Expired RFA-AT-07-002: Developmental Centers for Research on Complementary and Alternative Medicine: Phase II (DCRC II)[U19]

Department of Health
and Human Services (HHS)

NIH... Turning Discovery Into Health^®

Part I Overview Information

Department of Health and Human Services

Participating Organizations
National Institutes of Health (NIH), (http://www.nih.gov/)

Components of Participating Organizations
National Center for Complementary and Alternative Medicine (NCCAM), (http://www.nccam.nih.gov/)

Title: Developmental Centers for Research on Complementary and Alternative Medicine: Phase II (DCRC II)[U19]

Announcement Type
This is the second phase of PAR-03-046, previously released December 19, 2002 and a re-issue of RFA-AT-06-001, originally released January 26, 2006.

Update: The following update relating to this announcement has been issued:

December 30, 2008 - This RFA has been reissued as (PAR-09-066).
June 28, 2007 - See Notice (NOT-AT-07-003) Applications in response to this RFA, that were previously submitted in response to RFA-AT-06-001 may be formatted as resubmission applications, with changes from the prior submission indicated in the text.

Request For Applications (RFA) Number: RFA-AT-07-002

Catalog of Federal Domestic Assistance Number(s)
93.213

Key Dates
Release Date: March 15, 2007
Letters of Intent Receipt Date(s): July 13, 2007
Application Receipt Date(s): August 13, 2007
Peer Review Date(s): Oct/Nov 2007
Council Review Date(s): January 2008
Earliest Anticipated Start Date(s): January 2008
Additional Information To Be Available Date (Url Activation Date): N/A
Expiration Date: August 14, 2007

Due Dates for E.O. 12372
Not Applicable

Additional Overview Content

Executive Summary

This limited competition RFA solicits applications for Developmental Centers for Research on CAM: Phase II (DCRC II). DCRC II must comprise three synergistic, complementary and alternative medicine (CAM) research projects at all times. The first year may include, in addition to these, completion of research initiated as part of the initial DCRC award. Although the DCRC II must include three ongoing studies at all times, one project may change over time. At all times at least one research project must be extensive and supported by strong preliminary data (comparable in scope to an R01 research project); the others should be exploratory/developmental projects, comparable in scope to R21s.
This RFA will use the U19 (Cooperative Agreement) mechanism.
Up to $1.4 million in total direct costs will be awarded to up to two DCRC II in 2007 and 2008. Applications requesting more than $700,000 total direct costs in any one year will be considered non-responsive. DCRC II awards will be funded for up to four years.
Because the nature and scope of the proposed research will vary from application to application, it is anticipated that the size and duration of each award will also vary. The total amount awarded and the number of awards will depend upon the quality, duration, and costs of the applications received, and the funds available to NCCAM.
Only participants in Developmental Centers for Research on CAM (DCRC; PAR-03-046) awards, whether awardee organization or collaborator, are eligible to submit applications for DCRC II.
Both the Project Director/Principal Investigator (PD/PI) and co-PD/PI of each DCRC II must possess the skills, knowledge, and professional stature needed to carry out the proposed research and research capacity development goals of the DCRC II. In addition, they should have established a demonstrably productive working relationship as scientific collaborators. The PD/PI must commit at least 30% effort to the DCRC II.
Applicant organizations may not submit more than one DCRC application.
See Section IV.1 for application materials.
Telecommunications for the hearing impaired is available at: TTY 301-451-5936

Table of Contents

Part I Overview Information

Part II Full Text of Announcement

Section I. Funding Opportunity Description
1. Research Objectives

Section II. Award Information
1. Mechanism(s) of Support
2. Funds Available

Section III. Eligibility Information
1. Eligible Applicants
A. Eligible Institutions
B. Eligible Individuals
2.Cost Sharing or Matching
3. Other - Special Eligibility Criteria

Section IV. Application and Submission Information
1. Address to Request Application Information
2. Content and Form of Application Submission
3. Submission Dates and Times
A. Receipt and Review and Anticipated Start Dates
1. Letter of Intent
B. Sending an Application to the NIH
C. Application Processing
4. Intergovernmental Review
5. Funding Restrictions
6. Other Submission Requirements

Section V. Application Review Information
1. Criteria
2. Review and Selection Process
A. Additional Review Criteria
B. Additional Review Considerations
C. Sharing Research Data
D. Sharing Research Resources
3. Anticipated Announcement and Award Dates

Section VI. Award Administration Information
1. Award Notices
2. Administrative and National Policy Requirements

A. Cooperative Agreement Terms and Conditions of Award
1. Principal Investigator Rights and Responsibilities
2. NIH Responsibilities
3. Collaborative Responsibilities
4. Arbitration Process
3. Reporting

Section VII. Agency Contact(s)
1. Scientific/Research Contact(s)
2. Peer Review Contact(s)
3. Financial/ Grants Management Contact(s)

Section VIII. Other Information - Required Federal Citations

Part II - Full Text of Announcement

Section I. Funding Opportunity Description

1. Research Objectives

PURPOSE OF THIS RFA

The National Center for Complementary and Alternative Medicine (NCCAM) invites applications for Developmental Centers for Research on Complementary and Alternative Medicine: Phase II (DCRC II). This invitation is limited to institutions that participate(d) in funded Developmental Centers for Research on CAM (DCRC; PAR-03-046) awards. DCRC II awards will use the U19 Cooperative Agreement mechanism.

The purpose of the DCRC II awards is to further the development of CAM research expertise and infrastructure in those institutions that received DCRC awards. DCRC II awards will continue to support CAM research projects and strengthen collaborations between CAM and conventional institutions and investigators. It is anticipated that the DCRC II awards will lead to future complementary and alternative medicine (CAM) research grant applications.

Specifically, the DCRC II will provide support for up to four years of support of three synergistic research projects. Throughout the DCRC II project period there must be three research projects active at all times. At all times during the award, there must be an active project that is extensive in scope and supported by strong preliminary data (comparable in scope to an R01 research project). The preliminary data for the R01-comparable project may derive from research supported by the initial DCRC award, but this is not required. The other two projects should be exploratory/developmental projects, comparable in scope to R21 research projects. It is encouraged, but not required, that these projects derive from research supported via the initial DCRC. The first year of the DCRC II may include support for completion of research initiated as part of the DCRC. This work should be fully described as a separate research project in the application.

Applicants who have questions regarding eligibility for the DCRC II program should discuss potential proposals with the NCCAM contact named in Section VII, below.

An essential characteristic of the DCRC initiatives is commitment of the participating CAM and conventional institutions to CAM research and to ongoing partnership. NCCAM encourages a multidisciplinary approach to research, which should be reflected in the proposed research projects. It is also expected that these awards will lead to the future submission of additional competitive grant applications to conduct CAM research, to NCCAM and other NIH Institutes or Centers. Applicants must attach letters of support from an appropriate, high-ranking official at the applicant institution and from each collaborating institution, documenting significant institutional commitment to the Center and to the collaboration

Given the greater level of coordination required of multi-institution research projects, NCCAM strongly urges regular communication between investigators in DCRC II and suggests that the DCRC II investigators from all collaborating institutions comprising each center hold face-to-face meetings on a regular basis. Support for these activities is provided by the Administrative Core of each DCRC II. In addition, NCCAM requires that each DCRC II establish an Internal Steering Committee to assist with this process, as well as an External Advisory Committee to provide guidance to the Principal Investigator(s) and feedback to NCCAM staff.

BACKGROUND

The DCRC II initiative constitutes one component of NCCAM’s evolving, multi-faceted Centers program. Applicants for DCRC II awards must be (or must have been) participants in a DCRC award. A major goal of the DCRC awards was to assist CAM institutions in progressing in their ability to design, obtain funding for, and successfully undertake and complete rigorous CAM research. Current DCRC awardees differed in their prior research experience and preparedness; some had been previous NIH center awardees while others had never before received NIH funding, and had limited research infrastructure. Given their diverse starting points, it is expected that the DCRC II applicants will have attained varied levels of achievement. Nonetheless, all DCRC II applicants are expected to have made progress towards the DCRC goals of building research expertise and infrastructure and strong research collaborations between the participants.

Other components of NCCAM’s Centers program include DCRC I awards, which support a preparatory/planning year, followed by up to three years to complete R21-level research projects, as well as the Centers of Excellence for Research on CAM, International Centers for Research on CAM, and Centers for Dietary Supplements Research.

NCCAM defines CAM as a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. NCCAM groups the wide range of CAM modalities into four domains: 1) Mind-Body Medicine; 2) Biologically-based practices; 3) Manipulative and body-based practices; and 4) Energy Medicine. In addition, NCCAM supports studies of whole medical systems, such as Ayurvedic medicine, traditional Chinese medicine, traditional indigenous medical systems, and homeopathy. Mind-body interventions use a variety of techniques designed to enhance the mind's capacity to affect body functions and symptoms. Mind-body techniques that are considered CAM include yoga, lifestyle behaviors such as tai chi exercise, meditative strategies such as mindfulness meditation, and some psychological strategies to manage stress. Also included are therapies that use creative outlets such as visual arts, music or dance. Other techniques that were considered CAM in the past, such as patient support groups, have become mainstream, and are not suitable subjects for research supported by the DCRC program. Biologically-based practices for prevention and therapy use foods and their components, diets, and dietary supplements (including botanicals, animal-derived products, probiotics and small molecules) and functional foods. Applicants planning to propose studies of biologically-based practices should consult NCCAM’s policy on biologically-active agents used in CAM (http://nccam.nih.gov/research/policies/bioactive.htm). Manipulative and body-based methods in CAM are based on manipulation and/or movement of one or more parts of the body. Examples include chiropractic or osteopathic manipulation, and massage therapy. Energy therapies are of two types: 1) Biofield therapies (e.g., Qi gong, Reiki, and therapeutic touch), which are intended to affect energy fields that surround and penetrate the human body, and 2) electromagnetic-based therapies that involve the unconventional use of electromagnetic fields such as pulsed fields, magnetic fields, or alternating or direct current fields.

