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(a) Eligibility. Public agencies and private mental health organizations which are determined by the Secretary to be capable of providing the professional mental health crisis counseling services or mental health training of disaster workers needed as a result of a major disaster are eligible for the award of a contract under this part.

(b) Use of local agencies. Preference will be given to the extent feasible and practicable, to those agencies and organizations which are located or do business primarily in the area affected by the major disaster.

(c) General Requirements. Contracts under this part shall be entered into and carried out in accordance with the provisions of Chapters 1 and 3 of Title 41 of the Code of Federal Regulations and all other applicable laws and regulations.

(d) Payments. The Secretary shall from time to time make payments to the contractor of all or a portion of the contract award, either by way of reimbursement for expenses incurred or in advance for expenses to be incurred, to the extent he determines such payments are necessary to promote prompt initiation and advancement of the services to be provided under the contract. All payments not expended by the contractor within the period of the contract shall be returned to the Secretary.

(e) Reports. Contractors shall submit the following reports to the Secretary: (1) Progress reports, to be submitted at the end of the first 30 days of the contract period and every 30 days therafter;

(2) A final report to be submitted within 60 days of the date upon which the contract terminates; and

(3) Such additional reports as the Secretary may prescribe including those which may be required to enable the Federal Coordinating Officer to carry out his functions.

§ 38.5 Grant assistance.

(a) Eligibility. Public agencies and private nonprofit mental health organizations which are determined by the Secretary to be capable of providing the professional mental health crisis counseling services or mental health training of disaster workers needed as a result of a major disaster are eligible for a grant award under this part.

(b) Application. (1) In order to receive a grant award under this part an eligible entity must submit an application in such form and at such time as the Secretary may prescribe.

(2) The application shall be executed by an individual authorized to act for the applicant and to assume on behalf of the applicant the obligations imposed by the Act, the regulations of this part, and the terms and conditions of any grant award.

(3) The application shall contain:

(i) A proposed plan for the provision of the services for which grant assistance is requested;

(ii) A proposed budget for the expenditure of the requested grant funds; and

(iii) Such other pertinent information and assurances as the Secretary may require.

(c) Grant Awards. (1) Within the limits of the funds advanced by the Administrator, the Secretary may award grants to cover all or part of the cost of the project to those applicants whose projects will in his judgment best promote the purposes of section 413 of the Act and the regulations of this part. Preference will be given, to the extent feasible and practicable, to those public and private nonprofit agencies and organizations which are located or do business primarily in the area affected by the major disaster.

(2) A grant award under this part shall be in writing and shall specify the amount of the award, the period

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ices or mental health training for disaster workers.

(1) "Major disaster" means any hurricane, tornado, storm, flood, highwater, wind-driven water, tidal wave, tsunami, earthquake, volcanic eruption, landslide, mudslide, snowstorm, drought, fire, explosion, or other catastrophe in any part of the United States which, in the determination of the President, causes damage of sufficient severity and magnitude to warrant major disaster assistance under the Act above and beyond emergency services by the Federal Government, to supplement the efforts and available resources of the States, local governments, and disaster relief organizations, in alleviating the damage, loss, hardship, or suffering caused thereby.

(j) "Regional Director" means a director of a regional office of the Federal Disaster Assistance Administration (FDAA).

(k) "Secretary" means the Secretary of Health, Education, and Welfare and any other officer or employee of the Department of Health, Education, and Welfare to whom the authority involved has been delegated.

(1) An estimate of the number of aster victims who may need pro sional mental health crisis counse services and of the number of disa workers who may need training in provision of such services;

(2) Identification of the geogr
cal areas in which the need exists;
(3) An estimate of the period d
which assistance under this part.
be required and of the total
which will be required to provide
assistance;

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(4) A description of the typ
mental health problems caused
gravated by the major disaster
aftermath; and

(5) Identification of the Stat
mental
viding professional
local agencies and private
health organizations capable
crisis counseling to disaster vict
training of disaster workers.

(b) Review, approval. The Sec
upon notification by the Adm
under this part, will conduct
to determine the extent to whi
tor of a State request for as
assistance is needed to supple
sistance programs provided
and local governments and pr
ganizations and, on the basis
review, prepare and submit
mendation and report for
tion by the Administrator.
proval by the Administrato
advancement of funds for ca
the approved assistance, the
may, within the limits of the
vanced, provide the approve
either directly or through
contract.

