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fellowships awards vary with the type of award. Awards are made of an annual basis.

POST ASSISTANCE REQUIREMENTS:

Reports: For training grants, reports of expenditures and interim progress reports are required on an annual basis. A final progress report is required within 90 days after the terminal date of the project.

Audits: Grants are subject to inspection and audit by representatives of HEW to determine that there is a proper accounting and use of funds. The timing and frequency of audits is at the discretion of the HEW auditors.

Records: Financial records, including all documents to substantiate charges to grants must be maintained. Records may be destroyed 3 years after end of budget period if audit occurs by that time; if audit has not occurred, records must be retained until 5 years following end of budget period, or until audit and resolution of any audit questions, whichever is earlier.

FINANCIAL INFORMATION:

Account Identification: 09-20-0342-0-1-651.

Obligations: (Grants) FY 70 $4,594,000; FY 71 est $5,000,000; and FY est $5,000,000.

Range and Average of Financial Assistance: $5,000 to $175,000; $75,000.

PROGRAM ACCOMPLISHMENTS: In 1970, 116 training grants and fellowships amounting to $4,500,000 were awarded to universities, colleges and individuals for the support of research training programs and research fellows. In fiscal year 1971, it is estimated that similar grantees will be awarded approximately $5,000,000 for the support of research training programs and research fellows. REGULATIONS, GUIDELINES, AND LITERATURE: 42 CFR, Parts 61 and 64. "Types of Health Services Research, Development, Demonstration, and Training Projects Eligible for Grant Support National Center for Health Services Research and Development," no charge; "Policies and Guidelines for Applicants - NCHSRD" for Training Grants Program and for Research Fellowships Program, no charge; "PHS Grants for Training Projects - Policy Statement," PHS No. 1302, no charge included with application. INFORMATION CONTACTS:

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Regional or Local Office: Not applicable. Headquarters Office: Director, National Center for Health Services Research and Development, Health Services and Mental Health Administration, Department of Health, Education and Welfare, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-2770.

RELATED PROGRAMS: 13.226, Health Services Research and Development Grants and Contracts.

13.226 HEALTH SERVICES RESEARCH AND DEVELOPMENT GRANTS AND CONTRACTS

FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

AUTHORIZATION: Public Health Service Act, as amended Sections 301 and 304; Public Law 78-410 and Public Law 90-174; 42 U.S.C. 241 and 242b.

OBJECTIVES: To expand the base of knowledge and understanding of the forces and factors which affect the ability to attain desirable goals with respect to availability, organization, distribution, utilization, quality, and financing of health services and health care facilities, and to devise methods for their attainment. TYPES OF ASSISTANCE: Project Grants. USES AND USE RESTRICTIONS: Grants may include funds for direct

costs (such as personnel, travel, equipment, supplies, etc.) necessary to carry out an approved project as well as funds for the reimbursement of applicable indirect costs.

Unallowable costs, as well as those for which prior written approval is required, are indicated in the policy statement contained in application kits.

Contract restrictions depend upon specific objectives, scope of work and negotiated budget.

ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: States, political subdivisions, universities, hospitals, and other public or nonprofit private agencies, institutions, or organizations. Research project grants may also be awarded to individuals.

Profitmaking organizations are not eligible for grants but are eligible for contracts.

Beneficiary Eligibility: Same as applicant eligibility. Credentials/Documentation: Nonprofit organizations shall submit proof of their nonprofit status when applying for grants if this information is not available in the granting agency's files. APPLICATION AND AWARD PROCESS:

Preapplication Coordination: There are no requirements for coordination. Informal, preapplication consultation between prospective applicants and NCHSRD staff is available upon request.

Application Procedure: Grant applications must be made on Application for Research Grant, Form PHS 398, for review and evaluation by 2 groups composed primarily of non-Federal scientists. Initial review is conducted by a panel of experts in the specific study area proposed; the recommendations are then considered by either the National Advisory Health Services Council or the Federal Hospital Council. Requests for contract

proposals depend upon program priorities and availability of funds.

Award Procedure: The National Center for Health Services Research and Development makes final decisions to support approved applications. When such decisions are made, applicants are notified directly by NCHSRD staff and all required steps are taken to effect issuance of the Notice of Grant Awarded, Form PHS-1533. Deadlines: Grants October 1, February 1, and June 1; contracts None.

Range of Approval/Disapproval Time: 150 to 180 days from receipt of application. Appeals: None.