For many CAM practices the mechanisms of action are poorly understood. Improved understanding of mechanisms through preclinical studies including those using animal models, as well as through mechanistic studies of human participants, should support better-designed studies of efficacy and eventually translate into integrative medical practice.

NCCAM does not encourage applications for Centers focused on a particular population group unless there is a strong scientific rationale for such a focus.

Applicants who have questions regarding research areas of interest to NCCAM should discuss potential proposals with the appropriate NCCAM Program Officer (http://nccam.nih.gov/research/contact/index.htm).

ELIGIBLE AREAS OF RESEARCH

DCRC II applications must comprise three synergistic projects at all times. The proposed research projects may be focused around a disease or class of diseases treated using CAM, a specific group of CAM therapies or treatment approaches, or the mechanisms of action of specific CAM modalities. Centers may also be organized around a theme, e.g., wellness or expectancy.

Continuation of projects and/or themes from the prior DCRC is encouraged, but not required.

Projects of potential interest include:

Basic science studies (including in vitro studies, studies using animal models or mechanistic studies of human participants);
Studies of the pharmacology, pharmacokinetics, and drug interactions of CAM products;
Phase I studies, such as those to refine strategies for larger clinical trials (addressing, for example, feasibility, safety, dose-ranging or other optimization of protocol, validity of assessment methods, controls, target population), to determine effects on biomarkers and to perform imaging studies, etc.;
No more than one phase II study of modest size, provided it is adequately powered to detect a meaningful difference between groups or validate surrogate markers of disease or clinical endpoints; and
Health services research.

The above list should not be considered comprehensive, restrictive, nor in priority order.

Applicants planning to propose clinical research should consult the Guidelines for NCCAM-Supported Clinical Trials (http://nccam.nih.gov/research/policies/index.htm).

RESEARCH PRIORITIES

Applicants should consult the NCCAM website (http://nccam.nih.gov/training/centers/index.htm) for relevant information regarding current specific NCCAM research priorities. NCCAM regularly examines and redefines its research priorities in order to fill gaps in its portfolio and capitalize on emerging opportunities to advance CAM research and to leverage the expertise and resources of other NIH Institutes and Centers (ICs) and agencies. NCCAM continues to be interested in research areas not included in the above list.

STRUCTURE OF THE DCRC II

Leadership: Each DCRC II will be directed by (a) Project Director/Principal Investigator(s) (PD/PI(s)), who may be from either a CAM or a conventional institution, as defined in Section III.1.A. The PD/PI(s) of the DCRC II must also be (a) Project Co-Leader(s) of one research project and is/are required to commit a minimum of 30% effort to the Center (15% to the Administrative Core (or other Core for multi-PD/PI DCRC) and 15% to one research project). The Principal Investigator will identify and select key personnel and allocate and monitor funds. An External Advisory Committee (EAC) will provide guidance to the Principal Investigator(s) and feedback on DCRC II progress to NCCAM staff. An Internal Steering Committee (ISC) will ensure frequent communication, sharing of information, and maintenance of focus within the DCRC II. The composition, duties, and reporting requirements of both committees, as well as further detail on responsibilities of the Principal Investigator are described in the Special Requirements and/or Terms and Conditions section (Section VI.2A) of this announcement.

Project Leaders and Co-Leaders (at least 15% effort each) are to be named from both CAM and conventional institutions for each project.

Internal Steering Committee: The Principal Investigator(s) is responsible for establishing an Internal Steering Committee (ISC), which will consist of the DCRC II Principal Investigator(s), appropriate investigators from each of the collaborating institutions and the NCCAM Scientific Advisor in an ex officio capacity. The ISC will have responsibility for directing and monitoring the progress of the research projects. In addition, the ISC must develop opportunities for information exchange, and data sharing. Each ISC member (or their surrogate) will be expected to participate in all committee activities, including videoconferences, conference calls and special subcommittees as needed. Outside ad hoc consultants can be added as desired. If plans call for inclusion of ad hoc consultants, their areas of expertise should be specified in the application, but individuals should not be named unless they played an integral role in the initial DCRC.

Research projects: Each DCRC II must comprise three synergistic research projects at any given time. At least one of the proposed projects must be comparable in scope to an R01 research project. Completion of research initiated as part of the prior DCRC award may be included in the first year. This proposed research should be fully described in the application as a separate research project. If a continuing project is proposed for the first year of the DCRC II, it need not form part of the theme of focus of the remainder of the DCRC II projects.

Core(s): Each DCRC II is required to have an Administrative Core, which must serve all projects within the DCRC II. The Administrative Core is responsible for day-to-day administration, as well as program coordination and ongoing evaluation of the Center.

Additional, scientific cores may be included, as appropriate, bearing in mind that each core should be utilized by as many projects as possible, and must be utilized by at least two proposed projects. If clinical studies are proposed, NCCAM recommends adding a clinical core to provide expertise and guidance in e.g., data management, biostatistics, and/or clinical trial design/coordination. Applicants must document that the functions of proposed additional cores are: 1) not otherwise available at any of the applicant institutions or 2) if such functions are available at one of the participating conventional institutions, that the proposed core will provide critical capacity for future research at a participating CAM institution, and that the relevant conventional institutions will contribute appropriate expertise to developing such capacity. Applications must clearly demonstrate how each core will serve the needs of the research program, and how each project will use resources of additional cores. The percent of each core that will be allocated to each project should be clearly indicated.

Three related considerations that should be detailed if applicable are: 1) the degree to which currently funded CAM investigators, within or outside the DCRC II, will use and benefit from core resources; 2) the degree to which the resources will promote new and/or expanded CAM research efforts and; 3) the process by which core resources will be allocated among DCRC II projects, and between the DCRC II and other currently funded CAM investigators.

Training: Principal Investigators are strongly encouraged to provide opportunities for postdoctoral clinical or basic research fellows (both CAM and conventional) and junior faculty to participate in individual projects as key personnel. DCRC II funds may not be used for general education of conventional health professional students about CAM, nor may they be used to support major conferences or colloquia.

Annual meeting: DCRC II Principal Investigators and other key DCRC II staff will be expected to participate in an annual, two-day meeting with other NCCAM-funded center Principal Investigators in the Baltimore-Washington area. Travel costs for this purpose should be included in the proposed budget for the Administrative Core.

See Section VIII, Other Information - Required Federal Citations, for policies related to this announcement.

Section II. Award Information

1. Mechanism(s) of Support

This funding opportunity will use the U19 cooperative agreement mechanism.

This funding opportunity uses the just-in-time budget concepts. It also uses the non-modular budget format described in the PHS 398 application instructions (see http://grants.nih.gov/grants/funding/phs398/phs398.html). A detailed categorical budget for the "Initial Budget Period" and the "Entire Proposed Period of Support" is to be submitted with the application.

The NIH (U19) is a cooperative agreement award mechanism. In the cooperative agreement mechanism, the Principal Investigator(s) retain(s) the primary responsibility and dominant role for planning, directing, and executing the proposed project, with NIH staff being substantially involved as a partner with the Principal Investigator(s), as described under the Section VI. 2. Administrative Requirements, "Cooperative Agreement Terms and Conditions of Award". At this time, it is not known if this RFA will be reissued; NCCAM may undertake an evaluation of the DCRC program before making a decision regarding its continuation.

2. Funds Available

This initiative is a limited competition Request for Applications (RFA). NCCAM intends to commit up to $1.4 million in total direct costs in FY 2007 to fund up to two new non-renewable DCRC II award(s) for a period of up to four years in response to this initiative. An applicant may submit a budget for total direct costs up to $700,000 per year. Although the financial plans of the NCCAM provide support for this program, awards pursuant to this RFA are contingent upon the availability of funds and the receipt of a sufficient number of meritorious applications. Awards pursuant to this RFA may be made as early as January, 2008.

Because the nature and scope of the proposed research will vary from application to application, it is anticipated that the size and duration of each award will also vary.

Facilities and administrative costs requested by consortium participants are not included in the direct cost limitation, see NOT-OD-05-004.

Section III. Eligibility Information

1. Eligible Applicants

1.A. Eligible Institutions

Only participants in Developmental Centers for Research on CAM (DCRC; PAR-03-046) awards are eligible to submit applications for DCRC II awards. The applicant organization for the DCRC II need not be or have been the awardee institution for the prior DCRC, but must be or have been a DCRC participant institution. Applications may include, in addition to DCRC-participant institutions, other eligible institutions that did not participate in the original DCRC award, provided that 1) the institutions have a demonstrable track record of productive collaboration with the applicant, and 2) the application includes a partnership between an eligible CAM institution and an eligible conventional institution.

