activities which assist them to compete for admission, such as instruction designed to improve their performance on admission tests, and by assisting admission committees with the evaluation of disadvantaged applicants.

(5) To provide counseling or other retention services, such as tutorial assistance and assistance in adjusting to the environment of the school, which are designed to help individuals from disadvantaged backgrounds who are enrolled in health professions schools or schools of allied health to complete this education.

(b) The grantee must carry out at least two of the five purposes, even if grant funds are requested or awarded for only one of them.

(c) The grantee must evaluate its program based on the plan provided in the grant application.

(d) Grantees which: (1) Are schools of medicine, osteopathic medicine, public health, dentistry, veterinary medicine, optometry, pharmacy, allied health, chiropractic, podiatric medicine, and public and private nonprofit schools that offer graduate programs in clinical psychology; and

(2) Have a proportionate enrollment of individuals from disadvantaged backgrounds that is less than 200 percent of the national average percentage of such individuals in all schools of each health professions discipline must assure the Secretary that during a period of 3 years, commencing on the date of the award of the grant, they will increase their first-year enrollment of individuals from disadvantaged backgrounds by at least 20 percent over enrollments in the base year of 1987.

[45 FR 73052, Nov. 4, 1980, as amended at 56 FR 40565, Aug. 15, 1991; 56 FR 43648, Sept. 3, 1991; 57 FR 45740, Oct. 5, 1992]

$57.1806 How will applications be evaluated?

(a) After consulting with the National Advisory Council on Health Professions Education established under section 702 of the Act, the Secretary will decide which applications to approve by considering, among other factors:

(1) The degree to which the propose project adequately provides for the quirements in §57.1805;

(2) The number and types of indu uals who can be expected to bene from the project;

(3) The administrative and manag ment ability of the applicant to ca out the proposed project in a cost-e fective manner;

(4) The adequacy of the staff and t ulty:

(5) The soundness of the budget; an (6) The potential of the project continue without further support untr this program.

(b) Within the limits of funds a able, the Secretary will award gratą to approved applicants with project that will best promote the purposes section 787 of the Act. Of the amours appropriated under this section for fiscal year, 10 percent shall be o gated for community-based program: and 70 percent shall be obligated grants to institutions of higher e cation and not more than 5 percent: such funds may be obligated for grati having the primary purpose of inform ing individuals about the existence general nature of health careers. Se tion 787(a)(2)(G) authorizes the p ment of such stipends as the Secreta may approve for participants in project for any period of education any school eligible for a grant un this subpart.

(c) Funding priority. (1) In determi ing the funding of applications # proved under paragraph (a) of this se tion, the Secretary shall give priorit to schools described in §57.1805(d), b ginning in fiscal year 1992

(i) Which previously received a gra under this subpart and increased first-year enrollment of individua from disadvantaged backgrounds by least 20 percent over that enrollmen in the base year 1987 by the end of years from the date of the award of th HCOP grant; and

(ii) Which had not previously ceived a grant under this subpart tha increased its first-year enrollment individuals from disadvantaged back grounds by at least 20 percent over the enrollment in the base year 1987, OVE period of time.

3) In addition, should specific needs rant, the Secretary will also coner other special factors relating to ional needs as the Secretary may n time to time announce in the EDERAL REGISTER.

FR 73052, Nov. 4, 1980, as amended at 56 40565, Aug. 15, 1991; 56 FR 43648, Sept. 3,

.1807 How long does grant support last?

1) The notice of grant award specithe length of time the Secretary ends to support the project without uiring the project to recompete for ds. This period, called the project iod, will not exceed 3 years.

5) Generally, the grant will initially funded for 1 year, and subsequent =tinuation awards will also be fund

for 1 year at a time. Decisions re'ding continuation awards and the ading levels of these awards will be de after consideration of factors h as the grantee's progress and nagement practices, and the availlity of funds. In all cases, continuon awards require a determination the Secretary that continued fundis in the best interest of the Fedal Government.

c) Neither the approval of any applition nor the award of any grant shall mmit or obligate the United States any way to make any additional, pplemental, continuation or other ard with respect to any approved apication or portion of an approved apication. For continuation support, antees must make separate applicaon at such times and in such a form the Secretary may prescribe.

5 FR 73052, Nov. 4, 1980, as amended at 56 40565, Aug. 15, 1991; 57 FR 45740, Oct. 5, 92]

the grantee at the end of a budget period may be carried forward provided specific approval is granted by the Secretary. If at any time during the budget period it becomes apparent to the Secretary that the amount of Federal funds provided and made available to the grantee for that period, including any unobligated balance carried forward from prior periods, exceeds the grantee's needs for the period, the Secretary may adjust the amounts provided by withdrawing the excess. A budget period is an interval of time (usually 12 months) into which the project period is divided for funding and reporting purposes.