Renewals: If additional support is desired to continue a project beyond the approved project period, an application for renewal must be submitted for review in the same manner as a new application.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: There are no matching requirements for grants; however, grantees are required to share to some extent in the total costs of the project. This requirement is not applicable to contracts.

Length and Time Phasing of Assistance: Grants may be approved for project periods up to 5 years. Awards are made on an annual basis and it is expected that expenditures will be made within the budget period awarded. The time period for contracts is determined by each contract. After awards are issued, funds are released in accordance with the payment procedure established by the grantee institution with HEW.

POST ASSISTANCE REQUIREMENTS:

Reports: Reports of expenditures and interim progress reports are required on an annual basis. A terminal progress report is required within 6 months after the end of a project.

Audits: Grants and contracts are subject to inspection and audit by representatives of HEW to determine that there is a proper accounting and use of funds. The timing and frequency of audits is at the discretion of the HEW auditors. Records: Financial records, including all documents to substantiate charges must be maintained. Records may be destroyed 3 years after end of budget period if audit occurs by that time; if audit has not occurred, records must be retained until 5 years following end of budget period, or until audit. FINANCIAL INFORMATION:

Account Identification: 09-20-0342-0-1-651.

Obligations: (Grants and contracts) FY 70 $33,381,000; FY 71 est

$45,867,000; and FY 72 est $50,218,000.

Range and Average of Financial Assistance: $2,000 to $1,360,000; $150,000.

PROGRAM ACCOMPLISHMENTS: In fiscal year 1970, 244 grants and contracts amounting to $33,000,000 were awarded to universities, hospitals, nonprofit private agencies, state agencies, and local governmental agencies to conduct research and demonstration projects. In fiscal year 1971, it is estimated that similar grantees will be awarded approximately $45,000,000 for grants and contracts to conduct research, demonstration, and experimental systems projects.

REGULATIONS, GUIDELINES, AND LITERATURE: 42 CFR, Part 52. "Types of Health Services Research, Development,

Demonstration, and Training Projects Eligible for Grant Support National Center for Health Services Research and Development," no charge; "Public Health Service Grants for Research Projects Policy Statement," PHS No. 1301, no charge - included with grant application forms.

INFORMATION CONTACTS:

Regional or Local Office: Not applicable. Headquarters Office: Director, National Center for Health Services, Research and Development, Health Services and Mental Health Administration, Department of Health, Education and Welfare, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-2770.

RELATED PROGRAMS: 13.225, Health Services Research and Development - Fellowships and Training.

13.227 HEALTH STATISTICS TRAINING AND TECHNICAL ASSISTANCE

FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

AUTHORIZATION: Public Health Service Act, as amended, Sections 301, 305, 311, 312(a), 313 and 315; 42 U.S.C. 241, 242c, 244, 245 and 247.

OBJECTIVES: To provide training and technical assistance to State and local health and statistical agencies through advisory services and counseling from the Center's professional staff and through the Applied Statistics Training Institute (ASTI), a training program of vital and health statistics.

TYPES OF ASSISTANCE: Advisory Services and Counseling; Training. USES AND USE RESTRICTIONS: Applied training in vital and health

statistics theory and practice is provided for use by State and local officials and employees and other related professional groups including courses in administration, vital and health statistics, methods and techniques, data presentations and processing, and cause-of-death classification; also advisory services and counseling are available for promoting the establishment and implementation of State and local vital and health statistics training activities. Technical assistance is available to State and local health statistics offices for developing, promoting, and evaluating programs to improve their operations and professional product through model plans for use by the States, assistance in program implementation and program reviews, health statistics operations, and consultation and technical assistance to agencies covering any aspect of their operation, such as survey design, registration systems, data processing automation, and statistical analysis. No restrictions. ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: Requests of State and local health and statistical agencies for technical assistance and advisory services are honored to the extent that the Center's staffing permits.

Personnel of these agencies are eligible for short-term training courses conducted at the Center's Applied Statistics Training Institute, Research Triangle Park, North Carolina. There is no tuition charge, but students must pay their own transportation and personal maintenance.

Beneficiary Eligibility: Same as applicant eligibility.
Credentials/Documentation: None.

APPLICATION AND AWARD PROCESS:
Preapplication Coordination: None.

Application Procedure: Application forms for short-term training are available from and are submitted directly to the Applied Statistics Training Institute at Headquarters Office.