You may submit (an) application(s) if your organization has any of the following characteristics:

For-profit organizations
Non-profit organizations
Public or private institutions, such as universities, colleges, hospitals, and laboratories
Units of State government
Units of local government
Eligible agencies of the Federal government
Domestic Institutions
Faith-based or community-based organizations

Foreign institutions are not eligible for this initiative.
For the purposes of this Request for Applications, eligible CAM and conventional institutions are defined in the following manner:

An eligible CAM institution is a nationally or regionally accredited academic, health care or research institution with a primary goal of educating students to be CAM practitioners. Documentation of accreditation must be included in the application. Students who matriculate from the program must do so with either a degree or certificate in a designated CAM practice that is licensed or certified at the state level. Eligible institutions include but are not limited to colleges/schools of naturopathy, chiropractic, traditional Chinese medicine, acupuncture, and massage. For the purposes of this initiative, osteopathic medical institutions that teach manual manipulation as part of the core curriculum required for all students may collaborate with an eligible allopathic institution (i.e., one that receives at least $10 million annually in NIH funding, as described above).
An eligible conventional institution is an academic, health care and/or research institution with a tradition of rigorous biomedical or behavioral research that does not have as a primary goal training of CAM practitioners. Conventional institutions participating in this initiative must have a history of successfully competing for biomedical or behavioral research funding. For the purposes of this initiative, institutions receiving at least $10 million annually in NIH funding will be considered qualified. A list of NIH award levels by institution is available from the NIH Office of Extramural Research at http://grants.nih.gov/grants/award. Funding level is used here as a proxy for research experience and focus of the conventional institution. Applicants wishing to include an institution that receives a lower level of NIH funding as the conventional collaborator must contact NCCAM staff for prior permission.

1.B. Eligible Individuals

Both the PD/PI(s) and co-PD/PI of each DCRC II must each possess the skills, knowledge, and resources necessary to carry out the proposed research and research capacity development goals and objectives of the DCRC II. In addition, they should have established a demonstrably productive working relationship as scientific collaborators. The PD/PI(s) must be able to commit at least 30% effort to the DCRC II. Individuals from underrepresented racial and ethnic groups as well as individuals with disabilities are always encouraged to apply for NIH support.

More than one PD/PI may be designated on the application for projects that require a team science approach that clearly does not fit the single-PD/PI model. Additional information on the implementation plans and policies and procedures to formally allow more than one PD/PI on research projects is available at http://grants.nih.gov/grants/multi_pi. All PD/PIs must be registered in the NIH eRA Commons prior to the submission of the application (see http://era.nih.gov/ElectronicReceipt/preparing.htm for instructions). DCRC applications with more than one PD/PI must include one PD/PI each from a CAM and a conventional institution, as defined in Section III.I.A, above.

The decision to apply for a single PD/PI or multiple PD/PI application is the responsibility of the investigators and applicant organizations and should be determined by the scientific goals of the project. Applications for multiple PD/PI grants will require additional information, as outlined in the instructions below. The NIH review criteria for approach, investigators, and environment have been modified to accommodate applications involving either a single PD/PI or multiple PD/PIs. When considering multiple PD/PIs, please be aware that the structure and governance of the PD/PI leadership team as well as the knowledge, skills and experience of the individual PD/PIs will be factored into the assessment of the overall scientific merit of the application. Multiple PD/PIs on a project share the authority and responsibility for leading and directing the project, intellectually and logistically. Each PD/PI is responsible and accountable to the grantee organization, or, as appropriate, to a collaborating organization, for the proper conduct of the project or program, including the submission of required reports. For further information on multiple PD/PIs, please see http://grants.nih.gov/grants/multi_pi.

2. Cost Sharing or Matching

Not applicable

The most current Grants Policy Statement can be found at: http://grants.nih.gov/grants/policy/nihgps_2003/nihgps_Part2.htm#matching_or_cost_sharing

3. Other-Special Eligibility Criteria

Each DCRC II application must include a partnership between a CAM and a conventional institution, as defined above. The applicant institution must have participated in a DCRC. The proposed participating institutions should have a demonstrably productive research partnership.

Section IV. Application and Submission Information

1. Address to Request Application Information

The PHS 398 application instructions are available at http://grants.nih.gov/grants/funding/phs398/phs398.html in an interactive format. Applicants must use the currently approved version of the PHS 398. For further assistance contact GrantsInfo, Telephone (301) 710-0267, Email: [email protected].

Telecommunications for the hearing impaired: TTY 301-451-5936.

2. Content and Form of Application Submission

Applications must be prepared using the most current PHS 398 research grant application instructions and forms. Applications must have a D&B Data Universal Numbering System (DUNS) number as the universal identifier when applying for Federal grants or cooperative agreements. The D&B number can be obtained by calling (866) 705-5711 or through the web site at http://www.dnb.com/us/. The D&B number should be entered on line 11 of the face page of the PHS 398 form.

The title and number of this funding opportunity must be typed on line 2 of the face page of the application form and the YES box must be checked.

3. Submission Dates and Times

Applications must be received on or before the receipt date described below (Section IV.3.A). Submission times N/A.

3.A. Receipt, Review and Anticipated Start Dates
Letters of Intent Receipt Date(s): July 13, 2007
Application Receipt Date(s): August 13, 2007
Peer Review Date(s): Octctober/November 2007
Council Review Date(s): January 2008
Earliest Anticipated Start Date(s): January 2008

3.A.1. Letter of Intent

Prospective applicants are asked to submit a letter of intent that includes the following information:

Descriptive title of proposed research
Name, address, and telephone number of the Principal Investigator(s)
Names of other key personnel
Participating institutions
Number and title of this funding opportunity

Although a letter of intent is not required, is not binding, and does not enter into the review of a subsequent application, the information that it contains allows IC staff to estimate the potential review workload and plan the review.

The letter of intent is to be sent by the date listed at the beginning of this document.

The letter of intent should be sent to:

Barbara Sorkin, Ph.D.
Coordinator, Centers for Research on CAM Program
National Center for Complementary and Alternative Medicine (NCCAM)
6707 Democracy Blvd., Suite 401
Bethesda, MD 20892-5475 (use 20817 for private courier services)
Office: (301) 594-8018
FAX: (301) 480-3621
Email: [email protected]

3.B. Sending an Application to the NIH

Applications must be prepared using the research grant applications found in the PHS 398 instructions for preparing a research grant application. Submit a signed, typewritten original of the application, including the checklist, and three signed photocopies in one package to:

Center for Scientific Review
National Institutes of Health
6701 Rockledge Drive, Room 1040, MSC 7710
Bethesda, MD 20892-7710 (U.S. Postal Service Express or regular mail)
Bethesda, MD 20817 (for express/courier service; non-USPS service)

Personal deliveries of applications are no longer permitted (see http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-040.html).

At the time of submission, two additional copies of the application and all copies of the appendix material must be sent to:

Martin Goldrosen, Ph.D.
Acting Director of Extramural Activities
National Center for Complementary and Alternative Medicine
6707 Democracy Blvd., Suite 401
Bethesda, MD 20892-5475
(use 20817 for private courier services)
Telephone: (301) 594 2014
FAX: (301) 480-2419
Email: [email protected]

Using the RFA Label: The RFA label available in the PHS 398 application instructions must be affixed to the bottom of the face page of the application. Type the RFA number on the label. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee in time for review. In addition, the RFA title and number must be typed on line 2 of the face page of the application form and the YES box must be marked. The RFA label is also available at: http://grants.nih.gov/grants/funding/phs398/labels.pdf.

3.C. Application Processing

Applications must be received on or before the application receipt date(s) described above (Section IV.3.A.). If an application is received after that date, it will be returned to the applicant without review. Upon receipt, applications will be evaluated for completeness by the CSR and responsiveness by the NCCAM. Incomplete and non-responsive applications will not be reviewed.

The NIH will not accept any application in response to this funding opportunity that is essentially the same as one currently pending initial review, unless the applicant withdraws the pending application. However, when a previously unfunded application, originally submitted as an investigator-initiated application, is to be submitted in response to a funding opportunity, it is to be prepared as a NEW application. That is, the application for the funding opportunity must not include an Introduction describing the changes and improvements made, and the text must not be marked to indicate the changes from the previous unfunded version of the application.

Information on the status of an application should be checked by the Principal Investigator in the eRA Commons at: https://commons.era.nih.gov/commons/.

4. Intergovernmental Review
This initiative is not subject to intergovernmental review.

5. Funding Restrictions

All NIH awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement. The Grants Policy Statement can be found at http://grants.nih.gov/grants/policy/policy.htm.

Pre-award costs are allowable. A grantee may, at its own risk and without NIH prior approval, incur obligations and expenditures to cover costs up to 90 days before the beginning date of the initial budget period of a new or competing continuation award if such costs: are necessary to conduct the project, and would be allowable under the grant, if awarded, without NIH prior approval. If specific expenditures would otherwise require prior approval, the grantee must obtain NIH approval before incurring the cost. NIH prior approval is required for any costs to be incurred more than 90 days before the beginning date of the initial budget period of a new or competing continuation award.

The incurrence of pre-award costs in anticipation of a competing or non-competing award imposes no obligation on NIH either to make the award or to increase the amount of the approved budget if an award is made for less than the amount anticipated and is inadequate to cover the pre-award costs incurred. NIH expects the grantee to be fully aware that pre-award costs result in borrowing against future support and that such borrowing must not impair the grantee's ability to accomplish the project objectives in the approved time frame or in any way adversely affect the conduct of the project. See NIH Grants Policy Statement http://grants.nih.gov/grants/policy/nihgps_2003/NIHGPS_Part6.htm.

6. Other Submission Requirements

Each DCRC II application must demonstrate that the following special requirements and provisions are met.

