FR Doc 04-20039

[Federal Register: September 2, 2004 (Volume 69, Number 170)]
[Notices]
[Page 53695-53704]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02se04-59]

[[Page 53695]]

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ENVIRONMENTAL PROTECTION AGENCY

[FRL-7808-9]

Building Health Professional Capacity To Address Children's
Environmental Health; Initial Announcement

Part I. Overview Information

Environmental Protection Agency, Office of the Administrator,
Office of Children's Health Protection.
Solicitation Title: Building Health Professional Capacity to
Address Children's Environmental Health; Initial Announcement.
Funding Opportunity Number: USEPA-AO-OCHP-04-03.
Catalogue of Federal Domestic Assistance (CFDA) Number: 66.609.
Protection of Children and the Aging as a Fundamental Goal of Public
Health and Environmental Protection, Fiscal Year 2004, Environmental
Protection Agency.
Deadline for the Letter of Intent: October 25, 2004, all applicants
must submit a Letter of Intent (up to two pages in length according to
guidelines) to EPA via e-mail to be considered for award.
Solicitation Closing Date: December 13, 2004, for shipment of Pre-
application Proposals invited by EPA based upon evaluation of Letters
of Intent. General information, application materials, announcements
during the solicitation management process, and answers to questions
posted on Office of Children's Health Protection Web site: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
.

Table of Contents

Part I. Overview Information
Part II. Full Text of Announcement
Section I. Funding Opportunity Description
Section II. Award Information
Section III. Eligibility Information
Section IV. Application and Submission Information
Section V. Application Review Information
Section VI. Award Administration Information
Section VII. Agency Contact
Section VIII. Other Information
Appendix I. Sample Letter of Intent
Appendix II. Sample List of References--Building Health
Professional Capacity

Executive Summary

Funding Opportunity Title: ``Building Health Professional Capacity
to Address Children's Environmental Health.''
Announcement Type: Initial Offering.
Funding Opportunity Number: USEPA-AO-OCHP-04-03.
CFDA Number: 66.609 Protection of Children and the Aging as a
Fundamental Goal of Public Health and Environmental Protection, Fiscal
Year 2004, EPA.
Purpose of the Funding Opportunity: This funding opportunity is
designed to identify competitive projects that increase the number of
health professionals who are able to address the broad spectrum of
children's environmental health issues in their practices, in the
institutions in which they work, in their communities and in academic
settings. This solicitation focuses on developing multi-state (at least
five states), national, or international (at least three countries)
training/education programs for health professionals. These programs
will help health professionals understand, diagnose, and develop
prevention messages for the full spectrum of children's environmental
health issues they encounter. Children's environmental health hazards
may include: (1) Air pollutants, both indoor and ambient; (2) toxic
chemicals such as lead, mercury, arsenic, organochlorines such as
polychlorinated biphenyls and dioxins; (3) endocrine disruptors; (4)
environmental tobacco smoke; (5) ultraviolet radiation; (6) water
pollution; (6) pesticides; (7) brominated flame retardants; (8) radon;
and (9) carbon monoxide. Training should assist health professionals
increase understanding of environmental health issues among their
patients and their communities, helping them understand the key role of
exposure prevention in averting environmentally-related illness and
disease. Each proposal must include an evaluation methodology to
measure the effectiveness of the training and training approach in
fostering the incorporation of children's environmental health issues
into the practices of health professionals. Proposals should describe
projects that will both: (1) Provide education or training on pediatric
environmental health issues to health professionals and, (2) evaluate
incorporation of this education or training into individual practice
and/or the practices, protocols, and procedures of whole clinics or
other institutions.
Awards: EPA anticipates awarding approximately two to three grants
from these proposals. Funds available for these projects are expected
to total approximately $300,000. Grants are requested for a total of
$100,000 to $150,000 for a two-year performance period. No cost sharing
or match contributions are required. Projects not funded under this
solicitation will be retained on file for a period of one year from the
closing date of this solicitation and made available for potential
funding by OCHP and other EPA offices.
Eligibility: Eligible applicants include: Academic institutions,
non-profit organizations, state, local, and tribal governments. Private
businesses, federal agencies, and individuals are not eligible to be
grant recipients; however, they may work in partnership with eligible
applicants on projects. Applicants must be eligible under at least one
of these authorities: Section 103 of the Clean Air Act, section 104 of
the Clean Water Act, section 1442 of the Safe Drinking Water Act,
section 10 of the Toxic Substances Control Act, and section 102(2)(f)
of the National Environmental Policy Act for international awards.
Application and Submission Information: A three-stage application
process will be used. Letters of Intent (up to two pages in length)
must be submitted to the U.S. EPA Office of Children's Health
Protection by e-mail to blackburn.elizabeth@epa.gov (or by fax to (202)
564-2733 only if e-mail is unavailable) by October 25, 2004. Applicants
with satisfactory Letters of Intent will be invited to submit a Pre-
application Proposal shipped on or before December 13, 2004. Pre-
applications selected for possible award will be contacted individually
and asked to complete additional forms for a Full Proposal prior to
award.
A Sample Letter of Intent is attached as Appendix I. This
solicitation with the sample Letter of Intent, general information and
Pre-application materials are available on the Office of Children's
Health Protection Web site: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm.
If your Letter of Intent is approved, you will be

invited to submit a Pre-application Proposal. These Pre-application
materials can also be obtained from the Web site above and the EPA
Grants Administration Web site: http://www.epa.gov/ogd/grants/how_to_apply.htm
.

Part II. Full Text of Announcement

Section I. Funding Opportunity Description

1. Background
Children need clean air to breathe, clean water to drink, safe food
to eat, and a healthy environment to learn, grow and thrive. Yet
everyday, children are exposed to risks that may stand in the way of
these basic necessities. Children may be more vulnerable to some
environmental risks than adults. Many of the health problems that
result from exposure to harmful environmental conditions can be
prevented, managed, and treated. The public looks to health
professionals to

