULATIONS

NRSA Institutional Research Training Grants are made under the
authority of Section 487 of the Public Health Service Act as amended
(42 U.S.C. 288).  Title 42 of the Code of Federal Regulations, Part
66, is applicable to this program. This program is also described the
Catalog of Federal Domestic Assistance No. 93.225.  The 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-fee 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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MBRS RESEARCH INITIATIVE FOR SCIENTIFIC ENHANCEMENT (RISE)

NIH GUIDE, Volume 26, Number 20, June 13, 1997

PA NUMBER:  PAR-97-067

P.T. 14, FF; K.W. 0502000, 0710030

National Institute of General Medical Sciences

Application Receipt Dates:  February 1, June 1, October 1

PURPOSE

The purpose of the MBRS Research Initiative for Scientific
Enhancement (RISE) program is to enhance the research environment at
minority serving institutions.  The goal is to increase the
opportunities for underrepresented minority faculty and students to
become acquainted with, and motivated to pursue biomedical research
careers. The RISE program replaces and expands upon the student
development component of the traditional MBRS (S06) program and the
MBRS program for undergraduate colleges (S14).  The RISE program
should provide enhanced flexibility in faculty and student
development activities, as well as provide the opportunity for
development of the institution's research and research education
capability.  In addition, NIGMS recognizes that minority and
minority-serving institutions are diverse in institutional
environment and mission.  Therefore, with respect to evaluation
activities, this program requires that the institution set its own
specific goals and measurable objectives.

ELIGIBILITY

To be eligible for a grant under this program, an applicant must be
located in a State, the District of Columbia, Puerto Rico, the Virgin
Islands, the Canal Zone, Guam, American Samoa, or the successor
States of the Trust Territory of the Pacific Islands (the Federated
States of Micronesia, the Republic of the Marshall Islands, the
Republic of Palau), and be one of the following:

a.   a public or private nonprofit university, two-year or four-year
college, or other institution offering undergraduate, graduate, or
health-professional degrees, with a traditionally high (more than 50
percent) underrepresented minority student enrollment;

b.   a public or private nonprofit university, two-year or four-year
college, or other institution offering undergraduate, graduate, or
health-professional degrees with a student enrollment, a significant
proportion of which (but not necessarily more than fifty per cent) is
derived from underrepresented minorities, provided the Secretary of
the Department of Health and Human Services determines that said
institution has a demonstrated commitment to the special
encouragement of, and assistance to, underrepresented minority
faculty, students, and investigators; or

c.   an Indian tribe that has a recognized governing body and that
performs substantial governmental functions, or an Alaska Regional
Corporation (ARC), as defined in the Alaska Native Claims Settlement
Act (43 U.S.C. 1601 et seq.).

For the purposes of this announcement, underrepresented minorities
are individuals belonging to a particular ethnic or racial group that
has been determined by the grantee institution to be underrepresented
in biomedical or behavioral research.  Historically, individuals who
have been found to be underrepresented in biomedical or behavioral
research include, but are not limited to, U.S. citizens who are
Hispanic Americans, African Americans, Native Americans (including
Alaskan natives) and natives of the U.S. Pacific Islands

A written statement containing the following information is required
in order to establish eligibility:

a.   the total student enrollment at the institution and percentages
of various underrepresented minorities in the total student
population (i.e., Native American, African American, Hispanic
American, or natives of the U.S. Pacific Islands);

b.   number of underrepresented minority students in science
departments;

c.   evidence of the institution's commitment to the advancement of
underrepresented minority faculty and investigators, including
numbers of underrepresented minority faculty in science departments;
and

d.   evidence of efforts to recruit and retain underrepresented
minority students and faculty in the participating departments.

The RISE Program replaces the student involvement category of the
traditional MBRS program (S06) and the faculty and student enrichment
portion of the undergraduate (S14) program.  Therefore, institutions
currently funded for the student involvement category in the
traditional S06 program and the S14 program are eligible and are
encouraged to apply for a RISE Program award with a start date to
coincide with the end of their current project period.  In general,
existing policies and provisions will remain in effect for current
S14 and S06 recipients until completion of the non-competing years of
their current project period.  June 1, 1998 will be the final date
for submission of new and competitive renewals of traditional MBRS
(S06) and S14 grant applications.

Institutions supported by the Initiative for Minority Student
Development (NIH Guide, Vol. 25, No. 4, 1996) are not eligible for
the RISE Program.  Institutions may have only one active RISE
program.

MECHANISM OF SUPPORT

Awards under this program will use the institutional education
project (R25) grant mechanism.  Responsibility for the planning,
direction, execution, and tracking for evaluation of the proposed
project will be solely that of the applicant institutions.  The total
project period for an application submitted in response to this
program announcement may not exceed four years and is renewable. A
budget for each year must be provided.  Facilities and Administration
(F&A) costs will be paid at 8% of the direct costs, minus appropriate
exclusions, for faculty and student development activities.

RESEARCH OBJECTIVES

As of 1992, underrepresented minorities constituted only 4.5 percent
of the postdoctoral fellows in the life sciences and less than 2.7
percent of the principal investigators of NIH research grants. In
addition, the number of underrepresented minority applicants for
research grants and training positions is very low.  In the NIH
Revitalization Act of 1993, NIH was encouraged to increase the number
of underrepresented minorities participating in biomedical and
behavioral research.  In response to the Act, the goal of this
initiative is to increase the opportunities for underrepresented
minority faculty and students to become acquainted with and motivated
to pursue biomedical research careers.  The MBRS RISE program
supports faculty, student and institutional development activities at
both undergraduate and graduate institutions.

Applicants may propose any one or more of the following:

Faculty and Student Development Activities

Applicants should provide detailed information on their plans to
provide opportunities for faculty and students to prepare for, and
participate in, biomedical research.  The applicant institution
should describe, if applicable, specific arrangements for providing
faculty and students with off-campus research experiences.  For each
activity proposed include:

o  specific and measurable objectives;
o  rationale for and feasibility of the approach chosen for each
faculty and student development activity;
o  detailed description of the activity;
o  information on the student pool, and a plan for attracting and
retaining the desired student pool;
o  information on participating faculty;
o  information on personnel and other resources;
o  letters of commitment and other expressions of interest by
on-campus or off-campus scientists' laboratories and/or institutions,
including the qualifications of the scientists to mentor and train
students and faculty, and their current research support; and
o  evaluation plans for faculty and student development activities;

Examples of these activities are:  (1)  an interdisciplinary
biomedical seminar series for faculty and students;  (2)  on-campus
or off-campus workshops, specialty courses, etc.,  for faculty and
students on biomedical research techniques or methodologies  (the
objective of this activity is to provide an opportunity for faculty
and/or students to enhance their research skills);  (3)  travel to
scientific meetings for both faculty and students;  (4)  off-campus
research experiences for science faculty during the academic year
and/or during the summer  (this allows faculty to engage in
biomedical research in established laboratories of research intensive
universities, government and industry);  (5) support for students to
engage in on-campus research experiences in established laboratories
during the academic year (this allows students to engage in
biomedical research in established laboratories of researchers
supported by other funding sources (such as the MBRS S06, R01, NSF
grants, etc.), as well as laboratories of other research intensive
universities, government and industry); and (6) support for students
to engage in off-campus research experiences during the summer (this
allows students to engage in biomedical research in established
laboratories of research intensive universities, government and
industry).

Institutional Development

An important objective of this program is the strengthening of the
institution's capabilities to support research and research-related
activities.  Examples of the types of activities supported include
remodeling or renovating an existing facility (up to $40,000) to
provide space for an investigator(s) to carry out developmental
activities.  In addition, small pieces of equipment for classroom
demonstration projects, or other justifiable uses are allowable.  For
each activity proposed include:

o  detailed description and justification of the renovation,
remodeling activity or equipment, including price quotations;
o  specific and measurable objectives in terms of added value of the
renovation, remodeling, or equipment to the goals of the institution;
and
o  evaluation plans.

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 policy results from
the NIH Revitalization Act of 1993 (Section 492B of Public Law 103
43).

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 in the NIH
Guide for Grants and Contracts, Volume 23, Number 11, March 18, 1994.

APPLICATION PROCEDURES

An application must be made in the name of an institution, not an
individual.  It must have the approval of the institution's chief
executive or an official designee.  The research grant application
form PHS 398 (rev. 5/95) and supplemental MBRS RISE program
instructions should be used in applying for these grants.
Applications kits are available at most institutional offices of
sponsored research and may be obtained from the Division 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 MBRS program office listed under INQUIRIES.  Applications that do
not comply with the PHS form 398 and/or the supplemental instructions
will be returned without review.

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

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20872-7710
BETHESDA, MD  20817 (for express/courier service)

Application receipt dates are February 1, June 1 and October 1.

At the time of submission, two additional copies of the application
must also be sent to the Chief, Office of Scientific Review listed
under INQUIRIES.

Applicants are urged to contact MBRS program staff at an early stage
for assistance and guidance in developing an application.

ALLOWABLE COSTS

Costs for overall development of the program are allowable, provided
that adequate justification is given, and include:  salary support
(up to 25 percent effort) for the Program Director for that portion
of time or effort specifically employed in directing the MBRS
program;  salary support for secretarial or clerical help when
directly related to support of the MBRS program;  and support for
evaluation activities.

Allowable costs for developmental activities include support for
technical assistance salaries, consultant fees, equipment, travel
(when benefits are provided to the program), renovations, supplies,
alteration and renovation costs (up to $40,000) when strongly
justified,  animal maintenance, publication costs, computer charges,
equipment maintenance, service contracts, tuition remission in lieu
of salary, consortium arrangements, and contractual costs for support
services.

Faculty salaries:  Support for faculty salaries, with justification,
are allowable. The MBRS RISE program provides funds to cover that
portion of the academic-year salary that is proportionate to the time
spent on the MBRS developmental activities (defined as percent
effort), and that is consistent with the institution's policy.  The
maximum summer-salary support provided by the program cannot exceed
the equivalent of three months at 100 percent effort, or time
specified by the institution as its policy;

Grant funds may not be used to increase or supplement faculty
salaries above the institutional scale for an individual's salary.
Summer salary support can be paid when the institution's academic
schedule permits such release, when the institution approves, and
when the investigator will engage in research and research-related
activities at the agreed-upon level of participation.

Student Salaries:  Students participating in the MBRS student
development activities are eligible to receive compensation. The
maximum amount of MBRS funds to be paid as salary to a student should
not exceed the salary levels normally paid to employees doing
comparable work at the same institution.  Students who participate in
research may also be compensated for work-related activities such as
workshops and other on-campus developmental activities.  Graduate
students are allowed tuition costs as part of a compensation package.
When requesting support for a graduate student, the applicant
institution should provide in the budget justification section of the
application the basis for the compensation level.  If not provided,
this information will be obtained from the institution's business
office for any request that appears excessive.  NIGMS staff will
review the requested compensation level and, if it is reasonable,
will award the actual amount requested, up to a maximum of $23,000
(NIH GUIDE, Volume 25, Number 8, March 15, 1996).

UNALLOWABLE COSTS

Undergraduate tuition, housing, food, or recruitment expenses of any
kind are not allowable costs under this program.  Salary support
solely for faculty mentoring is not allowable.  Renovation costs
above $40,000 are not allowable.

UNIFIED PLAN

Institutions with active or pending Support for Continuous Research
Excellence (SCORE), Minority Access to Research Careers  (MARC) USTAR
(NIH Guide, Vol. 25, No. 4, 1996), Bridges to the Future Program (NIH
Guide Vol. 25, No. 34, 1966), Research Infrastructure in Minority
Institutions (RIMI, NIH Guide Vol. 24, No. 12, 1995), and/or other
minority student/faculty support programs may also apply for the MBRS
RISE Program.  However, the institution must describe how the funds
from the RISE program will complement these other awards.  In
particular, describe how the students and faculty supported by each
will interact.

EVALUATION

Institutions should note that evaluation is a mandatory component of
every MBRS program; this program requires that each institution set
its own specific goals and measurable objectives.  The NIGMS
recognizes that minority and minority-serving institutions are
diverse in institutional environment and mission.  Therefore, the
emphasis of the evaluation activities of the MBRS RISE Program will
be on improvement as defined in the specific goals and measurable
objectives which the applicant institution sets for itself to fulfill
the objectives of this announcement.

NIGMS is hoping to achieve a significant increase in the numbers of
underrepresented minorities going on to biomedical research careers.
At each competitive and non-competitive renewal, in the progress
report, the investigators will describe what difference the award has
made towards meeting this goal.  A central aspect of each grant
application (that distinguishes it from previous programs) is that
each successful application specifies MEASURABLE objectives, provides
a plan to evaluate whether those objectives have been met and a
measure of the efficacy of specific interventions.

REVIEW CONSIDERATIONS

Upon receipt, NIH staff will administratively review applications.
Incomplete and/or unresponsive applications will be returned to the
applicant without further consideration.  Those applications that are
complete and responsive will be evaluated in accordance with the
criteria stated below for scientific and technical merit by
appropriate peer review groups.  The National Advisory General
Medical Sciences Council will provide the second level of review.

General Review Criteria

In carrying out the scientific and technical merit review of the
overall application, the initial review group will take into account:

o  the difference that the program will make as defined by the stated
goals and specific measurable objectives relative to the
institutional baseline of the previous 4 years;
o  the merit of the institution's plan and the likelihood that the
activities proposed will make a significant difference;
o  the degree to which the institution's plan may be expected to meet
the goals of this announcement;
o  the appropriateness of the plan for evaluating the impact of the
program, including a system to track the future course of program
participants;
o  qualifications of the Program Director and faculty to carry out
the proposed program;
o  availability of significant numbers of underrepresented minority
students in the participating science departments interested in
further study in biomedical and health-related fields, and a plan for
attracting and retaining the desired student pool;
o  evidence of underrepresented minority student graduates
progressing to, and completing, higher education in the biomedical
sciences;
o  evidence of institutional commitment to promote the development of
underrepresented minority faculty potential to become participants in
biomedical research, and to enhance the career potential of
underrepresented minority students in the sciences; and
o  appropriateness of the administrative plan for managing the
proposed program, including  space for workshops, additional courses,
and research training; and the budget and cost effectiveness of the
program, including its appropriateness to the scope of the program,
benefit to the students, number of students involved, and reasonable
personnel costs.

Review Criteria for Faculty and Student Development Activities

In carrying out the scientific and technical merit review of faculty
and student development activities, the initial review group will
take into account:

o  inclusion of specific and measurable objectives;
o  adequacy of the plans to provide opportunities for faculty to
upgrade their research skills and to initiate collaborative research
with scientists at major biomedical research laboratories;
o  adequacy of the plans to provide opportunities for students to
become acquainted with and engage in biomedical research;
o  letters of commitment and other expressions of interest by
on-campus or off-campus scientists' laboratories and/or institutions,
including the qualifications of the scientists to mentor and train
students and their current research support; and
o  evaluation plans for student development activities

Review Criteria for Institutional Development Activities

In carrying out the scientific and technical merit review of
institutional development activities, the initial review group will
take into account:

o  the relevance of the proposed alternations, renovations,
equipment, etc., to the objectives stated in the application; and
o  the ability of the institution to maintain the requested
equipment.

AWARD CRITERIA

The MBRS program's mission is to increase significantly the number of
underrepresented minorities conducting biomedical research.  Towards
this end, the goal of the MBRS program is to strengthen the
biomedical research capability of institutions with significant
underrepresented minority enrollments.  Priorities for funding will
be based on the technical merit of the application, and the
likelihood that the applicant institution can further the goals of
the MBRS program. Awards will be made only to institutions with
financial management systems and management capabilities that are
acceptable under PHS policy.  Awards will be administered under the
PHS Grants Policy Statement.

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.
Questions on the program and its policies should be directed to:

Ernest D. Marquez, Ph.D.
MBRS Branch
National Institute of General Medical Sciences
45 Center Drive, Suite 2AS.37, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-3900
FAX:  (301) 480-2753
Email:  marqueze@gm1.nigms.nih.gov

Questions on the review of applications should be directed to the
Chief, Office of Scientific Review,

Helen R. Sunshine, Ph.D.
Office of Scientific Review
National Institute of General Medical Sciences
45 Center Drive, Room 1 AS.13, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-2881
FAX:  (301) 480-8506
Email:  sunshinh@gm1.nigms.nih.gov

Questions on grants management and fiscal matters should be directed
to:

Antoinette Holland
Grants Management Office
National Institute of General Medical Sciences
45 Center Drive, Room 2AN.50, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-5132
FAX:  (301) 480-2554
Email:  hollanda@gm1.nigms.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93-375.  Awards are authorized by sections 301 and 405
of the Public Health Service Act, as amended, and administered under
PHS grants policies and Federal Regulations 42 CFR part 52c, 45 CFR
part 74, and 45 CFR part 92.  See also Senate Appropriations
Committee Report, No. 92-316, July 29, 1971, Executive Order 12900 ,
Educational Excellence for Hispanic Americans February 22, 1994, and
Executive Order 12876, Historically Black Colleges and Universities,
November 1, 1993.  Applications are 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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INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARD IN SLEEP RESEARCH

NIH GUIDE, Volume 26, Number 20, June 13, 1997

PA NUMBER:  PA-97-064

P.T. 44; K.W. 0715187, 0720005, 0710030

National Institutes of Health

THIS PROGRAM ANNOUNCEMENT IS A REVISION OF THE PA APPEARING IN THE
MAY 30 ISSUE OF THE NIH GUIDE.  THIS REVISION REFLECTS THE FACT THAT
THIS IS AN NIH-WIDE PROGRAM ANNOUNCEMENT.

PURPOSE

The National Institutes of Health (NIH) invites applications for
National Research Service Award (NRSA) Institutional Training Grants
(T32) to develop or enhance sleep research training opportunities for
individuals selected by eligible institutions.  A specific objective
is to ensure that scientists, highly trained in sleep research, are
available in adequate numbers to address important gaps in our
biomedical and biological understanding of sleep including those
outlined in the NIH Director's Sleep Disorders Research Plan.  For
this program announcement, the National Center on Sleep Disorders
Research (NCSDR) will serve as a primary contact for applicants and
work closely with relevant NIH Institutes to support the training
opportunities identified in this announcement. Potential applicants
are strongly urged to contact the NCSDR before preparing an
application.

Background

It has become apparent over the past decade that sleep disorders and
sleep deprivation are major public health problems affecting as many
as 40 million Americans.  Progress in understanding the neurobiology
of sleep/awake states and the pathophysiological mechanisms of sleep
disorders, especially molecular and genetic aspects, has been
hampered by an inadequate number of health professionals trained in
sleep biology, sleep disorders medicine and relevant research.
Currently, there is a critical shortage of scientists with the needed
skills to bring state-of-the-art multidisciplinary approaches to
sleep research.  In addition, few or no investigators are studying
some key research areas identified in the NIH Director's Sleep
Disorders Research Plan (http://www.nhlbi.nih.gov/nhlbi/
sleep/sleep.htm) developed and coordinated by the NCSDR.