Applicants must:

Attach letters of support from an appropriate, high-ranking official at the applicant institution and from each collaborating institution(s), documenting significant institutional commitment to the Center and to the collaboration. Such commitment might include administrative support, start-up funds for new investigators or equipment, upgrading facilities, etc. The foregoing possibilities should not be considered comprehensive, restrictive, nor in priority order. The letters must clearly present each partner’s expectations for interactions and performance on their part and by the other participant(s);

Include documentation of national or regional accreditation of a participating CAM institution;

Delineate how the components of the DCRC II, including key personnel, will interact, why they are essential to accomplishing the overall goal of the research, and how the combined resources are synergistic, i.e., create capabilities that scientifically inform and enhance each other;

Describe the collaborative process and methods of communication, and identify areas of potential collaboration as well as areas of focused collaboration. Where component institutions are physically separated, address specifically how the effects of separation will be managed, detailing the frequency of use of different methods of interaction, such as face-to-face meetings, videoconferences, annual meetings or retreats. Geographically distant collaborators may budget reasonable travel costs for periodic meetings of selected center investigators and administrative staff;

Describe the activities and the process through which the applicant institution and collaborating institution(s) will reach the goals of developing research infrastructure at the CAM institution(s), and of developing competitive projects and preliminary research results in support of applications for further CAM research support. The application must include a chronological table listing specific goals for each year of the DCRC II award. For each objective, a brief statement must be included detailing the specific contributions of CAM and conventional organization collaborators;

Describe scientific and/or programmatic synergy between projects, and between projects and proposed cores (i.e., the interactions between projects and with the cores must result in a program where the whole is greater than the sum of its parts). Shared use of analytical facilities or projects does not, in itself, constitute synergy, which is provided by the potential of the projects and/or cores to scientifically enhance each other. Each core must contribute to at least two of the proposed projects;

Show that research projects proposed for the DCRC II do not overlap in purpose or intent with other NIH-funded grants (check the CRISP searchable database (http://crisp.cit.nih.gov/) of funded biomedical research), but will constitute new activities or a natural progression of current research;

Plan to participate, with collaborators, including all key DCRC II staff, in an annual two-day meeting in the Baltimore-Washington area with other NCCAM-funded Center investigators. Travel costs for this purpose should be included in the proposed budget for the Administrative Core;

Plan to participate in an annual meeting of the DCRC II External Advisory Committee (EAC). The EAC will be established by the NCCAM Program Official for each DCRC I,I coordinated by the NCCAM Program Official and the DCRC II Principal Investigator(s), and will meet annually three months before the anniversary of the DCRC II award date until the final year of the award (see Section VI.2A2, below).

Awardees must agree to the "Cooperative Agreement Terms and Conditions of Award" in Section VI.2A "Award Administration Information".

Because the application form has no specific instructions for multi-project applications such as the DCRC II, consisting of research projects and core(s), the following instructions are provided for sections of the application form that address the collaborative or interactive nature of the DCRC II and are to be completed differently than usual. For all other items in the application, follow the standard instructions.

The instructions below are divided as follows:

DCRC II application overview, which addresses the overall objectives of this multi-project grant, the relationships among research projects and the administrative structure (including the Administrative Core and organizational structure) and any scientific cores, and how they will each contribute to the overall objectives and the overall budget. Specify which project is the R01-comparable project. Progress in achieving the goals of the prior DCRC award and any changes in the structure of the Center, particularly the addition or removal of cores, should be described and justified in this section.
Specific instructions for individual projects that address the collaborative/interactive nature of the project.
Specific instructions for the cores, each of which must provide services or resources to at least two research projects.

This multi-project grant application should be assembled and paginated as a single, complete document.

SPECIAL INSTRUCTIONS

Applications with Multiple PDs/PIs

When multiple PDs/PIs are proposed, NIH requires one PD/PI to be designated as the "Contact PD/PI, who will be responsible for all communication between the PD/PIs and the NIH, for assembling the application materials outlined below, and for coordinating progress reports for the project. The contact PD/PI must meet all eligibility requirements for PD/PI status in the same way as other PD/PIs, but has no other special roles or responsibilities within the project team beyond those mentioned above.

Information for the Contact PD/PI should be entered in Form page 1 of the PHS398. All other PD/PIs should be listed on the Form page 1 continuation page and assigned the project role of PD/PI in the list of personnel on Form page 2.

All projects proposing Multiple PD/PIs will be required to include a new section describing the leadership of the project.

Multiple PD/PI Leadership Plan: For applications designating multiple PD/PIs, a new section of the research plan for the overview section of the DCRC II application (see below), entitled Multiple PD/PI Leadership Plan (Section I of the Research Plan in the PHS 398), must be included. A rationale for choosing a multiple PD/PI approach should be described. The governance and organizational structure of the leadership team and the research project should be described, including communication plans, process for making decisions on scientific direction, and procedures for resolving conflicts. The roles and administrative, technical, and scientific responsibilities for the project or program should be delineated for the PD/PIs and other collaborators.

If budget allocation is planned, the distribution of resources to specific components of the project or the individual PD/PIs should be delineated in the Leadership Plan. In the event of an award, the requested allocations may be reflected in a footnote on the Notice of Award.

Applications Involving Multiple Institutions

When multiple institutions are involved in a multiple PD/PI application, one institution must be designated as the prime institution and funding for the other institution(s) must be requested via a subcontract to be administered by the prime institution.

DCRC application overview

Face page. Items 1 - 15: complete these items as instructed.

Form page 2. Using form page 2, provide a succinct but accurate description (abstract) of the overall DCRC II application addressing the overall program, and the ways in which the award will enhance CAM research capacity at the participating organizations, especially the CAM institutions. Do not exceed the space provided.

Under "key personnel," list the Principal Investigator or contact PI, followed by all other key personnel in alphabetical order.

Form page 3 - Table of contents.

Do not use Form page 3; a more comprehensive table of contents is needed for a multi-project application.

Bearing in mind that the application will be scientifically reviewed project by project, including the cores, prepare a detailed table of contents that will enable reviewers to locate specific information pertinent to the overall application and each component research project and core. A page reference should be included for the budget for each project and each core.

Further, each research project should be identified by number (e.g. project 1), title, and responsible Project Co-Leaders, and each core should be identified by letter, title, and responsible Core Leader.

Form page 4 - Detailed budget for initial budget period.

Use Form page 4 of PHS Form 398 as a composite budget for the entire DCRC II application. Indicate the page location of the composite budget in the "Table of Contents." Note: An additional Form page 4 must be used for each individual project and core within the DCRC II application. Narrative justification for individual budget categories should be presented for each of the projects and cores. Include a separate Form page 4 and budget for each participating institution. Subcontracts must be included in the subcontract section of Form page 4 for the prime institution.

Form page 5 - Budget for entire proposed DCRC II period.

Complete the total direct cost line entries for all requested budget periods (years) and the total direct cost for entire period of support for each project and core. Include a separate Form page 5 and budget for each participating institution. Subcontracts must be included in the subcontract section of Form page 5 for the prime institution.

Biographical sketch form page. Biographical sketches of all professional personnel for all components should be placed after item j of the research plan, with the Principal Investigator’s first, followed by those of other key personnel in alphabetical order.

Resources form page. Include documentation of national or regional accreditation of participating CAM institution(s) in this section. Information on resources relevant to individual research projects and cores is to be presented in the individual research project and core sections of the application.

Checklist. Complete for the entire application and place at the end of the application package.

Other support page. Do not complete. Any required information will be requested from successful applicants prior to grant award.

Program overview (research plan).

Foreword: Include a foreword in which you describe relevant previous collaborative arrangements. The specific aims of the prior DCRC award should be reiterated, and progress in achieving these aims, as well as the significance for future CAM research of these achievements, should be briefly delineated. The starting points (research resources and capabilities, including personnel and equipment engaged in CAM research) of the participating institutions should be described. In describing and reporting on progress toward their initial goals, applicants should discuss progress in building research expertise, infrastructure, and productive research collaborations, as well as in their research projects. Applicants should use this section to justify and provide the rationale for the addition or deletion of projects or cores.

This important, narrative section also summarizes the overall research plan for the multi-project application and provides the group of investigators an opportunity to give conceptual wholeness to the overall program by giving a statement of the general aim(s) of the overall research plan and by laying out a broad strategy for accomplishing the goals of the program. Indicate the contribution of each project and core to the overall concept. Include a section that specifically addresses scientific and/or programmatic synergy between projects, and between projects and proposed cores (e.g., the degree of interaction between projects and with the cores must result in a program where "the whole is greater than the sum of its parts"). Include a chart showing the percentage of the activities of each core required for support of each project throughout the requested funding period. Summarize special features in the environment and/or resources of each of the participating institutions that make this application strong or unique.

This section of the application should be structured to optimally present the above information, and is limited to 25 pages.

Items e-j of the research plan are not included in the 25-page limit. They should be completed as appropriate following the standard instructions for each item.

For multiple PD/PI applications, a Multiple PD/PI Leadership Plan must be included in Section I of the overview section of the DCRC II application.

Following item j of the research plan, include letters (on institutional letterhead) from each proposed project Co-Leader and Core Leader confirming their role in the proposed DCRC II, as well as from institutional officials confirming their commitment to the project (see Special Eligibility Criteria in Section III.3, above).

Appendix. Provide a single appendix for the entire document following all other sections of the application.

Specific instructions for individual projects

A cover page is required for each research project and should include the number and title of the project. Use numbers (1,2,3, etc.) to designate individual research projects, give each a title, and provide the names and titles of the Project Leader and co-leader and of other participating investigators. Indicate whether the project will include use of vertebrate animals (if yes, include IACUC approval date and animal welfare assurance number) or human subjects research (if yes, include human subjects assurance number).

The R01-comparable project should be clearly designated as such on the corresponding cover page.

Form page 2. For each proposed project, provide a description (abstract) of the proposed research according to the instructions for form page 2. In addition, the abstract should contain a brief description of how the research project will contribute to attainment of the DCRC II program objectives.

Under "key personnel," follow the standard instructions, listing all key personnel participating in the project, beginning with the Project Leader and Co-Leader. Distinguish co-investigators from other key personnel.

Form page 3. Prepare a table of contents for each research project using form page 3. Since the biographical sketches of all participating investigators will be located at the end of the overall application they should be referenced in the overall table of contents: do not repeat these pages.