(c) The grantee may spend grant funds to provide one round trip for each individual in the program between his or her residence and the training site if:

(1) The training site is beyond a reasonable commuting distance and requires the individual to establish a temporary new residence; and

(2) The educational assistance is not offered at a time when the individual would be at the training site as a student in a regular course of education leading to a high school diploma, associate degree, undergraduate degree, or degree in the health or allied health professions.

(d) The grantee may spend grant funds to pay individuals in the program a stipend when the grantee determines that:

(1) The condition in paragraph (c)(2) of this section exists;

(2) No other Federal financial assistance program is authorized to provide this support; and

(3) The individual needs this support to participate in the program.

(e) The grantee may not spend grant funds to pay tuition or fees, train program staff, retrain health professionals, or for sectarian instruction, or for any religious purpose.

[45 FR 73052, Nov. 4, 1980, as amended at 56 FR 40566, Aug. 15, 1991]

$57.1809 What additional Department regulations apply to grantees?

Several other Department regulations apply to grantees. They include but are not limited to:

42 CFR part 50, subpart D-Public Health Service grant appeals procedure

45 CFR part 16-Procedures of the Departmental Grant Appeals Board

45 CFR part 46-Protection of human subjects

45 CFR part 74-Administration of grants

necessary to assure or protect the vancement of the approved activi the interest of the public health, or conservation of grant funds. [45 FR 73052, Nov. 4, 1980]

cedures

45 CFR part 76 Governmentwide debarment and suspension (non-procurement) and governmentwide requirements for drug-free workplace (grants)

45 CFR part 80-Nondiscrimination under programs receiving Federal assistance through the Department of Health and Human Services effectuation of title VI of the Civil Rights Act of 1964

45 CFR part 81-Practice and procedure for hearings under part 80 of this title 45 CFR part 83-Regulation for the administration and enforcement of sections 799A and 845 of the Public Health Service Act' 45 CFR part 84-Nondiscrimination on the basis of handicap in programs and activities receiving or benefiting from Federal financial assistance

45 CFR part 86-Nondiscrimination on the basis of sex in education programs and activities receiving or benefiting from Federal financial assistance

45 CFR part 91-Nondiscrimination on the basis of age in HHS programs or activities receiving Federal financial assistance 45 CFR part 93-New restrictions on Lobbying

Grants

AUTHORITY: Sec. 215 of the Public Service Act, 58 Stat. 690, as amended Stat. 35 (42 U.S.C. 216); sec. 820, Public He Service Act, 89 Stat. 359-360, as amended 95 Stat. 929-930, and 99 Stat. 393 and

[49 FR 38114, Sept. 27, 1984, as amended at 56 FR 40566, Aug. 15, 1991; 57 FR 45740, Oct. 5, 1992]

(42 U.S.C. 296k).

$57.1810 What other audit and inspection requirements apply to grantees?

$57.1901 Applicability.

retary to ported u Project for whic been ap

#sions the School associate Bursing,

853 of the Secreta Health a

The regulations of this subpart applicable to the award of grants public and nonprofit private schools nursing and other public or nonpr private entities under section 820 of Public Health Service Act (42 U.Sices to 296k) to assist in meeting the costst special projects.

Each grantee must, in addition to the requirements of 45 CFR part 74, meet the requirements of section 705 of the Act concerning audit and inspection. (Approved by the Office of Management and Budget under control number 0915-0060)

[45 FR 73052, Nov. 4, 1980, as amended at 56 FR 40566, Aug. 15, 1991]

$57.1811 Additional conditions.

[43 FR 27956, June 27, 1978]

$57.1902 Definitions.

The Secretary may impose additional conditions on any grant award before or at the time of any award if he or she determines that these conditions are

As used in this subpart:

Act means the Public Health Servi Act, as amended.

Budget Period means the interval time into which the project period divided for budgetary and report purposes, as specified in the gra award document.

other of partment has been

State,

herein,

wealth o

Columbi

Norther

America

the Tru lands (t public o Federat

Council means the National Advis council on Nurse Training establish by section 851(a) of the Act. Individuals of limited English-speaki ability means: (1) individuals who w

not born in the United States or who located

grant

(b) E

native language is a language othe than English, and (2) individuals w come from environments where a subpar guage other than English is domina

cants

and by reason thereof, have difficult Projec

speaking and understanding the En lish language.

the fo

(1)

Nonprofit as applied to any school portu

entity means one which is a corpor

advan

tion or association, or is owned and of mine erated by one or more corporations & presc

associations, no part of the net earn

ings of which inure or may lawfuld ing s

inure to the benefit of any privat shareholder or individual.

Nursing personnel who are billing means nursing personnel with the a

divid (11

Berv

o speak and understand, in addito English, a language used by any Or United States population group posed of individuals of limited Engspeaking ability. Eject director means an individual

&

mated by the grantee in the grant ication and approved by the Secry to direct the project being suped under this subpart.

pject period means the total time which support for a project has approved, including any exten3 thereof.