The overall goal of this training program is to increase the number
of sleep researchers that are available to investigate the basic
biology of sleep; to explore epidemiological, behavioral, and
clinical aspects of sleep-related disorders; and to develop new
approaches for the treatment and prevention
of these conditions.  A specific objective is to ensure that
scientists, highly trained in sleep research, are available in
adequate numbers to address important gaps in our biomedical and
biological understanding of sleep including those outlined in the NIH
Director's Sleep Disorders Research Plan.  Among the areas identified
in the Plan is basic research at molecular, cellular, and systems
levels to understand the mechanisms for sleep regulation and
homeostasis; the fundamental functions of sleep during development
and with age; the cause of chronic sleepiness; the effects of sleep
deprivation; the interactions between circadian and
neurophysiological systems that regulate sleep and wakefulness; and
the genetic factors influencing sleep control and responsible for
sleep-related disorders such as narcolepsy and restless legs
syndrome.  The Sleep Disorders Research Plan also identifies areas of
patient-oriented clinical and applied research to study the effects
of chronic sleepiness and sleep disturbances on performance and
lifestyle; the pathogenesis of sleep disorders and its
pathophysiological links to cardiovascular disease, psychiatric
disorders, and other morbid conditions; the epidemiology of sleep
disorders to determine etiology and the role of factors such as
gender, age, and ethnicity; and the relative efficacy and
effectiveness of different treatment modalities for common sleep
disorders such as sleep apnea and insomnia.  Addressing these
questions will require a combination of approaches.  Innovative,
multidisciplinary and collaborative training programs with
interactive training provided by investigators from different
disciplines and with complementary skills are strongly encouraged.

Successful training programs will attract individuals with
backgrounds in relevant scientific disciplines and should have
flexibility to provide interdisciplinary training to individual
candidates.  It is important that trainees receive thorough training
in multidisciplinary approaches to modern basic and patient-oriented
research.  The possibility exists for this goal to be achieved
through collaborative arrangements with one or more cooperating
institutions offering unique opportunities for sleep research
training.  In these cases, the parent program must have a continuous
and substantive role in the training process.

It is anticipated that this new sleep training program will act as a
source of
trainees and activities to enhance the research programs of the
participating NIH Institutes.  The application should indicate how
this goal will be achieved.  It is essential that the applicant
institution as well as all participating academic units and
departments fully support the training 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 PA,
"National Research Service Award Institutional Training Grants in
Sleep Research," is related to the priority areas of heart disease
and stroke, chronic disabling conditions, mental health and
disorders, and clinical prevention services. 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 printing office, Washington D.C.
20402-9325 (Telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applicant Eligibility Requirements

Only domestic, non-profit, private or public institutions, may apply
for grants to support the research training programs described
herein.  The applicant institution must have a strong research
program in the area proposed for research training and must have the
staff and facilities required for a substantive portion of the
proposed program.  Collaborative arrangements with one or more
cooperating institutions may be proposed to provide multidisciplinary
sleep research training not available at the applicant institution.
The research training program director at the parent institution will
be responsible for the selection and appointment of trainees to
receive NRSA support and for the overall direction of the program.

Trainees appointed to the training program must have the opportunity
to carry out supervised  research with the primary objective of
developing or extending their research skills and knowledge in
preparation for a basic science or clinical research career in the
field of sleep and sleep disorders.

Levels of Training

Predoctoral:  Predoctoral research training must lead to the Ph.D. or
a comparable research doctorate degree in a sleep-related science.
Relevant disciplines include, but are not limited to, neuroscience,
physiology, cellular biology, epidemiology, behavioral science,
psychology, endocrinology, immunology, pharmacology, biochemistry,
and genetics.  The completion of two years of training at the
postbaccalaureate level in a relevant science program leading to the
Ph.D. or an equivalent degree prior to being appointed to this T32 is
encouraged.  Students enrolled in health-professional programs that
are not part of a formal, combined program (i.e., M.D./Ph.D.) and who
wish to postpone their professional studies in order to gain
experience in sleep research may also be appointed. Predoctoral
research training must emphasize fundamental training in areas of
basic biomedical and behavioral sciences related to sleep and sleep
disorders.

Since some NIH Institutes support pre-doctoral research training on a
limited basis, applicants are strongly urged to contact the NCSDR or
appropriate Institute staff, before requesting predoctoral training
positions in a T32 application.

Postdoctoral:  Postdoctoral research training is for individuals who
have received a Ph.D., an M.D., or comparable health-professional
doctoral degree from an accredited domestic or foreign institution.
Comparable doctoral degrees include, but are not limited to the
following:  D.D.S., D.O., D.V.M., O.D., D.P.M., Sc.D., Eng.D., Dr.
P.H., D.N.Sc., D. Pharm., D.S.W., and Psy.D.  Research training at
the postdoctoral level must emphasize specialized training to meet
national research priorities in the biomedical, behavioral,
epidemiologic and patient-oriented aspects of sleep and sleep
disorders.

Research training grants are a desirable mechanism for the
postdoctoral training of physicians and other health professionals
who may have had extensive clinical training, but limited research
experience.  For such individuals, the training may be a part of a
research degree program; in all cases, health-professional
postdoctoral trainees should agree to engage in at least two years of
research, research training, or comparable experiences beginning at
the time of appointment.

Short-Term Research Training Positions for Health-Professional
Students: T32 applications may include a request for short-term
positions reserved specifically to train medical or other health-
professional students on a full-time basis during the summer or other
"off quarter" periods. Short-term appointments are intended to
provide health-professional students with opportunities to
participate in sleep related biomedical and/or behavioral research in
an effort to attract these individuals into sleep research careers.

Short-term positions should be longer than two months but may not
last longer than three months.  Students should be encouraged to
obtain two or more periods of short-term research training during
their studies leading to a health professional degree.  Such
appointments may be consecutive or may be reserved for summers or
other "off quarter" periods.

Since some NIH Institutes support short-term research training
positions on a limited basis, applicants are strongly urged to
contact the appropriate NIH Institute representative listed at the
end of this announcement, before requesting short-term research
training positions in a T32 application.

Trainee Eligibility Requirements

To be appointed to a research training grant, an individual must be a
citizen or a non-citizen national of the United States or must have
been lawfully admitted for permanent residence (i.e., in possession
of a currently valid Alien Registration Receipt Card I-551, or must
be in possession of other legal verification of such status).
Individuals on temporary or student visas are not eligible.

Predoctoral Trainees:  Predoctoral trainees must have received a
baccalaureate degree in a relevant science program at the beginning
date of their NRSA appointment.  Health-professional students who
wish to interrupt their studies for a year or more to engage in
full-time research training before completing their professional
degrees are also eligible.

Postdoctoral Trainees:  Postdoctoral trainees must have received, as
of the beginning date of the NRSA appointment, a Ph.D., M.D., or
comparable doctoral degree from an accredited domestic or foreign
institution.  Written certification by an authorized official of the
degree-granting institution that all degree requirements have been
met, prior to the date training is to begin, is acceptable.

Short-Term Health Professional Trainees:  To be eligible for
short-term research training positions, health-professional students
must have completed at least one quarter in a program leading to a
clinical doctorate prior to participating in the program.
Individuals matriculated in a formal research degree program or those
holding an M.S., a Ph.D., or an M.D./Ph.D. degree or equivalent
graduate level research degree are not eligible for short-term
training positions.  Within schools of pharmacy, only individuals who
are candidates for the Pharm.D. degree are eligible for short-term
positions.

MECHANISM OF SUPPORT

The support mechanism for grants made in response to this program
announcement will be the NIH National Research Service Award (NRSA)
Institutional Training Grant (T32).  The announcement will remain in
effect through the end of fiscal year 2000.

Institutional NRSA research training grants may be made for periods
up to five years and are renewable.  Awards within an approved
competitive segment are normally made in 12-month increments with
support for additional years contingent on satisfactory progress and
the availability of funds.

GENERAL PROVISIONS

Positions on NRSA institutional grants may not be used for study
leading to the M.D., D.D.S., or other clinical, health-professional
degrees except when those studies are a part of a formal combined
research degree program such as the M.D./Ph.D.  Similarly, trainees
may not accept NRSA support for studies which are a part of residency
training leading to a medical specialty or subspecialty except when
the residency program credits a period of full-time, postdoctoral
research training toward board certification and the trainee intends
to pursue a research career.

Students enrolled in health-professional doctoral degree programs may
receive support for short-term research training for one or more
periods lasting up to three months each.  Such students may also
interrupt their studies for a year or more to engage in full-time
research training before completing their professional degree.

Trainees are required to pursue their research training on a
full-time basis, devoting at least 40 hours per week to the program.
Within the 40 hours per week training period, research trainees in
clinical areas must devote their time to the proposed research
training and must confine clinical duties to those that are an
integral part of the research training experience.

Duration of Support

Trainee appointments are normally made in 12-month increments with
support for additional years dependent on satisfactory progress and
the continued availability of funds.  No trainee may be appointed for
less than nine months during the initial period of appointment,
except with the prior approval of the NIH awarding unit or when
health-professional students are appointed to approved, short-term
research training positions.

No individual trainee may receive more than five years of aggregate
NRSA support at the predoctoral level or three years of aggregate
NRSA support at the postdoctoral level, including any combination of
support from institutional training grants and individual fellowship
awards.  Any exception to the total duration of trainee support at
either the predoctoral or postdoctoral level requires a waiver from
the director of the NIH Institute or Center that supports the award.
Requests for extension must be made in writing by the trainee,
endorsed by the director of the training program and the appropriate
institutional official, and addressed to the director of the awarding
component.  The request must include a sound justification for an
extension of the statutory limits on the period of support.

Recruitment and Appointment of Trainees

The primary objective of the NRSA program is to prepare qualified
individuals for careers that significantly impact the Nation's
research agenda.  Within the framework of the program's longstanding
commitment to excellence and projected needs for investigators in
particular areas of research, it is important that attention also be
given to recruiting individuals from minority groups that are
underrepresented nationally in the biomedical and behavioral
sciences.  Groups that have been shown to be underrepresented in
biomedical and behavioral research nationally include: African
Americans, Hispanics, Native Americans, Alaskan Natives, and Pacific
Islanders.  In the science areas of some sponsoring Institutes,
additional groups have been identified.  Applicants should contact
the appropriate NIH Institute representative listed at the end of
this announcement for further information.  Future use of the term
"minority" in this announcement will refer to the underrepresented
groups identified by the appropriate Institute.

Other considerations relate to the duration of training and the
movement of trainees to individual support mechanisms.  Studies have
shown that the length of the appointment to a training grant for
postdoctoral trainees with health-professional degrees is strongly
correlated with subsequent application for and receipt of independent
NIH research support.  Program directors, therefore, are strongly
encouraged to limit appointments to individuals who plan to remain on
the grant or in some other type of research experience for a minimum
of two years.  It has also been shown that individuals who have been
supported by an individual postdoctoral fellowship are more likely to
apply for and receive NIH research support than individuals who have
received support from a training grant alone. Program directors are
therefore encouraged to identify candidates for individual
postdoctoral fellowships or early career development (K awards) in
order to stimulate applications.  During the review of applications,
peer reviewers will examine the training record to determine the
average duration of training for health-professional postdoctoral
trainees and whether there is a record of transition to individual
support mechanisms.

Past studies have shown that trainees from programs oriented
exclusively toward health-professionals are less likely to apply for
and receive research grant support than health-professionals who
train with postdoctoral researchers who have an intensive background
in research.  Programs that focus on research training for
individuals with an M.D. or other health-professional degrees should
consider developing strong ties to basic science departments or
modifying their program to include individuals with research doctoral
degrees if such changes are consistent with the goals of the program.
Applications should describe the contribution of basic science
departments to the research training experience and indicate whether
both health professional trainees and trainees with research
doctorates are included in the training program.

Payback Provisions

As specified in the NIH Revitalization Act of 1993, NRSA recipients
incur a service payback obligation only during the first 12 months of
postdoctoral support.  Additionally, the NIH Revitalization Act of
1993 specifies that the second and subsequent years of postdoctoral
NRSA training will serve to pay back a postdoctoral service payback
obligation. Accordingly, the following guidelines apply:

o  Predoctoral trainees are not required to sign the Payback
Agreement Form (PHS Form 6031) and do not incur a service payback
obligation.

o  Postdoctoral trainees in the first twelve months of postdoctoral
NRSA support must sign the payback agreement form and incur a period
of service payback obligation equal to the period of support.

o  Postdoctoral trainees in the thirteenth and subsequent months of
NRSA support are not required to sign the Payback Agreement Form and
do not incur a service payback obligation.

o  The thirteenth and subsequent months of postdoctoral NRSA support
are considered acceptable payback service for prior postdoctoral
support. Individuals appointed to their initial NRSA postdoctoral
period on or after June 10, 1993, and who continue under that award
for two years, have fulfilled their obligation by the end of the
second year. Service payback obligations can also be paid back by
conducting health-related research or teaching for more than 20 hours
per week of a full year after terminating NRSA support.

Recipients must begin to undertake any remaining obligated service on
a continuous basis within two years after termination of NRSA
support.  The period for undertaking payback service may be delayed
for such reasons as temporary disability, completion of residency
requirements, or completion of the requirements for a graduate
degree.  Requests for an extension must be made in writing to the
awarding unit specifying the need for additional time and the length
of the required extension.  Recipients of NRSA support are
responsible for informing the awarding unit of changes in status or
address.  For individuals who fail to fulfill their obligation
through service, 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 of the Treasury.
Financial payback must be completed within three years, beginning on
the date the United States becomes entitled to recover such amount.
Under certain conditions,  the Secretary, Department of Health and
Human Services (or those delegated this authority) may extend the
period for starting service or repayment, permit breaks in service,
or in rare cases in which service or financial repayment would
constitute an extreme hardship, the approving official may waive or
suspend the payback obligation of an individual.

Officials at the awardee institution have the responsibility of
explaining the terms of the payback requirements to all prospective
training candidates before appointment to the training grant.
Additionally, all trainees recruited into the training program should
be provided with information related to the career options available
to individuals who complete the program and whether the types of
positions available are consistent with the nature of the training
provided and where applicable whether those positions are likely to
satisfy any outstanding service payback obligation.

Trainee Reporting Requirements

The institution must submit a completed Statement of Appointment (PHS
Form 2271) for each trainee appointed or reappointed to the training
grant at the beginning of the appointment period.  Additionally, a
completed Payback Agreement (PHS Form 6031) must be submitted for
each trainee in their first twelve months of postdoctoral support.
Within 30 days of the end of the total support period for each
trainee, the institution must submit a Termination Notice (PHS Form
416-7).  Failure to submit the required forms in a timely manner may
result in an expenditure disallowance or a delay in any continuation
funding for the award.

Leave

In general, trainees may receive stipends during periods of vacation
and holidays observed by individuals in comparable training positions
at the grantee institution.  For the purpose of these awards,
however, the period between the spring and fall semesters is
considered to be an active time of research and research training and
is not considered to be a vacation or holiday.

Trainees may 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)).  Trainees may also 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 institution have access to paid
leave for this purpose and the use of parental leave is approved by
the program director.

A period of terminal leave is not permitted and payment may not be
made from grant funds for leave not taken.  Individuals requiring
periods of time away from their research training experience longer
than specified here must seek approval from the NIH awarding
component for an unpaid leave of absence.  At the beginning of a
leave of absence, the trainee must submit a Termination Notice (PHS
Form 416-7) and upon return from the leave of absence, the trainee
must be formally reappointed to the grant by submitting an updated
Statement of Appointment (PHS Form 2271). Trainees within the first
twelve months of postdoctoral support must also submit a Payback
Agreement (PHS Form 6031) upon return from a leave of absence.

Stipends

National Research Service Awards provide funds, in the form of
stipends, to graduate students and postdoctoral trainees.  A stipend
is provided as a subsistence allowance for trainees to help defray
living expenses during the research training experience.  It is not
provided as a condition of employment with either the Federal
Government or the awardee institution. Stipends must be paid to all
trainees at the levels approved by the Secretary of the Department of
Health and Human Services.

Predoctoral: Beginning in FY 97, the annual stipend for predoctoral
trainees is $11,496.  For appointments of less than a year, the
stipend will be based on a monthly proration that is currently $958
per month.

Postdoctoral:  The current annual stipend for postdoctoral trainees
is determined by the number of FULL years of relevant postdoctoral
experience at the time of appointment.  Relevant experience may
include research experience (including industrial), teaching,
internship, residency, clinical duties, or other time spent in
full-time studies in a health-related field following the qualifying
doctoral degree.  The stipend for each additional year of NRSA
support is the next level on the stipend scale. Current postdoctoral
stipends are as follows:

Years of Relevant Experience                   Annual Amount

Less than 1                                           $20,292
Greater than or equal to 1 but less than 2             21,420
Greater than or equal to 2 but less than 3             25,600
Greater than or equal to 3 but less than 4             26,900
Greater than or equal to 4 but less than 5             28,200
Greater than or equal to 5 but less than 6             29,500
Greater than or equal to 6 but less than 7             30,800
Greater than or equal to 7                             32,300

A trainee with a health-professional doctoral degree who is enrolled
in a graduate degree program is considered to be in postdoctoral
training and will receive the appropriate postdoctoral stipend listed
above.

No departure from the established stipend schedule may be negotiated
by the institution with the trainee.  The stipend for each additional
full year of stipend support is the next level in the stipend
structure and does not change mid-year.  The sponsoring institution
is allowed to provide funds to an individual in addition to the
stipends paid by the NIH.  Such additional amounts may be either in
the form of augmented stipends (supplementation) or in the form of
compensation, such as salary or tuition remission for services such
as teaching or serving as a laboratory assistant, provided the
following conditions are met:

Stipend Supplementation:  Supplementation or additional support to
offset the cost of living may be provided by the awardee institution
but must not require any additional obligation from the trainee.
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 DHHS funds be used
for supplementation.

Compensation:  An institution may provide additional funds to a
trainee in the form of compensation (as salary and/or tuition
remission) for services such as teaching or serving as a laboratory
assistant.  A trainee may receive compensation for services as a
research assistant or in some other position on a Federal research
grant, including a DHHS 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 that supports 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 trainee's approved NRSA training program.

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

More specific information on stipend supplementation and compensation
is available in the current Guidelines for NRSA Individual Awards -
Institutional Grants and in the current PHS Grants Policy Statement.

Tax Liability

Section 117 of the Internal Revenue Code applies to the tax treatment
of all scholarships and fellowships.  Under that section, non-degree
candidates are required to report all stipends, and any monies paid
on their behalf for course tuition and fees required for attendance
as gross income.  Degree candidates may exclude from gross income
(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 trainees and institutions.  NRSA stipends
are not considered salaries.  In addition, trainees supported under
the NRSA are not considered to be in an employee-employer
relationship with the NIH or the awardee institution.

It must be emphasized that the interpretation and implementation of
the tax laws are the domain of the Internal Revenue Service and the
courts.  The PHS takes no position on what the status may be for 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.

Tuition, Fees, and Health Insurance

Tuition, fees, and self-only medical insurance, are allowable trainee
costs if such charges are required of all individuals in a similar
training status at the institution, regardless of their source of
support.  Family medical insurance coverage is not an appropriate
charge to the NRSA research training grant. Tuition at the
postdoctoral level is limited to that required for specific courses
in support of the approved research training program.  On an annual
basis, for each trainee, the training grant will cover 100 percent of
the first $2,000 of the combined cost of tuition, fees, and self-only
health insurance and 60 percent of any amount above $2,000.
Institutions are instructed to request the full amount of these costs
in competing applications.  Noncompeting awards will reimburse
tuition, fees, and health insurance costs in the amount paid in the
previous award year, unless there is a change in the scope of the
award.

Other Training Costs

Trainee travel, including attendance at scientific meetings that the
institution determines to be necessary to the individual's research
training, is an allowable trainee expense.  In addition, support for
travel to a research training experience away from the grantee
institution may be permitted.  Research training experiences away
from the parent institution must be justified considering the type of
opportunities for training available, how these opportunities differ
from those offered at the parent institution, and the relationship of
the proposed experience to the trainee's career stage and career
goals.  This type of research training requires prior approval from
the NIH.  Letters requesting such training may be submitted to the
NIH awarding component at any time during the award period.