Form page 4 - Detailed budget for initial budget period.

Include a separate budget for each participating institution. Subcontracts must be included in the subcontract section of Form page 4 for the prime institution.

Form page 5 - Budget for entire proposed DCRC II period.

Include a separate budget for each participating institution. Subcontracts must be indicated in the budget for the prime institution.

Research plan (a-d). Sections a-d of the research plan for an R01-level project may not exceed a total of 25 pages. For exploratory/developmental (R21-level) projects, do not exceed a total of 20 pages for Items a-d in the research plan for each individual project. Tables, charts, graphs, diagrams and figures must be included within the page limit. Applications that exceed the appropriate page limit or NIH requirements for type size and margins (refer to the standard instructions for details) will be returned to the applicant without further consideration. The research plan page limits do not include Items e-i (Human Subjects, Vertebrate Animals, Literature Cited, Consortia and Consultants/Collaborators).

Item A - Specific aims (typically one page): List in priority order the broad, long-range objectives of the proposed project and describe concisely and realistically the more immediate goals. In addition, state the project's relationship to the DCRC II program goals and how it relates to other research projects within the DCRC II and to the cores.

Item B - Background and significance: Use this section to describe how the proposed research will contribute to meeting the goals and objectives. Explain the rationale for the selection of the general methods and approaches proposed to accomplish the specific aims. In addition to the overall biological significance of the proposed research, this section should indicate the relevance of the project to the theme of the DCRC II.

Item C Preliminary studies: For exploratory/developmental projects, preliminary data as evidence of feasibility are not required. However, a strong rationale for the choice of problem and approach is required, and relevant data should be cited when available. Preliminary data are required for the R01-comparable project, as well as for any projects continued from the initial DCRC award.

A progress report must be provided for each project proposed for continuation. Provide the beginning and ending dates for the period covered since the project was last reviewed competitively. Summarize the specific aims of the project from the previous application and the importance of the findings. Discuss any changes in the specific aims as a result of budget reductions. Include the complete references to appropriate publications and manuscripts accepted for publication (reference list is not included in the page limit).

Item D - Research design and methods: The conceptualization and planning of each project must be sufficient to allow for an assessment of the project's potential. The proposed research must be presented in sufficient detail to allow evaluation of the proposed methods. Appropriate expertise to conduct the proposed research must be included among the key personnel, e.g., for research involving human subjects, statistical and/or clinical trial design expertise (as appropriate) is essential during the design and conduct of research.

Specific instructions for cores

The application must include an Administrative Core led by a/the Principal Investigator of the DCRC II. Other cores may be requested as appropriate. Each additional core must be utilized by at least two projects. Funding for the overall administrative efforts, including expenses for publications demonstrating collaborative efforts, CAM research training for DCRC II personnel, all travel associated with the DCRC II, communication expenses, etc., should be requested in the Administrative Core. The Administrative Core budget should include any funds required for the Internal Steering Committee and External Advisory Committee, as well as funds for attendance of the DCRC II Principal Investigators and Project Leaders and Co-Leaders at an annual, two-day meeting with other NCCAM-funded center PD/PIs in the Baltimore-Washington area.

A cover page is required for each core and should include the letter and title of the core and provide the names and titles of the Core Leader and of other participating investigators.

Form page 2. Provide a description (abstract) of the core activities and services according to the instructions on form page 2. In addition, the abstract should contain a brief description of how the core services will contribute to attainment of the DCRC II program objectives. Justification for cores not included in the original Center should be provided.

Form page 3. Prepare a Table of Contents for each core using form page 3. Since the biographical sketches of all participating investigators will be located in the overview section of the application (and should be referenced in the overall Table of Contents); do not repeat these pages.

Form page 4 - Detailed budget for initial budget period.

Include a separate budget for each participating institution. Subcontracts must be included in the subcontract section of Form page 4 for the prime institution.

Form page 5 - Budget for entire proposed DCRC I period.

Include a separate budget for each participating institution. Subcontracts must be indicated in the budget for the prime institution.

Core Plan

The research (core) plan (items a-d) for each core section is limited to 15 pages.

Item A - Specific aims: State the core's relationship to the DCRC II goals and how it relates to the research projects in the application.

Item B - Background and significance: Use this section to describe how the proposed core activities will contribute to meeting the DCRC II goals and objectives. Explain the rationale for the selection of the general methods and approaches proposed to accomplish the specific aims. These resources should not duplicate resources already available to study investigators. In addition, this section should indicate the relevance of the core activities to the primary theme of the DCRC II.

The plan for the administrative core should describe the accomplishments of the original DCRC grant, including complete lists of publications, career advancement of trainees, and advances in the ability of the participating CAM schools to independently obtain funding for and conduct rigorous CAM research.

A progress report must be provided for each core proposed for continuation. Provide the beginning and ending dates for the period covered since the core was last reviewed competitively. Summarize the specific aims of the core from the previous application and the importance of any findings. Discuss any changes in the specific aims as a result of budget reductions. Include the complete references to appropriate publications and manuscripts accepted for publication (reference list is not included in the 15-page limit).

Appendix. A single appendix for the entire DCRC II application is to follow all projects and the core(s). Order of materials in the appendix should follow that of the application, i.e., starting with materials relevant to the overall program, continuing with materials relevant to the individual projects, and concluding with any materials relevant to the core(s).

Plan for Sharing Research Data

The precise content of the data-sharing plan will vary, depending on the data being collected and how the investigator is planning to share the data. Applicants who are planning to share data may wish to describe briefly the expected schedule for data sharing, the format of the final dataset, the documentation to be provided, whether or not any analytic tools also will be provided, whether or not a data-sharing agreement will be required and, if so, a brief description of such an agreement (including the criteria for deciding who can receive the data and whether or not any conditions will be placed on their use), and the mode of data sharing (e.g., under their own auspices by mailing a disk or posting data on their institutional or personal website, through a data archive or enclave). Investigators choosing to share under their own auspices may wish to enter into a data-sharing agreement. References to data sharing may also be appropriate in other sections of the application.

All applicants must include a plan for sharing research data in their application. The data sharing policy is available at http://grants.nih.gov/grants/policy/data_sharing. All investigators responding to this funding opportunity should include a description of how final research data will be shared, or explain why data sharing is not possible.

The reasonableness of the data sharing plan or the rationale for not sharing research data will be assessed by the reviewers. However, reviewers will not factor the proposed data sharing plan into the determination of scientific merit or the priority score.

Sharing Research Resources

NIH policy expects that grant recipients make unique research resources readily available for research purposes to qualified individuals within the scientific community after publication (NIH Grants Policy Statement http://grants.nih.gov/grants/policy/nihgps_2003/index.htm and http://grants.nih.gov/grants/policy/nihgps_2003/NIHGPS_Part7.htm#_Toc54600131). Investigators responding to this funding opportunity should include a plan for sharing research resources addressing how unique research resources will be shared or explain why sharing is not possible.

The adequacy of the resources sharing plan and any related data sharing plans will be considered by Program staff of the funding organization when making recommendations about funding applications. The effectiveness of the resource sharing will be evaluated as part of the administrative review of each non-competing Grant Progress Report (PHS 2590, http://grants.nih.gov/grants/funding/2590/2590.htm). See Section VI.3. Reporting.

Section V. Application Review Information

1. Criteria

Only the review criteria described below will be considered in the review process.

The following will be considered in making funding decisions:

Scientific merit of the proposed project as determined by peer review
Availability of funds
Relevance of program priorities (http://nccam.nih.gov/research/priorities/index.htm#5)

This funding opportunity will use the U19 cooperative agreement mechanism. Terms and Conditions for the cooperative agreement are provided in Section VI.2.A., below.

2. Review and Selection Process

Applications that are complete and responsive to the RFA will be evaluated for scientific and technical merit by an appropriate peer review group convened by NCCAM in accordance with the review criteria stated below.

As part of the initial merit review, all applications will:

Undergo a selection process in which only those applications deemed to have the highest scientific merit, generally the top half of applications under review, will be discussed and assigned a priority score.
Receive a written critique.
Receive a second level of review by National Advisory Council for Complementary and Alternative Medicine.

A major goal of the DCRC awards is to assist CAM institutions in acquiring research experience. NCCAM recognizes that the institutions that received DCRC support differed in their levels of prior research and research administrative expertise; some had a history of NIH support while others had very limited research experience or infrastructure. While all DCRC are expected to have made progress towards their initial goals, it is to be expected that they will have attained varied levels of achievement, depending on their starting points.

The following aspects of each DCRC II will be evaluated:

1) Individual Research Projects

2) Cores

3) Project Director(s)/Principal Investigator(s)

4) Environment, Including Progress During the Initial DCRC Award

5) Program Synergy

6) Progress of the Overall Program

7) Overall Program

1) Individual Research Projects

The goals of NIH supported research are to advance our understanding of biological systems, to improve the control of disease, and to enhance health. In their written critiques, reviewers will be asked to comment on each of the following criteria in order to judge the likelihood that the proposed research will have a substantial impact on the pursuit of these goals. Each of these criteria will be addressed and considered in assigning the overall score, weighting them as appropriate for each application. Note that an application does not need to be strong in all categories to be judged likely to have major scientific impact and thus deserve a high priority score. For example, an investigator may propose to carry out important work that by its nature is not innovative but is essential to move a field forward.