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play a critical role in the identification, prevention, management and
treatment of environmentally-related illnesses. Unfortunately most
health professionals are ill-prepared to adequately address
environmental hazards.
The Institute of Medicine published two studies in the 1990s--
Environmental Medicine: Integrating a Missing Element into Medical
Education and Nursing, Health and the Environment: Strengthening the
Relationship to Improve the Public's Health--noting the important role
of the health professional in addressing environmental health concerns
and recommending that a greater effort be made to incorporate
environmental health concepts into the training of health
professionals. There have been a number of successful efforts in the
past decade to support the education and training of health
professionals but continued efforts to provide a basic understanding of
pediatric environmental health issues to all health professionals must
be the ultimate goal.
EPA's National Agenda to Protect Children's Health from
Environmental Threats directed the Agency to expand educational
efforts, in partnership with health professionals, to identify, prevent
and reduce environmental health threats to children. EPA has supported
a number of efforts to educate health professionals including: (1) A
series of workshops for chief pediatric residents; (2) a continuing
education program for nurses; (3) the development of materials for a
national health professional training program; (4) an initiative to
educate health professionals about pesticides; (5) Pediatric
Environmental Health Specialty Units; and (6) training modules for
school nurses on environmental triggers of asthma. This request for
proposals seeks to build on these efforts to increase the number of
health professionals who are able to address environmental health risks
to children.
2. Funding Priorities
In accordance with EPA's National Agenda to Protect Children's
Health from Environmental Threats, EPA requests proposals that will
strengthen the capacity of health professionals to address
environmental health risks to children. Health professionals who have a
basic understanding of environmental health issues will be better able
to identify, prevent, manage and reduce environmental health threats to
children. This is an initial announcement for ``Building Health
Professional Capacity to Address Children's Environmental Health.''
The purpose of this solicitation is to continue to build on the
efforts to educate health professionals and to understand how these
efforts have been incorporated into practice. The ultimate outcome of
this effort will be to increase the number of health professionals who
have knowledge about children's environmental health and are
incorporating that knowledge into their practice.
Many factors can affect health outcomes, such as asthma attacks. It
can be difficult to quantify the exact contribution that improved
health professional knowledge of environmental health risks to children
might have on a specific health outcome. While it may be difficult to
understand how many asthma attacks were prevented as a result of the
education of health professionals, it is possible to understand what
health professionals are doing to incorporate environmental health
concepts into their daily practice. This should in turn lead to
prevention and reduction of environmental exposures to children.
Proposals must address both phases of this project: (1) Provide
education or training on pediatric environmental health issues to
health professionals and (2) evaluate the incorporation of this
education or training into individual practices and/or the practices,
protocols, and procedures of whole clinics or other institutions.
All proposals must detail how they will deliver education or
training in pediatric environmental health to health professionals to
achieve each of these seven competencies adapted from the Institutes of
Medicine (IOM) publications: Nursing, Health, and the Environment:
Strengthening the Relationship to Improve the Public's Health (page 5)
and Environmental Medicine: Integrating a Missing Element into Medical
Education (page 3) and from The National Environmental Education and
Training Foundation's National Pesticide Competency Guidelines for
Medical and Nursing Education (page 20).
Upon completion of this project, health professionals should be
able to:
(1) Understand the influence of environmental agents on children's
health;
(2) Recognize signs, symptoms, diseases and sources of exposure
relating to common environmental agents and conditions;
(3) Complete a pediatric environmental health history and recognize
potential environmental hazards and sentinel illnesses;
(4) Recommend a course of preventative action or make appropriate
referrals for conditions with probable environmental etiologies as
appropriate for their professional disciplines;
(5) Demonstrate a knowledge of risk communication in patient care
and community intervention with respect to the potential adverse
effects of the environment on health; and;
(6) Recognize the full range of resources available to support
their work in the field of pediatric environmental health; and
(7) Understand reporting requirements and regulations.
Further, the proposal must define how they will measure the impact
of the training or education upon both the knowledge base of the
practitioner and the effect that this program has had upon the
individual's daily practice and/or the practices, protocols, and
procedures of whole clinics or other institutions.
Proposals must meet the statutory criterion detailed below and the
program criteria listed in Section V.
3. Authorities
To be eligible to compete for these funds, applicants must be
eligible under section 103 of the Clean Air Act, section 104 of the
Clean Water Act, section 1442 of the Safe Drinking Water Act, section
10 of the Toxic Substances Control Act, and section 102(2)(f) of the
National Environmental Policy Act for international awards.
The following statutory criterion must be met for projects to be
considered for funding:
A project must consist of activities authorized under one or more
authorities cited above. Most of the statutes authorize grants for:
``research, investigations, experiments, demonstrations, surveys and
studies.'' These activities relate generally to the gathering or
transferring of knowledge. Grant proposals should emphasize a
``learning'' concept, as opposed to ``fixing'' a specific environmental
problem through a well-established method. The project's activities
must advance the state of knowledge or transfer information to other
practitioners in the field. The statutory term ``demonstration'' can
encompass the first application of an approach or an innovative
application of a previously used method. The term ``research'' may
include the application of established practices as they contribute to
``learning'' about the effectiveness of an environmental approach.
The goal of the Children's Environmental Health Protection program
is to minimize and/or eliminate children's exposure to environmental

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health threats--recognizing children's special vulnerability to these
threats and recognizing the possibility of preventable childhood
exposures leading to lifelong, irreversible consequences. This program
is included within the Catalogue for Domestic Assistance (CFDA) listing
number: 66.609 found at http://www.cfda.gov.

Section II. Award Information

EPA anticipates awarding approximately two to three grants from
these proposals. Funds available for these projects are expected to
total approximately $300,000. Grants may be requested for a total of
$100,000 to $150,000 for a two year performance period. Proposals for
less than $100,000 and more than $150,000 will not be considered. Final
grants are subject to the availability of funds. EPA reserves the right
to make no awards. No cost sharing or match contributions are required.
It is expected that grants will begin around June 15, 2005 and be
completed no later than September 30, 2007.
Projects not funded under this solicitation will be retained on
file for a period of one year from the closing date of this
solicitation and made available for potential funding by OCHP and other
EPA offices.
Projects may expand upon ongoing work within the focus of this
solicitation. However, the boundaries of the previous and proposed work
under this solicitation must be clear in terms of the new work to be
done and the budget to support the new proposal.
The applicant may propose either a grant or cooperative agreement.
If the applicant chooses to submit a proposal for a cooperative
agreement, the Agency will have substantial involvement in the project.
The applicant must define the expectations for Agency involvement in
the project. Such involvement may mean EPA review and approval of
project scope and phases; EPA participation in and collaboration on,
various phases of the work; EPA review of draft and final work
products; regular e-mail, phone and conference calls.