Institutional costs of up to $1,500 per year per predoctoral trainee
and up to $2,500 per year per postdoctoral trainee may be requested
to defray the costs of other research training related expenses, such
as staff salaries, consultant costs, equipment, research supplies,
and staff  travel.

Under exceptional circumstances, which can include accommodating the
disabilities of a trainee, it is possible to request institutional
costs above the standard rate.  These additional costs must be
explained in detail and carefully justified in the application.
Consultation with program staff in advance of such requests is
strongly advised.

The institution may receive up to $125 per month to offset the cost
of tuition, fees, health insurance, travel, supplies, and other
expenses for each short-term, health-professional research training
position.

A facilities and administration allowance (indirect cost allowance)
based on eight percent of total allowable direct costs (this excludes
amounts for tuition, fees, health insurance, and equipment), may be
requested.

APPLICATION PROCEDURES

Applicants must use the grant application form PHS 398 (rev. 5/95).
It contains special instructions for Institutional National Research
Service Awards (T32).  Applications kits are available at most
institutional offices of sponsored research and may be obtained from
the Division 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 PA title and number should be typed on line 2 of the application
face page.  Applicants must observe the 25-page limit on the
narrative section of the PHS 398 application.

Applicants who wish to include a request for short-term research
training positions for Health Professional Students should identify
the short-term positions separately within the "Stipends" and
"Training Related Expenses" categories on the budget page.  Under
"Stipends," short-term positions should be listed in the "Other"
category.  Tuition, fees, health insurance, and trainee travel, and
other expenses, are to be included in "Training Related Expenses."
The description of the short-term research training program should be
included in the application for the regular research training
program, but should be separated from the description of the regular
program within each section of the application.  In addition to the
information requested in the "Program Plan" section, the applicant
should address the relationship of the proposed short-term program to
the regular research training program and provide assurance that the
short-term program will not detract from the regular program.

Submit an original of the application with both required signatures
and
checklist, and five exact single-sided copies of the application 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)

Application Schedule

Many Institutes review T32 applications only once or twice per year.
Applicants should contact the NCSDR or appropriate Institute staff
for specific schedule information before preparing and submitting an
application.  The following table provides general guidance for
possible receipt dates and the review of applications:

Application Receipt Date:  Jan 10      May 10
Initial Review Meeting:    Jun         Oct/Nov
Council/Board Meeting:     Sep/Oct     Jan/Feb
Earliest Start Date:       Dec 1       Apr 1

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
Division of Research Grants.  Incomplete applications will be
returned to the applicant without further consideration.

Review Criteria

Applications are evaluated for merit by NIH initial review groups
based on the following criteria:

o  Past research training record of both the program and the
designated preceptors as determined by the success of former trainees
in establishing independent and productive research careers.
Evidence of further career development can include receipt of
fellowships, career awards, further training appointments, and
similar accomplishments.  Evidence of a productive scientific career
can include a record of successful competition for research grants,
receipt of special honors, a record of publications, receipt of
patents, promotion to scientific positions, and any other measure of
success consistent with the nature and duration of the training
received.

o  Objectives, design, and direction of the training program in sleep
related research;

o  Caliber of preceptors as researchers in sleep-related disciplines,
including successful competition for research support;

o  The institutional training environment, including the level of
institutional commitment, the quality of the facilities, availability
of appropriate courses, and the availability of support for sleep
research;

o  Recruitment and selection plans for trainees, and the availability
of high quality candidates;

o  The record of the research training program in retaining health-
professional postdoctoral trainees for at least two years in research
training or other research activities;

o  When appropriate, the concomitant research training of
health-professional postdoctorates (i.e., individuals with the M.D.,
D.O., D.D.S., etc.) with basic science postdoctorates (i.e.,
individuals with a Ph.D., etc.) or linkages with basic science
departments.

Short-Term Research Training Positions:  In addition to the above
criteria, applications that request short-term research training
positions will also be assessed using the following criteria:

o  The quality of the proposed short-term training program in sleep
research including the commitment and availability of the
participating faculty, the program design, the availability of
research support, and the training environment;

o  Access to candidates for short-term research training and the
ability to recruit high quality, short-term trainees from the
applicant institution or some other health-professional school;

o  The characteristics of the research training program that might be
expected to persuade short-term trainees to consider
academic/research careers in sleep research, particularly in clinical
areas;

o  The success in attracting students back for multiple appointments
(competing renewal applications);

o  The effects of the short-term training program on the quality of
the regular research training program, including the appropriateness
of the number of short-term positions, and the plan to integrate the
short-term training program into the regular research training
program;

o  The plan to follow former short-term trainees and assess the
effect of such research training on their subsequent careers in sleep
research.

Additional Review Considerations

Minority Recruitment Plan:  The NIH remains strongly committed to
increasing the participation of individuals from underrepresented
minority groups in biomedical and behavioral research.  As announced
in 1989, all competing applications for institutional NRSA research
training grants must include a specific plan to recruit
underrepresented minorities, and competing continuation applications
also must include a report on the recruitment and retention record
during the previous award period.  If an application is received
without a plan, or without a report on the previous award period, the
application will be considered incomplete and may be returned to the
applicant without review.  Additional information on this requirement
was published in the NIH Guide for Grants and Contracts, Volume 22,
Number 25, July 16, 1993.

Competing renewal applications for research training grants must
include a detailed account of experiences in recruiting individuals
from underrepresented groups during the previous award period.
Information on the types of recruitment strategies used and which
have been successful and unsuccessful must be included.  The report
should provide information on the racial/ethnic distribution of:

(a) students and/or postdoctorates in the department(s) relevant to
the training grant,

(b) individuals who applied for research training,

(c) individuals who were offered admission, and

(d) individuals who were appointed to the research training grant.

For those trainees who were appointed to the grant, the report should
include information about the duration of research training and
whether those trainees have finished their training in good standing.

After the overall educational and technical merit of an application
has been assessed, peer reviewers will examine and evaluate the
minority recruitment plan and any record of recruitment and
retention.  For competing continuation applications, the reviewers
will examine and evaluate the record of the program in recruiting and
retaining underrepresented minority trainees during the previous
award period.  The panel also will consider whether the experience in
recruitment during the previous award period has been incorporated
into the formulation of the recruitment plan for the next award
period.  The findings of the panel will be included in an
administrative note in the summary statement.  If the minority
recruitment plan or if the record of recruitment and retention of
minorities is judged to be unacceptable, funding will be withheld
until a revised plan that addresses the deficiencies is received.
Staff within the NIH awarding component, with guidance from the
appropriate national advisory committee or council, will determine
whether amended plans and reports submitted after the initial review
are acceptable.

Training in the Responsible Conduct of Research:  Every predoctoral
and postdoctoral NRSA trainee supported by an institutional research
training grant must receive instruction in the responsible conduct of
research.  For more information on this provision, please consult a
notice in the NIH Guide for Grants and Contracts, Volume 21, Number
43, November 27, 1992.

Applications must include a description of a program to provide
formal or informal instruction in scientific integrity or the
responsible conduct of research.  Applications without plans for
instruction in the responsible conduct of research will be considered
incomplete and may be returned to the applicant without review.

o  Although the NIH does not establish specific curricula or formal
requirements, all programs are encouraged strongly to consider
instruction in the following areas: conflict of interest, responsible
authorship, policies for handling misconduct, policies regarding the
use of human and animal subjects, and data management. Within the
context of training in scientific integrity it is also beneficial to
discuss the mutual responsibilities of the institution and the
graduate students or postdoctorates appointed to the program.

o  Plans must address the subject matter of the instruction, the
format of the instruction, the degree of faculty participation,
trainee attendance, and the frequency of instruction.  The rationale
for the proposed plan of instruction must be provided.

o  Program reports on the type of instruction provided, topics
covered, and other relevant information, such as attendance by
trainees and faculty participation, must be included in future
competing and noncompeting applications.

The NIH encourages institutions to provide instruction in the
responsible conduct of research to all graduate students and
postdoctorates in a training program or department, regardless of the
source of support.

NIH initial review groups will assess the applicant's plans on the
basis of the appropriateness of topics, format, amount and nature of
faculty participation, and the frequency and duration of instruction.
The plan will be discussed after the overall determination of merit,
so that the quality of the plan will not be a factor in the
determination of the priority score. Plans will be judged as
acceptable or unacceptable.  The acceptability of the plan will be
described in an administrative note on the summary statement.
Regardless of the priority score, applications with unacceptable
plans will not be funded until a revised, acceptable plan is provided
by the applicant.  The acceptability of the revised plan will be
judged by staff within the awarding component at the NIH.

Following initial review, applications are also reviewed by the
appropriate NIH Institute or Center Council, Board, or other advisory
group.  These advisory groups will consider, in addition to the
assessment of the scientific and educational merit of the research
training grant application, the initial review group's comments on
the recruitment of individuals from underrepresented minority groups
into the research training program and the plan for instruction in
the responsible conduct of research.

AWARD CRITERIA

Applications are selected for funding primarily on the basis of
scientific and educational merit, but other factors are considered,
such as:  availability of funds, research program priorities, balance
among types of research training supported by the awarding component,
the acceptability of the plan for minority recruitment, and the
acceptability of the proposal for instruction in the responsible
conduct of research.  The awarding NIH Institute will notify the
applicant of the final action shortly after the advisory group
meeting.

Additional information

For additional information, see the document titled "Guidelines for
National Research Service Awards, Individual Awards - Institutional
Grants" available from the applicant's institution or by contacting
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, E-mail:
asknih@odrockm1.od.nih.gov.

INQUIRIES

Applicants are strongly encouraged to contact the individuals
designated below, in advance of preparing an application, for
additional information concerning the areas of research, receipt
dates, and other types of pre-application consultation.

Direct inquiries regarding programmatic issues to:

James P. Kiley, Ph.D.
National Center on Sleep Disorders Research
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 7024, MSC 7920
Bethesda, MD  20892-7920
Telephone:  (301) 435-0199
Email:  kileyj@gwgate.nhlbi.nih.gov

Additional contacts for Institute-specific program issues are:

Andrew 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
Email:  am39m@nih.gov

Ellen D. Witt, Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 402, MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-6545
Email:  ewitt@willco.niaaa.nih.gov

Marian Willinger, Ph.D.
Pregnancy and Perinatology Branch
National Institute of Child Health and Human Development
6100 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-5575
Email:  willingm@hd01.nichd.nih.gov

Paul Coulis,  Ph.D.
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A/08
Rockville, MD  20857
Telephone:  (301) 443-1801
Email:  pcoulis@aoada.ssw.dhhs.gov

Israel Lederhendler, Ph.D.
National Institute of Mental Health
5600 Fishers Lane, Room 11/102
Rockville, MD  20857
Telephone:  (301) 443-1576
Email:  ilu@cu.nih.gov

Joseph Drage, M.D.
Training and Special Programs Officer
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1016
Bethesda, MD  20892
Telephone:  (301) 496-4188
Email:  dragej@nswide.ninds.nih.gov

Mary Leveck, Ph.D., R.N.
National Institute of Nursing Research
45 Center Drive, Room 3AN12, MSC 6300
Bethesda, MD 20892-6300
Telephone:  (301) 594-5963
Email:  mleveck@ep.ninr.nih.gov

Direct inquires regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Suite 7160, MSC 7926
Bethesda, MD  20892-7920
Telephone:  (301) 435-0171
Email:  zimmermr@gwgate.nhlbi.nih.gov

Crystal Ferguson
Grants Management Office
National Institute on Aging
7201 Wisconsin Avenue, Suite 2C212, MSC 9205
Bethesda, MD  20892-9205 (Courier Zip: 20814)
Telephone:  (301) 496-1472
Email:  Ferguson%nihniagw.bitnet@cu.nih.gov

Linda Hilley
Grants Management Branch
National Institute on Alcohol Abuse and Alcoholism
6000 Executive Boulevard, Suite 504 MSC 7003
Bethesda, MD  20892-7003
Telephone:  (301) 443-0915
Email:  lhilley@wilco.niaaa.nih.gov

Douglas Shawver
Office of Grants and Contracts
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 8A17
Bethesda, MD  20892
Telephone:  (301) 496-1303
Email:  Shawver@hd01.nichd.nih.gov

Gary Fleming
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20892
Telephone:  (301) 443-6710
Email:  gfleming@aoada.ssw.dhhs.gov

Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-08
Rockville, MD  20857
Telephone:  (301) 443-3065
Email:  dt21a@nih.gov

Karen Shields
Grants Management Branch
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1004
Bethesda, MD  20892-9190
Telephone:  (301) 496-9231

Jeff Carow
Grants Management Officer
National Institute of Nursing Research
Building 45, Room 3AN-12
Bethesda, MD  20892-6301
Telephone:  (301) 594-6869
Email:  jcarow@ep.ninr.nih.gov

AUTHORITY AND REGULATIONS

NRSA Institutional Research Training Grants are made under the
authority of Section 487 of the Public Health Service Act as amended
(42 USC 288). Title 42 of the Code of Federal Regulations, Part 66,
is applicable to this program.  This program is also described under
the following numbers in the Catalog of Federal Domestic Assistance:
93.121, 93.172, 93.173, 93.233, 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, 93.862-93.868, 93.871, 93.880, 93.894, and 93.929.

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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EFFECTIVENESS OF CHILDREN'S MENTAL HEALTH AND SUBSTANCE ABUSE
TREATMENT IN THE GENERAL HEALTH SECTOR

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA:  HS-98-004

P.T. 34, AA; K.W. 0715095, 0404009, 0415001, 0745070

Agency for Health Care Policy and Research
National Institute on Drug Abuse, NIH
National Institute of Mental Health, NIH
Substance Abuse and Mental Health Services Administration

Letter of Intent Receipt Date: November 13, 1997
Application Receipt Date: January 6, 1998

PURPOSE

The Agency for Health Care Policy and Research(AHCPR), in cooperation
with the:  National Institute on Drug Abuse (NIDA), National
Institutes of Health (NIH); the National Institute of Mental Health
(NIMH), NIH; and the Substance Abuse and Mental Health Services
Administration (SAMHSA) invites applications for research on the
effectiveness and/or cost-effectiveness of child mental health and
substance abuse treatment interventions and guideline-based treatment
strategies for children, adolescents, and youth in the general health
sector.  Guideline- and other evidence- based aids for clinical
decisionmaking may go beyond specific treatment interventions to
include possible combinations of specific treatments.  Guideline- and
other evidence-based aids may include algorithms, practice
guidelines, treatment protocols, and practice parameters.

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.  Applicants
are encouraged to submit grant applications with relevance to the
specific objectives of this initiative.  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 or foreign, public or
private, organizations, including universities, clinics, units of
State and local governments, firms, and foundations.  AHCPR, by
statute, can make grants only to non-profit organizations; however,
for-profit organizations may participate as members of consortia or
subcontractors. NIH can make R01 grants to for-profit organizations.
Organizations described in section 501(c)4 of the Internal Revenue
Code that engage in lobbying are not eligible.

Women, members of minority groups, and persons with disabilities are
encouraged to apply as Principal Investigators.

MECHANISM OF SUPPORT

The RFA mechanism of support is the research project grant R01.
Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant.

AHCPR is particularly interested in research and evaluation projects
that will produce results within 1 to 3 years although longer
projects will also be supported.

Project support may not exceed 5 years (awards to foreign applicants
are limited to three years).

FUNDS AVAILABLE

AHCPR expects to award up to $1.5 million in fiscal year 1998 to
support the first year of approximately 3-5 projects under this RFA.
The number of awards is dependent on the number of high quality
applications and their individual budget requirements; it is not the
intent of AHCPR that the awards be equal in size.  The earliest
anticipated AHCPR award date is July 1, 1998.

NIDA expects to award up to $0.5 million in fiscal year 1998,
dependent on the quality of the applications relevant to drug abuse
and the availability of funds.  NIMH expects to award up to $1.0
million, and SAMHSA up to $0.5 million, in fiscal year 1998,
dependent upon the quality of the applications and the availability
of funds.

Funding beyond the initial budget period will depend upon annual
progress reviews and the availability of funds.

PUBLIC-PRIVATE PARTNERSHIPS

In order to better leverage public funds, and to address important
health issues that cross both the public and private spheres,
creative public-private research partnerships are encouraged.
Researchers have found that such partnerships help to more quickly
translate the findings of their research into real-world information
for physicians and other health professionals.  Applicants are free
to seek additional funding sources or research collaborators for
these projects.  Where additional parties are anticipated, their
proposed role should be described in both the project narrative and
the financial portions of the application.  In addition, private
sector entities are encouraged to consider providing additional
support for meritorious applications.

RESEARCH OBJECTIVES

Background

Substantial numbers of children and youth are estimated to need
treatment for mental health and substance abuse problems.  Many of
the affected children go untreated, but among those who receive care,
a large percentage obtain it in general health sector settings, and
that proportion may be growing.

Continuing dramatic changes in the financing, organization, and
delivery of health care in the United States have put increasing
emphasis on the delivery of services by nonspecialists.  New
cost-cutting demands have also generated renewed emphasis on the need
for scientific evidence on the effectiveness of health interventions.
In the arena of child mental health and substance abuse, such
evidence will be useful for a variety of purposes, including:  the
design of systems of care for children, adolescents, and youth;
prospective evaluation of proposed alternative approaches to
treatment; evaluation of care provided; and examination, monitoring,
and improvement of the efficiency and quality of care.  Additional
evidence about the effectiveness of child substance abuse and mental
health services will be important to inform policy makers on issues
of access to these services.

To date, most effectiveness research on child mental health and
substance abuse has not examined the effectiveness of specific
treatments in real world clinical settings. Rather, much of the work
has focused on the effects of systems aspects such as settings and
comprehensiveness of services.  While systems considerations are
integral to designing and providing mental health and substance abuse
services to children, understanding the effectiveness of the specific
treatments provided within those systems of care is also critical.
Once a problem is detected or diagnosed, treatment is an essential
system component.  Only a small percentage of mental health services
research has taken place in primary care and other general health
sector settings.

Objectives and Scope

Research conducted under this solicitation will be expected to help
build the evidence base on the effectiveness and cost-effectiveness
of mental health and substance abuse treatments for children,
adolescents, and youth in general health sector settings.

o  Definition of children, and children with special life situations

Children, adolescents, and youth are defined using the definition of
the American Academy of Pediatrics, that is, those individuals from
birth to roughly age 21.  Children of both genders, all racial and
ethnic origins, and financial circumstances can be affected by mental
health or substance abuse problems.  It is recognized that problems
may be exacerbated by specific life circumstances.  Such situations
include, but are not limited to:  transitions from pre- to early
adolescence; school environments and transitions, including
transitions to college; pregnancy and parenting; academic problems;
trouble with the law; neighborhood environments; and other illnesses
and disabilities.

o  General health sector

The general health sector is defined as health care settings other
than specialty mental health and substance abuse settings.  General
health sector settings include, but may not be limited to:
integrated delivery systems (i.e., managed care other than mental
health carveouts); primary care settings such as offices and clinics
where pediatricians, family practitioners, internal medicine
specialists, nurses, nurse practitioners, and physician assistants
provide health services to children, adolescents, and youth; other
ambulatory and outpatient facilities; general acute care inpatient
hospitals; and general acute care hospital emergency departments.
This RFA's reference to specific practitioners does not exclude from
potential study treatments provided by teams that include mental-
health and substance-abuse specialists (e.g., social workers,
psychologists, licensed drug abuse counselors, licensed professional
counselors, psychiatrists), as long as they work in general health
sector settings and with non- specialist providers.

o  Treatments

Mental health and substance abuse treatments are those services
designed to maintain (if improvement is not possible), or improve
identified (diagnosed or subclinical) mental health and substance
abuse problems, such as those described in the American Psychiatric
Association's Diagnostic and Statistical Manual, Fourth Edition
(DSM-IV) or the American Academy of Pediatrics' Classification of
Child and Adolescent Mental Diagnoses in Primary Care: Diagnostic and
Statistical Manual for Primary Care, Child and Adolescent Version
(DSM-PC).

