NHLBI MENTORED MINORITY FACULTY DEVELOPMENT AWARD (K01) Release Date: June 13, 2001 RFA: RFA-HL-01-020 National Heart, Lung, and Blood Institute (http://www.nhlbi.nih.gov) Letter of Intent Receipt Date: July 18, 2001 Application Receipt Date: August 15, 2001 PURPOSE This program provides support to underrepresented minority faculty members, with varying levels of research experience, to enable them to prepare themselves for research careers as independent investigators. The research development programs of the candidate should be based on their scholastic background, previous research experience, past achievements, and potential to develop into an independent research investigator. The objective of this one- time award is to develop highly trained minority investigators whose basic or clinical research interests are grounded in the advanced methods and experimental approaches needed to solve problems related to cardiovascular, pulmonary, hematologic, and sleep disorders. 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 Request for Applications (RFA), NHLBI Mentored Minority Faculty Development Award, 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/. ELIGIBILITY REQUIREMENTS Applications may be submitted by domestic, for-profit and non-profit organizations, public and private, such as universities, colleges, hospitals, laboratories, units of State and local governments, and eligible agencies of the Federal government. Foreign institutions are not eligible for the NHLBI Mentored Minority Faculty Development Award (K01) grants. The NHLBI Mentored Minority Faculty Development Award (K01) provides research development opportunities for underrepresented minority faculty members with varying levels of research experience who are committed to developing into independent biomedical or behavioral investigators. The award will enable suitable faculty candidates holding doctoral degrees, such as the Ph.D., M.D., D.O., D.V.M., or an equivalent, to undertake three to five years of specialized study and supervised research under the guidance of a mentor competent in the area of proposed research. The goal is to develop the research skills of the minority faculty candidate. Minority scientists and physicians with limited research experience needing guided course work and supervised laboratory experiences, as well as minority faculty needing only an intensive research experience under the guidance of an established scientist, are eligible to apply. It is envisioned that most candidates for this award will hold non-tenured faculty appointments (such as instructor or assistant professor), although in some instances other individuals may be eligible to apply (such as individuals due to be appointed to a faculty position or individuals with tenured faculty positions). For the purpose of this program, underrepresented minority faculty members are defined as individuals belonging to a particular ethnic or racial group that has been determined by the grantee institution to be underrepresented in biomedical or behavioral research. Nationally, the NHLBI considers Black, Hispanic, American Indian, Alaska Native and Pacific Islanders to be underrepreseted. At the time of award, it is required that at least two years have elapsed since the receipt of the doctoral degree and that the candidate have at least one year of documented research experience. Current or past Principal Investigators of an NIH grant or its equivalent, including the Clinical Investigator Award, Physician Scientist Award, Clinical Investigator Development Award, Mentored Clinical Scientist Development Award, or Mentored Patient-Oriented Research Career Development Award are not eligible for the NHLBI Mentored Minority Faculty Development Award. Similarly, individuals serving as responsible investigators or project leaders on large grants, such as a Program Project Grant, are not eligible for award. An individual who has previously received support from the Minority Access to Research Careers (MARC), Minority Biomedical Research Support (MBRS) Program, Academic Research Enhancement Award (AREA), or a minority supplement are eligible to apply. MECHANISM OF SUPPORT This RFA will use the NHLBI Mentored Minority Faculty Development Award (K01) award mechanism of support. Responsibility for the planning, direction, and execution of the proposed training project will be solely that of the applicant. The total project period for an application submitted in response to this RFA must be at least three but not more than five years. The anticipated award date is April 1, 2002. This solicitation has been announced every year for the past several years, and the receipt date has typically been in August or September. If the solicitation is announced again next year, the receipt date is expected to be in June. For this RFA, no detailed budget is required. However, total direct costs for all years must be provided in addition to the name, role on project, percent effort and narrative justification for all key project personnel. Other Support information for the applicant is not required as part of the initial application. Other Support information is required, however, for the mentor. If there is a possibility for an award, necessary budget, and Other Support information will be requested by NHLBI staff following the initial review. The Application Procedures section of this RFA provides specific details of modifications to standard PHS 398 application kit instructions. FUNDS AVAILABLE The estimated funds (total costs) available for the first year of support for the entire program is expected to be $1.2 million in Fiscal Year 2002 (October 1, 2001-September 30, 2002). The actual amount may vary, depending on the response to the RFA and availability of funds. Ten to twelve new awards are anticipated. OBJECTIVES Background The proportion of biomedical investigators who are members of underrepresented minority groups is strikingly lower than the percentage of minority U.S. citizens. There has