Significance: Does this study address an important problem? If the aims of the application are achieved, how will scientific knowledge or clinical practice be advanced? What will be the effect of these studies on the concepts, methods, technologies, treatments, services, or preventative interventions that drive this field? How will the research contribute to expertise and infrastructure that will enhance the ability of the participating CAM institution(s) to independently contribute to CAM research in the future? For exploratory/developmental (R21-comparable) projects, evaluate how useful the data will be in the next steps to be taken in developing strong preliminary data to support a more extensive (R01-comparable) research project

Approach: Are the conceptual or clinical framework, design, methods, and analyses adequately developed, well integrated, well reasoned, and appropriate to the aims of the project? Does the applicant acknowledge potential problem areas and consider alternative tactics? For clinical studies, criteria will include the following: Does the proposal include a trial design and sample size that adequately address the objectives? Does it contain a clear description of interventions, of primary and secondary endpoints, of ethical considerations including monitoring? For exploratory/developmental (R21-comparable) projects, preliminary data is not required, but the proposed research area and approach should be supported by the literature. For the R01-comparable project, does the preliminary data support the feasibility and significance of the proposed research? Are there specific and adequate descriptions to address the policy and guidelines on biologically active agents (http://nccam.nih.gov/research/policies/bioactive.htm), if applicable?

Innovation: Is the project original and innovative? For example: Does the project challenge existing paradigms or clinical practice; address an innovative hypothesis or critical barrier to progress in the field? Does the project develop or employ novel concepts, approaches, methodologies, tools, or technologies for this area? Please note that the use of CAM alone does not constitute innovation.

Investigators: Are the investigators appropriately trained and well suited to carry out this work? Is the work proposed appropriate to the experience level of the principal investigator(s) and other researchers? Does the investigative team bring complementary and integrated expertise to the project (if applicable)? Have the project leader and co-leader each committed at least the required 15% effort to the project?

Environment: Does the scientific environment in which the work will be done contribute to the probability of success? Do the proposed studies benefit from unique features of the scientific environment, or subject populations, or employ useful collaborative arrangements? Is there evidence of institutional support? Is there evidence of institutional support at all participating institutions? Are CAM practitioners included as appropriate? Have the investigators displayed creativity in solving problems arising in the projects undertaken during the initial DCRC award? Taking into consideration the level of research experience and infrastructure at the start of the initial DCRC, have the investigators made progress in achieving the original aims?

Based on the evaluation described above, each project will receive a numerical score from 1.0 to 5.0.

2) CORES

Each core will receive a merit descriptor (outstanding, acceptable, unacceptable) that reflects:

Technical merit and justification of the proposed core;
Qualifications, experience, and commitment of the personnel involved in the core;
Adequacy of plans for the use of the core by the research projects and their integration with the core; and
Procedures for monitoring and evaluating the proposed research and for providing ongoing quality control and scientific review, including the proposed organization and activities of the Internal Steering Committee (Administrative Core only);
Previous performance and cost-effectiveness of the core(s).

3) PROJECT DIRECTOR(S)/PRINCIPAL INVESTIGATOR(S)

The PD/PI(s) will be evaluated with respect to:

Leadership and scientific ability to develop a program of integrated research projects; and
Time commitment of a minimum of 30% effort (15% as PD/PI/Administrative Core Leader (or other Core Leader for one PD/PI for multiple PD/PI applications) and 15% as Project Leader of at least one project).

4) RESOURCES AND ENVIRONMENT

Each application will receive a merit descriptor for Resources and Environment (outstanding, acceptable, unacceptable) that reflects the following:

Institutional Commitment

The appropriateness of resources and policies for the administration of the DCRC II;
The degree of incorporation of the DCRC II within the institutional priorities of the participating institutions;
As applicable, the degree to which the letters of support from senior faculty and/or institutional leaders address the need for mentoring of inexperienced Project Leaders and Co-Leaders to ensure the success of the collaboration; and
The extent to which the letters of support from senior faculty and/or institutional leaders indicate institutional commitment to the DCRC II.
Collaborative Environment
The degree to which the participating faculty and department(s) at conventional institutions have a track record of publications and successful NIH grant applications indicative of their ability to provide successful mentoring;
The degree to which the participating investigators have established a track record of productive collaboration, including progress towards the specific aims of the original DCRC award, as well as the development of CAM research infrastructure and CAM-conventional partnership(s). Progress from the starting point of the initial DCRC award should be a critical consideration;
The degree to which the letters of support from senior faculty and/or institutional leaders address actions needed to build/enhance CAM research capacity at the participating CAM institution(s) and add to their ability to independently obtain research support from the NIH and/or other funders;
The degree to which the research projects will enhance collaborations between CAM investigators and clinicians and conventionally trained scientists;
The relationship of the proposed DCRC II to other programs in the participating organizations and the likelihood that this award will result in ongoing collaborative relationships between the partners;
Strength of the evidence that the staff of the CAM and conventional institutions worked together closely to prepare the application;
Extent to which the participating institutions have a track record of productive collaboration;
The adequacy of provisions made for day-to-day oversight, coordination, regular communication between investigators and sites, as well as of support and logistical services needed to make the collaboration successful;
For applications designating multiple PD/PIs, the degree to which the leadership approach, including the designated roles and responsibilities, governance, and organizational structure, is consistent with and justified by the aims of the project and the expertise of each of the PD/PI; and
The extent to which the plan for the Internal Steering Committee is likely to support the development and/or continued growth of strong collaborative relationships and research between the participating investigators and clinicians.

Resources

Adequacy of facilities to support the proposed research, including clinical facilities, laboratory facilities and data management systems, as needed.

5) PROGRAM SYNERGY

Each application will receive a merit descriptor (highly integrated, integrated, not integrated) that reflects the degree of synergy of the proposed DCRC II. In particular, program synergy will be evaluated on:

The potential for scientific impact of the proposed DCRC II, which should be greater than that the sum of its component research projects and cores, i.e., the proposed components should interact synergistically, in that the projects/cores should have the potential to scientifically enhance each other.
Demonstration of an effective relationship among collaborating departments and institutions, including documentation of current relationships, as well as the functions, commitments and contributions that each collaborating member will bring to the proposed project.
The nature, scope, and effectiveness of the plans for communication, coordination, and collaboration among research project investigators.
Evidence that scientific synergy has occurred as indicated by joint publications and new collaborative aims and/or projects.

6) PROGRESS OF THE OVERALL PROGRAM

Overall progress of this DCRC will receive a merit descriptor (outstanding, acceptable, unacceptable) that reflects the progress and achievements specific to this DCRC since the research was initiated, in light of the participating institutions levels of prior research and research administrative expertise; both continuing and discontinued projects should be assessed. Evaluate the evidence that the previous specific aims have been accomplished and that the new research goals are logical extensions, as well as the justification for adding new projects or deleting components of the original DCRC.

7) OVERALL PROGRAM

A single numerical priority score will be assigned to the DCRC II application as a whole. In assigning the priority score for the application as a whole, although primary emphasis will be placed on scientific merit of the research projects and past productivity, significant consideration will also be given to the strength of core(s), the leadership ability of the Principal Investigator(s), institutional commitment, collaborative environment and extent to which the projects and core(s) interact with and inform each other. The degree to which the proposed goals of the DCRC II will likely lead to the submission of further competitive grant applications to conduct CAM research to NCCAM and other NIH Institutes/Centers or other funding agencies will also be considered.

An application in which the reviewers consider no more than two component research projects to be of substantial and significant scientific merit will not satisfy the requirements for this U19 award, and therefore will not be recommended for further consideration (NRFC).

2.A. Additional Review Criteria:

In addition to the above criteria, the following items will continue to be considered in the determination of scientific merit and the priority score:

Protection of Human Subjects from Research Risk: The involvement of human subjects and protections from research risk relating to their participation in the proposed research will be assessed (see the Research Plan, Section E on Human Subjects in the PHS Form 398).

Inclusion of Women, Minorities and Children in Research: The adequacy of plans to include subjects from both genders, all racial and ethnic groups (and subgroups), and children as appropriate for the scientific goals of the research will be assessed. Plans for the recruitment and retention of subjects will also be evaluated (see the Research Plan, Section E on Human Subjects in the PHS Form 398).

Care and Use of Vertebrate Animals in Research: If vertebrate animals are to be used in the project, the five items described under Section F of the PHS Form 398 research grant application instructions will be assessed.

Biohazards: If materials or procedures are proposed that are potentially hazardous to research personnel and/or the environment, determine if the proposed protection is adequate.

2.B. Additional Review Considerations

Budget: The reasonableness of the proposed budget and the requested period of support in relation to the proposed research. The priority score should not be affected by the evaluation of the budget.

2.C. Sharing Research Data

Data Sharing Plan: The reasonableness of the data sharing plan or the rationale for not sharing research data may be assessed by the reviewers. However, reviewers will not factor the proposed data sharing plan into the determination of scientific merit or the priority score. The funding organization will be responsible for monitoring the data sharing policy. http://grants.nih.gov/grants/policy/data_sharing.

2.D. Sharing Research Resources

NIH policy expects that grant recipients make unique research resources readily available for research purposes to qualified individuals within the scientific community after publication (See the NIH Grants Policy Statement http://grants.nih.gov/grants/policy/nihgps/part_ii_5.htm#availofrr and

http://www.ott.nih.gov/policy/rt_guide_final.html). Investigators responding to this funding opportunity should include a sharing research resources plan addressing how unique research resources will be shared or explain why sharing is not possible.

Program staff will be responsible for the administrative review of the plan for sharing research resources.

The adequacy of the resources sharing plan will be considered by Program staff of the funding organization when making recommendations about funding applications. Program staff may negotiate modifications of the data and resource sharing plans with the awardee before recommending funding of an application. The final version of the data and resource sharing plans negotiated by both will become a condition of the award of the grant. The effectiveness of the resource sharing will be evaluated as part of the administrative review of each non-competing Grant Progress Report (PHS 2590). See Section VI.3. Reporting.