Section III. Eligibility Information

1. Eligible Applicants
a. Eligible Applicants:
Applicants must be eligible under at least one of these
authorities: Section 103 of the Clean Air Act, section 104 of the Clean
Water Act, section 1442 of the Safe Drinking Water Act, section 10 of
the Toxic Substances Control Act, and section 102(2)(f) of the National
Environmental Policy Act for international awards. Eligible applicants
include: academic institutions, non-profit organizations, state, local,
and tribal governments. Private businesses, federal agencies, and
individuals are not eligible to be grant recipients; however, they may
work in partnership with eligible applicants on projects.
b. Non-profit Status:
Applicants are not required to have a formal Internal Revenue
Service (IRS) non-profit designation, such as 501(c)(3) or 501(c)(4);
however, they must present in their Pre-application Proposal their
letter of incorporation or other documentation demonstrating their non-
profit or not-for-profit status. This requirement does not apply to
public agencies or federally-recognized tribes. Failure to enclose a
letter of incorporation or other documentation demonstrating non-profit
or not-for-profit status will render Pre-application Proposals
incomplete and they will not be reviewed. Applicants who do have an IRS
501(c)(4) designation are not eligible for grants if they engage in
lobbying, no matter what the source of funding for the lobbying
activities. No recipient may use grant funds for lobbying. For profit
enterprises are not eligible to receive sub-grants from eligible
recipients, although they may receive contracts, subject to EPA
regulations on procurement under assistance agreements, 40 Code of
Federal Regulations (CFR) 30.40 (for non-governmental recipients) and
40 CFR 31.36 (for governments).
c. Tribal Status:
Tribal applicants must supply documentation of their authorizing
tribal resolution.
d. Intergovernmental Review of Federal Programs (SPOC List):
Applicants must adhere to the provisions of The Executive Order
12372, ``Intergovernmental Review of Federal Programs'' (SPOC List)
applies. See http://www.whitehouse.gov/omb/grants/spoc.html for further

information.
e. Incurring Costs:
Pre-award costs will not be covered under this solicitation. Grant
recipients may begin incurring allowable costs on the date identified
in the EPA award agreement. Activities must be completed and funds
spent within the time frames specified in the award agreement. EPA
grant funds may be used only for the purposes set forth in the grant
agreement and must conform to the Federal cost principles contained in
OMB Circular A-87; A-122; and A-21, as appropriate. Ineligible costs
will be reduced from the final grant.
2. Cost Sharing or Matching
Cost sharing or matching funds are not required for this
solicitation.
3. Other-Eligibility Criteria
a. Responsiveness Criteria That Will Make an Application
Ineligible:
(1) Letters of Intent
The Letter of Intent must comply with the following responsiveness
criteria to be eligible to submit a Pre-application Proposal: applicant
eligibility, completeness, administrative responsiveness, and
timeliness of submission.
(2) Pre-Application Proposal
The Pre-application Proposal must comply with the following
responsiveness criteria for the Pre-application Proposal to be reviewed
for possible award: timeliness of shipment, administrative
responsiveness, order of materials presentation, completeness, original
signatures as required, required number of copies and the absence of
unnecessary materials and extraneous information.
b. Multiple Proposals:
Applicants may submit only one proposal under this solicitation.
Applicants are encouraged to collaborate with other organizations with
complementary expertise in a joint proposal.
c. Responsible Officials:
Projects must be performed by the applicant or a person approved by
the applicant and EPA. Proposals must identify any person(s) other than
the applicant who will assist in carrying out the project. Recipients
are responsible for receiving the grant award agreement from EPA and
ensuring that grant conditions are satisfied. Recipients are
responsible for the successful completion of the project.

Section IV. Application and Submission Information

1. Address To Request Application Package
A three-stage application process will be used. Stage 1 Letters of
Intent (up to two pages in length) must be submitted to the U.S. EPA
Office of Children's Health Protection by e-mail to
blackburn.elizabeth@epa.gov (or by fax (202) 564-2733 only if e-mail is

unavailable) by October 25, 2004. Applicants with satisfactory Letters
of Intent will be invited to submit a Stage 2 Pre-application Proposal
which must be shipped on or before December 13, 2004. Applicants whose
Pre-applications are selected for possible award will be contacted
individually

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and asked to complete additional forms for the Stage 3 Full Proposal
prior to award.
This solicitation notice contains all the instructions needed for
preparing the Stage 1 Letter of Intent and, if invited by EPA, the
Stage 2 Pre-application Proposal. A sample Letter of Intent is provided
at the end of this solicitation. Paper copies of this announcement, the
sample Letter of Intent and the requisite forms for the Pre-application
Proposal can be obtained by contacting EPA personnel listed in Section
VII of this solicitation. Electronic copies of the requisite forms for
the Pre-application Proposal are available at http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm or at: http://www.epa.gov/ogd/grants/how_to_apply.htm.
If your Pre-application Proposal is selected

for possible award, you will receive the forms and individual
instruction in completing Stage 3, the Full Proposal. These forms,
known as the EPA Application Kit for Federal Assistance, will be
available at: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm or at: http://www.epa.gov/ogd/grants/how_to_apply.htm.2.
Content and Form of Application Submission

a. Stage 1 Letter of Intent:
Stage 1 of this three-stage application process is a Letter of
Intent (up to two pages in length) which is due via e-mail to
blackburn.elizabeth@epa.gov by October 25, 2004. Letters of Intent must

have an e-mail subject line starting with Letter of Intent: followed by
your Project Title. E-mail confirmation of receipt will be sent
promptly.
E-mail submission of the Letter of Intent is strongly preferred.
However, if e-mail is not available, the Letter of Intent may be faxed
to the attention of Elizabeth Blackburn at (202) 564-2733. If a
confirming phone call for fax transmissions is not received within two
business days, a phone call should be made to Elizabeth Blackburn at
(202) 564-2192 to initiate a trace.
Applicants submitting a Letter of Intent will be notified via e-
mail on or before November 1, 2004 if they are invited to submit a Pre-
application Proposal.
A sample Letter of Intent is provided at the end of this
solicitation. A copy also can be found at: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm.
Your Letter of Intent must provide