Award Procedure: Requests of State and local health and statistical agencies for technical assistance are honored to the extent that the Center's staffing permits on a space available basis. Eligible applicants are notified of their being accepted for training by the Applied Statistics Training Institute.

Deadlines: Deadlines for registration vary with each course.
Range of Approval/Disapproval Time: Not applicable.
Appeals: Not applicable.

Renewals: Not applicable.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQUIREMENTS: Reports: None.

Audits: None.

Records: None.

FINANCIAL INFORMATION:

Account Identification: 09-20-0335-0-1-651.

Obligations: (Salaries and expenses) FY 70 $343,000; FY 71 est $363,000; and FY 72 est $372,000.

Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: During fiscal year 1970, 55

students were trained in cause of death classifications and 188 students were trained in other courses in applied vital and health statistics.

REGULATIONS, GUIDELINES, AND LITERATURE: "National Center for Health Statistics: Organization and Functions, ASTI Bulletin of Courses"; current listing of "Vital and Health Statistics" series, PHS No. 1000; publications of the National Center for Health Statistics; no charge for the above publications. INFORMATION CONTACTS:

Regional or Local Office: None.

Headquarters Office: Director, Office of State Services, National Center for Health Statistics, Post Office Box 12214, Research Triangle Park, North Carolina 27709. Telephone: (919) 549-4416. RELATED PROGRAMS: 11.004, Census Intergovernmental Services; 13.208, Comprehensive Health Planning - Training, Studies, and Demonstrations; 13.225, Health Services Research and Development - Fellowships and Training.

13.228 INDIAN HEALTH SERVICES

(Indian Health)

FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

AUTHORIZATION: Act transferring responsibility for health services to Indians from Bureau of Indian Affairs (Interior) to Public Health Service; Public Law 83-568, 42 U.S.C. 2001-2004a. OBJECTIVES: To improve the health of approximately 420,000 American Indians and Alaska Natives by providing a full range of curative, preventive and rehabilitative services that include public health nursing, maternal and child health care, dental and nutrition services, psychiatric care and health education. TYPES OF ASSISTANCE: Provision of Specialized Services; Advisory Services and Counseling.

USES AND USE RESTRICTIONS: Inpatient and outpatient medical care is provided through a system that includes 49 Public Health Service Indian Hospitals, and 2 TB Sanatoria, 73 health centers and school health centers, over 300 other health stations and locations, and contracted arrangements with private and community hospitals, private physicians, dentists, and other professionals, and state and local agencies. Funds are spent to *provide direct and contractual medical care and a full range of field health services for more than 420,000 Indian and Alaska Natives who meet eligibility requirements.

ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: Generally, Indians qualify who live on or near a reservation and are recognized as members of a tribe with whom the Federal Government has a special relationship, or are recognized as Indians by the communities in which they live. Beneficiary Eligibility: Same as applicant eligibility. Credentials/Documentation: None.

APPLICATION AND AWARD PROCESS:

Preapplication Coordination: Not applicable.

Application Procedure: Not applicable. Direct health services are provided through Federal facilities or under contract with community facilities and private physicians and dentists. Award Procedure: Not applicable.

Deadlines: Not applicable.

Range of Approval/Disapproval Time: Not applicable.
Appeals: Not applicable.
Renewals: Not applicable.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQURIEMENTS:

Reports: Not applicable. Audits: Not applicable. Records: Not applicable. FINANCIAL INFORMATION:

Account Identification: 09-20-0390-0-1-652.

Obligations: (Salaries and expenses) FY 70 $108,631,000; FY 71 est $124,381,000; and FY 72 est $139,126,000.

Range and Average of Financial Assistance: Not applicable. PROGRAM ACCOMPLISHMENTS: In fiscal year 1970, 67,313 Indian Health Service Hospitals admissions; 23,058 Contract Hospital admissions; 718,000 outpatient preventative and therapeutic medical visits to health centers, health stations, field clinics and schools and 1,068,820 outpatient visits to hospitals. REGULATIONS, GUIDELINES, AND LITERATURE: "The Indian Health Program of the U.S. Public Health Service"; "To the First Americans - An Annual Report on the Indian Health Program"; "Indian Health Trends and Services- A Statistical Report"; "Annual Statistical Review - Hospital and Medical Services"; No charge for the above publications. INFORMATION CONTACTS:

Regional or Local Office: See appendix for Indian Health Service Regional Offices.