3. Anticipated Announcement and Award Dates

N/A.

Section VI. Award Administration Information

1. Award Notices

After the peer review of the application is completed, the PD/PI will be able to access his or her Summary Statement (written critique) via the eRA Commons.

If the application is under consideration for funding, NIH will request "just-in-time" information from the applicant. For details, applicants may refer to the NIH Grants Policy Statement Part II: Terms and Conditions of NIH Grant Awards, Subpart A: General (http://grants.nih.gov/grants/policy/nihgps_2003/NIHGPS_part4.htm).

A formal notification in the form of a Notice of Award (NoA) will be provided to the applicant organization. The NoA signed by the grants management officer is the authorizing document. Once all administrative and programmatic issues have been resolved, the NoA will be generated via email notification from the awarding component to the grantee business official (designated in item 12 on the Application Face Page). If a grantee is not email enabled, a hard copy of the NoA will be mailed to the business official.

Selection of an application for award is not an authorization to begin performance. Any costs incurred before receipt of the NoA are at the recipient's risk. These costs may be reimbursed only to the extent considered allowable pre-award costs. See Also Section IV.5. Funding Restrictions.

2. Administrative and National Policy Requirements

All NIH grant and cooperative agreement awards include the NIH Grants Policy Statement as part of the NoA. For these terms of award, see the NIH Grants Policy Statement Part II: Terms and Conditions of NIH Grant Awards, Subpart A: General (http://grants.nih.gov/grants/policy/nihgps_2003/NIHGPS_Part4.htm) and Part II Terms and Conditions of NIH Grant Awards, Subpart B: Terms and Conditions for Specific Types of Grants, Grantees, and Activities (http://grants.nih.gov/grants/policy/nihgps_2003/NIHGPS_part9.htm).

The following Terms and Conditions will be incorporated into the award statement and will be provided to the Principal Investigator as well as to the appropriate institutional official, at the time of award.

2.A. Cooperative Agreement Terms and Conditions of Award

The following special terms of award are in addition to, and not in lieu of, otherwise applicable OMB administrative guidelines, HHS grant administration regulations at 45 CFR Parts 74 and 92 (Part 92 is applicable when State and local Governments are eligible to apply), and other HHS, PHS, and NIH grant administration policies.

The administrative and funding instrument used for this program will be the cooperative agreement U19, an "assistance" mechanism (rather than an "acquisition" mechanism), in which substantial NIH programmatic involvement with the awardees is anticipated during the performance of the activities. Under the cooperative agreement, the NIH purpose is to support and stimulate the recipients' activities by involvement in and otherwise working jointly with the award recipients in a partnership role; it is not to assume direction, prime responsibility, or a dominant role in the activities. Consistent with this concept, the dominant role and prime responsibility resides with the awardees for the project as a whole, although specific tasks and activities may be shared among the awardees and the NIH as defined below.

2.A.1. Principal Investigator Rights and Responsibilities

The Principal Investigator(s) of the Developmental Center for Research on CAM: Phase II (DCRC II will have the primary responsibility for:

Defining DCRC II objectives and approaches;
Planning, conducting, analyzing, and publishing results, interpretations, and conclusions of the DCRC II research and other activities;
Coordinating and maintaining project activities within his or her institution, with collaborating scientists, and with the NCCAM Project Scientist coordinate activities including External Advisory Committee meetings (see below); and
Establishing and Chairing the Internal Steering Committee. Each full member of the ISC will have one vote. Awardee members of the Steering Committee will be required to accept and implement policies approved by the ISC.

The applicant (awardee) institution and the PD/ PI(s), as described in the Leadership Plan) will be responsible for the collaborative research activities in the DCRC II. The awardee institution will be legally and financially responsible and accountable for the use and disposition of funds awarded, and will attest to the availability of personnel and facilities capable of performing and supporting the administrative functions of the DCRC II.

Awardees will retain custody of and have primary rights to the data and software developed under these awards, subject to Government rights of access consistent with current HHS, PHS, and NIH policies.

2.A.2. NIH Responsibilities

An NIH Project Scientist will have substantial programmatic involvement that is above and beyond the normal stewardship role in awards, as described below.

Additionally, an agency program official or IC program director will be responsible for the normal scientific and programmatic stewardship of the award and will be named in the award notice.

The NCCAM Project Scientist will:

Have substantial scientific and programmatic involvement with the awardees by providing technical assistance, advice and coordination above and beyond normal program stewardship of research grants;
Facilitate the coordination necessary to manage this complex project;
Participate as an ex officio member of the Internal Steering Committee;
Participate as a non-voting member of the External Advisory Committee;
Participate in monitoring progress of ongoing studies;
Participate in planning and implementing efforts to disseminate information;
Participate in data interpretation and, when appropriate, in the preparation of publications and presentations;
Be subject to the same publication/authorship policies governing all participants in the study, as well as to the official NIH publication policy governing extramural employees.

The NCCAM Program Official:

Will provide normal program stewardship and review the scientific progress of individual research project components and the use of the core resource facilities among the research projects within each cooperative agreement;
Will monitor compliance of the award with the operating policies of the DCRC II Request for Applications;
Will recommend approval of new projects for implementation in years 2-4, based on review by the EAC or other external advisors;
May recommend withholding support, suspension, or termination of an award for lack of scientific progress or failure to adhere to policies outlined in this DCRC II Request for Applications or the Award Statement.
Is responsible for establishing a DCRC II External Advisory Committee (EAC), in consultation with the DCRC II PD/PI(s), and working with the PD/PI(s) to coordinate regular EAC meetings. The EAC will be composed of the Program Official, who will serve ex officio, and up to five external advisors with appropriate expertise to provide advice relative to the objectives of the program. The EAC will serve as the primary advisory body of the DCRC II, and the Program Official will rely on the EAC for objective evaluation of the Program.

The EAC will:

Monitor progress of the research projects;
Monitor the effectiveness of communication and collaboration;
Monitor the use of core resources by DCRC II participants and other investigators;
Review protocols and recommend implementation of any projects prepared to replace projects initially funded;
Evaluate the effectiveness of the DCRC II Principal Investigator(s); and
Identify problems and suggest possible solutions.

The EAC's evaluations and recommendations, in the form of a written annual report, are to be submitted to the Program Official and the DCRC II Principal Investigator, and will be used by the Program Official and the DCRC II PD/PI(s) to guide and direct the program. Subcommittees with additional ad hoc advisors may be established by the EAC as necessary in order to meet its planning, priority setting and evaluation responsibilities. Awardees generally will be expected to accept and implement the recommendations of the EAC; in those situations where implementation of the recommendations is not feasible, the DCRC II Principal Investigator must provide a thorough explanation and rationale to NCCAM. The first EAC meeting will be convened by the Awardee nine months after the award date. The EAC will meet annually three months before the anniversary of the DCRC II award date, until the final year of the award.

2.A.3. Collaborative Responsibilities

Internal Steering Committee: The PD/PI(s) is/are responsible for establishing an Internal Steering Committee (ISC), which will consist of the DCRC II PD/PI(s) and appropriate investigators from each of the collaborating institutions as full voting members. The NCCAM Project Scientist serves as an ex officio non-voting member. The ISC will have responsibility for directing and monitoring the progress of the research projects. In addition, the ISC must develop opportunities for information exchange, and data sharing. Each ISC member (or their surrogate) will be expected to participate in all committee activities, e.g., videoconferences, conference calls, special subcommittees as may be necessary, etc. Outside ad hoc consultants can be added as desired.

Each full member will have one vote. Awardee members of the Steering Committee will be required to accept and implement policies approved by the Steering Committee.

2.A.4. Arbitration Process

Any disagreements that may arise in scientific or programmatic matters (within the scope of the award) between award recipients and the NIH may be brought to arbitration. An Arbitration Panel composed of three members will be convened. It will have three members: a designee of the Steering Committee chosen without NIH staff voting, one NIH designee, and a third designee with expertise in the relevant area who is chosen by the other two; in the case of individual disagreement, the first member may be chosen by the individual awardee. This special arbitration procedure in no way affects the awardee's right to appeal an adverse action that is otherwise appealable in accordance with PHS regulations 42 CFR Part 50, Subpart D and HHS regulations 45 CFR Part 16.

3. Reporting

Awardees will be required to submit the PHS Non-Competing Grant Progress Report, Form 2590 annually (http://grants.nih.gov/grants/funding/2590/2590.htm) and financial statements as required in the NIH Grants Policy Statement.

Section VII. Agency Contacts

We encourage your inquiries concerning this funding opportunity and welcome the opportunity to answer questions from potential applicants. Inquiries may fall into three areas: scientific/research, peer review, and financial or grants management issues:

1. Scientific/Research Contacts:

Barbara Sorkin, Ph.D
Coordinator, Centers for Research on CAM Program
National Center for Complementary and Alternative Medicine
6707 Democracy Blvd., Suite 401
Bethesda, MD 20892
Telephone: (301) 594-8018
FAX: (301) 480 3621
Email: [email protected]

2. Peer Review Contacts:

Martin Goldrosen, Ph.D.
Acting Director of Extramural Activities
National Center for Complementary and Alternative Medicine
6707 Democracy Blvd., Suite 401
Bethesda , MD 20892
Telephone: (301) 594-2014
FAX: (301) 480-2419
Email: [email protected]

3. Financial or Grants Management Contacts:

George Tucker, MBA
Office of Grants Management
National Center for Complementary and Alternative Medicine
6707 Democracy Blvd., Suite 401
Bethesda, MD 20892-5475
Telephone: (301) 594-9102
Fax: 301-480-1552
Email: [email protected]

Section VIII. Other Information

Required Federal Citations

Use of Animals in Research:
Recipients of PHS support for activities involving live, vertebrate animals must comply with PHS Policy on Humane Care and Use of Laboratory Animals (http://grants.nih.gov/grants/olaw/references/PHSPolicyLabAnimals.pdf) as mandated by the Health Research Extension Act of 1985 (http://grants.nih.gov/grants/olaw/references/hrea1985.htm), and the USDA Animal Welfare Regulations (http://www.nal.usda.gov/awic/legislat/usdaleg1.htm) as applicable.