all of the following information in the following order in no more than
two pages:
(Section 1) Contact Information for the Applicant Organization
a. Name of your organization.
b. Project name.
c. Name of authorized representative.
d. Address.
e. Phone number and fax number.
f. E-mail address.
g. Web site, if any.
(Section 2) Project Summary Including
a. Amount of the Request ($);
b. Description of how this project responds to the statutory
criterion defined in this solicitation;
c. Description of the organization which will lead/oversee the
project;
d. Description of the organizations and individuals expected to
participate in the two phases (training/education and measurement) of
the project;
e. Description of the general children's environmental health areas
to be addressed;
f. Description of the general approach and format that is planned
for the two phases (training/education and measurement) of the project;
g. Description of the specific audience(s), e.g., type of health
professional(s) to be trained; expected numbers you hope to reach;
geographic range of applicability [multi-state (at least 5 states),
national, international (at least 3 countries)];
h. Description of the types of materials (e.g., classroom guides,
check-lists, pamphlets for patients, etc.) you expect to produce.
(Note: A wide variety of children's environmental health training
materials for health professionals, developed by both government and
non-governmental agencies, already exist. Support for the development
and production of new training/educational materials will be considered
only if the applicant demonstrates a compelling need not filled by
existing materials. Justifications for the development of new
educational materials should include a literature search demonstrating
a strong familiarity with the range of existing materials available);
i. List of other types of health professionals to whom this
training/education might be applicable;
j. Transferability of training, materials and measurement tools to
others to train additional groups of health professionals.
b. Stage 2 Pre-application Proposals, If Invited By EPA:
Stage 2 of this three-stage application process is a Pre-
application Proposal. Note: If your Letter of Intent is accepted, you
will be invited to participate in Stage 2.

Note: Applicants should periodically check the web page below
for updated information to applicants: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
.

a. List of Required Content Elements of Pre-application Proposal:
(1) Table of Contents with page numbers for all elements of this
submission;
(2) Summary Cover Page (Described Below);
(3) Copy of the previously submitted Letter of Intent;
(4) Completed Federal Forms: SF-424 and SF-424(A) (Section B-Budget
Categories). http://www.epa.gov/ogd/grants/how_to_apply.htm contains

information about completing SF-424(A) Budget Forms and Understanding
Cost Principles for a Federal grant;
(5) Budget Narrative;
(6) Brief Resume or Bio of the Principle Investigator or Project
Director; and
(7) Project Narrative;
Appendices;
b. Detailed Content and Form of Pre-application Proposal:
The overall Pre-application Proposal is limited to 14 pages
excluding the SF-424 and SF-424(A) and the Appendices. Materials must
follow exactly the format outlined below. Pages and information
submitted out of order will not be reviewed. Text may be single or
double spaced, no smaller than 12 point font. The pages must be letter
sized (8\1/2\ x 11 inches). Margins are not specified. Proposals must
be legible. Note: All proposals should be well explained and easily
read. Information should be clear and concise, well organized and
contain no unnecessary jargon. Please submit the original (with
original signatures in contrasting) and nine copies of the complete
Pre-application Package including:
(1) Table of Contents with page numbers for all elements of this
submission
(2) Summary Cover Page (Not more than one page): The summary cover
page should not exceed one page in length and should include, in this
order;
(a) Building Health Professional Capacity to Address Children's
Environmental Health; USEPA-AO-OCHP-04-03;
(b) Project title and location;
(c) Applicant's name, address, telephone and fax numbers, and
mailing address;
(d) Name and title of project contact (including how to reach if
different from above);
(e) Type of applicant organization (e.g., non-profit, university,
etc.); non-profit number;

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(f) Total budget request, dollar amount, from the U.S. EPA for this
project;
(g) Brief abstract of this proposal (5-10 lines);
(3) Completed SF-424 and SF-424(A) (Section B--Budget Categories).
For federal government forms including Budget Forms and Understand Cost
Principles for a Federal Grant: See http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
(4) Budget Narrative: (1-2 pgs.);

(a) Personnel (For Each Position: % of Time Worked, Annual Salary,
Salary Proposed for this Project);
(b) Fringe Benefits (Full-time Rate);
(c) Long Distance Travel (Destination, Cost of Trip, No. of
Travelers, No. of Trips, Amt. Proposed);
(d) Air Fare (Destination, No. Travelers, No. Trips);
(e) Local Travel (Destination, Distance, Mileage, No. Travelers);
(f) Direct Cost-Equipment (Quantity, Cost per Unit, Amt. Proposed);
(g) Direct Cost-Supplies (Quantity, Cost per Unit, Amt. Proposed);
(h) Direct Cost-Other, e.g., Phone, Postage, Conference Calls
(Quantity, Cost per Unit, Amt. Proposed);
Materials and Supplies, G&A Rate);
(j) Direct Cost-Consultants (Skill, Quantity, Rate);
(k) Indirect Cost Charges (Total Direct Costs x --% (indirect cost
rate) = Estimated);

Note: Eligible Expenses-salaries/fringe, travel, communications,
equipment rental, indirect overhead, public outreach efforts
(workshops, public forums, meeting expenses), office expenses,
printing and copying (conference and promotional materials), and Web
site dissemination of information related to the project.

Note: Ineligible Expenses-capital expenditures, construction
expenses, lobbying, endowments, formal educational expenses,
entertainment, remediation and removal expenses, medical equipment
and supplies, air sampling, and equipment purchases as the sole
focus of the assistance agreement.

(5) Letter of Intent: Include a copy of your previously submitted
Letter of Intent as a project summary;
(6) Project Description (Up to 5 pages): Describe precisely what
your project will achieve. In your narrative, answer these questions in
this order;
(a) Description of the lead organization for the project including
information to establish this organization has a proven track record
and is viewed as an authority in the design and implementation of (1)
The training of health professionals on children's environmental health
and, (2) the measurement of the application of this training in their
practices over time;
(b) Description of who will conduct the project; what are the
specific roles of all major participants? What experience do any
partners have in training health professionals or measuring the outcome
of training upon the trainee's practice?
(c) Who is the target audience for this training? How will they be
targeted, identified and recruited?
(d) Brief summary of the project's goals and objectives;
(e) Brief summary of the method that will be used to accomplish
Phase 1 (training). (Note: A wide variety of children's environmental
health training materials for health professionals, developed by both
government and non-governmental agencies, already exist. Support for
the development and production of new training/educational materials
will be considered only if the applicant demonstrates a compelling need
not filled by existing materials. Justifications for the development of
new educational materials should include a literature search
demonstrating a strong familiarity with the range of existing materials
available.);
(f) Brief summary of the method that will be used to accomplish
Phase 2 (measurement); How will you evaluate the impact of the training
upon the practices of these health care providers as well as their
patients and their families over time?
(g) Brief description of why this type of training is important for
this group of health professionals. How do you anticipate that this
training will change the practice of health care following this
training?
(h) How will the learning that has occurred during this training be
reinforced? How can this training be sustained beyond the life of this
EPA grant?
(i) How will this training model, materials and findings be
presented/packaged to be shared with and replicated by others who might
seek to train health professionals on children's environmental health?
(7) Brief Resume or Bio of Principal Investigator or Project
Director (no more than one page;
(8) Appendices: Include letters of commitment for all major
partners or organizations including resumes or bios of key personnel
other than the Principal Investigator as appendices. Be certain that
letters of commitment focus on partners' roles in the proposed project.
Do not include any material other than letters of commitment and
information on key personnel;
c. Other Instructions;
(1) To support the EPA review process, the proposal must contain
one complete Pre-application Proposal package with original signatures
in contrasting ink and nine duplicate hard copy sets of the Pre-
application Proposal package as defined above both in terms of exact
format and content;
(2) DUNS Instructions: Grant applicants are required to provide a
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number
when applying for Federal grants or cooperative agreements. The DUNS
number will supplement other identifiers required by statute or
regulation, such as tax identification numbers. Organizations can
receive a DUNS number in one day, at no cost, by calling the dedicated
toll-free DUNS Number request line at 1-866-705-5711. Individuals who
would personally receive a grant or cooperative agreement award from
the Federal government apart from any business or non-profit
organization they may operate are exempt from this requirement. The Web
site where an organization can obtain a DUNS number is: http://www.dnb.com.
This process takes 30 business days and there is no cost