Headquarters Office: Director, Indian Health Service, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-1085. RELATED PROGRAMS: 13.217, Family Planning Projects; 13.224, Health Services Development - Project Grants; 13.252, Mental Health Direct Grants For Special Projects (Alcoholism)

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13.229 INDIAN SANITATION FACILITIES (121 Program)

FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

AUTHORIZATION: Indian Sanitation Facilities Act; Public Law 86-121; 42 U.S.C. 20001-20004a.

OBJECTIVES: To alleviate gross insanitary conditions, lack of safe water supplies and inadequate waste disposal facilities which contribute to the high rate of infectious and gastroenteric diseases among Indians and Alaska natives, the Indian Health Service engages in environmental health activities, including construction of sanitation facilities for individual homes and communities. TYPES OF ASSISTANCE: Provision of Specialized Services. USES AND USE RESTRICTIONS: Funds restricted to sanitation facilities, construction and environmental health activities among Indians and Alaska natives.

ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: Generally, Indians qualify who live on or near a
reservation and are recognized as members of a tribe with whom
the Federal Government has a special relationship, or are
recognized as Indians by the communities in which they live.
Beneficiary Eligibility: Same as applicant eligibility.
Credentials/Documentation: None.

APPLICATION AND AWARD PROCESS:
Preapplication Coordination: Not applicable.

Application Procedure: Upon request of tribal or community organizations and with their active participation, Indian and Alaska native communities and homes, including homes being constructed under Federal housing programs, may be provided

with modern sanitation facilities by the Indian Health Service. Application is made by submitting a project proposal form (PHS 3256) to the Area Director.

Award Procedure: The proposal is reviewed by program staff and approval is made by the program director. All applicants will be advised by letter from the area office of the disposition of their application.

Deadlines: Not applicable.

Range of Approval/Disapproval Time: Not applicable. Appeals: Not applicable.

Renewals: Not applicable.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: Not applicable. Length and Time Phasing of Assistance: Not applicable. POST ASSISTANCE REQUIREMENTS:

Reports: Not applicable.
Audits: Not applicable.

Records: Not applicable.

FINANCIAL INFORMATION:

Account Identification: 09-20-0390-0-1-652.

Obligations: (Salaries, expenses and contracts) FY 70 $17,725,541; FY 71 est $18,998,262; and FY 72 est $18,450,000. Range and Average of Financial Assistance: Average $100,000 cost of approved projects - Range $10,000 to $500,000. PROGRAM ACCOMPLISHMENTS: In fiscal year 1970, 5,231 families were provided running water and adequate means of waste disposal, including 3,601 families served in association with Federal and tribal housing programs. In addition, 4,930 families

received partial benefits for a total of 10,161 families served in 1970. In fiscal year 1970, 10,161 families were served. In fiscal year 1971, it is estimated that 8,675 families will be served. REGULATIONS, GUIDELINES, AND LITERATURE: "The Indian

Health Program of the U.S. Public Health Service"; "To the First Americans, An annual Report on the Indian Health Program"; "Indian Health Trends and Services, A Statistical Report"; Annual Statistical Review, Hospital and Medical Services"; "Sanitation Facilities for Indians" (PHS Publication No. 735); no charge for the above publications.

INFORMATION CONTACTS:

Regional or Local Office: See appendix for Indian Health Service Regional Offices.

Headquarters Office: Director, Indian Health Service, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-1085. RELATED PROGRAMS: 10.418,Water and Waste Disposal Protection for Rural Communities; 11.300, Economic Developments - Grants and Loans for Public Works and Development Facilities; 14.147, Public Housing Home Ownership; 15.115, Indian Housing Development; 15.116, Indian Housing Improvements.

13.230 INTENSIVE INFANT CARE PROJECTS (Newborn Care)

FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE AUTHORIZATION: Social Security Act, as amended, Title V, Section 508(a)(2); Public Law 90-248; 42 U.S.C. 708. OBJECTIVES: To provide necessary health care to infants during their first year of life, who have any condition or are in circumstances which increase the hazards to their health and who will not receive such necessary health care because they are from a low-income family or other reasons beyond control.

TYPES OF ASSISTANCE: Project Grants.

USES AND USE RESTRICTIONS: Grants may be used for the support of hospital intensive care units for high-risk newborn infants. Funds may not be used for purchase or construction of buildings; for salaries of personnel paid from other Federal grant funds; and certain other miscellaneous items.

ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: These grants are available to the State health agencies or, with the consent of such agencies, to health agencies of any political subdivision of the State, and to any other public or nonprofit agency, institution, or organization. Beneficiary Eligibility: Infants who have any conditions or are in circumstances which increase the hazards to their health and will not otherwise receive such necessary health care because they are from a low-income family, or for other reasons beyond their control

Credentials/Documentation: None. APPLICATION AND AWARD PROCESS:

Preapplication Coordination: Local health departments are required to obtain the consent of State health agencies prior to application. Application Procedure: Applicants must first contact the Health Services and Mental Health Administration Regional Health Director to make their interest known. A formal proposal for a project grant will be made on a project application form. Each project application must be accompanied by a written project proposal and by a completed project budget. Completed applications, budgets, and project proposals are to be submitted to the Regional Health Director (listed in the appendix). Award Procedure: The Regional Health Directors make final decisions to approve, hold, or reject individual projects. These offices are responsible for providing notification of the grant approval to the public body as well as the designated State Central Information Reception Agency (on SF 240). Deadlines: None.

Range of Approval/Disapproval Time: 90 to 270 days from the time discussion begins.

Appeals: There are no appeals procedures as such. Applicants may rework applications through consultations with regional office staff.

Renewals: Projects are renewed yearly based on the submission of a

progress report and evidence that the project plan is being carried out.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: Federal funds are granted on the basis of project applications and may not exceed 75 percent of the cost of the project. The 25 percent non-Federal participation may be derived from State and local funds and under certain circumstances other public funds legally available to the grantee to meet the cost of the project.

Length and Time Phasing of Assistance: Usually 1 year. The award will normally be made in 1 lump sum for the entire grant period and payments made periodically through a Letter of Credit or Cash Demand system.

POST ASSISTANCE REQUIREMENTS:

Reports: Quarterly expenditure reports, quarterly statistical reports, and annual progress reports.

Audits: Audits of all title V programs are performed by HEW Audit Agency as necessary and in accord with planned schedule. Records: All supporting claims for Federal and matching funds must be retained until audit by or on behalf of the Department or 5 years after the end of the budget period, but in no case for less than 3 years after the end of the budget period. FINANCIAL INFORMATION:

Account Identification: 09-20-0369-0-1-652.

Obligations: (Grants) FY 70 $450,000; FY 71 est $450,000; and FY 72 est $485,000.

Range and Average of Financial Assistance: $49,000 to $111,000; $90,000.

PROGRAM ACCOMPLISHMENTS: In fiscal year 1970, 5 projects were funded from an appropriation of $450,000. These projects provide increased medical and nursing supervision, care by personnel specially trained in such fields as treatment of cardiopulmonary failure and respiratory distress in newborns, and use of special equipment in an attempt to combat high infant mortality rates for infants born prematurely or with conditions detrimental to their normal growth and development.

REGULATIONS, GUIDELINES, AND LITERATURE: "Health
Services for Mothers and Children Under Title V. Social Security
Act," 1969, no charge.
INFORMATION CONTACTS:

Regional or Local Office: Regional Health Directors, HEW regional
offices (see the appendix for a list of the addresses).
Headquarters Office: Director, Division of Health Services, Maternal
and Child Health Service, Health Services and Mental Health
Administration, Department of Health, Education, and Welfare,
Rockville, Maryland 20852. Telephone: (301) 443-2280.
RELATED PROGRAMS: 13.211, Crippled Children's Services; 13.218,
Health Care of Children and Youth; 13.232, Maternal and Child
Health Services; 13.234, Maternity and Infant Care Projects.

13.231 MATERNAL AND CHILD HEALTH RESEARCH (Child Health Research Grants Program)

FEDERAL AGENCY: HEALTH SERVICES AND MENTAL HEALTH

ADMINISTRATION, DEPARTMENT OF HEALTH, EDUCA-
TION, AND WELFARE

AUTHORIZATION: Social Security Act as amended, Section 512;
Public Law 90-248; 42 U.S.C. 712.

OBJECTIVES: Provides for research projects relating to maternal and child health services or crippled children's services which show promise of substantial contribution to the advancement of such services.

TYPES OF ASSISTANCE: Project Grants.

USES AND USE RESTRICTIONS: Support of research project activities. Grants made only to public or other nonprofit institutions of higher learning, and to public or other nonprofit agencies or organizations engaged in research or in maternal and child health or crippled children's programs.