been a dramatic increase in the number of underrepresented minorities in the basic biomedical workforce going from 1,076 in 1975 to 3,943 in 1997. In spite of this increase, minorities remain a small percentage of the overall biomedical workforce. In 1997, 4.2 percent of biomedical scientists were underrepresented minorities, compared to 2.6 percent in 1975. (Addressing the Nation's Changing Needs for Biomedical Scientists, National Research Council, 2000). One method of increasing the number of minority faculty members is to improve their research capabilities. In so doing, the pool of minority biomedical and biobehavioral investigators in cardiovascular, pulmonary, and hematologic research, and sleep disorders can be increased. Furthermore, these minority individuals may serve as role models for minority undergraduate and graduate students, and stimulate these students to become more cognizant of research opportunities in cardiovascular, pulmonary, hematologic, and sleep disorders. PROVISIONS OF THE AWARD Applicant Institution Applications will be accepted from domestic colleges or universities, medical schools, or comparable institutions. The application must include a plan that identifies personnel and other resources to be devoted to the candidate. In addition, evidence of institutional commitment to the candidate's research development and level of effort should be included in a statement from the institution. The statement should also address the institution's plans for the candidate during and following the tenure of the award. The statement should be signed by an institutional official (e.g., a dean) and the candidate's department chair. Minority Candidate To receive an award under this program, individuals must have been awarded a doctoral degree, such as the Ph.D., M.D., D.O., D.V.M., or an equivalent degree at least two years prior to the award and have a full-time faculty appointment at an accredited college or university at the time of award. Candidates for this award must be either citizens or noncitizen nationals of the United States or have been admitted lawfully to the United States for permanent residence (i.e., in possession of the Alien Registration Receipt Card, I-155). Noncitizen nationals are generally persons born in outlying possessions of the United States (i.e., American Samoa and Swains Island). An individual admitted lawfully for permanent residence must submit with the application a notarized statement indicating possession of the Alien Registration Receipt Card. Individuals on temporary or student visas are not eligible. The candidate's academic background, previous experience, and career goals should determine both the necessary length and the kind of program that is appropriate. The applicant institution should provide a statement in the application that the candidate is a member of an underrepresented minority group and describe the evidence that this group is underrepresented. Mentor Each candidate must identify a mentor(s) who is an accomplished investigator in the proposed research area and has experience in developing independent investigators. The mentor is not required to be affiliated with the applicant institution. If the mentor is affiliated with another institution, appropriate documentation must be provided concerning the relationship of the applicant institution and the mentor's institution, as well as a clear delineation of the arrangements proposed for the research development program at a location distinct from the applicant institution. The mentor must submit a written plan for the development of the candidate and provide guidance during the preparation of the research project. A secondary mentor may also be proposed, but the primary mentor must continue to be involved throughout the award period. In some cases candidates may choose to have both a basic research mentor or a research mentor and a career development mentor. The mentor must submit a report each year on the candidate's progress which should be included in the annual progress report. Research Development Program All research development programs should be carefully tailored to meet the candidates needs and must include a mentor(s) who is competent to provide appropriate research guidance. All candidates must provide a full description of the research and career development plan for the period of the award. The proposed plan must include hands-on research experience, with either a clinical or a basic science focus, for the entire three to five year period. Awardees, in conjunction with their mentor(s), are required to submit a detailed annual progress report. For minority candidates with minimal research experience, the development program may be designed to start with a creative and detailed scientific learning experience and progress to an intensive research activity under the guidance of an appropriate mentor(s). The first year or two of the program may incorporate any needed course work, and seminars and other educational experiences necessary to prepare the candidate for the subsequent research program, but must include a hands-on research experience. This initial phase of the program may resemble a traditional postdoctoral research training program. The remainder of the development plan could include an intensive, fully-described research program and research projects that can be reasonably completed within the planned period. During this latter phase, the program should provide for progressive development of the individual into an independent investigator. If the minority candidate has already acquired some research experience, as might be obtained through a research fellowship, but needs further development under the guidance of an appropriate mentor(s), the candidate may propose a three to five year program encompassing an advanced research experience focusing on a specific research project. Such a candidate may take additional courses or engage in special instruction in research techniques in other