Human Subjects Protection:
Federal regulations (45CFR46) require that applications and proposals involving human subjects must be evaluated with reference to the risks to the subjects, the adequacy of protection against these risks, the potential benefits of the research to the subjects and others, and the importance of the knowledge gained or to be gained (http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm).

Data and Safety Monitoring Plan:
Data and safety monitoring is required for all types of clinical trials, including physiologic toxicity and dose-finding studies (phase I); efficacy studies (Phase II); efficacy, effectiveness and comparative trials (Phase III). Monitoring should be commensurate with risk. The establishment of data and safety monitoring boards (DSMBs) is required for multi-site clinical trials involving interventions that entail potential risks to the participants (NIH Policy for Data and Safety Monitoring, NIH Guide for Grants and Contracts, http://grants.nih.gov/grants/guide/notice-files/not98-084.html).

Sharing Research Data:
Investigators submitting an NIH application seeking $500,000 or more in direct costs in any single year are expected to include a plan for data sharing or state why this is not possible (http://grants.nih.gov/grants/policy/data_sharing).

Investigators should seek guidance from their institutions, on issues related to institutional policies and local IRB rules, as well as local, State and Federal laws and regulations, including the Privacy Rule. Reviewers will consider the data sharing plan but will not factor the plan into the determination of the scientific merit or the priority score.

Access to Research Data through the Freedom of Information Act:
The Office of Management and Budget (OMB) Circular A-110 has been revised to provide access to research data through the Freedom of Information Act (FOIA) under some circumstances. Data that are (1) first produced in a project that is supported in whole or in part with Federal funds and (2) cited publicly and officially by a Federal agency in support of an action that has the force and effect of law (i.e., a regulation) may be accessed through FOIA. It is important for applicants to understand the basic scope of this amendment. NIH has provided guidance at http://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm. Applicants may wish to place data collected under this funding opportunity in a public archive, which can provide protections for the data and manage the distribution for an indefinite period of time. If so, the application should include a description of the archiving plan in the study design and include information about this in the budget justification section of the application. In addition, applicants should think about how to structure informed consent statements and other human subjects procedures given the potential for wider use of data collected under this award.

Sharing of Model Organisms:
NIH is committed to support efforts that encourage sharing of important research resources including the sharing of model organisms for biomedical research (see http://grants.nih.gov/grants/policy/model_organism/index.htm). At the same time the NIH recognizes the rights of grantees and contractors to elect and retain title to subject inventions developed with Federal funding pursuant to the Bayh Dole Act (see the NIH Grants Policy Statement http://grants.nih.gov/grants/policy/nihgps_2003/index.htm). All investigators submitting an NIH application or contract proposal, beginning with the October 1, 2004 receipt date, are expected to include in the application/proposal a description of a specific plan for sharing and distributing unique model organism research resources generated using NIH funding or state why such sharing is restricted or not possible. This will permit other researchers to benefit from the resources developed with public funding. The inclusion of a model organism sharing plan is not subject to a cost threshold in any year and is expected to be included in all applications where the development of model organisms is anticipated.

Inclusion of Women And Minorities in Clinical Research:
It is the policy of the NIH that women and members of minority groups and their sub-populations must be included in all NIH-supported clinical research projects unless a clear and compelling justification is provided indicating that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. This policy results from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43). All investigators proposing clinical research should read the "NIH Guidelines for Inclusion of Women and Minorities as Subjects in Clinical Research (http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-001.html); a complete copy of the updated Guidelines is available at http://grants.nih.gov/grants/funding/women_min/guidelines_amended_10_2001.htm. The amended policy incorporates: the use of an NIH definition of clinical research; updated racial and ethnic categories in compliance with the new OMB standards; clarification of language governing NIH-defined Phase III clinical trials consistent with the new PHS Form 398; and updated roles and responsibilities of NIH staff and the extramural community. The policy continues to require for all NIH-defined Phase III clinical trials that: a) all applications or proposals and/or protocols must provide a description of plans to conduct analyses, as appropriate, to address differences by sex/gender and/or racial/ethnic groups, including subgroups if applicable; and b) investigators must report annual accrual and progress in conducting analyses, as appropriate, by sex/gender and/or racial/ethnic group differences.

Inclusion of Children as Participants in Clinical Research:
The NIH maintains a policy that children (i.e., individuals under the age of 21) must be included in all clinical research, conducted or supported by the NIH, unless there are scientific and ethical reasons not to include them.

All investigators proposing research involving human subjects should read the "NIH Policy and Guidelines" on the inclusion of children as participants in research involving human subjects (http://grants.nih.gov/grants/funding/children/children.htm).

Required Education on the Protection of Human Subject Participants:
NIH policy requires education on the protection of human subject participants for all investigators submitting NIH applications for research involving human subjects and individuals designated as key personnel. The policy is available at http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html.

Human Embryonic Stem Cells (hESC):
Criteria for federal funding of research on hESCs can be found at http://stemcells.nih.gov/index.asp and at http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-005.html. Only research using hESC lines that are registered in the NIH Human Embryonic Stem Cell Registry will be eligible for Federal funding (http://escr.nih.gov). It is the responsibility of the applicant to provide in the project description and elsewhere in the application as appropriate, the official NIH identifier(s) for the hESC line(s)to be used in the proposed research. Applications that do not provide this information will be returned without review.

NIH Public Access Policy:
NIH-funded investigators are requested to submit to the NIH manuscript submission (NIHMS) system (http://www.nihms.nih.gov) at PubMed Central (PMC) an electronic version of the author's final manuscript upon acceptance for publication, resulting from research supported in whole or in part with direct costs from NIH. The author's final manuscript is defined as the final version accepted for journal publication, and includes all modifications from the publishing peer review process.

NIH is requesting that authors submit manuscripts resulting from 1) currently funded NIH research projects or 2) previously supported NIH research projects if they are accepted for publication on or after May 2, 2005. The NIH Public Access Policy applies to all research grant and career development award mechanisms, cooperative agreements, contracts, Institutional and Individual Ruth L. Kirschstein National Research Service Awards, as well as NIH intramural research studies. The Policy applies to peer-reviewed, original research publications that have been supported in whole or in part with direct costs from NIH, but it does not apply to book chapters, editorials, reviews, or conference proceedings. Publications resulting from non-NIH-supported research projects should not be submitted.

For more information about the Policy or the submission process please visit the NIH Public Access Policy Web site at http://publicaccess.nih.gov/ and view the Policy or other Resources and Tools including the Authors' Manual (http://publicaccess.nih.gov/publicaccess_Manual.htm).

Standards for Privacy of Individually Identifiable Health Information:
The Department of Health and Human Services (DHHS) issued final modification to the "Standards for Privacy of Individually Identifiable Health Information", the "Privacy Rule", on August 14, 2002 . The Privacy Rule is a federal regulation under the Health Insurance Portability and Accountability Act (HIPAA) of 1996 that governs the protection of individually identifiable health information, and is administered and enforced by the DHHS Office for Civil Rights (OCR).

Decisions about applicability and implementation of the Privacy Rule reside with the researcher and his/her institution. The OCR website (http://www.hhs.gov/ocr/) provides information on the Privacy Rule, including a complete Regulation Text and a set of decision tools on "Am I a covered entity?" Information on the impact of the HIPAA Privacy Rule on NIH processes involving the review, funding, and progress monitoring of grants, cooperative agreements, and research contracts can be found at http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-025.html.

URLs in NIH Grant Applications or Appendices:
All applications and proposals for NIH funding must be self-contained within specified page limitations. For publications listed in the appendix and/or Progress report, internet addresses (URLs) must be used for publicly accessible on-line journal articles. Unless otherwise specified in this solicitation, Internet addresses (URLs) should not be used to provide any other information necessary for the review because reviewers are under no obligation to view the Internet sites. Furthermore, we caution reviewers that their anonymity may be compromised when they directly access an Internet site.

Healthy People 2010:
The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2010," a PHS-led national activity for setting priority areas. This RFA is related to one or more of the priority areas. Potential applicants may obtain a copy of "Healthy People 2010" at http://www.health.gov/healthypeople.

Authority and Regulations:
This program is described in the Catalog of Federal Domestic Assistance at http://www.cfda.gov/ and is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. Awards are made under the authorization of Sections 301 and 405 of the Public Health Service Act as amended (42 USC 241 and 284) and under Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92. All awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement. The NIH Grants Policy Statement can be found at http://grants.nih.gov/grants/policy/policy.htm.

The PHS strongly encourages all grant recipients to provide a smoke-free workplace and discourage the use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care, or early childhood development services are provided to children. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people.

Loan Repayment Programs:
NIH encourages applications for educational loan repayment from qualified health professionals who have made a commitment to pursue a research career involving clinical, pediatric, contraception, infertility, and health disparities related areas. The LRP is an important component of NIH's efforts to recruit and retain the next generation of researchers by providing the means for developing a research career unfettered by the burden of student loan debt. Note that an NIH grant is not required for eligibility and concurrent career award and LRP applications are encouraged. The periods of career award and LRP award may overlap providing the LRP recipient with the required commitment of time and effort, as LRP awardees must commit at least 50% of their time (at least 20 hours per week based on a 40 hour week) for two years to the research. For further information, please see: http://www.lrp.nih.gov.