Research under this solicitation can be used to test the
effectiveness of specific treatments (e.g., single pharmacotherapies
or psychosocial treatments) or evidence- based treatment guidelines
for specific disorders or combinations of disorders.  For purposes of
this solicitation, the term "specific treatments" includes both
psychosocial and psychopharmacological treatments. Evidence-based
treatment guidelines can include comprehensive strategies that
involve multiple interventions and the procedures for their
integration into a single plan of treatment.

Applications should describe all treatments (including comparison
treatments) in enough detail so that they would be reproducible by
other practitioners or researchers in other settings.  The use of
generic terms that are sometimes found in the literature (e.g.,
"office-based brief intervention"), with no further explanation,
should be avoided.

NIMH is interested in studies of the effectiveness of treatments for
specific diagnosable mental disorders, such as attention-deficit
hyperactivity disorder, affective disorders, anxiety disorders,
obsessive-compulsive disorders, autism, and disruptive behavior
disorders.

SAMHSA is particularly interested in supporting projects that examine
the effectiveness of interventions targeted to children with, or at
risk for, serious emotional disturbances, and their families.
Children with serious emotional disturbances have a diagnosable
disorder which affects the degree or level of functioning in the
family, school, and/or community, with an expected duration of more
than one year.

This solicitation does not cover the development of guidelines or
protocols for treatments; thus, only treatment guidelines that have
been developed by the time of the award should be used in the
research.

Screening and diagnostic services are not included under this RFA.

Research Methods

The research conducted under this solicitation is expected
to take place in real world settings such as pediatric or family
practice office or clinic settings, hospital or other emergency
facilities, and managed care organizations. Effectiveness is defined
as the extent to which medical (including psychosocial and
psychopharmacological) interventions achieve health and/or functional
improvements in real world practice settings.  Real world settings
include university-affiliated health care settings.

This RFA strongly encourages experimental effectiveness research
(i.e., randomized and controlled studies).

Health and/or functional outcomes should be used to measure the
expected effects of the treatment interventions.  The use of
previously-validated outcome measures is strongly encouraged, as is
the use of measures using children's own self-reports.

Health outcomes are the end results of the structure and processes of
health care on the health and well-being of patients and populations.
Examples of relevant health outcomes include reduction in symptoms,
improved scores on validated mental health or substance abuse
assessment instruments, and reductions in mortality or morbidity
associated with mental health or substance abuse problems.

Functional outcome measures incorporate a multidimensional definition
of health that encompasses physical, psychological, behavioral, and
social aspects, and attempt to capture the broader impact of disease
and treatment from a patient's (or parent's) own perspective.  For
example, can children participate in normal school activities?  Can
they play with friends?  Can they avoid juvenile justice/law
enforcement involvement?  Can they live a life free of painful
symptoms?

Any cost-effectiveness studies should use health and/or functional
outcome measures as described above, and use as a guide suggestions
found in the report of the task force on cost-effectiveness in health
and medicine, Cost- Effectiveness in Health and Medicine, published
in 1996.

Interdisciplinary research consortia and real world settings

In order to improve the generalizability of findings, consortia of
interdisciplinary research teams and real-world clinical settings are
encouraged.  Existing examples of real-world settings in which
research is conducted include, but may not be limited to, the
Practice Research Networks of the American Psychiatric Association
and the Pediatric Research in Office Settings of the American Academy
of Pediatrics.  Interdisciplinary research teams should include
physician-researchers, nurse-researchers, psychologists,
sociologists, economists, and other researchers, as appropriate.

SPECIAL REQUIREMENTS

Budget Preparation

The costs of clinical care provided to any research participants will
not be paid out of grant funds.

Confidentiality of Data

Information obtained in the course of a study supported by AHCPR that
identifies an individual or entity must be treated as confidential in
accordance with section 903(c) of the Public Health Service Act.
Applicants must describe in the Human Subjects section of the
application procedures for ensuring the confidentiality of
identifying information. The description of the procedures should
include a discussion of who will be permitted access to the
information, both raw data and machine readable files, and how
personal identifiers will be safeguarded.

Informed Consent

To the extent informed consent regulations will apply to the proposed
research, applicants are expected to comply fully with those
requirements and to outline their proposed efforts as part of their
applications.

Rights in Data

AHCPR grantees may copyright or seek patents, as appropriate, for
final and interim products and materials including, but not limited
to, methodological tools, measures, software with documentation,
literature searches, and analyses, which are developed in whole or in
part with AHCPR funds.  Such copyrights and patents are subject to a
Federal Government license to use these products and materials for
AHCPR purposes.  AHCPR purposes may include, subject to statutory
confidentiality protections, making research materials, data bases,
and algorithms available for verification or replication by other
researchers; and subject to AHCPR budget constraints, final products
may be made available to the health care community and the public by
AHCPR, or its agents, if such distribution would significantly
increase access to a product and thereby produce public health
benefits.  Ordinarily, to accomplish distribution, AHCPR publishes
research findings but relies on grantee efforts to market
grant-supported products.  In keeping with AHCPR's legislative
mandates to make both research results and data available, copies of
all products and materials developed under a grant supported in whole
or in part by AHCPR funds are to be made available to AHCPR promptly
and without restriction, upon request by AHCPR.

The special terms of award described above are in addition to and not
in lieu of otherwise applicable PHS grant policies and Federal
regulations.

INCLUSION OF WOMEN, MINORITIES, AND CHILDREN IN RESEARCH STUDY
POPULATIONS INVOLVING HUMAN SUBJECTS

It is the policy of AHCPR and NIH that women and members of minority
groups be included in all AHCPR-supported 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.
Because this RFA applies solely to children, the policy on women
applies to female children, adolescents, and youth.  This policy
results from the NIH Revitalization Act of 1993 (Section 492B of
Public Law 103-43).

All investigators proposing research involving human subjects should
read the "NIH Guidelines on the Inclusion of Women and Minorities as
Subjects in Clinical Research," which were published in the Federal
Register of March 28, 1994 (FR 59 14508-14513), and in the NIH GUIDE
FOR GRANTS AND CONTRACTS of March 18, 1994, Volume 23, Number 11.
AHCPR follows the revised NIH Guidelines, as applicable.

Investigators may obtain copies from those sources or from the AHCPR
contractor, Global Exchange, Inc., listed under INQUIRIES.

In general, AHCPR is also encouraging investigators to consider
including children in study populations, as appropriate.  Clearly
this RFA focuses exclusively on children.  AHCPR announced in the NIH
Guide, Volume 26, Number 15, May 9, 1997, that it is developing a
policy and implementation plan on the inclusion of children in health
services research.  This Notice is available through AHCPR's WEB site
(http://www.ahcpr.gov) and InstantFAX (see instructions under
INQUIRIES).  NIH published a similar Notice on the inclusion of
children as subjects in clinical research, in the NIH Guide, Volume
26, Number 3, January 31, 1997.

Program staff may also provide information concerning these policies
(See INQUIRIES).

LETTER OF INTENT

Prospective applicants are asked to submit, by November 13, 1997, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the proposed
Principal Investigator and other key personnel; and the number and
title of this RFA.  Although a letter of intent is not required, is
not binding, and does not enter into the consideration of any
subsequent application, the information allows AHCPR to estimate the
potential review workload and avoid conflicts of interest in the
review.  AHCPR will not provide responses to letters of intent.

The letter of intent is to be addressed to:

Charlotte Mullican
Center for Outcomes and Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485, ext. 1201
FAX:  (301) 594-3211
Email:  chdmhrfa@ahcpr.gov

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  State and local government applicants
may use form PHS-5161-1, Application for Federal Assistance (rev.
5/96), and follow those requirements for copy submission.
Application kits are available at most institutional offices of
sponsored research and may be obtained from the Division of
Extramural Outreach and Information Resources, Office of Extramural
Research, National Institutes of Health, 6701 Rockledge Drive, MSC
7910, Bethesda, MD  20892-7910, telephone 301/435-0714 (email:
ASKNIH@odrockm1.od.nih.gov).

AHCPR applicants should obtain application materials from the AHCPR
contractor:  Global Exchange, Inc. (see INQUIRIES).

The RFA label available in the form PHS 398 (rev. 5/95) must be
affixed to the bottom of the face page of the original applicants.
Failure to do so 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 2 of the face page of the application form and YES must be
marked.

Submit a signed, typewritten original of the application, including
the Checklist, 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:

Charlotte Mullican
Center for Outcomes and Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485, ext. 1201
FAX:  (301) 594-3211
Email: chdmhrfa@ahcpr.gov

Applications submitted under this RFA must be received in the
Division of Research Grants, NIH, by January 6, 1998. If an
application is received after that date, it will be returned to the
applicant without review.

CONFERENCE FOR PROSPECTIVE APPLICANTS

AHCPR, NIDA, NIMH, and SAMHSA plan to convene a special technical
assistance workshop to assist potential applicants.  The purpose of
this conference is to give background information and respond to any
questions about the preparation of an application in response to this
RFA. The workshop will be held in the Rockville/Bethesda, Maryland,
area approximately 3-4 months after the publication of this
announcement.  Attendance is not a prerequisite to applying.
Attendees must pay for their own travel and accommodation costs.  The
workshop will be open to any individual or organization intending to
apply.  A synthesis of pertinent Questions and Answers discussed at
the prospective applicants' meeting will be available from the AHCPR
contractor, Global Exchange, Inc., listed under INQUIRIES.  For
further information on the conference, contact:  Margaret Coopey or
Charlotte Mullican, AHCPR; Dorynne Czechowicz, M.D., NIDA; Kimberly
Hoagwood, Ph.D., NIMH; or Diane L. Sondheimer, SAMHSA, also listed
under INQUIRIES.

REVIEW CONSIDERATIONS

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 established peer review
procedures.  As part of the merit review, all applications will
receive a written critique, and also may undergo a process in which
only those applications deemed to have the highest scientific merit
will be discussed and assigned a priority score.

General Review Criteria

Review criteria for grant applications are:  significance and
originality from a scientific and technical viewpoint; adequacy of
the method(s); availability of data or proposed plan to collect data
required for the project; adequacy of the plan for organizing and
carrying out the project and achieving outcome measures;
qualifications and experience of the Principal Investigator and
proposed staff; reasonableness of the proposed budget; adequacy of
the facilities and resources available to the applicant; the extent
to which women and minorities are adequately represented in study
populations; and when applicable, the adequacy of the proposed means
for protecting human subjects.

Special Review Criteria

In addition to the general criteria above, the reviewers will assess
the application's responsiveness to the RFA; generalizability of
results; feasibility of answering the proposed research question(s)
within the project period; research design; and the validity of
outcome(s) measures.

AWARD CRITERIA

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

Preference in funding will be accorded by AHCPR to meritorious
applications which focus on issues concerning minority populations.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Copies of the RFA should be obtained from:

Global Exchange Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone 301/656-3100
FAX 301/652-5264

The RFA is also available on AHCPR's website, http://www.ahcpr.gov
and through AHCPR InstantFAX at 301/ 594-2800.

To use InstantFAX, you must call from a facsimile (FAX) machine with
a telephone handset.  Follow the voice prompt in order to obtain a
copy of the table of contents, which has the document order number
(not the same as the RFA number).  The RFA will be sent at the end of
the ordering process.  AHCPR InstantFAX operates 24 hours a day, 7
days a week.  For questions about this service, call AHCPR's Division
of Communications at 301/594-1364, ext. 1389.

Direct inquiries regarding programmatic issues, including information
on the policy of inclusion of women (females), minorities, and
children in study populations, to:

AHCPR:

Margaret Coopey
Office of the Forum for Quality and Effectiveness in Health Care
Agency for Health Care Policy and Research
6000 Executive Boulevard, Suite 310
Rockville, MD  20852
Telephone:  (301) 594-4015, ext.1788
FAX:  (301) 594-4027
Email: chdmhrfa@ahcpr.gov

Charlotte Mullican
Center for Outcomes and Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852-4908
Telephone:  (301) 594-1485, ext. 1201
FAX:  (301) 594-3211
Email: chdmhrfa@ahcpr.gov

Dorynne Czechowicz, M.D.
Division of Clinical and Services Research
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-10
Rockville, MD  20857
Telephone:  (301) 443-0107
FAX:  (301) 443-8674
Email:  dc97@nih.gov

Kimberly Hoagwood, Ph.D.
Division of Epidemiology Services Research
National Institute of Mental Health
5600 Fishers Lane, Room 10C-06
Rockville, MD  20857
Telephone: (301) 443-3364, ext.
FAX:  (301) 443-4045
Email:  khoagwoo@nih.gov

Diane L. Sondheimer
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
5600 Fishers Lane, Room 18-49
Rockville, MD  20857
Telephone:  (301) 443-1333
FAX:  (301) 443-3693
Email:  dsondhei@samhsa.gov

Direct inquiries regarding fiscal matters to:

Mable L. Lam
Office of Grants Management
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852-4908
Telephone:  (301) 594-1447, ext. 1165
FAX:  (301) 594-3210
Email:  mlam@ahcpr.gov

Gary Fleming, J.D.
Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710
FAX:  (301) 594-6847
Email:  gf6s@nih.gov

Diana S. Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-08
Rockville, MD  20857
Telephone:  (301) 443-2805
FAX:  (301) 443-6885
Email:  dt21a@nih.gov

Christine Chen
Division of Grants Management
Substance Abuse and Mental Health Services Administration
5600 Fishers Lane, Room 618
Rockville, MD  20857
Telephone:  (301) 443-8926
FAX:  (301) 443-1358
Email:  cchen@samhsa.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Numbers 93.104, 93.180, 93.226, 93.230, 93.242, and
93.279.  Awards are made under authorization of: for AHCPR,  Title IX
of the PHS Act (42 U.S.C. 299-299c-6) and Section 1142 of the Social
Security Act (42 U.S.C. 1320b-12); for NIDA and NIMH, PHS Act, Title
IV, Part A (Public Law 78-410, as amended by Public Law 99-158, 42
U.S.C. 241 and 285); and for SAMHSA, PHS Act, Title V, Section 561 et
seq (42 U.S.C. 290 ff et seq), and Section 501(d)(i) (42 U.S.C.
290aa).  Awards are administered under the PHS Grants Policy
Statement and Federal regulations 42 CFR 67, Subpart A, 42 CFR 52,
and 45 CFR Parts 74 and 92. 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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MBRS SUPPORT OF CONTINUOUS RESEARCH EXCELLENCE (SCORE)

NIH GUIDE, Volume 26, Number 20, June 13, 1997

PA NUMBER:  PAR-97-068

P.T. 34, FF; K.W. 0710030

National Institute of General Medical Sciences

Application Receipt Dates:  February 1, June 1, October 1

PURPOSE

The purpose of the Minority Biomedical Research Support  (MBRS)
Support of Continuous Research Excellence (SCORE) program is to
provide financial assistance to competitive research programs in all
areas of biomedical and behavioral research at institutions with
significant underrepresented minority student enrollment. The intent
of this announcement is to provide grants to support research by
faculty members at minority serving institutions.  The SCORE program
replaces the research component of the traditional MBRS (S06) program
and the pilot research projects of the S14 program.  By eliminating
or modifying some of the restrictions of the traditional S06 and S14
programs, the SCORE program allows enhanced flexibility in the
development of research projects.  In addition, the MBRS Branch
recognizes that minority and minority-serving institutions are
diverse in institutional environment and mission.  Therefore, with
respect to evaluation activities, this program requires that the
institution set its own specific goals and measurable objectives.

ELIGIBILITY REQUIREMENTS

To be eligible for a grant under this program, an applicant must be
located in a State, the District of Columbia, Puerto Rico, the Virgin
Islands, the Canal Zone, Guam, American Samoa, or the successor
States of the Trust Territory of the Pacific Islands (the Federated
States of Micronesia, the Republic of the Marshall Islands, the
Republic of Palau), and be one of the following:

a.   a public or private nonprofit university, two-year or four-year
college, or other institution offering undergraduate, graduate, or
health-professional degrees, with a traditionally high (more than 50
percent) underrepresented minority  student enrollment;

b.   a public or private nonprofit university, two-year or four-year
college, or other institution offering undergraduate, graduate, or
health-professional degrees with a student enrollment, a significant
proportion of which (but not necessarily more than fifty percent) is
derived from underrepresented minorities, provided the Secretary of
the Department of Health and Human Services determines that said
institution has a demonstrated commitment to the special
encouragement of, and assistance to, underrepresented minority
faculty, students, and investigators; or

c.   an Indian tribe that has a recognized governing body and that
performs substantial governmental functions, or an Alaska Regional
Corporation (ARC), as defined in the Alaska Native Claims Settlement
Act (43 U.S.C. 1601 et seq.).

For the purposes of this announcement, underrepresented minorities
are individuals belonging to a particular ethnic or racial group that
has been determined by the grantee institution to be underrepresented
in biomedical or behavioral research.  Historically, individuals who
have been found to be underrepresented in biomedical or behavioral
research include, but are not limited to, U.S. citizens who are
Hispanic Americans, African Americans, Native Americans (including
Alaskan natives) and natives of the U.S. Pacific Islands

A written statement containing the following information is required
in order to establish eligibility:

a.   the total student enrollment at the institution and percentages
of various underrepresented minorities in the total student
population (i.e., Native American, African American, Hispanic
American, natives of the U.S. Pacific Islands);

b.   number of underrepresented minority students in science
departments;

c.   evidence of the institution's commitment to the advancement of
underrepresented minority faculty and investigators, including
numbers of minority faculty in science departments; and

d.   evidence of efforts to recruit and retain underrepresented
minority students and faculty in the participating departments.

The SCORE program replaces the faculty research category of the
traditional MBRS program (S06) and the pilot research projects of the
MBRS Program for Undergraduate Colleges (S14).  An institution may
hold only one active SCORE award.  Institutions currently funded for
the traditional S06 or S14 programs are encouraged to apply for the
SCORE program, with a start date to coincide with the end of their
current project period.  In general, existing policies and provisions
will remain in effect for current S06 and S14 recipients until
completion of the non-competing years of their current project
period.  June 1, 1998 will be the final date for submission of new
and competitive renewals of traditional MBRS (S06) and S14 grant
applications.

Institutions supported by the Initiative for Minority Student
Development (NIH Guide, Vol. 25, No. 4, 1996) are not eligible for
the SCORE Program.  Institutions may have only one active SCORE
program.

MECHANISM OF SUPPORT

Awards under this program will be administered using the S06 grant
mechanism. The responsibility for planning, direction, execution,
data acquisition, and the institutional evaluation activities of the
proposed program lies solely with the applicant institution.  The
maximum grant period may not exceed four years, with the opportunity
for competing renewal at the end of that period.

RESEARCH OBJECTIVES

As of 1992, underrepresented minorities constituted only 4.5 percent
of the postdoctoral fellows in the life sciences and less than 2.7
percent of the principal investigators of NIH research grants. In
addition, the number of underrepresented minority applicants for
research grants and training positions is very low.  In the NIH
Revitalization Act of 1993, NIH was encouraged to increase the number
of underrepresented minorities participating in biomedical and
behavioral research.  In response to the Act, the objective of this
initiative is to significantly improve the research capabilities of
minority and minority-serving institutions.

The MBRS SCORE program offers research opportunities for faculty of
eligible institutions through support of faculty-initiated,
scientifically meritorious, biomedically relevant research projects,
including pilot research projects.  Support for faculty participating
in pilot projects is preparatory to seeking more substantial funding
from NIH research grant programs (e.g. MBRS SCORE (S06) research
program, Academic Research Enhancement Award (AREA), K awards, R29
(FIRST Awards), and R01 awards) as well as funding from other
agencies and private sources.  Funds intended to support pilot
projects may not be used to supplement ongoing research projects.