laboratories for a reasonable period of time if needed. During the latter phases of the award, the relationship of the mentor and candidate may more closely resemble that of collaborators. Individuals with significant research experience in the proposed field of study should not apply for this award but rather should consider applying for independent research grant support. Because the research training environment provides a powerful context in which to promote responsible research practices, all competing applications must include a description of formal or informal activities or instruction related to the responsible conduct of research that will be incorporated into the proposed research training program. Advisory Committee A committee composed of the candidate's mentor(s) and two or three other senior faculty members should be identified. This advisory committee should meet with the candidate to review the research development plan and research project, to evaluate the awardee's progress, and to provide guidance for scientific career development. The roles and scheduled meeting times of the Advisory Committee should be described in the application. Duration and Effort The award is granted for three to five years depending on the needs of the candidate and the evaluation of the initial review group and the National Heart, Lung, and Blood Advisory Council. It is not renewable and all funds must be used on behalf of the original candidate. Substitution of another mentor and/or a change of institution may be permitted with the prior approval of the NHLBI. A minimum of 75% effort must be devoted to the research program. The remainder may be devoted to other clinical and teaching pursuits that are consistent with the program goals; i.e., the candidate's development into an independent biomedical scientist or the maintenance of the teaching and/or clinical skills needed for an academic research career. The candidate must have a "full-time" appointment at the applicant institution. In general, candidates who have Veteran's Administration (VA) appointments may not consider part of the VA effort toward satisfying the "full-time" requirement at the applicant institution. However, it is permissible for part or all of the research program to be conducted in a VA laboratory, for example if the mentor has a VA appointment, so long as the above conditions are satisfied as they apply to the NHLBI Mentored Minority Faculty Development Award. Allowable Costs Salary - Individual compensation is based on the institution's salary scale for individuals at an equivalent experience level. The maximum salary for recipients of K01 Career Awards is $75,000 per year plus commensurate fringe benefits for full-time professional effort (i.e., 75% to 100%). The salary must be consistent with both the established salary structure at the institution and with salaries actually provided by the institution from its own funds to other staff members of equivalent qualifications, rank, and responsibilities in the department concerned. The NHLBI Research Career Development Award Programs require the recipients to devote a minimum of 75% effort to the research plan being supported by the career development award; the remaining 25% effort should be devoted to research and research-related activities such as teaching, patient care, or other research-related activities. If 100% effort is to be devoted to the research program during the "summer months," the percent effort for the remainder of the year may be reduced provided that the effort over the course of the year is at least 75%. NIH policy permits supplementation of salary from non-Federal sources. Supplementation from other Federal funds is not allowed unless explicitly authorized by the program from which the funds are derived and the NHLBI. Under certain circumstances and with prior NHLBI approval, other NIH funds may be used for supplementary salary support if derived from a grant for which the awardee applied after receipt of the K01 award. Mentor's Salary - Salary support may be requested for the primary mentor up to a level commensurate with 5% effort. If the mentor is at a different institution than the applicant institution, arrangements for the transfer of funds for the mentor's salary and, if necessary, for research expenses should be formalized in a contract or written agreement with the mentor's institution and included as part of the application. The mentor's salary support is considered as separate and distinct from funds requested for the candidate's salary or research and development support. The percent effort may exceed 5% for selected periods of time, provided the total effort for the budget period (12 months) does not exceed 5%. If the mentor's salary is requested as a consortium cost, the subcontracting grantee is only allowed to request Facilities and Administrative Costs based on 8% of total allowable direct costs. The mentor's salary should not be included in the research and development costs. Research and Development Costs - A maximum of $30,000 per year may be requested for research project requirements and related support, (e.g., technical personnel costs, supplies, equipment, candidate travel, telephone charges, publication costs, and tuition for necessary courses). Facilities and Administrative Costs - Funds will be provided for the reimbursement of facilities and administrative costs at a rate of 8% of the total direct costs of each award, exclusive of tuition, fees, and expenditures for equipment. Concurrent Applications NHLBI Mentored Minority Faculty Development Award applications may not be submitted or awarded concurrently with other NIH applications, such as the Independent Scientist Award, Mentored Clinical Scientist Development Award, Academic Award, Research Project Grant, or Mentored Patient-Oriented Research Career Development Award. Subsequent Applications for NIH Research Support During the later years of the NHLBI Mentored Minority Faculty Development Award (K01), incumbents