4ool of nursing means a collegiate,

ciate degree or diploma school of ing, as such are defined in section f the Act.

retary means the Secretary of th and Human Services and any r officer or employee of the Dement of Health and Human Servto whom the authority involved been delegated.

te, except as otherwise provided in, means a State, the CommonIth of Puerto Rico, the District of umbia, the Commonwealth of the chern Mariana Islands, Guam,

rican Samoa, the Virgin Islands, Trust Territory of the Pacific Isls (the Republic of Palau), the Relic of the Marshall Islands, and the erated States of Micronesia.

FR 27956, June 27, 1978, as amended at 53 14794, Apr. 26, 1988]

1903 Eligibility.

) Eligible applicants. Any public or profit private school of nursing or er public or nonprofit private entity ated in a State may apply for a nt under this subpart.

») Eligible projects. Grants under this part may be made to eligible applits to meet the costs of special jects to carry out one or more of following purposes:

A) To increase nursing education optunities for individuals from disvantaged backgrounds, as deterned in accordance with the criteria scribed in §57.1905(b), by

1) Identifying, recruiting, and selectsuch individuals,

ii) Facilitating the entry of such inviduals into schools of nursing, iii) Providing counseling or other evices designed to assist such individ

uals to complete successfully their nursing education,

(iv) Providing, for a period prior to the entry of such individuals into the regular course of education at a school of nursing, preliminary education designed to assist them to complete successfully such regular course of education,

(v) Paying such stipends as the Secretary may determine for such individuals for any period of nursing education, and

(vi) Publicizing, especially to licensed vocational or practical nurses, existing sources of financial aid available to persons enrolled in schools of nursing or who are undertaking training necessary to qualify them to enroll in such schools;

(2) To provide continuing education for nurses;

(3) To provide appropriate retraining opportunities for nurses who (after periods of professional inactivity) desire again actively to engage in the nursing profession;

(4) To demonstrate improved geriatric training in preventive care, acute care, long-term care (including home health care and institutional care);

(5) To help to increase the supply or improve the distribution by geographic area or by specialty group of adequately trained nursing personnel (including nursing personnel who are bilingual) needed to meet the health needs of the Nation, including the need to increase the availability of personal health services and the need to promote preventive health care; or

(6) To provide training and education to upgrade the skills of licensed vocational or practical nurses, nursing assistants, and other paraprofessional nursing personnel.

(7) To demonstrate clinical nurse education programs which combine educational curricula and clinical practice in health care delivery organizations, including acute care facilities, long-term care facilities, and ambulatory care facilities;

(8) To demonstrate methods to improve access to nursing services in noninstitutional settings through support of nursing practice arrangements in communities; and

(9) To demonstrate methods to encourage nursing graduates to practice in health manpower shortage areas (designated under section 332) in order to improve the specialty and geographical distribution of nurses in the United States.

[43 FR 27956, June 27, 1978, as amended at 47 FR 54439, Dec. 3, 1982; 53 FR 14794, Apr. 26, 1988]

$57.1904 Application.

(a) Each eligible applicant desiring a grant under this subpart shall submit an application in the form and at the time as the Secretary may prescribe.1

(b) The application shall be signed by an individual authorized to act for the applicant and to assume on behalf of the applicant the obligations imposed by the terms and conditions of any award, including the regulations of this subpart.

(c) In addition to such other pertinent information as the Secretary may require, an application for a grant under this subpart shall contain the following:

(1) A proposal for a project to carry out one or more of the purposes specified in § 57.1903(b).

(2) Information documenting the need for the proposed project.

(3) A description of the anticipated impact of the proposed project, including its potential contribution to nursing.

(4) A detailed plan for achieving and measuring the stated objectives of the proposed project.

(5) A description of the resources available for the conduct of the proposed project, including faculty, staff, equipment, facilities, and, where applicable, a clinical practice setting or settings.

(6) A detailed budget for the proposed project and a justification of the amount of grant funds requested.

(7) A description of any Federal financial support related to the proposed project which the applicant is currently receiving.

'Applications and instructions may be obtained from the Grants Management Officer, Bureau of Health Professions, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857.

$57.1905 Project requirements.

A project supported under this part shall be conducted in accord with the following requirements:

(a) The project shall be contro under the direction of the proje rector. If the project director bec unable to function in such cape the Secretary shall be notified as 5. as possible.

(b) If the project is designed to a out the purpose of §57.1903(b)(1). grantee may consider an individa be from a disadvantaged backgro the individual:

(1) Comes from an environment 1 has inhibited the individual from taining the knowledge, skills, abilities required to enroll in and i uate from a school of nursing; or

(2) Comes from a family with a nual income below a level base low-income thresholds by family published by the U.S. Bureau & Census, adjusted annually for ch in the Consumer Price Index, and tiplied by a factor to be determin the Secretary for adaptation t program. The Secretary period will publish in the FEDERAL REC the income levels as adjusted.

(c) If the project is desired to out the purpos project shall p cation progra