Applicants should note that evaluation is a necessary component of
every MBRS program; this program requires that each institution set
its own specific goals and measurable objectives.

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 policy results from
the NIH Revitalization Act of 1993 (Section 492B of Public Law 103
43).

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 in the NIH
Guide for Grants and Contracts, Volume 23, Number 11, March 18, 1994.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) and
supplemental MBRS SCORE program instructions should be used in
applying for these grants.  Applications kits are available at most
institutional offices of sponsored research and may be obtained from
the Division 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 MBRS program office listed
under INQUIRIES.

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

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20872-7710
BETHESDA, MD  20817 (for express/courier service)

At the time of submission, two additional copies of the application
must also be sent to the Chief, Office of Scientific Review listed
under INQUIRIES.

Applicants are urged to contact MBRS program staff at an early stage
for assistance and guidance in developing an application.

ALLOWABLE COSTS

Applicants may apply for support for from one to as many as twenty
(20) research projects and one to eight (8) pilot projects per
program.  An institution need not apply for both research and pilot
projects; they may apply for support of pilot projects only or
research projects only.  Individual investigators may apply for
either a research project or a pilot research project, but not both.
Grant funds may be used for payment of any allowable and necessary
direct cost (i.e., salaries, consultant fees, equipment, travel,
renovations (up to $40,000), supplies, etc.) for biomedical research
under the MBRS program.

Certain costs for managing a complex program are allowable and may
vary, depending upon the size and complexity of the program's
activities.  The costs budgeted for MBRS grants may not duplicate
cost items already budgeted in other cost centers of the institution
for example, accounts which make up the Facilities and Administration
(F&A) cost pool.  The grantee institution must be prepared to provide
documentation showing the direct relationship of these costs to the
program and that costs of this type are charged in a uniform manner
to all other work at the institution.

Salary (up to 25 percent) for the Program Director for that portion
of time or effort specifically employed in directing the MBRS program
is allowable.  Salaries for secretarial or clerical help are
allowable only when in direct support of the MBRS program.  Costs for
evaluation activities are allowable, as are costs for an External
Scientific Advisory Committee (ESAC).

Direct costs associated with research and pilot projects are
allowable when adequate justification is provided.  These include
faculty salaries, reimbursed according to percent effort, salaries
for technicians, post-doctoral research associates, research
associates, and research assistants, and costs for consultants.
Costs of equipment and supplies, including costs for animals,
necessary to carry out the proposed research may be included.  Travel
costs are permitted when direct benefits are provided to the program,
and when adequate justification is provided.  Alterations and
Renovations costs (up to $40,000) are allowable and includes repairs,
painting, removal or installation of partitions, shielding, etc..
Other costs might include animal maintenance (unit care costs and
number of care days), donor fees, publication costs, computer
charges, rentals and leases, equipment maintenance, service
contracts, and tuition remission in lieu of salary.

Consortium arrangements may involve personnel costs, supplies, and
other allowable costs, including indirect costs. Contractual costs
for support services, such as the laboratory testing of biological
materials, clinical services, or data processing, are allowable
expenses.

Faculty Pilot Research Projects

The faculty pilot research project is developmental and is intended
for faculty without current research support.  Therefore,
investigators with funded or pending support from other mechanisms
such as the S06, AREA, FIRST, R01, or funding from another agency,
are not eligible.

For faculty pilot projects, applicants may request support for up to
$25,000 in direct costs per project per year, up to a total of
$75,000 for a period not to exceed four years, and this support is
non-renewable.

EVALUATION

The MBRS Branch recognizes that minority and minority-serving
institutions are diverse in institutional environment and mission.
Therefore, the emphasis of the evaluation activities of the MBRS
SCORE program will be on the improvement, as defined by specific
goals and measurable objectives, which the applicant institution sets
for itself.

The applicant institution should evaluate the benefits of the SCORE
program's activities on specific, measurable outcomes identified by
the applicant.  Those outcomes will include, but are not limited to,
measures of the faculty research projects' success.  Since the intent
of this program is to support institutions with competitive research
programs, measurable outcomes might include progress in completing
the specific aims of each research project outlined in the
application, numbers of faculty publications in peer-reviewed
journals or book chapters, numbers of faculty presentations at
national scientific organization/society meetings, unexpected (but
important) research findings, etc.

At each competitive and non-competitive renewal, in the progress
report, the investigators will evaluate what difference the award has
made.  A central aspect of each grant application (that distinguishes
it from previous programs) is that each successful application has
specific, MEASURABLE objectives and a plan to evaluate whether those
objectives have been met.

REVIEW CONSIDERATIONS

Upon receipt, NIH staff will administratively review applications.
Incomplete and/or unresponsive applications will be returned to the
applicant without further consideration.  Those applications that are
complete and responsive will be evaluated in accordance with the
criteria stated below for scientific and technical merit by
appropriate peer review groups.  The National Advisory General
Medical Sciences Council will provide the second level of review.

The review of an MBRS SCORE application involves a review of the
individual research projects, pilot research projects and of the
overall program

Review Criteria for Individual Research Projects

In carrying out the scientific and technical merit review of
individual faculty research project applications, the initial review
group will take into account:

o  the appropriateness of, and rationale for, the hypothesis driven
research plan;
o  the appropriateness/adequacy of the methodology proposed to carry
out the research;
o  the quality of the literature review in terms of being complete
and current, and containing a critical analysis of the literature,
including identification of gaps in the knowledge;
o  the availability of, or plans to acquire, the necessary resources
to conduct the research;
o  the qualifications and experience of the principal investigator(s)
to conduct the work;
o  the biomedical relevance of the research problem;
o  the reasonableness of the proposed budget and the requested period
of support in relation to the proposed research;
o  in renewal applications, the scientific productivity of
investigators currently supported by the MBRS SCORE or traditional
S06 program, as evidenced by publications in peer-reviewed journals
(chapters or articles), presentations at national or international
scientific meetings, and attempts to secure other research funding.
(The reviewers will evaluate the investigator's progress report.);
and
o  the adequacy of the proposed means for protecting against or
minimizing any adverse effects upon humans, animals, or the
environment, where an application involves such activities.

Review Criteria for Faculty Pilot Projects

In carrying out the scientific and technical merit review of pilot
research project applications, the initial review group will take
into account:

o  the clarity and focus of the proposed research goal;
o  the appropriateness/adequacy of the methodology proposed to carry
out the research;
o  the quality of the literature review in terms of being complete
and current, and containing a critical analysis of the literature,
including identification of gaps in the knowledge;
o  the availability of, or plans to acquire, the necessary resources
to conduct the research;
o  the qualifications and experience of the principal investigator(s)
to conduct the work;
o  the biomedical relevance of the research problem;
o  the reasonableness of the proposed budget and the requested period
of support in relation to the proposed research;
o  the adequacy of the proposed means for protecting against or
minimizing any adverse effects upon humans, animals, or the
environment, where an application involves such activities.

Review of the Overall Program

In carrying out the review of the overall program, the initial review
group will examine evidence of the institutional commitment to the
goal of fostering the participation of underrepresented minorities in
biomedical research.  This includes:

o  an assessment of attempts to increase the numbers of
underrepresented minority faculty participating in the research
projects;
o  the commitment, responsibility, and leadership of the Program
Director and institutional officials, as reflected by completeness,
accuracy, and organization of the application according to
application instructions and MBRS guidelines;
o  adequacy and availability of the institution's research resources
such as facilities and fiscal management;
o  the commitment of the institution to faculty research development
and sustaining faculty research efforts as reflected by an adequate
plan to assure that the NIH approved and funded percent effort will
be applied to research;
o  the overall scientific merit of the application based on the
quality of the individual research projects submitted; and
o  the adequacy of the evaluation plan.

AWARD CRITERIA

The MBRS program's mission is to increase significantly the number of
underrepresented minorities conducting biomedical research.  Towards
this end, one of the goals of the MBRS program is to strengthen the
biomedical research capability of institutions with significant
underrepresented minority enrollments.  Priorities for funding will
be based on the scientific and technical merit of the application,
and the likelihood that the applicant institution can further the
goals of the MBRS program.  Awards will be made only to institutions
with financial management systems and management capabilities that
are acceptable under PHS policy.  Awards will be administered under
the PHS Grants Policy Statement.

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.
Questions on the program and its policies should be directed to:

Ernest D. Marquez, Ph.D.
MBRS Branch
National Institute of General Medical Sciences
45 Center Drive, Suite 2AS.37, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-3900
FAX:  (301) 480-2753
Email:  marqueze@gm1.nigms.nih.gov

Questions on the review of applications should be directed to:

Helen R. Sunshine, Ph.D.
Office of Scientific Review
National Institute of General Medical Sciences
45 Center Drive, Room 1 AS.13, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-2881
FAX:  (301) 480-8506
Email:  sunshinh@gm1.nigms.nih.gov

Questions on grants management and fiscal matters should be directed
to:

Antoinette Holland
Grants Management Branch
National Institute of General Medical Sciences
45 Center Drive, Room 2AN.50, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-5132
FAX:  (301) 480-2554
Email:  hollanda@gm1.nigms.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93-375.  Awards are authorized by sections 301 and 405
of the Public Health Service Act, as amended, and administered under
PHS grants policies and Federal Regulations 42 CFR part 52c, 45 CFR
part 74, and 45 CFR part 92.  See also Senate Appropriations
Committee Report, No. 92-316, July 29, 1971, Executive Order 12900 ,
Educational Excellence for Hispanic Americans February 22, 1994, and
Executive Order 12876, Historically Black Colleges and Universities,
November 1, 1993.  Applications are 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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AHCPR INSTITUTIONAL TRAINING INNOVATION INCENTIVE AWARD PROGRAM

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA:  HS-98-002

P.T. 44; K.W. 0720005, 0730050

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  July 10, 1997
Application Receipt Date:  September 23, 1997

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for incentive awards for innovative approaches to health
services research training that are responsive to the research and
analytic needs of the evolving health care delivery system.  The
intent of the awards is to support the design and implementation of
new models for training health services researchers in order to
address emerging issues in health care policy and delivery and to
respond to the changing analytic needs of health care providers,
payers, and policymakers.  The awards represent seed money to support
developmental efforts not readily supported by existing training
mechanisms.  They are aimed at developing and sustaining novel and
unique educational approaches geared to enhancing established health
services research training programs.

Applications may address a wide spectrum of activities, including
seminars, structured short-term research experiences designed to
motivate and acquaint students with alternative career opportunities
in health services research, hands-on research experiences in
non-academic settings, cross-institutional collaboration to develop
training curricula or other innovative strategies to advance areas
where current capacity is limited, comprehensive and integrated
curriculum and faculty development within and between academic
institutions or between academic and non- academic settings, and the
development of model programs to strengthen the recruitment and
retention of minority health services research trainees. Applicants
are encouraged to develop partnerships with traditionally minority
academic institutions and health professional organizations to foster
collaboration and experiential training.  The overall intent is to
maintain the solid academic base of existing training programs, while
broadening that base to include an enhanced appreciation of the
changing health care delivery system and related analytic and
research needs.

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 high priority areas.  AHCPR
encourages applicants to address these 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 non-profit private and
public institutions with established programs in predoctoral and/or
postdoctoral health services research training.

MECHANISM OF SUPPORT

The mechanism of support will be the Education Projects (R25), which
is designed for the development and/or implementation of programs
related to education.  The total project period for each application
submitted in response to the RFA may not exceed 5 years.  The
earliest anticipated award date is May 1, 1998.

FUNDS AVAILABLE

AHCPR expects to award up to $1 million in Fiscal Year 1998,
depending on the overall availability of funds to support the first
year for approximately 20 projects under this RFA. Awards will
reflect a balance between short- and longer-term projects.

The number of awards is dependent on the number of high- quality
applications and their individual budget requirements; it is not the
intent of AHCPR that the awards be of equal size, but it is expected
that the average annual award will approximate $50,000 in direct
costs.  For longer- term projects, funding beyond the initial budget
period will depend upon annual progress reviews by AHCPR and the
availability of funds.

RESEARCH OBJECTIVES

Background

AHCPR currently supports institutional training programs through the
National Research Service Award (NRSA) program. The purpose of these
training programs is to help ensure that adequate numbers of highly
trained individuals are available to carry out the Nation's health
services research agenda.  However, NRSA funds can be used only for a
limited set of activities.  This program provides support not readily
available through other mechanisms for the development and/or
implementation of innovative models for training health services
researchers.  The program will help ensure that health services
research training programs reflect and address the restructuring
occurring in the broader health care system, as discussed in the
recent report by the Institute of Medicine, entitled Health Services
Research:  Work Force and Educational Issues, and by a 1996 expert
meeting of researchers, providers, and payers, convened by AHCPR to
address emerging issues in training.

Areas of Training

Traditionally, AHCPR has supported research that examines the
availability, quality, appropriateness, effectiveness, and costs of
health care services.  AHCPR further seeks to address these issues
specifically within the context of the current, rapidly evolving
health care delivery system in order to meet the needs of patients,
providers, plans, purchasers, and/or policy makers.  Thus, a goal of
this educational initiative is to equip students with the necessary
knowledge, skills, and experiences to conduct future research which
will address these needs.  This will be accomplished by supporting
the development and implementation of innovative training models
which will enhance the existing substantive and methodological bases
of established health services research training programs by
providing students with the conceptual, methodological, and practical
foundations to conduct research to:

o  Help consumers make more informed choices;

o  Determine what works best in clinical care;

o  Measure and improve quality of care;

o  Monitor and evaluate health care delivery;

o  Improve the cost-effective use of health care resources;

o  Provide health care policymakers with the information needed to
make informed decisions;

o  Address issues of relevance to priority populations, including
women, children, persons with chronic diseases or disabilities, the
elderly, and minority populations; and

o  Build and sustain the health services research infrastructure

Types of Projects

Existing health services research training programs with established
track records are eligible to compete for these innovative awards.
Applicants are encouraged to address activities, such as the
following:

o  Curriculum and/or faculty development.  These initiatives would
enhance the infrastructure to support training. Applications could
focus on the administrative and programmatic needs required to put
together worthy training initiatives.  For example, this type of
program would allow an institution and its faculty to: design and
implement a new curriculum of critical importance to the education of
health services researchers and responsive to the needs of the
changing health care delivery system; to develop course content in
areas of identified need (such as outcomes/health status measurement,
quality of health care, evidence-based research findings,
effectiveness research, biostatistics, epidemiology, health
economics, decision analysis, cost- effectiveness analysis, and
health policy); or to foster faculty development through such avenues
as research experiences in nonacademic settings that would provide a
direct benefit to students.

o  Development of partnerships with non-academic organizations and
community health care providers.  These partnerships would be
designed to provide experience in applied research focused on
identified delivery system needs that would translate into improved
training.  A variety of partnership arrangements are anticipated,
including participation in curriculum development, the inclusion of
highly-qualified, non-academic personnel in the training experiences
of students; development of health services research student
internships or practicums in non-academic research settings; and the
leveraging of resources to expand the capacity for health services
research training.

o Facilitating recruitment and retention of minority trainees.
Partnerships, as those noted above, would be developed with
traditionally minority academic institutions and health professional
organizations.

o  Short-Term Training.  These programs can range from one day to
several weeks and would focus on state-of-the-art research techniques
and methodology needed in conducting applied HSR.  They can take on
many forms, such  as seminars offered within or outside of the
existing grantee institution, workshops, summer institutes, or short
courses. They can be designed for a variety of purposes including,
but not limited to, exposing students to careers in health services
research, affording mid-career personnel exposure to new creative
educational opportunities and technologies, or introducing and
integrating community providers to health services research.
Proposed activities of this nature need to be related to the basic
thrust of existing training programs.

SPECIAL REQUIREMENTS

Budget Preparation and Allowable Costs

In general, allowable costs must be consistent with PHS policy.
These costs include, but are not limited to: supplies, personnel
costs, consultant costs, equipment, travel (excluding foreign travel
except where foreign travel is critical to achieving the objectives
of the grant), sub- contractual costs, and other expenses.  These
awards are made to institutions and not students.  Stipends and other
routine student training expenses, such as tuition and fees, are not
allowable.

Faculty members participating in the design and implementation of
education programs can request with proper justification the percent
of their time devoted to curriculum design and specialized
organizational, coordinating, and implementation activities which are
essential to achieving the goals of their proposed educational
program.  Faculty-student preceptor-type interactions and activities,
however, will be considered as a regular, nonreimbursable part of
one's academic duties. In all cases, faculty compensation should not
exceed levels commensurate with the institution's policy for similar
positions.

Applicants receive indirect costs in addition to the direct costs of
the project.  For the purpose of calculating indirect costs,
education project grants are considered to be training grants.
Therefore, in accordance with PHS policy, indirect costs are limited
to eight percent of total allowable direct costs exclusive of
expenditures for equipment, or at the institution's actual indirect
cost rate, whichever results in a lesser dollar amount.

Rights in Data

AHCPR grantees may copyright or seek patents, as appropriate, for
final and interim products and materials including, but not limited
to, methodological tools, measures, software with documentation,
literature searches, and analyses, which are developed in whole or in
part with AHCPR funds.  Such copyrights and patents are subject to a
Federal Government license to use these products and materials for
AHCPR purposes.  AHCPR purposes may include, subject to statutory
confidentiality protections, making research materials, data bases,
and algorithms available for verification or replication by other
researchers; and subject to AHCPR budget constraints, final products
may be made available to the health care community and the public by
AHCPR, or its agents, if such distribution would significantly
increase access to a product and thereby produce public health
benefits.  Ordinarily, to accomplish distribution, AHCPR publishes
research findings but relies on grantee efforts to market
grant-supported products.  In keeping with AHCPR's legislative
mandates to make both research results and data available, copies of
all products and materials developed under a grant supported in whole
or in part by AHCPR funds are to be made available to AHCPR promptly
and without restriction, upon request by AHCPR.

The special terms of award described above are in addition to and not
in lieu of otherwise applicable PHS grant policies and Federal
regulations.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 10, 1997, a
letter of intent that includes a descriptive title of the proposed
project; the names, addresses, and telephone numbers of the proposed
Training Program Director and other key personnel; and the number and
title of the RFA. Although a letter of intent is not required, is not
binding, and does not enter into the consideration of any subsequent
application, the information allows AHCPR staff to estimate the
potential review workload and avoid conflicts of interest in the
review.  AHCPR will not provide responses to letters of intent.

The letters of intent is to be addressed to:

Karen Rudzinski, Ph.D.
NRSA Project Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908
Email:  training@ahcpr.gov

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 5/95) is to be used
in applying for these grants.  State and local government applicants
may use form PHS 5161-1, "Application for Federal Assistance" (rev.
5/96), and follow those requirements for copy submission.  Applicants
are reminded that the 25-page limit on the narrative section must be
observed.

In completing the PHS 398 form, designed primarily for research
grants, applicants should make reasonable accommodations so that the
requirements outlined in this RFA for an education grant are
appropriately addressed.  In particular, applicant should ensure that
the substantive content of the application addresses the issues under
Review Considerations.

Application kits are available at most institutional offices of
sponsored research and may be obtained from the Division of
Extramural Outreach and Information Resources, Office of Extramural
Research, National Institutes of Health, 6701 Rockledge Drive MSC
7910, Bethesda, MD 20892-7910, Telephone: 301-435-0714, E-mail,
asknih@odrockm1.od.nih.gov.

AHCPR applicants should obtain application materials from the AHCPR
contractor: Global Exchange, Inc., 7910 Woodmont Avenue, Suite 400,
Bethesda, MD 20814-3015, Telephone: 301- 656-3100, Fax: 301-652-5264.