are encouraged to apply for independent research support (e.g., R01, etc.). K01 recipients who are successful in obtaining NIH research grant support may not receive salary support from the research grant for the duration of the award except under certain circumstances and with prior NHLBI approval. After the conclusion or termination of the award, salary support should transfer to the research grant. K01 recipients who apply for research grant support are encouraged to include salary and all other research needs in the research grant application for the period following completion of the K01. Alternatively, recipients of research grant awards may terminate the K01 prior to the start of the research grant. Training in the Responsible Conduct of Research: Candidates must describe plans to receive instruction in the responsible conduct of research. These plans must detail the proposed subject matter, format, frequency and duration of instruction. No award will be made if an application lacks this component. In addition, before funds are awarded for competing applications involving human subjects, applicants must provide a description of education completed in the protection of human subjects for each individual identified as "key personnel" in the proposed research. Key personnel include all individuals responsible for the design and conduct of the study. Further information on this requirement is available in the June 5, 2000 NIH Guide for Grants and Contracts, available at: https://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS 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 biomedical and behavioral research projects involving human subjects, unless a clear and compelling rationale and justification are 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 research involving human subjects should read the UPDATED "NIH Guidelines for Inclusion of Women and Minorities as Subjects in Clinical Research," published in the NIH Guide for Grants and Contracts on August 2, 2000 (https://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-048.html); a complete copy of the updated Guidelines are available at https://grants.nih.gov/grants/funding/women_min/guidelines_update.htm: The revisions relate to NIH defined Phase III clinical trials and require: a) all applications or proposals and/or protocols to 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) all investigators to report accrual, and to conduct and report analyses, as appropriate, by sex/gender and/or racial/ethnic group differences. INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN SUBJECTS It is the policy of NIH that children (i.e., individuals under the age of 21) must be included in all human subjects research, conducted or supported by the NIH, unless there are scientific and ethical reasons not to include them. This policy applies to all initial (Type 1) applications submitted for receipt dates after October 1, 1998. 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 that was published in the NIH Guide for Grants and Contracts, March 6, 1998, and is available at the following URL address: https://grants.nih.gov/grants/guide/notice-files/not98-024.html Investigators also may obtain copies of these policies from the program staff listed under INQUIRIES. Program staff may also provide additional relevant information concerning the policy. PUBLIC 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 public 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: https://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm Applicants may wish to place data collected under this RFA 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. URLS IN NIH GRANT APPLICATIONS OR APPENDICES All applications and proposals for NIH funding must be self-contained within specified page limitations. Unless otherwise specified in an NIH solicitation, internet addresses (URLs) should not be used to provide information necessary to the review because reviewers are under no obligation to view the Internet sites. Reviewers are cautioned that their anonymity may be compromised when they directly access an Internet site. LETTER OF INTENT Prospective applicants are asked to submit a letter of intent that includes a descriptive title of the proposed research, the name, address, and telephone number of the Principal Investigator, the identities of other key personnel and participating institutions, and the number and title of the RFA in response to which the application may be submitted. 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 NHLBI staff to estimate the potential review workload and plan for the review. The letter of intent is to be sent to Dr. Deborah Beebe at the address listed under INQUIRIES by July 18, 2001. APPLICATION PROCEDURES The research grant application form PHS 398 (rev. 4/98) is to be used in applying for these grants. These forms are available at most institutional offices of sponsored research and from the Division of Extramural Outreach and Information Resources, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/435-0174, email: GrantsInfo@nih.gov The RFA label available in the PHS 398 (rev. 4/98) application form 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 (NHLBI MENTORED MINORITY FACULTY DEVELOPMENT AWARD) and number (HL-01-020) must be typed on line 2 of the face page of the application form, and the YES box must be marked. The sample RFA label available at https://grants.nih.gov/grants/funding/phs398/label-bk.pdf has been modified to allow for this change. Please note this is in pdf format. 