unless the organization requests expedited (1-day) processing, which
includes a fee of $40;
(3) Successful Stage 2 Applicants must submit the following
information after EPA notifies them of its intent to make an award:
quality assurance plan for any project involving environmental data;
evidence of compliance with human subjects requirements where research
is found to be involved.
3. Submission Dates and Times
(a) All questions must be sent by e-mail to the following address:
blackburn.elizabeth@epa.gov. The word ``QUESTION'' in Capital Letters
and the name of the solicitation should appear in the Subject Line.
Answers to allowable questions will be provided in a timely manner at:
http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm. EPA will

not respond to technical questions by phone or fax.

[[Page 53700]]

attention of Elizabeth Blackburn at (202) 564-2733. If a confirming
phone call for fax transmissions is not received within two business
days, a phone call should be made to Elizabeth Blackburn at (202) 564-
2192 to initiate a trace.
(c) Applicants submitting a Letter of Intent will be notified via
e-mail on or before November 1, 2004 if they are invited to submit a
Pre-application Proposal.
(d) To ensure fair and open competition, EPA will respond to
questions submitted by e-mail up to December 6, 2004.
(e) Due Date--December 13, 2004 for Pre-application Proposals from
invited eligible applicants to be delivered to the courier for shipment
or postmarked (see note below re: postal mailing). Pre-application
Proposals shipped or mailed after this date will not be considered for
funding under this solicitation. Date of shipment will be determined by
the shipping company's shipping information or the U.S. Post Office
(not a private postage meter) postmark on the shipping package
depending upon the method of shipment. To support the EPA review
process, the proposal must contain one complete Pre-application
Proposal package with original signatures and nine duplicate hard copy
sets of the Pre-application Proposal package including materials in the
order listed above in Section IV.
(f) Applicants will receive an e-mail notification of receipt of
the Pre-application Proposal within two weeks of receipt by the Agency.
(g) The Selected Projects will be announced as their award
negotiations are completed around late spring 2005. Those projects not
selected for award in this funding cycle will also be notified at this
time.
(h) Start Date for Projects: June 15, 2005 is the earliest start
date that applicants should plan on and enter on their proposal forms
and time lines. Grant recipients may begin incurring allowable costs on
the start date identified in the EPA grant award agreement. Budget
periods may run up to 24 months from the date of award.
4. Intergovernmental Review
Applicants may be subject to Executive Order 12372.
``Intergovernmental Review of Federal Programs.'' See http://www.whitehouse.gov/omb/grants/spoc.html
for more details.

5. Funding Restrictions
a. Eligible Expenses:
Salaries/fringe, travel, communications, equipment rental, indirect
overhead, public outreach efforts (workshops, public forums, meeting
expenses), office expenses, printing and copying (conference and
promotional materials), and Web site dissemination of information
related to the project.
b. Ineligible Expenses:
Capital expenditures, construction expenses, lobbying, endowments,
formal educational expenses, entertainment, remediation and removal
expenses, medical equipment and supplies, air sampling, and equipment
purchases as the sole focus of the assistance agreement.
c. Incurring Costs:
No pre-award costs should be incurred by the recipient. Grant
recipients may begin incurring allowable costs on the start date
identified in the EPA grant award agreement. Activities must be
completed and funds spent within the time frames specified in the award
agreement. EPA grant funds may be used only for the purposes set forth
in the grant agreement and must conform to the Federal cost principles
contained in OMB Circular A-87, A-122, and A-21, as appropriate.
Ineligible costs will be reduced from the final grant award.
6. Other Submission Requirements
a. Do not submit additional items. Unnecessary materials (i.e., un-
requested forms or binders) create extra burden for the reviewers and
will not be reviewed. Failure to follow instructions may render your
project ineligible.

must have an e-mail subject line starting with Letter of Intent:
followed by your Project Title. E-mail confirmation of receipt will be
sent promptly.
E-mail submission of the Letter of Intent is strongly preferred.
However, if e-mail is not available, the Letter of Intent may be faxed
to the attention of Elizabeth Blackburn at (202) 564-2733. If a
confirming phone call for fax transmissions is not received within two
business days, a phone call should be made to Elizabeth Blackburn at
(202) 564-2192 to initiate a trace.
c. Due to continued mail delays in the Washington, DC area,
applicants invited to submit a Pre-application Proposal are strongly
encouraged to ship their proposals by private courier (e.g., Federal
Express, UPS, DHL, etc.) to the attention of: Elizabeth Blackburn, U.S.
EPA, Office of Children's Health Protection, 1200 Pennsylvania Ave,
NW., Mail Code 1107A, Room 2512 Ariel Rios North, Washington, DC 20004.
If Pre-application Proposals are must be mailed, send them with
tracking to: Elizabeth Blackburn, U.S. EPA, Office of Children's Health
Protection, 1200 Pennsylvania Ave, NW., Mail Code 1107A, Room 2512
Ariel Rios North, Washington, DC 20460.