Grants are not available to individuals even though they may be affiliated with a public or nonprofit organization. ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: Grants may be made to public or other nonprofit institutions of higher learning, and to public or other nonprofit agencies and organizations engaged in research or in maternal and child health or crippled children's programs. Beneficiary Eligibility: Same as Applicant Eligibility. Credentials/Documentation: None.

APPLICATION AND AWARD PROCESS:

Preapplication Coordination: Informal inquiries regarding the program and indication of intent to submit a project are invited and should be submitted to the headquarters office. Application Procedure: Applicants will be requested to provide the following information in justification of their request for Federal support: (1) A narrative description of the project to include: (a) the problem to be dealt with and its practical and theoretical significance; (b) methods and procedures to be utilized; (c) available facilities and, for field studies, evidence of access to the area and of cooperative arrangements with other agencies concerned; (d) previous work on the subject by the applicant and results to date; (e) biographical sketches and major publications of the principal project personnel; and (f) a summary of available knowledge and results obtained by others in the proposed research area; (2) The project budget showing the amount of Federal funds requested and amount to be provided by the applicant and others. Award Procedure: Project applications are reviewed by appropriate members of the staff of the Maternal and Child Health Service, by non-Governmental experts who serve as a panel of correspondents, and by an Advisory Group of non-Governmental experts, appointed for this purpose, who receive the comments of others, discuss the merits of the proposals, and make recommendations for action.

After considering the recommendations of the Advisory Group, the Director of the Maternal and Child Health Service makes the final decision in regard to approval of applications. Applicants are informed in writing of this decision.

Deadlines: March 1; August 1; December 1.
Range of Approval/Disapproval Time: 4 months.

Appeals: Applicants may reapply for support if revised applications are submitted.

Renewals: After initial award, project may be renewed annually. ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: To assure that a maximum

number of projects are supported by available Federal funds, it is required that each applicant finance as large a part of the project cost as possible.

Length and Time Phasing of Assistance: Federal support is normally provided for a period of not more than 1 year at a time. Projects may begin on the first day of any month with the project period covering up to a maximum of 12 months from that date. Payments made under Letter of Credit or on cash demand. When more than 1 year is required to realize its objectives, a project may be approved at the outset for continued support. However. requests for continuation for each year must be approved annually and approval will be dependent upon such factors as Congressional appropriations and satisfactory project progress.

POST ASSISTANCE REQUIREMENTS:

Reports: Grantees submit annual and final progress reports. Grantees submit new budgets with annual reapplication or with any major change. Reports of expenditure are required at the end of each budget period.

Audits: Audits of all title V programs are performed by HEW Audit Agency as necessary and in accord with planned schedule. Records: All financial records should be kept in such manner as to enable positive identification by representatives of the Department of Health, Education, and Welfare. Records must be maintained for 5 years after the project terminates or until audit whichever occurs first.

FINANCIAL INFORMATION:

Account Identification: 09-20-0369-0-1-652.

Obligations: (Grants) FY 70 $5,885,000; FY 71 est $5,735,000; and FY 72 est $6,035,000.

Range and Average of Financial Assistance: $15,000 to $450,000; $85,000.

PROGRAM ACCOMPLISHMENTS: Fiscal year 1970 completed the 6th full year of operation of the program. Since its inception, a total of $31,031,994 in Federal funds was awarded as the Federal portion of support for the projects, as of June 30, 1970. Some examples of areas being or to be investigated are: health status of and health services for mothers and children in urban and rural communities; new approaches to providing maternity health services, methods of increasing the effectiveness of child health programs, especially services for school-aged children and for mentally retarded children; prevalence of handicapping conditions; cost of services; evaluation of the effectiveness of programs; nutrition; and programs and services for teenage parents. REGULATIONS, GUIDELINES, AND LITERATURE: Code of Federal Regulations, Title 42, Chapter II, Part 205; A Guide for Recipients of Maternal and Child Health Service Research Grants; "Health Services for Mothers and Children Under Title V, Social Security Act," 1969, no charge. INFORMATION CONTACTS:

Regional or Local Office: Not applicable.

Headquarters Office: Director, Division of Research, Maternal and Child Health Service, Health Services and Mental Health Administration, Department of Health, Education, and Welfare, 5600 Fishers Lane, Rockville, Maryland 20852. Telephone: (301) 443-2180.

RELATED PROGRAMS: 13.211, Crippled Children's Services; 13.217, Family Planning Projects; 13.242, Mental Health Research Grants; 13.317, Child Health and Human Development - Research Grants; 13.601, Child Development - Technical Assistance.

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