The RFA label available in the form PHS 398 (rev. 5/96) must be
affixed to the bottom of  the face page of the original application.
Failure to do so 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 2 of the face page of the application form and the YES must be
marked.

Submit a signed, typewritten original of the application, including
the checklist, 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/carrier service)

At the time of submission, two additional copies of the application
must be sent to:

Karen Rudzinski, Ph.D.
NRSA Project Officer
Office of Scientific Affairs
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908

Applications submitted under this RFA must be received in the
Division of Research Grants, NIH, by September 23, 1997. If an
application is received after that date, it will be returned to the
applicant without review.

REVIEW CONSIDERATIONS

Applications that are complete and responsive will be evaluated for
technical and educational merit by an appropriate peer review group
in accordance with AHCPR peer review procedures.

Review Criteria

Grant applications should be characterized by innovation,
scholarship, and responsiveness to the special and/or changing needs
of and demands for health services researchers.  To ensure these
objectives, educational program applicants will be evaluated using
the following criteria:

Project Characteristics

o  The novelty, significance, and rationale of the proposed project
to health services research training and its responsiveness to the
evolving needs of payers, providers, and/or policy makers; the manner
in which the initiative logically builds upon and enhances the
existing health services research training program.

o  The quality and adequacy of the design of the innovation proposed
-- including the probability of achieving stated short- and long-term
goals.

o  Substantive and methodological content of the proposed project and
its relevance to the Program Objectives noted above, including
relevant descriptions of courses and experiential opportunities
offered and/or required.

o  The significance, quality, feasibility, and likely outcome of the
unique, new dimension being proposed to enhance the basic training
program.

Program Leadership and Organizational Plans and Support

o  The institutional training environment, including criteria such as
the level of institutional commitment, quality of the facilities,
availability of appropriate courses, and availability of research
support.

o  Program leadership in terms of past records of achievement and
qualifications of the Training Program Director and key personnel to
implement plans as proposed.

o  Organizational structure of the proposed training project,
including delineation of administrative responsibilities for
planning, oversight, and evaluation.

o  Demonstration of cooperation by any proposed collaborating
facilities, institutions, or departments in providing research
experiences and/or sites for trainees, including (where applicable)
documentation of mechanisms by which trainees will be integrated into
the ongoing health services research activities of other entities.

o  Evidence of the institution's commitment and plans to continue the
project or output from the project once grant support ends,
particularly when the innovative component involves curricula
development aimed at strengthening the educational capability of the
overall training program or when the project consists of educational
activities directed toward or involving the larger community.

o  For projects involving students, the qualifications and experience
of preceptors and their research support to impart specialized
research skills.

Project Institutionalization, Evaluation, and Dissemination Plans

o  Proposed methods for monitoring and evaluating performance of the
project, particularly in reference to achieving Program Objectives
noted above.

o  Demonstration of extent to which and ways in which AHCPR support
will be leveraged to maximize the potential for innovation in health
services research training.

o  Where appropriate, the adequacy of plans to diffuse or disseminate
knowledge gained from the project to the health services research
and/or health care delivery system community through appropriate
publication in professional periodicals and journals, presentations
at national meetings, and other vehicles.

Budget

o  Reasonableness and value of the proposed budget relative to goals
proposed.

Combining the above factors, as appropriate, peer reviewers will
determine an overall level of merit for the application, which will
be reflected in a priority score.

AWARD CRITERIA

Funding decisions for these innovative awards to health services
research training programs will be based on peer review, AHCPR
research program priorities, the need for research personnel in
specified program areas, balance among types of research training
supported by AHCPR, and the availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Copies of the RFA and related materials are available from:

Global Exchange, Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD 20814-3015
Telephone: 301-656-3100
Fax: 301-652-5264

This RFA is available through the AHCPR's website:
http:\\www.ahcpr.gov and through AHCPR InstantFAX at 301- 594-2800.
To use InstantFAX, you must call from a facsimile (FAX) machine with
a telephone handset.  Follow the voice prompt in order to obtain a
copy of the table of contents which has the document order number
(not the same as the RFA number).  The RFA will be sent at the end of
the ordering process.  AHCPR InstantFAX operates 24 hours a day, 7
days a week.  For questions about this service, call AHCPR's Division
of Communications at 301-594-1364, ext. 1389.

Direct inquiries regarding programmatic issues to:

Karen Rudzinski, Ph.D.
NRSA Project Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 400
Rockville, MD  20852-4908
Telephone: 301-594-1452, ext. 1610
E-mail: training@ahcpr.gov

Direct fiscal and administrative inquiries to:

Mable L. Lam
Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852
Telephone: 301-594-1447, ext. 1165
Fax: 301-594-3210
Email: mlam@ahcpr.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.226.  Awards are made under authorization of Title
IX of the Public Health Services Act (42 U.S.C. 299-299c-6).  Awards
are administered under HHS and PHS Grant Policies and Federal
regulations 42 CFR 67, Subpart A; and 45 CFR, Parts 74 and 92.  The
program is not subject to the intergovernmental review requirements
of Executive Order 12372 or Health Systems Agency review.

The Public Health Service 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 GRANTS FOR MULTIDISCIPLINARY CLINICAL STUDIES OF
SARCOPENIA

NIH GUIDE, Volume 26, Number 17, May 23, 1997

PA NUMBER:  PA-97-060

P.T. 34; K.W. 0715136, 0710010, 0710030, 074030, 0785055

National Institute on Aging
National Institute of Arthritis and Musculoskeletal and Skin Diseases

THIS PROGRAM ANNOUNCEMENT IS A REVISION OF THE PA APPEARING IN THE
MAY 9 ISSUE OF THE NIH GUIDE.  THIS REVISION ADDS THE NIAMS AS A
SPONSORING INSTITUTE OF THIS PROGRAM ANNOUNCEMENT.

PURPOSE

The National Institute on Aging (NIA) invites exploratory research
grant (R21) applications for multidisciplinary, clinical studies on
the mechanisms underlying the physical functional consequences of
sarcopenia in older persons. This NIA exploratory grants program is
intended to facilitate new collaborative efforts in the development
of novel scientific hypotheses on the causes of changes in skeletal
muscle morphology and/or metabolism which lead to physical
disabilities in old age, by providing research support for the
appropriate pilot/feasibility studies to refine these hypotheses.
Multidisciplinary approaches may include collaborations between
various types of clinical research expertise (e.g., epidemiology,
geriatrics, rehabilitation medicine, biomechanics, exercise
physiology), or between basic and clinical researchers, with or
without previous aging research experience.

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 Grants for Multidisciplinary
Clinical Studies of Sarcopenia, is related to the priority areas of
chronic diseases and disabling conditions. 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 for exploratory (R21) research grants may be submitted
by foreign and domestic non-profit and for-profit, public and
private, institutions such as a university, college, hospital,
laboratory, units of State and local government; and eligible
agencies of the Federal government. Applications may include
collaborative arrangements between scientists from a single
institution or multiple institutions. Simultaneous submissions of the
same research project as both an exploratory grant and a regular
research grant (RO1) will not be allowed.

Racial/ethnic minority individuals, women and persons with
disabilities are encouraged to apply as Principal Investigators.

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 should be included
with the application.

MECHANISM OF  SUPPORT

This program will use the NIH exploratory grant (R21) mechanism.
Applicants may request up to $100,000 per year in direct costs,
exclusive of indirect costs for any collaborating institutions. Funds
may be included to support travel for the collaborators and/or the
purchase of equipment, as justified by the needs of the proposed
research. Because the nature and the scope of the research proposed
in response to this PA may vary, it is anticipated that the size of
awards will vary as well. The total project period for an application
submitted in response to this PA may not exceed two years. These
grants are non-renewable and continuation of projects developed under
this program will be through the traditional unsolicited grants
program.

RESEARCH OBJECTIVES

Background

The physical functional consequences of sarcopenia in the elderly
include mobility problems, falls and an increased risk for physical
functional dependence. Numerous studies have attributed the inability
of older persons to perform various tasks to a decline in muscle
function (e.g., loss of strength, decreased muscle power), but there
is a paucity of clinical information about the mechanisms leading to
muscle dysfunction in old age. In the meantime, various animal models
and in vitro systems developed to study specific alterations in
muscle quality suggest that factors such as age-associated changes in
muscle contractility, satellite cell function,
innervation/denervation and myofibrillar protein turnover could play
a role in muscle dysfunction. From a clinical perspective, it has
been difficult to interpret the animal and in vitro data since very
few clinical studies have attempted to bridge the gap between these
mechanistic data and the clinical assessment of the physical
functional status of the elderly. Given the wide variety of
age-related changes in muscle quality which are thought to contribute
to physical functional problems in old age, multidisciplinary
approaches will be needed to better define the relationship between
sarcopenia and deficits in physical performance.

To initiate discussions on promising multidisciplinary approaches and
novel methodologies available for elucidating the alterations in
muscle quality underlying deficits in physical performance in the
elderly, the NIA convened the workshop, "Sarcopenia and Physical
Performance in Old Age" on  July 9-10, 1996. Diverse research
backgrounds (e.g., aging and non-aging research expertise, clinical
and basic science investigators, skeletal muscle biology, exercise
physiology, neurology, statistics) were represented by the workshop
participants in the scientific sessions, which included: 1) Specific
Study Design Considerations, 2)  Muscle Function and Physical
Performance and 3) Muscle Function and Pathophysiology. Abstracts of
the presentations and a summary of the workshop recommendations will
be published as a supplement to Muscle & Nerve, in  early 1997. The
main goals of the workshop were to: 1) stimulate more clinical
studies of the relationship between changes in muscle function and
specific limitations in physical performance, 2) encourage a focus on
disabled and frail elderly populations, as well as minorities, 3)
promote more comprehensive evaluations of muscle quality in clinical
studies, particularly through the use of non-invasive measures of
muscle properties, and 4) explore the possibility of more detailed
analysis of human muscle biopsy samples through the adaptation of in
vitro methods commonly used in animal studies. The NIA exploratory
grants program is intended to encourage collaborations between
various scientific disciplines to operationalize the workshop goals
into future clinical studies of sarcopenia and its physical
functional consequences. It is anticipated that the pilot/feasibility
studies supported by the NIA exploratory grants program will
constitute the scientific framework for larger, innovative clinical
studies of the mechanisms underlying disabilities related to
sarcopenia in old age.

Objectives

This initiative will provide research support to explore novel
multidisciplinary approaches for understanding the clinical relevance
of changes in skeletal muscle (i.e., at the cellular or organ level)
in the context of the physical functional status of an older
individual and, vice versa.

Applications submitted in response to this PA must address the
mechanistic aspects (i.e., alterations in skeletal muscle
mass/quality with aging) of physical disabilities associated with
sarcopenia. Topics of interest include, but are not limited to:

o  Quantitative assessment of muscle quality and function associated
with various levels of physical performance (e.g., relationship
between muscle fatigue and ability/inability to climb stairs; rate of
muscle force development and ability to react to "time-critical"
situations)

o  Pilot studies of the clinical application of basic research
findings

o  Correlative data between non-invasive measures of muscle quality
and measures from animal or in vitro experimental measures of muscle
properties (e.g., blood supply, contractility)

o  Feasibility studies required to "translate" findings from
small-scale mechanistic studies to population-based studies of the
functional consequences of sarcopenia

o  Potential ethnic or gender differences in the determinants (i.e.,
of changes in muscle quality/function) of physical disabilities
associated with sarcopenia

o  Impact of chronic diseases on muscle function/quality and its
physical functional consequences in old age

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 policy results from the
NIH Revitalization Act  of 1993 (Section 492B of Public Law 103-43)
and supersedes and strengthens the previous 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 February 1, June 1 and
October 1 application deadlines as indicated in the application kit.
Applications kits are available at most institutional offices of
sponsored research and may be obtained from the Division 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 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)

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established Public
Health Service referral guidelines.  Applications that are complete
will be evaluated for scientific and technical merit by study
sections of the Division of Research Grants, NIH, in accordance with
the standard NIH peer review procedures. As part of the initial merit
review, all 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 of
review by the appropriate national advisory council.

Review Criteria

o  Scientific, technical, or medical significance and originality of
the 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, collaborators and key research personnel, particularly
but not exclusively, in the area of proposed research;

o  Availability of adequate facilities, general environment for the
conduct of the proposed research and feasibility of the collaborative
arrangements;

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 and animal subjects, and the safety of the
research environment.

AWARDS CRITERIA

Scored applications will compete for available funds with all other
scored applications assigned to that Institute/Center. The following
will be considered in making funding decisions:

o  Quality of the proposed project as determined by peer review;

o  Availability of funds; and

o  Program balance among research areas of the program announcement.

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applications is
welcome.

Direct inquiries regarding programmatic issues to:

Chhanda Dutta, PhD
Geriatrics Program
National Institute on Aging
Gateway Building, Suite 3E-327
7201 Wisconsin Avenue, MSC 9205
Bethesda, MD 20892-9205
Telephone:  (301) 435-3048
FAX:  (301) 402-1784
Email:  DuttaC@gw.nia.nih.gov

Richard W. Lymn, PhD
Muscle Biology and Musculoskeletal Fitness Program Director
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS 49E
Bethesda, MD  20892-6500
Telephone:  (301) 594-5128
FAX:  (301) 480-4543
Email:  lymnr@ep.niams.nih.gov

Direct inquiries regarding fiscal matters to:

Mr. Joseph Ellis
Grants and Contracts Management Office
National Institute on Aging
7201 Wisconsin Avenue, Suite 2N212, MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-1472
FAX:  (301) 402-3672
Email:  EllisJ@gw.nia.nih.gov

Ms. Sally A. Nichols
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Natcher Building, Room 5AS 49F
Bethesda, MD  20892-6500
Telephone:  (301) 594-3535
FAX:  (301) 480-5450
Email:  nicholss@ep.niams.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.866, Aging Research and No. 93.846, Arthritis,
Musculoskeletal and Skin Diseases 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 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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Date: 14 Jun 1997 21:33:39 -0700
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NIH GUIDE - Vol. 26, No. 20 - June 13, 1997

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

               NOTICES OF AVAILABILITY (RFPs/RFAs/PAs)

$$INDEX R1 09/23/97 *************************************************

NATIONAL RESEARCH SERVICE AWARD--INSTITUTIONAL GRANTS POLICY AND
GUIDELINES (RFA HS-98-001)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX R2 09/23/97 *************************************************

AHCPR INSTITUTIONAL TRAINING INNOVATION INCENTIVE AWARD PROGRAM (RFA
HS-98-002)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX R3 09/16/97 *************************************************

HEALTH CARE QUALITY IMPROVEMENT AND QUALITY ASSURANCE RESEARCH (RFA
HS-98-003)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX R4 01/06/98 *************************************************

EFFECTIVENESS OF CHILDREN'S MENTAL HEALTH AND SUBSTANCE ABUSE
TREATMENT IN THE GENERAL HEALTH SECTOR (RFA HS-98-004)
Agency for Health Care Policy and Research
National Institute on Drug Abuse
National Institute of Mental Health
Substance Abuse and Mental Health Services Administration
INDEX:  HEALTH CARE POLICY, RESEARCH; DRUG ABUSE; MENTAL HEALTH;
SUBSTANCE ABUSE, MENTAL HEALTH SERVICES

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

INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARD IN SLEEP RESEARCH (PA-
97-064)
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

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

MBRS RESEARCH INITIATIVE FOR SCIENTIFIC ENHANCEMENT (RISE) (PAR-97-
067)
National Institute of General Medical Sciences
INDEX:  GENERAL MEDICAL SCIENCES

$$INDEX P3 **********************************************************

MBRS SUPPORT OF CONTINUOUS RESEARCH EXCELLENCE (SCORE) (PAR-97-068)
National Institute of General Medical Sciences
INDEX:  GENERAL MEDICAL SCIENCES

The NIH GUIDE is available electronically via LISTSERV 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.

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)

ASKNIH is a service of the Division of Extramural Outreach &
Information Resources, Office of Extramural Research, Office of the
Director, NIH.  ASKNIH is the point of contact for obtaining general
information about NIH extramural research & research training
programs, requesting publications, and learning more about obtaining
the NIH GUIDE and other information on the NIH web site.  ASKNIH is
also the contact aid which organizations should request application
kits and forms.

ASKNIH
NATIONAL INSTITUTES OF HEALTH
EMAIL:  ASKNIH@odrockm1.od.nih.gov
FAX:  (301) 480-0525
TELEPHONE:  (301) 435-0714

INQUIRIES ABOUT THE NOTICES, PAs, AND RFAs IN THIS PUBLICATION SHOULD
BE DIRECTED TO THE NIH STAFF MEMBER IDENTIFIED AT THE END OF EACH
ITEM.

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.

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

$$R1 BEGIN HS-98-001 FULL-TEXT **************************************

NATIONAL RESEARCH SERVICE AWARD--INSTITUTIONAL GRANTS POLICY AND
GUIDELINES

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA AVAILABLE:  HS-98-001

P.T. 22, 44; K.W. 0720005, 1014006

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  July 10, 1997
Application Receipt Date:  September 23, 1997

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) awards
National Research Service Award (NRSA) institutional training grants
(T32) to eligible institutions to develop research training
opportunities for qualified individuals selected by the institution
who have demonstrated an interest in health services research and who
seek to prepare for careers in the systematic examination of the
organization, provision, financing, and effectiveness of health care
services.  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, in order to improve
quality, assure value for health dollars spent, and enhance access to
services.  A goal is to equip students with the necessary knowledge,
skills, and experiences to conduct future research which will meet
the needs of patients, providers, plans, purchasers, and/or policy
makers.  Accomplishing the above effectively will require fostering a
mixture of academic and applied training opportunities to meet the
needs of students who wish to pursue traditional academic careers, as
well as those who opt for careers in applied research settings.
Applicants are encouraged to foster cooperation and partnerships with
relevant components of the health care delivery system.

NRSA institutional training grants assist domestic institutions in
supporting predoctoral and postdoctoral academic training.  The
awards allow trainees to gain one or more years of experience in
applying research methods to the evaluation of health services.  The
AHCPR will not support short-term training through this mechanism.

Predoctoral Training.  Predoctoral research training must lead to the
Ph.D. Degree or a comparable research doctoral degree.  Students
enrolled in health-professional programs that are not part of a
formal, combined program (e.g., M.D./Ph.D.) and who wish to postpone
their professional studies in order to gain research experience may
also be appointed to a T32 grant.  Predoctoral research training must
emphasize fundamental training in areas relevant to health services
research.

Postdoctoral Training.  Postdoctoral research training is for
individuals who have a Ph.D., M.D., D.D.S., or comparable doctoral
degree from an accredited domestic or foreign institution.  Research
training at the postdoctoral level must emphasize specialized
training to meet national priorities in health services research.

A research training grant is a desirable mechanism for the
postdoctoral training of physicians and other health professionals
who have extensive clinical training, but limited research
experience.  For such individuals, the
training may be a part of a research degree program.  In all cases,
health-professional postdoctoral trainees should agree to engage in
at least two years of research, research training, or comparable
activities beginning at the time of appointment since the duration of
training has been shown to be strongly correlated with post-training
research activity.

Depending on the availability of funds, AHCPR expects to award up to
$3,500,000 in FY 1998 to support the first year for approximately 15
to 24 projects under this RFA.

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 high priority areas.  AHCPR
encourages applicants to submit grant applications with relevance to
the specific objectives of this initiative.  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), the
NIH Website (http://www.nih.gov), the AHCPR Website
(http://www.ahcpr.gov), and by mail and fax from Global Exchange at
the address listed below.