Note: To document the date of shipment, Full Proposal packages
must be postmarked by the U.S. Post Office, not by a private postage
meter.

d. If the applicant experiences technical difficulties in making a
submission, contact Elizabeth Blackburn at (202) 564-2192 immediately.
3. Stage 3 (Full Proposal) Required Content and Form of Full Proposal
if Selected by EPA
The EPA Application Kit for Federal Assistance can be obtained at:
http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm. or at:

http://www.epa.gov/ogd/grants/how_to_apply.htm.

Section V. Application Review Information

1. Criteria
a. Letter of Intent:
(1) Administrative Responsiveness Criteria
The Letter of Intent must comply with the following responsiveness
criteria to be eligible to submit a Full Proposal: applicant
eligibility, completeness, administrative responsiveness, and
timeliness of submission.
(2) Technical Responsiveness Criteria
The Letters of Intent will also be compared to the statutory
criterion and evaluation criteria in Section I of this solicitation.
Applicants whose projects are clearly not responsive to the published
evaluation criteria may not be invited to submit a Pre-application
Proposal.
b. Pre-application Proposal, If Invited by EPA:
(1) Administrative Responsiveness Criteria
The Pre-application Proposal must comply with the following
responsiveness criteria for the Pre-application Proposal to be reviewed
for possible award: timeliness of shipment, administrative
responsiveness, order of materials presentation, completeness, original
signatures as required, required number of copies and the absence of
unnecessary materials and extraneous information.
(2) Multiple Proposals
Applicants may submit more than one proposal if the proposals are
for

[[Page 53701]]

different projects. However, no more than one grant will be awarded
under this offering to any given applicant.
(3) Technical Review
Applications that pass the Administrative Review will be evaluated
by a team of reviewers from both EPA and outside who are authorities in
the field. Reviewers will score each proposal in the areas listed
below. In summary, the maximum score of 110 points can be reached as
follows:
(a) Organization--up to 10 points.
(b) Target Audience--up to 15 points.
(c) Training Design--up to 25 points.
(d) Measurement Design--up to 25 points.
(e) Materials--up to 10 points.
(f) Budget and Timeline--up to 15 points.
(g) Bonus--up to 10 points.
(a) Organization (up to 10 points)
The proposal should demonstrate that the organization(s) designing
and delivering the training has/have a proven track record and is/are
viewed as an authority in: (1) The training or education of health
professionals on children's environmental health and, (2) the
measurement of the application of this training or education into their
individual practice and/or the practices, protocols, and procedures of
whole clinics or other institutions, over time;
(b) Target Audience (up to 15 points)
The proposed project should reach a large group of health
professionals who interact directly or indirectly with children and
should address the following questions. How has the target audience
been defined? How relevant is the children's environmental health
message to the work of this particular group of health professionals?
How will the target audience be recruited? What incentives (i.e., CEUs/
CMEs, stipends, tuition reimbursement etc.) will be used and how
effective are they likely to be with this audience? How many health
professionals will be trained directly and/or trained through train-
the-trainer agreements? What is the demonstrated reach of the health
professionals to influence their peers and others in allied health
professions following the training?;
(c) Training Design (up to 25 points)
The Training Design should incorporate the seven competencies
described above and outline how they will be incorporated into the
training or education project. The Training Design should include the
specific goals, objectives, outputs, and outcomes of this project and
discuss the relationship of these to the target audience. In addition,
the following questions should be addressed: How comprehensive is the
scope of children's environmental health issues to be addressed? What
activities and delivery methods will be used to present the materials
and reinforce the learning? Is the list of training activities
comprehensive (including all steps) and logical to achieve the
children's environmental health competencies relevant to this group of
health professionals? How adaptable is this training to other groups of
health professionals? Will this material be made available to other
presenters by this organization?
(d) Measurement Design (up to 25 points)
Understanding the effectiveness of the training or education
project is key to supporting future efforts to build health
professional capacity to address pediatric environmental health. The
proposal should outline the project's Measurement Design. The
Measurement Design should include discussion of: (1) How the actual
training or education program will be evaluated (how will the training
or education program increase the knowledge of health professionals
regarding pediatric environmental health); (2) how achievement of each
of the seven competencies will be evaluated; (3) how replicability of
the project will be evaluated; and (4) how the effect that this
training or education program has had upon the individual's daily
practice and or the practices, protocols, and procedures of whole
clinics or other institutions will be evaluated. The following
questions may assist you in the description of the Measurement Design.
How will the design measure the impact of the training upon both the
knowledge base of the practitioner and the effect that this training
has had upon the individual's daily practice both immediately and over
time. How well will these new children's environmental health messages
reach the children, their families and care givers? How will the
measurement findings (quantitative and qualitative) be used to improve
the effectiveness of future training on children's environmental health
competencies by this organization? How will the accomplishments of this
training program be shared with others in the field?
(e) Materials (up to 10 points)
A wide variety of children's environmental health training
materials for health professionals, developed by both government and
non-governmental agencies, already exist. Support for the development
and production of new training/educational materials will be considered
only if the applicant demonstrates a compelling need not filled by
existing materials. Justifications for the development of new
educational materials should include a literature search demonstrating
a strong familiarity with the range of existing materials available.
Describe the educational products and materials that will be used train
the target audience in the children's environmental health
competencies. Have existing materials been utilized to the maximum
extent practicable? Do training materials consistently reference peer
reviewed science? Are training materials readily adaptable to other
audiences? How do the training materials reinforce competencies?
(f) Budget, and Time Line (up to 15 points)
The budget information must clearly and accurately demonstrate how
funds will be used. Is the funding request reasonable given the
activities proposed? Do the funds provide a good return on the
investment? Is the time line well laid out, comprehensive, reasonable
and feasible to support the accomplishment of the stated goals and
objectives of this project's two phases?
(g) Bonus Points (up to 10 points)
(1) Ultimately the training or education of the health professional
should lead to a reduction in environmental exposures and healthier
children. Does the project measure the impact of the health
professionals' training on behavior changes in parents and care givers?
How will the project measure a reduction in exposure of children to
environmental hazards?
(2) Education and training is a continuous process. This
solicitation recognizes the importance of developing and sustaining
mechanisms that can support health professionals in their efforts to
identify, prevent, and manage environmental risks to children. Bonus
points can be awarded if mechanisms are developed and supported to
reinforce this training or education. (Examples include, but are not
limited to: Networks, list serves, materials to guide the health
professional to address the key children's environmental health issues
in patient histories and evaluations, publications, efforts to develop
committees and local chapters on children's environmental health within
the health professionals' societies, presentations at conferences).