(c) Eligibility for servi order to be eligible for the al mental health crisis coun ices available under this p vidual mu

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services in a major disaster area are eligible for training under this part.

(d) Time limitation. Contracts and Sants awarded under this part will not continue beyond 180 days after e first day services are provided purgrant to such contracts and grants, Stsept that upon the recommendation d the Secretary (1) the Regional Diparor may extend the 180 day period otal up to 30 days or (2) the Adminis roviar may extend the 180 day period ore than 30 days. he t cause

Contracts.

disast Eligibility. Public agencies and

mental health organizations the are determined by the Secreprivate be capable of providing the Capablonal mental health crisis counmentservices or mental health trainsaster disaster workers needed as a Orkers f a major disaster are eligible 11. The ward of a contract under this

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(24 inat put a slomites within 30 rays i ne ate 100 which the contract eminates mut

(3) Such additional pur's is de Secretary may pressebe ncuding those which may be requiret u same the Federal Coordinating Officer a carry out his functons.

385 Grat assistance.

(a. Eliginiicy Pinic agences and
private nonproft nemai testat

nizations which are determined the
Secretary to be capame of privating
the professional mental test s
counseling services or menca test
training of disaster verters needed as
a result of a major disaster are eligibile
for a grant award under the part

(b) Application in order to re
ceive a grant award under this part an
eligible entity must subent an applies-
tion in such form and at such time as
the Secretary may prescribe.

(2) The application shall be executed est for of local agencies. Preference by an individual authorized to act for condiven to the extent feasible and the applicant and to assume on behalf tent tolle, to those agencies and or- of the applicant the obligations imto suns which are located or do posed by the Act, the regulations of provide rimarily in the area affected this part, and the terms and condients andjor disaster.

on the ral Requirements. Contracts nd subs part shall be entered into

tions of any grant award.

(3) The application shall contain:
(i) A proposed plan for the provision

eport fod out in accordance with the of the services for which grant assist-
inistrat of Chapters 1 and 3 of Title ance is requested;
dministcode of Federal Regulations

(ii) A proposed budget for the ex

funds forer applicable laws and regu- penditure of the requested grant

sistance,

funds; and

(iii) Such other pertinent information and assurances as the Secretary may require.

(c) Grant Awards. (1) Within the

Cy for sent for expenses incurred limits of the funds advanced by the
gible for ice for expenses to be in-
th crisis che extent he determines
under thints are necessary to pro-

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Administrator, the Secretary may
award grants to cover all or part of the
cost of the project to those applicants
whose projects will in his judgment
best promote the purposes of section
413 of the Act and the regulations of
this part. Preference will be given, to
the extent feasible and practicable, to
those public and private nonprofit
agencies and organizations which are
located or do business primarily in the
area affected by the major disaster.

(2) A grant award under this part
shall be in writing and shall specify
the amount of the award, the pend

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maximum of a 2 mm. source (focal spot).

(d) Except as provided in paragraph (e) of this section, roentgenograms shall be made with units having generators which comply with the following: (1) The generators of existing roentgenographic units acquired by the examining facility prior to July 27, 1973, shall have a minimum rating of 200 mA at 100 kVp.; (2) generators of units acquired subsequent to that date shall have a minimum rating of 300 mA at 125 kVp.

NOTE.-A generator with a rating of 150 kVp. is recommended.

(e) Roentgenograms made with battery-powered mobile or portable equipment shall be made with units having a minimum rating of 100 mA at 110 kVp. at 500 Hz, or of 200 mA at 110 kVp. at 60 Hz.

(f) Capacitor discharge and field emission units may be used if the model of such units is approved by ALOSH for quality, performance, and safety. ALOSH will consider such units for approval when listed by a facility seeking approval under § 37.42 of this subpart.

(g) Roentgenograms shall be given only with equipment having a beamlimiting device which does not cause large unexposed boundaries. The beam limiting device shall provide rectangular collimation and shall be of the type described in part F of the suggested State regulations for the control of radiation or (for beam limiting devices manufactured after August 1, 1974) of the type specified in 21 CFR 1020.31. The use of such a device shall be discernible from an examination of the roentgenogram.