Global Exchange, Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

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

$$R2 BEGIN HS-98-002 FULL-TEXT **************************************

AHCPR INSTITUTIONAL TRAINING INNOVATION INCENTIVE AWARD PROGRAM

RFA AVAILABLE:  HS-98-002

P.T. 44; K.W. 0720005, 0730050

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  July 10, 1997
Application Receipt Date:  September 23, 1997

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for incentive awards for innovative approaches to health
services research training that are responsive to the research and
analytic needs of the evolving health care delivery system.  The
intent of the awards is to support the design and implementation of
new models for training health services researchers in order to
address emerging issues in health care policy and delivery and to
respond to the changing analytic needs of health care providers,
payers, and policymakers.  The awards represent seed money to support
developmental efforts not readily supported by existing training
mechanisms.  They are aimed at developing and sustaining novel and
unique educational approaches geared to enhancing established health
services research training programs.

Applications may address a wide spectrum of activities, including
seminars, structured short-term research experiences designed to
motivate and acquaint students with alternative career opportunities
in health services research, hands-on research experiences in
non-academic settings, cross-institutional collaboration to develop
training curricula or other innovative strategies to advance areas
where current capacity is limited, comprehensive and integrated
curriculum and faculty development within and between academic
institutions or between academic and non- academic settings, and the
development of model programs to strengthen the recruitment and
retention of minority health services research trainees.

Applicants are encouraged to develop partnerships with traditionally
minority academic institutions and health professional organizations
to foster collaboration and experiential training.  The overall
intent is to maintain the solid academic base of existing training
programs, while broadening that base to include an enhanced
appreciation of the changing health care delivery system and related
analytic and research needs.

AHCPR expects to award up to $1 million in Fiscal Year 1998,
depending on the overall availability of funds to support the first
year for approximately 20 projects under this RFA.

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 high priority areas.  AHCPR
encourages applicants to address these 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 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), the
NIH Website (http://www.nih.gov), the AHCPR Website
(http://www.ahcpr.gov), and by mail and fax from Global Exchange at
the address listed below.

Global Exchange, Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

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

$$R3 BEGIN HS-98-003 FULL-TEXT **************************************

HEALTH CARE QUALITY IMPROVEMENT AND QUALITY ASSURANCE RESEARCH

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA AVAILABLE:  HS-98-003

P.T. 34; K.W. 0730050, 0730021

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  August 1, 1997
Application Receipt Date:  September 16, 1997

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for research and demonstration projects on the use of
measurement in improving the quality of health care.  Applications
are sought in three areas: (1) methods and measures to allow
translation of scientific information about medical care into quality
measures and strategies to improve clinical practice; (2) studies of
the relationship between organizational change and quality
measurement and improvement in health care; and (3) studies of the
use of information derived from measurement about quality of care by
consumers, patients, employers, providers, and insurers to make
decisions.

AHCPR is especially interested in projects that will produce results
within one to two years, although a balance is sought between short-
and long-term projects, and projects of up to five years will be
considered.

Depending on the availability of funds, AHCPR expects to award up to
$2.0 million in fiscal year 1998 to support the first year of 8 to 10
projects under this RFA.

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.  AHCPR
encourages applicants to submit grant applications with relevance to
the specific objectives of this initiative.  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), the
NIH Website (http://www.ahcpr.gov), and by mail and fax from Global
Exchange at the address listed below.

Global Exchange Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

$$R3 END ************************************************************

$$R4 BEGIN HS-98-004 FULL-TEXT **************************************

EFFECTIVENESS OF CHILDREN'S MENTAL HEALTH AND SUBSTANCE ABUSE
TREATMENT IN THE GENERAL HEALTH SECTOR

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA AVAILABLE:  HS-98-004

P.T. 34, AA; K.W. 0715095, 0404009, 0415001, 0745070

Agency for Health Care Policy and Research
National Institute on Drug Abuse
National Institute of Mental Health
Substance Abuse and Mental Health Services Administration

Letter of Intent Receipt Date:  November 13, 1997
Application Receipt Date:  January 6, 1998

PURPOSE

The Agency for Health Care Policy and Research (AHCPR), in
cooperation with the National Institute on Drug Abuse (NIDA),
National Institute of Mental Health (NIMH), and the Substance Abuse
and Mental Health Services Administration (SAMHSA) invites
applications for research on the effectiveness and/or
cost-effectiveness of child mental health and substance abuse
treatment interventions and guideline-based treatment strategies for
children, adolescents, and youth in the general health sector.
Guideline- and other evidence-based aids for clinical decisionmaking
may go beyond specific treatment interventions to include possible
combinations of specific treatments.  Guideline- and other
evidence-based aids may include algorithms, practice guidelines,
treatment protocols, and practice parameters.

AHCPR expects to award up to $1.5 million in fiscal year 1998 to
support the first year of approximately three to five projects under
this RFA.  The number of AHCPR awards is dependent on the number of
high quality applications and their individual budget requirements.
NIDA expects to award up to $0.5 million in fiscal year 1998,
dependent on the quality of the applications relevant to drug abuse
and the availability of funds.  NIMH expects to award up to $1.0
million, and SAMHSA up to $0.5 million, in fiscal year 1998,
dependent upon the quality of the applications and the availability
of funds.

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.  Applicants
are encouraged to submit grant applications with relevance to the
specific objectives of this initiative.  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), the
NIH Website (http://www.nih.gov), the AHCPR Website
http://www.ahcpr.gov), and by mail and fax from Global Exchange at
the address listed below.

Global Exchange Inc.
7910 Woodmont Avenue, Suite 400
Bethesda, MD  20814-3015
Telephone:  (301) 656-3100
FAX:  (301) 652-5264

$$R4 END ************************************************************

$$P1 BEGIN PA-97-064 FULL-TEXT **************************************

INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARD IN SLEEP RESEARCH

NIH GUIDE, Volume 26, Number 20, June 13, 1997

PA AVAILABLE:  PA-97-064

P.T. 44; K.W. 0715187, 0720005, 0710030

National Institutes of Health

THIS PROGRAM ANNOUNCEMENT IS A REVISION OF THE PA APPEARING IN THE
MAY 30 ISSUE OF THE NIH GUIDE.  THIS REVISION REFLECTS THE FACT THAT
THIS IS AN NIH-WIDE PROGRAM ANNOUNCEMENT.

PURPOSE

The National Institutes of Health (NIH) invites applications for
Institutional National Research Service Award (NRSA) in Sleep
Research. The overall goal of this training program is to increase
the number of sleep researchers that are available to investigate the
basic biology of sleep; to explore epidemiological, behavioral, and
clinical aspects of sleep-related disorders; and to develop new
approaches for the treatment and prevention of these conditions.  A
specific objective is to ensure that scientists, highly trained in
sleep research, are available in adequate numbers to address
important gaps in our biomedical and biological understanding of
sleep including those outlined in the NIH Director's Sleep Disorders
Research Plan.  Potential applicants are strongly urged to contact
the NCSDR before preparing an application.

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,
National Research Service Award Institutional Training Grants in
Sleep Research, is related to the priority areas of heart disease and
stroke, chronic disabling conditions, mental health and disorders,
and clinical prevention services.  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 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
program, may be obtained electronically through the NIH Grant Line
(data line 301-402-2221) and the NIH Gopher (gopher://gopher.nih.gov)
and by mail and E-mail from the program contact listed below.

James P. Kiley, Ph.D.
National Center on Sleep Disorders Research
National Heart, Lung, and Blood Institute/NIH
6701 Rockledge Drive, Suite 7024, MSC 7920
Bethesda, MD  20892-7920
Telephone:  (301) 435-0199
Email:  kileyj@gwgate.nhlbi.nih.gov

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

$$P2 BEGIN PAR-97-067 FULL-TEXT *************************************

MBRS RESEARCH INITIATIVE FOR SCIENTIFIC ENHANCEMENT (RISE)

NIH GUIDE, Volume 26, Number 20, June 13, 1997

PA AVAILABLE:  PAR-97-067

P.T. 14, FF; K.W. 0502000, 0710030

National Institute of General Medical Sciences

Application Receipt Dates:  February 1, June 1, October 1

PURPOSE

The purpose of the MBRS Research Initiative for Scientific
Enhancement (RISE) program is to enhance the research environment at
minority serving institutions.  The goal is to increase the
opportunities for underrepresented minority faculty and students to
become acquainted with, and motivated to pursue biomedical research
careers. The RISE program replaces and expands upon the student
development component of the traditional MBRS (S06) program and the
MBRS program for undergraduate colleges (S14).  The RISE program
should provide enhanced flexibility in faculty and student
development activities, as well as provide the opportunity for
development of the institution's research and research education
capability.  The MBRS RISE program supports faculty, student and
institutional development activities at both undergraduate and
graduate institutions.  Applicants may propose activities in any one
or more of these areas.

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.

Ernest D. Marquez, Ph.D.
MBRS Branch
National Institute of General Medical Sciences
45 Center Drive, Suite 2AS.37, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-3900
FAX:  (301) 480-2753
Email:  marqueze@gm1.nigms.nih.gov

$$P2 END ************************************************************

$$P3 BEGIN PAR-97-068 FULL-TEXT *************************************

MBRS SUPPORT OF CONTINUOUS RESEARCH EXCELLENCE (SCORE)

NIH GUIDE, Volume 26, Number 20, June 13, 1997

PA AVAILABLE:  PAR-97-068

P.T. 34, FF; K.W. 0710030

National Institute of General Medical Sciences

Application Receipt Dates:  February 1, June 1, October 1

PURPOSE

The purpose of the Minority Biomedical Research Support  (MBRS)
Support of Continuous Research Excellence (SCORE) program is to
provide financial assistance to competitive research programs in all
areas of biomedical and behavioral research at institutions with
significant underrepresented minority student enrollment. The intent
of this announcement is to provide grants to support research by
faculty members at minority serving institutions.  The SCORE program
replaces the research component of the traditional MBRS (S06) program
and the pilot research projects of the S14 program.  By eliminating
or modifying some of the restrictions of the traditional S06 and S14
programs, the SCORE program allows enhanced flexibility in the
development of research projects.  In addition, the MBRS Branch
recognizes that minority and minority-serving institutions are
diverse in institutional environment and mission.  Therefore, with
respect to evaluation activities, this program requires that the
institution set its own specific goals and measurable objectives.

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.

Ernest D. Marquez, Ph.D.
MBRS Branch
National Institute of General Medical Sciences
45 Center Drive, Suite 2AS.37, MSC 6200
Bethesda, MD  20892-6200
Telephone:  (301) 594-3900
FAX:  (301) 480-2753
Email:  marqueze@gm1.nigms.nih.gov

$$P3 END ************************************************************

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SECONDARY ANALYSIS OF EXISTING HEALTH SERVICES DATA SETS

NIH GUIDE, Volume 26, Number 19, June 6, 1997

PA NUMBER: PA-97-066

P.T. 34; K.W. 0404003, 0730050, 0408006

National Institute on Alcohol Abuse and Alcoholism

PURPOSE

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) is
soliciting exploratory/developmental research grant applications
(R21) to support the secondary analysis of existing data sets
relevant to developing a knowledge base to improve the delivery of
services for alcohol-related problems, including both treatment and
preventive interventions. Exploratory/developmental grants for the
Secondary Analysis of Existing Health Services Data Sets are intended
to more fully utilize currently available data sets and to provide
support for substantive exploratory or confirmatory studies that
increase knowledge related to improving the availability,
accessibility, delivery, quality, effectiveness, cost-effectiveness,
and outcomes of alcohol-related treatment and prevention services.
Data used in secondary analyses may be obtained from current or past
investigator-initiated research activities or from other archival
data sets from public or private sources.  In addition, research that
employs new analytic techniques that demonstrate or promote
methodological advances in the area of alcohol-related health
services research are of particular interest.  Grants supported under
this announcement must be limited to a 2-year effort and a maximum of
$100,000 in direct costs per year.

Research objectives of this announcement include, but are not limited
to, five major areas:  (1) determining the effects of financing and
reimbursement mechanisms on alcohol-related health care program
availability, accessibility, delivery, organization, content,
quality, and outcomes; (2) assessing sources of variation in access
to and utilization of treatment and prevention interventions for
alcohol-related problems; (3) identifying organizational and
managerial factors that influence the delivery of treatment and
prevention services for alcohol-related problems, either within or
across regions, populations, and settings; (4) evaluating the cost,
cost-effectiveness, cost-benefit, and cost-utility of alcohol-related
treatment and prevention services; and (5)  identifying and assessing
the effectiveness and outcomes of alcohol-related treatment and
preventive services.

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 is related to the priority areas of alcohol abuse
reduction and alcoholism treatment.  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, D.C. 20402-9325 (Telephone:  202-783-3238).

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.

MECHANISM AND PERIOD OF SUPPORT

Research support may be obtained through an application for an
exploratory/developmental research grant (R21).  Grant applications
must be limited to up to $100,000 in direct costs per year for up to
2 years.  The number of new awards made in any fiscal year will
depend on the quality of applications, the availability of funds, and
program priorities at the time of award. Continuation awards will be
made subject to continued availability of funds and progress
achieved.

RESEARCH OBJECTIVES

The National Institute on Alcohol Abuse and Alcoholism wishes to
promote the use of secondary analyses of data in the expansion of
knowledge to improve the delivery of services for alcohol-related
problems where appropriate data sets and analytic techniques are
available and can be employed.  The specific objectives of this
announcement on the Secondary Analysis of Existing Health Services
Data Sets are to provide support for (a) applying new approaches to
analyze current data sets that would benefit from further exploration
or (b) reanalyzing previously collected data that would provide cost
effective ways of obtaining additional insights into alcohol-related
health services research issues.  Grants under this announcement are
not intended as a means to carry out currently ongoing data analysis
or for the maintenance and distribution of data sets.

BACKGROUND

Health services research projects typically generate data sets with
potential utility beyond the specific hypotheses and questions for
which the study was designed.  Very often these data are not fully
analyzed, sometimes due to a lack of resources once a project's
funding has ended. Reanalysis of existing data may be prompted by a
need to confirm new findings in the field or to aid in the
development of new research questions.  Other data sets, including
survey and epidemiologic data as well as health care utilization,
cost, and insurance claims data, are compiled by Federal, State, and
local government agencies, or by private entities such as insurance
companies, third-party payors, and large to mid-size corporations.
Such data sets are potentially rich sources of information that can
illuminate a wide range of research questions and policy-relevant
topics.  In some cases, use of existing data sets may provide an
expeditious and cost-effective means of advancing knowledge.  When
appropriate, secondary data analyses may serve as an alternative
approach to expensive and time-consuming data collection projects.
Existing data sets may be used to cross-validate exploratory analyses
in ongoing studies, to test specific hypotheses or complex
statistical models, and in special circumstances to provide
comparison groups for experimental studies.  Meta-analyses, in which
effects from many studies may be compared or combined, may also be
considered a form of secondary data analysis for the purposes of this
program announcement.  Moreover, potential applicants should note
that secondary analysis may extend to all types of data, including
qualitative information, and also covers the integration of
quantitative and qualitative data.

AREAS OF RESEARCH INTEREST

Health services research is defined as "research endeavors that study
the impact of the organization, financing and management of health
services on the quality, cost, access to and outcomes of care" (PL
101-321, Section 409).  Health services research also is concerned
with assessing the effectiveness of health services in everyday
practice.

For the purposes of this announcement, health services research
includes: (a) the assessment of the impact of health services and the
effects of organizational and financing arrangements in "real world"
clinical settings on the quality and outcomes of care provided to
patients with alcohol abuse and alcoholism or with medical problems
consequent to alcoholism; and (b) the assessment of the impact of
prevention services on the demand for and utilization of
alcohol-related services as well as the financing, organization,
management, implementation, cost, and utilization of the prevention
services themselves.  It should be noted further that, as directed by
legislation (P.L. 103-43), for the purposes of this announcement,
health services research does not include studies of the efficacy of
preventive, diagnostic, and treatment modalities.

Applicants may choose to carry out analyses relevant to
alcohol-related health services research using large,
nationally-representative data sets or smaller, regional, and
locally-based data sets. A number of such data sets exist in the
public domain, which contain items relevant to alcohol use and abuse
and may not have been fully analyzed.  Two resource documents are
readily available from NIAAA which list data sets that may be of
potential interest to health services researchers:

(1)  Inventory of Databases for Health Services Research on Alcohol
Treatment and Prevention, which lists publicly- and
privately-supported data sets containing information on the
utilization, cost, financing, management, organization, or
effectiveness of alcohol treatment or prevention services (copies may
be obtained from the NIAAA Health Services Research Program, 6000
Executive Boulevard, MSC 7003, Bethesda, MD 20892-7003;
301/443-0786); and

(2)  Alcohol Epidemiologic Data Directory, which identifies
national-scope and special population data sets that are available
for expanded epidemiologic study (copies may be obtained from CSR
Incorporated, Suite 200, 1400 Eye Street, NW, Washington, D.C. 20005;
202/842-7600).

Other examples include many longitudinal or cross-sectional surveys
carried out by agencies of the Federal Government (including, for
example, the National Center for Health Statistics and the Centers
for Disease Control and Prevention), various State governments, and
regional or local governments.  Alternatively, applicants may of
their own initiative secure access to other data sets that are not in
the public domain, such as those collected under research grant
funds,
sponsored by private agencies, or originally collected for purposes
other than research.

Examples of general types of secondary analyses that may be
considered within the scope of this announcement are given below.
This list is illustrative and not exhaustive; prospective proposals
should not be limited by these examples.  Any proposed research
should be guided by scientific considerations and the potential
benefit of the proposed analyses.

Large sample or multiple sample comparisons:  In this category,
investigators may seek large archival data sets with identified
subgroups or multiple data sets for comparison with each other. For
example, an investigator may wish to obtain two or more data sets for
the development and testing of integrated research hypotheses for
multiple cohorts, different genders, or different ethnic groups.

Methodology development:  Single or multiple data sets may be
obtained to demonstrate new or improved research design, measurement,
or analytic techniques.  For example, researchers may wish to develop
new analytic techniques for longitudinal designs that take into
account transitions between alcohol and other drug use behavior over
time, or the simulation of complex systems that predict alcohol use
at an individual, group, or community level.  Measurement issues may
also be addressed for different variable and construct domains to
facilitate more accurate item equating, norming and further
validation of outcome measures, or the development of new measures.
The development of improved techniques to measure the costs,
cost-effectiveness, or cost-benefits of alcohol treatment and
prevention services is encouraged under this announcement.

New analyses of a current study:  This would allow the investigator
to take advantage of opportunities for additional analyses if they
are justified as a new stand-alone research project grant for
secondary data analysis.  These additional analyses may be ideal for
cross-validation of results on appropriate comparison groups and lead
to improved generalizability of results.

Developmental Projects:  Some investigators may be interested in
examining the feasibility of
using certain types of data records or certain kinds of data sets as
resources for answering alcohol-related health services research
questions, especially if the proposed secondary analyses have not yet
been widely-used on those types of records or data sets.  Examples
include abstracting from medical encounter records, accessing
insurance claims and reimbursement data, and analyzing
epidemiological or general health data.

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 policy results from
the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43).  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 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 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 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  20817-7710 (for express/courier service)

REVIEW CONSIDERATIONS

Applications that are complete and responsive to the program
announcement 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 council.