[[Page 53702]]

2. Review and Selection Process
After individual projects are evaluated and scored and ranked
against the published criteria by EPA staff and peers external to the
Agency, EPA may take into account the following factors in making the
final selections:
a. Effectiveness of collaborative activities and partnerships, as
needed to successfully implement the project;
b. Range of disciplines trained through this project;
Transferability of this training to other health professional
disciplines; and
c. Geographic reach and distribution of projects.

Section VI--Award Administration Information

1. Award Notices
Organizations submitting Letters of Intent will be notified
regarding their successful or unsuccessful Stage 1 application via e-
mail on or before November 1, 2004. Successful Pre-applicants will be
notified on or about February 1, 2005. Unsuccessful applicants will be
informed through a letter or e-mail sent to the Project Director
provided in the Pre-application Proposal. Successful Pre-applicants
will be contacted by the EPA grants project officer to discuss the
completion of a Full Proposal. Upon the satisfactory completion of all
necessary materials, the applicant will receive written notice of
award. The applicant must receive this document prior to drawing funds
for this project. This document will serve as the authorizing document.
The award notice will be faxed to the Key Contact designated by the
applicant in the Full Proposal.
2. Administrative and National Policy Requirements
a. Responsible Officials:
Projects must be performed by the applicant/recipient or a designee
within that organization who is satisfactory to the applicant and EPA.
All proposals must identify any other person(s) and their
organization(s) who will assist in carrying out the project. Recipients
are responsible for receiving the grant award agreement from EPA and
ensuring that all grant conditions are satisfied. Recipients are
responsible for the successful completion of the project.
b. Incurring Costs:
No pre-award costs should be incurred by the recipient. Grant
recipients may begin incurring allowable costs on the start date
identified in the EPA grant award agreement. Activities must be
completed and funds spent within the time frames specified in the award
agreement. EPA grant funds may be used only for the purposes set forth
in the grant agreement and must conform to the Federal cost principles
contained in OMB Circular A-87, A-122, and A-21, as appropriate.
Ineligible costs will be reduced from the final grant award.
c. Materials to be Provided by the Successful Stage 2 Applicants
After EPA Notifies Them of its Intent to Make an Award:
The Successful Stage 2 Pre-applicant must submit the following
information after EPA notifies them of its intent to make an award, but
prior to the award: quality assurance plan for any project involving
environmental data; evidence of compliance with human subjects
requirements where research is found to be involved.
3. Reporting
Specific financial and other reporting requirements will be
identified in the EPA grant award agreement. Grant recipients must
submit the standard formal quarterly progress reports, unless otherwise
instructed in the award agreement. A quality assurance plan will be
required if environmental data are collected. Also, two copies of the
final report and two copies of all work products must be sent to the
EPA project officer within 90 days after the expiration of the budget
period. This submission will be accepted as the final requirement,
unless the EPA project officer notifies the recipient that changes must
be made.

Section VII--Agency Contact

1. Contact Information
Elizabeth Blackburn, Office of Children's Health Protection; 1200
Pennsylvania Ave, NW.; Mail Code 1107A; Room 2512 Ariel Rios North;
Washington, DC 20004-2403; blackburn.elizabeth@epa.gov; Phone: (202)
564-2192; FAX: (202) 564-2733; Web site: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
.

2. Mechanisms for Questions and Answers
a. Applicants who need more information about this grant or
clarification about specific requirements of this Solicitation Notice,
should periodically check the Web page http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
for posted information (e.g.,

administrative clarification and responses to Qs & As).
b. Specific clarifying questions can be posed via e-mail to
blackburn.elizabeth@epa.gov. The word ``QUESTION'' in capital letters

and the name of the solicitation should appear in the subject line.
Responses to allowable questions will be posted in a timely manner on
the OCHP Web site at: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
.

c. If e-mail is absolutely not available, questions and requests
for materials may be made by FAX to 202-564-2733. Requests should be
sent to the attention of Elizabeth Blackburn.
d. To ensure fair and open competition, EPA will answer no
clarifying questions in person.
e. Applicants may submit questions via e-mail to
blackburn.elizabeth@epa.gov. Answers will be posted on the Web page

http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm.

f. To ensure fair and open competition, EPA will respond to
questions submitted by e-mail up to December 6, 2004. Questions and
answers will be posted in a timely manner at: http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
.

3. If paper copies of the EPA Application Kit for Federal
Assistance are required, contact Elizabeth Blackburn at
blackburn.elizabeth@epa.gov.

Section VIII--Other Information

1. Resources
a. Please visit our Web site, http://yosemite.epa.gov/ochp for

information on children's environmental health issues. Copies of these
grant materials can be found at http://yosemite.epa.gov/ochp/ochpweb.nsf/content/grants.htm
.

b. We strongly suggest that applicants examine the Institute of
Medicine documents Environmental Medicine: Integrating a Missing
Element into Medical Education and Nursing, Health, and the
Environment: Strengthening the Relationship to Improve the Public's
Health as well as The National Environmental Education and Training
Foundation National Pesticide Competency Guidelines for Medical and
Nursing Education for background on children's environmental health
competencies for health professionals.
c. A non-comprehensive, unendorsed sample list of additional
references related to building health professional capacity to address
children's environmental health is provided in Appendix II.
d. First time recipients of Federal funds are encouraged to
familiarize themselves with the regulations applicable to assistance
agreements found in the Code of Federal Regulations (CFR) Title 40,
Part 31 for State and local government entities. See http://www.epa.gov/docs/epacfr40/