(h) to insure high quality chest roentgenograms:

(1) The maximum exposure time shall not exceed 20 of a second except that with single phase units with a rating less than 300 mA at 125 kVp. and subjects with chests over 28 cm. posteroanterior, the exposure may be increased to not more than 10 of a second;

(2) The source or focal spot to film distance shall be at least 6 feet;

(3) Medium-speed film and medium speed intensifying screens shall be used;

(4) Film-screen contact shall be maintained and verified at 6 month or shorter intervals;

(5) Intensifying screens shall be inspected at least once a month and cleaned when necessary by the method recommended by the manufacturer;

(6) All intensifying screens in a cassette shall be of the same type and made by the same manufacturer;

(7) When using over 90 kV., a suitable grid or other means of reducing scattered radiation shall be used;

(8) The geometry of the radiographic system shall insure that the central axis (ray) of the primary beam is perpendicular to the plane of the film surface and impinges on the center of the film;

(9) A formal quality assurance program shall be established at each facility.

(i) Radiographic processing:

(1) Either automatic or manual film processing is acceptable. A constant time-temperature technique shali be meticulously employed for manual processing.

(2) If mineral or other impurities in the processing water introduce difficulty in obtaining a high-quality roentgenogram, a suitable filter or purification system shall be used.

(j) Before the miner is advised that the examination is concluded, the roentgenogram shall be processed and inspected and accepted for quality by the physician, or if the physician is not available, acceptance may be made by the radiologic technologist. In a case of a substandard roentgenogram, another shall be immediately made. All substandard roentgenograms shall be clearly marked as rejected and promptly sent to ALOSH for disposal.

(k) An electric power supply shall be used which complies with the voltage, current, and regulation specified by the manufacturer of the machine.

(1) A densitometric test object may be required on each roentgenogram for an objective evaluation of film quality at the discretion of ALOSH.

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(a) Approval of roentgenographic facilities given prior to January 1, 1976, shall terminate upon August 1, 1978 unless each of the following conditions have been met:

(1) The facility must verify that it still meets the requirements set forth in the regulations for the second round of roentgenographic examinations (38 FR 20076) and it has not changed equipment since it was approved by NIOSH.

(2) From July 27, 1973, to January 1, 1976, the facility submitted to ALOSH at least 50 roentgenograms which were interpreted by one or more "B" readers not employed by the facility who found no more than 5 percent of all the roentgenograms unreadable.

(b) Other facilities will be eligible to participate in this program when they demonstrate their ability to make high quality diagnostic chest roentgenograms by submitting to ALOSH six or more sample chest roentgenograms made and processed at the applicant facility and which are of acceptable quality to the Panel of "B" readers. Applicants shall also submit a roentgenogram of a plastic step-wedge object (available on loan from ALOSH) which was made and processed at the same time with the same technique as the roentgenograms submitted and processed at the facility for which approval is sought. At least one chest roentgenogram and one test object roentgenogram shall have been made with each unit to be used hereunder. All roentgenograms shall have been made within 15 calendar days prior to submission and shall be marked to identify the facility where each roentgenogram was made, the Xray machine used, and the date each was made. The chest roentgenograms

will be returned and may be the same roentgenograms submitted pursuant to § 37.51.

NOTE.-The plastic step-wedge object is described in an article by E. Dale Trout and John P. Kelley appearing in "The American Journal of Roentgenology, Radium Therapy and Nuclear Medicine," Vol. 117, No. 4, April 1973.

(c) Each roentgenographic facility submitting chest roentgenograms for approval under this section shall complete and include an X-ray facility document describing each X-ray unit to be used to make chest roentgenograms under the act. The form shall include: (1) The date of the last radiation safety inspection by an appropriate licensing agency or, if no such agency exists, by a qualified expert as defined in NCRP Report No. 33 (see § 37.43); (2) the deficiencies found; (3) a statement that all the deficiencies have been corrected; and (4) the date of acquisition of the X-ray unit. To be acceptable, the radiation safety inspection shall have been made within 1 year preceding the date of application. (d) Roentgenograms submitted with applications for approval under this section will be evaluated by the panel of "B" Readers or by a qualified radiological physicist or consultant. Applicants will be advised of any reasons for denial of approval.

(e) ALOSH or its representatives may make a physical inspection of the applicant's facility and any approved roentgenographic facility at any reasonable time to determine if the requirements of this subpart are being met.

(f) ALOSH may require a facility periodically to resubmit roentgenograms of a plastic step-wedge object, sample roentgenograms, or a Roentgenographic Facility Document for quality control purposes. Approvals granted hereunder may be suspended or withdrawn by notice in writing when in the opinion of ALOSH the quality of roentgenograms or information submitted under this section warrants such action. A copy of a notice withdrawing approval will be sent to each operator who has listed the facility as its facility for giving chest roentgenograms and shall be displayed on the

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