REVIEW CRITERIA

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

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

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

Availability of the resources necessary to perform the research;

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

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, confidentiality of information, 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:

Harold I. Perl, Ph.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:  301-443-0788
FAX:  301-443-8774
E-mail:  hperl@willco.niaaa.nih.gov

Direct inquiries regarding fiscal matters to:

Edward Ellis
Grants Management Branch
National Institute on Alcohol Abuse and Alcoholism
Willco Building, Suite 504
6000 Executive Boulevard, MSC 7003
Bethesda, Maryland  20892-7003
Telephone:  301-443-4703
FAX: 301-443-3891
E-mail: eellis@willco.niaaa.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.273.  Awards are made under the authorization of
the Public Health Service Act, Sections 301 and 464H, and
administered under the PHS policies and Federal Regulations at Title
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 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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SOCIAL COGNITION AND AGING

NIH GUIDE, Volume 26, Number 19, June 6, 1997

PA NUMBER:  PA-97-065

P.T. 34; K.W. 0710010, 0414005

National Institute on Aging

PURPOSE

The National Institute on Aging (NIA) invites qualified researchers
to submit research and training grant applications on social
cognition and aging. The social cognitive paradigm concerns the ways
in which mental representations of social events, societal and
cultural norms and personal characteristics influence behavior,
reasoning, emotion and motivation. Specifically, the approach
addresses attributions, self and social goals, mental representations
of the self and others, and the role of social facilitation in
decision-making, memory and judgment. Research suggests that complex
cognitive functioning-involved in coping, everyday problem-solving
and decision-making in health and social domains-depends not only on
basic cognitive mechanisms, but also on socially-derived content and
organization of existing knowledge structures as well as on
socially-derived emotional and motivational influences on
performance.

The NIA encourages the application of social-cognitive approaches to
research on middle-aged and older people. The ultimate goal of such
research is to improve health maintenance and promotion, coping with
age-related losses, social relationships, and adaptive functioning in
daily life as people age. This announcement is coordinated with the
National Institute of Mental Health (NIMH), which supports a range of
topics in social cognition, and with the National Institute of Child
Health and Human Development (NICHD), which supports applications
about the normative cognitive, social, motivational and affective
development of children from infancy through adolescence. (See
INQUIRIES, below)

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 is
related to the priority area of Diabetes and Chronic Disabling
Conditions. 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 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. Foreign
institutions are not eligible for the First Independent Research
Support and Transition (FIRST) awards (R29). 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 the investigator-initiated research
project grant (R01) and FIRST award (R29). Also see "Pilot Grants in
the Behavioral and Social Science of Aging," NIH Guide to Grants and
Contracts, Volume 26, Number 5, February 14, 1997.

RESEARCH OBJECTIVES

The NIA seeks grant applications for the study of social cognition
and aging that address one or more of the following: (A) age-related
changes in knowledge structures/schemas, self representation, and
defense mechanisms; (B) the effects of context (e.g., cultural,
cohort, social situational) on cognitive performance and social
reasoning as people age; (C) the interaction among aging, social
cognition, emotion, and motivation; and (D) the effect of age-related
changes in basic cognitive skills on social judgments.The following
examples suggest areas that are appropriate for submissions. They are
intended to be illustrative rather than exhaustive.

A. AGE-RELATED CHANGES IN KNOWLEDGE STRUCTURES OR SCHEMAS

A substantial literature exists on mental representations about the
self and others, social scripts, stereotypes, implicit theories and
the role of beliefs in health and illness. These knowledge structures
play an important role in the interpretation of events, organization
of new information, goal setting and motivation to act in specific
ways. To date, however, relatively little empirical evidence exists
on possible age differences in the elaboration, consistency and
consequences of knowledge structures, or on the ways in which these
knowledge structures influence thought and action as people age.

1. How do knowledge structures change as a function of development
and changing environments in adulthood and aging? Are some types of
social knowledge more likely to change than others? Do individuals'
belief in a "just world" and needs for consistency change with aging?

2. How do individual differences in knowledge and beliefs facilitate
adaptation in old age? How do age-related differences influence the
interpretation of events, the motivation to engage in cognitive
performance or specific behaviors (e.g., health-medical decisions)?
How do social cognitive processes and schemas affect older people's
conceptions of specific diseases? How do they affect health-related
behaviors such as medication use? What methods aid in the
restructuring of beliefs to encourage adaptive health practices as
people age?

3. How do older adults mentally represent social problems (e.g., in
terms of causal attributions, problem interpretation and importance)?
What effects do such representations have on everyday problem
solving?

4. How do stereotypic beliefs about aging and the elderly influence
conceptions of self and others? Do individuals' stereotypes change
with their own aging and, if so, with what effects?

5. How do social cognitive processes affect adaptation to cognitive
and health-related changes with age without showing deteriorated
performance in everyday functioning? Similarly, how do older people
maintain a sense of well-being when age is associated with numerous
threats to the self?

6. Do self-efficacy beliefs change with aging? Which age-related
processes or conditions promote stability or change? How are
self-efficacy beliefs accessed and modified? What are the mechanisms
by which self-efficacy, once activated, influences behavior and do
these mechanisms change with aging? (Viz. Sense of Control throughout
the Life Course, NIH Guide to Grants and Contracts, vol. 18, no. 13,
April 1, 1989.)

B. CONTEXTUAL AND FUNCTIONAL PERSPECTIVES ON SOCIAL COGNITION AND
AGING

Multiple layers of social context-from the immediate environment of
the individual to the larger sociocultural context-influence
development and aging. In order to understand the individual in
context, both the properties of context and the nature of the
individual's representations of those properties need to be
considered, especially as they both may change with aging. For
example, how do age-related sociocultural and socio-contextual
influences on self-representations and knowledge structures affect
memory, decision-making, cognition, problem-solving and coping?

1. How do perceptions of problems, self-schemas, and defense
mechanisms influence and are influenced by social interactions?
Although most people discuss concerns with other people prior to
making decisions and resolving problems, a meager amount of research
examines decision-making as a social process in the middle and later
years.

2. How does the social environment influence cognitive processing in
old age? How do interactions with social partners enhance memory,
e.g., collaborative memory? How do older individuals access and use
information under particular kinds of situational/environmental
demands?

3. Do causal attributions of social interactions change with age? Are
these attributions predictive of changes in social behavior? Are
there age differences in person perception?

4. Given that cultural transmission of sociocultural information to
younger adults has been espoused as a prototypic cognitive task for
older adults, how do social cognitive processes operate in the
context of group processes, dyadic interactions, etc.? How do
mismatches in social knowledge affect communication among older
adults and health professionals, caregivers, financial advisers,
etc.?

5. As people grow older, how do particular social roles and
situations such as gender, birth cohort, culture, socio-economic
status, ethnicity, etc. influence social knowledge?

C. AGING, SOCIAL COGNITION, EMOTION, AND MOTIVATION

Emotional states importantly influence cognitive performance, and
social cognitive appraisals influence emotional experience.
Similarly, important reciprocal relations exist between motivation
and social cognition. On the one hand, various motivational factors
may bias the (social) cognitive process, affecting its extent, depth
and directionality. On the other hand, goals (fundamental
motivational constructs) have important social cognitive components.
They are formed, activated, and applied in the same way as are other
cognitive structures. These issues could be relevant to aging.
Although complex models illuminating these issues are emerging in the
social and behavioral sciences, application to research of aging is
infrequent.

1. What societal beliefs about emotion influence emotional experience
in old age? To what extent do current cohorts of older adults
anticipate negative experience in emotional arenas? What is the
impact of age-related beliefs about emotion on social attitudes and
behaviors?

2. Is the relationship between mood and memory altered with age? Does
the relationship between arousal and performance vary across the
adult life span? What is the role of social cognitive processes in
these relationships?

3. Some evidence suggests that information processing becomes
increasingly "emotional" with age. If so, how do such changes improve
or impede social reasoning about, for example, medical
decision-making or advice giving, interpersonal relationships?

4. What age-related qualitative and/or adaptive changes take place in
emotional development and regulation? In contrast to the cognitive
representation of emotions, what is the phenomenological experience
of emotion (the current level of functioning of emotional experience)
of the older adult? How do social cognitive processes affect this
experience?

5. Does the lowering of energy resources presumably occurring during
aging affect the individual's nondirectional cognitive motivations?
For instance, is aging positively correlated with a rising need for
cognitive closure? If so, is aging characterized by stereotyping,
insufficient adjustment of initial opinions in light of new
information, a preference for similarly minded others, etc?

6. Does aging affect the configuration of individual directional
motivations? For instance, do achievement, or social dominance and
power motivations decline, while affiliation motivation, and health
concerns increase with aging? What effects might these have on
various information-processing biases, such as attribution of
(positive or negative) achievement vs. health-related outcomes?

7. How do goals and goal-setting processes differ, if at all, as
people age? Do people's goals change qualitatively and/or
quantitatively as they become older (e.g., more short term, more
specific and concrete, less self-focused)? To what extent are the
characteristics of goals in old age mediated by meta-cognitions
about, e.g. the amount of time
left for goal accomplishment?

8. How are age-related changes in motivation related to social
preferences and social goals? What is the role of social motivation
in social network composition? Are there motivated changes in
qualitative aspects of social relationships? How are age-related
changes in motivation related to qualitative differences in
processing social information (e.g., interpretation of a problem
situation)?

D. NORMAL CHANGES IN BASIC COGNITIVE SKILLS AND SOCIAL COGNITION

Many models of social cognition emphasize the importance of basic
information processing skills in the construction of representations
about social events. For example, the formation of impressions of
others depends on the activation of appropriate categorical
knowledge, the ability to attend to relevant aspects of behavior, the
efficiency with which attributes are encoded and the integration of
specific aspects of behavioral information into a coherent
representation. Since the nature of representations in memory has a
major impact on the types of decisions and judgments people make in
reference to specific others or social events, an important issue
concerns the extent to which normal (nonpathological) aging-related
changes in basic cognitive skills influence the representation of
social information and its subsequent use.

1. How is information about specific events represented in memory as
people age? Do age-related changes in processing skills influence the
type of information represented in memory and, subsequently, the
types of decisions and judgments that are made about the event?

2. Are there age-related changes in the ability to access and/or use
specific types of social information?

3. Do age-related changes in memory skills have an impact on the
ability to acquire new or alter existing social knowledge?

SELECTED BACKGROUND READINGS

Abeles, R. P. (1987). Life-span perspectives and social psychology.
Hillsdale, NJ: Lawrence Erlbaum Associates.

Bdckman, L. & Dixon, R. (1992). Psychological compensation: A
theoretical framework. Psychological Bulletin, 112, 259-283.

Baltes, M. & Carstensen, L. L. (1996). The process of successful
ageing. Ageing and Society., 16, 397-422

Baltes, P. B. (1993). The aging mind: Potentials and limits.
Gerontologist, 33, 580-594.

Bandura, A. (1986). Social foundations of thought and action: A
social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.

Blanchard-Fields, F. & Abeles, R. (1996). Social cognition and aging.
In J. E. Birren & K. W. Schaie (Eds.), Handbook of the psychology of
aging (pp. 150- 161). San Diego: Academic Press.

Blanchard-Fields, F. (1996). Social cognitive development in
adulthood and aging. In F. Blanchard-Fields and T. M. Hess (Eds.),
Perspectives on cognitive change in adulthood and aging (pp.454-487).
New York: McGraw-Hill.

Carstensen, L. L. (1995). Evidence for a life-span theory of
socioemotional selectivity. Current Directions in Psychological
Science, 4, 151-156.

Cornelius, S. W. (1990). Aging and everyday cognitive abilities. In
T. M. Hess (Ed.), Aging and cognition: Knowledge organization
utilization (pp. 411-460). Amsterdam: North-Holland.

Fiske, S. T. (1993). Social Cognition and social perception. Annual
Review of Psychology, 44, 155-194.

Fiske, S. T., & Taylor, S. E. (1991). Social cognition. New York:
McGraw-Hill.

Hess, T. M. (1994). Social cognition in adulthood: Aging-related
changes in knowledge and processing mechanisms. Developmental Review,
14, 373-412.

Labouvie-Vief, G. (1992) A neo-Piagetian perspective on adult
cognitive development. In R. J. Sternberg & C.A. Berg (Eds.),
Intellectual development (pp. 239-252). New York: Cambridge
University Press.

Markus, H., & Herzog, A. R. (1991). The role of the self-concept in
aging. In K. W. Schaie (Ed.), Annual review of gerontology and
geriatrics (Vol. 11). New York: Springer.

Sternberg, R. (1990). Wisdom: Its nature, origins, and development.
N. Y.: Cambridge University Press.

Wyer, R. S., Jr., & Srull, T. K. (1989). Memory and cognition in its
social context. Hillsdale, NJ: Lawrence Erlbaum Associates.

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 policy results from the
NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43).

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, March 9, 1994 (FR 59 14508-14513) and reprinted in
the NIH Guide for Grants and Contracts, Volume 23, Number 11, March
18, 1994.

Investigators may obtain copies of the policy from the program staff
listed under INQUIRIES or from the Internet at
http://www.med.nyu.edu. 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.  Applications 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 the program announcement must be typed in
line 2 on the face page of the application. Applications for the
FIRST award (R29) must include at least three sealed letters of
reference attached to the face page of the original application.
FIRST award (R29) applications submitted without the required number
of reference letters will be considered incomplete and will be
returned without review. FIRST Award applicants are reminded that
they must follow "just-in-time" procedures (NIH Guide to Grants and
Contracts, Volume 25, March 29, 1996).

The completed original application and five legible copies must
delivered 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)

Receipt dates for new Research Project Grants and FIRST Awards
applications are February 1, June 1, and October 1 of each year.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established Public
Health Service referral guidelines. Applications will be reviewed for
scientific and technical merit by study sections of the Division of
Research Grants, NIH, 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

* 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;

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

* Availability of the resources necessary to perform the research;

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

* 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.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to that Institute/Center (IC). 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:

Jared Jobe, Ph.D.
Behavioral and Social Research
National Institute on Aging
7201 Wisconsin Avenue, Suite 533 MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-3137
FAX:  (301) 402-0051
Email:  Jared_Jobe@nih.gov

Direct inquiries regarding fiscal matters to:

Mr. Joseph Ellis
Grants and Contracts Management Office
National Institute on Aging
7201 Wisconsin Avenue, Suite 2N212, MSC 9205
Bethesda, MD  20892-9205
Telephone:  (301) 496-1472
FAX:  (301) 402-3672
Email:  Joseph_Ellis@nih.gov

The NIMH supports research on a range of topics in social cognition
(e.g., attitude accessibility, persuasion, stereotyping, self and
social identity, stigma about mental disorders) across the life-span
in normative, at-risk, and mentally ill populations. Inquiries about
NIMH's sponsorship of these activities may be directed to:

Della M. Hann, Ph.D.
Division of Neuroscience and Behavioral Sciences
National Institute of Mental Health
5600 Fishers Lane, Room 11C-16
Rockville, MD  20857
Telephone:  (301) 443-3942
FAX:  (301) 443-4822
Email:  dhann@nih.gov

The National Institute of Child Health and Human Development (NICHD)
is interested in the topics of this Program Announcement (PA) as they
pertain to children's and adolescents' development. More
specifically, NICHD is interested in supporting meritorious
applications in the following areas: (a) Normative age-related
changes in knowledge structure; (b) Contextual and functional
perspectives on the normative development of social cognition; (c)
The interaction of social cognition, emotion and motivation during
childhood and adolescence and (d) Developmental changes in cognitive
skills and social cognition.  Inquiries about NICHD's support for
research in social cognition may be directed to:

Sarah L. Friedman, Ph.D.
Center for Research for Mothers and Children,
National Institute of Diabetes and Digestive and Kidney Diseases
Building 61E, Room 4B05
Bethesda, MD  20892
Telephone:  (301) 496-9849
FAX:  (301) 480-7773
Email:  FriedmaS@HD01.NICHD.NIH.GOV

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.866, Aging Research, No. 93.399, Cancer Control
Research, No. 93.393, Cancer Cause and Prevention Research, No.
93.396, Cancer Biology Research, No 93.399, Cancer Treatment
Research, No. 93.361, Nursing Research, and No. 93.242, Mental Health
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
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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HEALTH CARE QUALITY IMPROVEMENT AND QUALITY ASSURANCE RESEARCH

NIH GUIDE, Volume 26, Number 20, June 13, 1997

RFA:  HS-98-003

P.T. 34; K.W. 0730050, 0730021

Agency for Health Care Policy and Research

Letter of Intent Receipt Date:  August 1, 1997
Application Receipt Date:  September 16, 1997

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) invites
applications for research and demonstration projects on the use of
measurement in improving the quality of health care.  Applications
are sought in three areas: (1) methods and measures to allow
translation of scientific information about medical care into quality
measures and strategies to improve clinical practice; (2) studies of
the relationship between organizational change and quality
measurement and improvement in health care; and (3) studies of the
use of information derived from measurement about quality of care by
consumers, patients, employers, providers, and insurers to make
decisions.

AHCPR is especially interested in projects that will produce results
within one to two years, although a balance is sought between short-
and long-term projects, and projects of up to five years will be
considered.

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.  AHCPR
encourages applicants to submit grant applications with relevance to
the specific objectives of this initiative.  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 public or private non- profit
organizations, including universities, clinics, units of State and
local governments, non-profit firms, and non-profit foundations.
For-profit entities may participate as members of consortia or
subcontractors if the applicant is non-profit.  Organizations
described in section 501(c)4 of the Internal Revenue Code that engage
in lobbying are not eligible.

AHCPR encourages women, members of minority groups, and persons with
disabilities to apply as Principal Investigators.

MECHANISM OF SUPPORT

The RFA mechanisms of support are the research project grant (R01),
and the research demonstration project grant (R18). Responsibility
for the planning, direction, and execution of the proposed project
will be solely that of the applicant. The earliest anticipated award
date is February 1, 1998.

FUNDS AVAILABLE

Depending on the availability of funds, AHCPR expects to award up to
$2.0 million in fiscal year 1998 to support the first year of 8 to 10
projects under this RFA.  The number of awards is dependent on the
number of high quality applications and their individual budget
requirements; it is not the intent of AHCPR that the awards be equal
in size. Funding beyond the initial budget period will depend upon
annual progress reviews by AHCPR and the availability of funds.

RESEARCH OBJECTIVES

Background

AHCPR is charged with improving the quality, appropriateness, and
effectiveness of health care services and access to such services.
Research on quality measurement and improvement is essential to
AHCPR's efforts to integrate knowledge about health care into
clinical practice, especially at this time of rapid and profound
changes in the health care system.

There are anecdotes, but not much reliable information, about the
effects of these changes on quality of care and the effectiveness of
attempts to assess and assure quality. Understanding the effects of
these changes requires reliable and valid information about clinical
quality of care and methods for obtaining and using that information
to assure and improve quality.

As efforts are made to increase the efficiency with which health care
is provided and to curtail unnecessary expenditures, the ability to
assess and maintain or improve quality is essential.

In recent years, AHCPR has undertaken a number of initiatives related
to quality of care.  AHCPR documents cited below may be requested
from the AHCPR Clearinghouse, 800/358-9295.  In particular, AHCPR
has:

o  Developed a prototype performance measurement information system
called CONQUEST. (For information on CONQUEST, see R. Heather Palmer,
et al. Understanding and Choosing Clinical Performance Measures for
Quality Improvement: Development of a Typology.  Final Report,
Contract No. 282-93-0038, Delivery Order #3. Agency for Health Care
Policy and Research, January 31, 1995.)

o  Funded a group of cooperative agreements under the name "QSpan"
(for Expansion of Quality Measures).  These projects address
different conditions and populations for which quality measures are
scarce or nonexistent, and in some cases take different approaches.
Some focus on health plan quality, others on provider performance.
For details, see "Expansion of Quality Measures."  AHCPR Publication
No. 96-R064, rev. November 5, 1996.

o  Established a program called CAHPS, for Consumer Assessments of
Health Plans; the program comprises cooperative agreements with a
group of three consortia collaborating with AHCPR to develop a
rigorously tested, standardized instrument for coll