[[Page 53703]]

chapt-I.info/subch-B.html. Applicants may also obtain a copy of the CFR
Title 40, Part 31 at the local U.S. Government Bookstore, or through
the U.S. Government Printing Office. This solicitation notice contains
all the information and forms necessary to prepare a Letter of Intent.
If your project is selected as a finalist after the evaluation process
is concluded, EPA will provide you with additional Federal forms needed
to process your Full Proposal.
2. Regulatory References
EPA's regulations on procurement under assistance agreements can be
found in 40 Code of Federal Regulations (CFR) 30.40 for non-
governmental recipients.
3. Dispute Resolution Process
Dispute Resolution Process: Procedures are in 40 CFR 30.63 and 40
CFR 31.70.
4. Shipping Information and Mailing Addresses
a. Letters of Intent should be e-mailed to:
blackburn.elizabeth@epa.gov. E-mail submission of the Letter of Intent
is strongly preferred. However, if e-mail is not available, the Letter
of Intent may be faxed to the attention of Elizabeth Blackburn at (202)
564-2733. If a confirming phone call for fax transmissions is not
received within two business days, a phone call should be made to
Elizabeth Blackburn at 202-564-2192 to initiate a trace.
b. Pre-application Proposals, If Invited By EPA:
Due to on-going mail delays in the Washington, DC area, applicants
who are invited to submit a Pre-application Proposal are strongly
encouraged to send all the original Pre-application Proposals signed in
contrasting ink by an authorized representative of their eligible
organization and requisite nine copies by way of a private shipping
company (e.g., Federal Express, UPS, DHL, or courier) to the attention
of: Elizabeth Blackburn, U.S. EPA, Office of Children's Health
Protection, 1200 Pennsylvania Ave, NW., Mail Code 1107A, Room 2512
Ariel Rios North, Washington, DC 20004.
If the applicant has no ability to send the Pre-application
Proposal original and requisite nine copies in by way of a private
shipping company, the Pre-application Proposal may be mailed to the
attention of: Elizabeth Blackburn, U.S. EPA, Office of Children's
Health Protection, 1200 Pennsylvania Ave, NW., Mail Code 1107A, Room
2512 Ariel Rios North, Washington, DC 20460.
5. The Agency reserves the right to make no awards under this
solicitation

Appendix I--Sample Letter of Intent (up to 2 pages)

All applicants should supply this information in this order and
return it to EPA via e-mail to blackburn.elizabeth@epa.gov by
October 25, 2004.

Section 1

Organization Name:
Project Name:
Applicant Address:
Street:
City:
State:
Zip Code:
Applicant Phone Number:
Applicant FAX Number:
Applicant E-mail Address:
Applicant Web Site (if any):
Authorized Representative of the Organization:

Section 2

Project Summary.
(a) Dollar Value of the Request;
(b) Description of the organizational which will lead/oversee
the project;
(c) Description of the organizations and individuals expected to
participate in the two phases (training/education and measurement)
of the project;
(d) Description of the goals of each phase of the project;
(e) Description of the general children's environmental health
areas to be addressed;
(f) Description of the general approach and format that is
planned for the two phases of the project;
(g) Description of the specific audience(s) e.g. type of health
professional(s) to be trained; expected numbers you hope to reach;
geographic range of applicability [multi-state (at least five
states), national, international (at least three countries)];
(h) Description of the types of materials (e.g. classroom
guides, check-lists, pamphlets for patients etc.) you expect to
produce;
(i) List of other types of health professionals to whom this
training/education might be applicable;
(j) Transferability of training, materials and measurement tools
to others to train additional groups of health professionals.

Appendix II--Sample List of References--Building Health Professional
Capacity

Disclaimer: The following products are not EPA products. Some
have been funded through an assistance agreement. EPA cannot attest
to the accuracy of information provided in these products. This list
represents a limited and non-exhaustive group of references provided
as general background information to the assist the applicant.
Agency for Toxic Substances and Disease Registry, Centers for
Disease Control and Prevention, United States Department of Health
and Human Services: Case Studies in Environmental Medicine; http://www.atsdr.cdc.gov/HEC/CSEM/
Description: The Case Studies in Environmental Medicine (CSEM)

are a series of self-instructional publications designed to increase
the primary care provider's knowledge of hazardous substances in the
environment and to aid in the evaluation of potentially exposed
patients. Continuing medical education credits, continuing nursing
education units, and continuing education units are offered by the
Agency for Toxic Substances and Disease Registry (ATSDR) in support
of this series.
Institute of Medicine: Nursing, Health & the Environment:
Strengthening the Relationship to Improve the Public's Health;
Washington, DC: National Academy Press; 1995
Description: Nursing, Health and Environment details a series of
recommendations to integrate and enhance environmental health in
nursing education, practice and research.
Institute of Medicine: Environmental Medicine: Integrating a
Missing Element into Medical Education; Washington, DC: National
Academy Press; 1995.
Description: Environmental Medicine describes a series of
recommendations of how to facilitate the integration of
environmental health into medical education.
American Academy of Pediatrics: Pediatric Environmental Health,
2nd edition; 2003 Description: Pediatric Environmental Health 2nd
edition is a comprehensive reference manual for pediatric clinicians
to help identify, prevent and treat environmental health problems in
children. All original chapters, addressing issues such as carbon
monoxide, indoor air pollutants, lead, mercury, drinking water and
pesticides, have been updated. New chapters cover topics such as
arsenic, irradiation and prenatal exposures.
American Nurses Foundation: Children's Health and the
Environment; http://yosemite.epa.gov/ochp/ochpweb.nsf/content/whatwe_health.htm#nurses
.

Description: Children's Health and the Environment is a three
part continuing education series featuring (1) Environmentally
Healthy Homes and Communities; (2) Safe Workplaces and Healthy
Learning Places: Environmentally Healthy Schools; and (3)
Environmental Health in the Health Care Setting.
National Education and Training Foundation: National Pesticide
Practice Skills Guidelines for Medical & Nursing Practice and
National Pesticide Competency Guidelines for Medical & Nursing
Education; http://www.neetf.org/Health/publications.shtm#PestPractice
.

Description: National Pesticide Practice Skills Guidelines for
Medical & Nursing Practice outlines the knowledge and skills that
professionals in the health professions need to have about
pesticides. National Pesticide Competency Guidelines for Medical &
Nursing Education outlines the knowledge and skills that students in
the health professions need to have about pesticides. These
documents are part of a national initiative aimed at ensuring that
pesticides issues become integral elements of education and practice
of primary care providers.
Greater Boston Physicians for Social Responsibility: In Harm's
Way Training

[[Page 53704]]

Programs for Health Professionals; http://psr.igc.org/ihw-training-programs.htm
.

Description: The training is based on the peer-reviewed report
In Harm's Way: Toxic Threats to Child Development, released in May,
2000. The training is relevant to physicians, nurses, midwives,
staff of community health centers, students, childbirth educators,
psychologists, and other health care providers, and is designed to
provide Continuing Medical Education (CME) credits to physicians as
well as Contact Hours for Nurses. Many materials are available in
downloadable versions at: http://psr.igc.org/ihw-training-materials.htm
.

Dated: August 19, 2004.
Elizabeth Blackburn,
Acting Director, Office of Children's Health Protection.

[FR Doc. 04-20039 Filed 9-1-04; 8:45 am]

BILLING CODE 6560-50-P