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 BETHESDA, MD 20817 (for express/courier service) At the time of submission, two additional copies of the application and all six copies of the appendix material must be sent to Dr. Deborah Beebe at the address listed under INQUIRIES. Applications must be received by August 15, 2001. If an application is received after that date, it will be returned to the applicant without review. The Center for Scientific Review (CSR) will not accept any application in response to this RFA that is essentially the same as one currently pending initial review, unless the applicant withdraws the pending application. The CSR will not accept any application that is essentially the same as one already reviewed. This does not preclude the submission of substantial revisions of applications already reviewed, but such applications must include an introduction addressing the previous critique. REVIEW CONSIDERATIONS Upon receipt, applications will be reviewed for completeness by the CSR and responsiveness by the NHLBI. Incomplete and/or non-responsive applications will be returned to the applicant without further consideration. Applications that are complete and responsive to the RFA will be evaluated for scientific and technical merit by a Special Emphasis Panel in the Division of Extramural Affairs, NHLBI, in accordance with the review criteria stated below. As part of the initial merit review, all applications will receive a written critique and undergo a process in which only those applications deemed to have the highest scientific merit, generally the top half of the applications under review, will be discussed, assigned a priority score, and receive a second level review by the National Heart, Lung, and Blood Advisory Council. Review Criteria The following criteria will be considered when assessing the merits of the proposed NHLBI Mentored Minority Faculty Development Award Program: o Candidate -- The candidate's overall competence as demonstrated by previous training and research performance, potential for a career as an independent researcher, and commitment toward pursuit of an academic research career. o Career Development Plan -- The quality of the research career development plan, based on the candidate's past research experience, training, and career goals as demonstrated by such things as research experience, attendance at scientific meetings, and participation in journal clubs and research seminars. o Research Project -- Scientific merit of the proposed research project and its appropriateness as a vehicle for developing the candidate's research skills. o Mentor(s) -- The mentor's accomplishments in the scientific research area(s) proposed, experience and record in training investigators, and commitment for the duration of a candidate's research development. A curriculum vitae with relevant publications and a list of current and pending research support must be included for all mentors. Mentors should also include a list of current and past research trainees (not more than the last 10 years) with information on their current positions. This information should be provided for the co- mentor, if relevant and for the members of the Advisory Committee. o Environment -- The applicant institution's ability to provide adequate facilities, resources, and opportunities necessary for the candidate's training, and the institutional commitment to the candidate. If the mentor's institution is different from the applicant institution, the quality and extent of interaction of the faculty in the basic and clinical sciences, and the quality of the research and research training programs. o Institutional commitment -- The institution's commitment to the development of the candidate. In addition to the above criteria, in accordance with NIH policy, all applications will also be reviewed with respect to the following: o The adequacy of plans to include both genders, minorities and their subgroups, and children as research subjects as appropriate for the scientific goals of the research. Plans for the recruitment and retention of subjects will also be evaluated. o The reasonableness of the proposed budget and duration in relation to the proposed research. The personnel category will be reviewed for appropriate staffing based on the requested percent effort and justification provided. o The adequacy of the proposed protection for humans, animals or the environment, to the extent they may be adversely affected by the project proposed in the application. Schedule Letter of Intent Receipt Date: July 18, 2001 Application Receipt Date: August 15, 2001 Peer Review Date: October/November 2001 Council Review: February 2002 Earliest Anticipated Start Date: April 1, 2002 AWARD CRITERIA Award criteria that will be used to make award decisions include: o scientific merit (as determined by peer review) o availability of funds o programmatic priorities. INQUIRIES Inquiries concerning this RFA are encouraged. The opportunity to clarify any issues or answer questions from potential applicants is welcome. Direct inquiries regarding programmatic issues to: Lorraine M. Silsbee, M.H.S. Division of Epidemiology and Clinical Applications (responding for all NHLBI programmatic Divisions) National Heart, Lung, and Blood Institute 6701 Rockledge Drive, MSC 7934 Bethesda, MD 20892-7934 Telephone: (301) 435-0709 FAX: (301) 480-1667 Email: silsbeeL@nhlbi.nih.gov Direct inquiries regarding review issues to: Deborah Beebe, Ph.D. Chief, Review Branch Division of Extramural Affairs National Heart, Lung, and Blood Institute Two Rockledge Center, Room 7178 6701 Rockledge Drive, MSC 7924 Bethesda, MD 20892-7924 Bethesda, MD 20817 (for express mail) Telephone: (301) 435-0270 FAX: (301) 480-3541 Email: BeebeD@nhlbi.nih.gov Direct inquiries regarding fiscal matters to: Tanya McCoy Grants Operations Branch National Heart, Lung, and Blood Institute 6701 Rockledge Drive, MSC 7926 Bethesda, MD 20892-7926 Telephone: (301) 435-0171 FAX: (301) 480-3310 Email: mccoyt@nhlbi.nih.gov AUTHORITY AND REGULATIONS This program is described in the Catalog of Federal Domestic Assistance, numbers 93.233, 93.837, 93.838, and 93.839. Awards are made under authorization of Sections 301 and 405 of the Public Health Service Act as amended (42 USC 241 and 284) and administered under NIH grants policies and Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or a Health Systems Agency Review. The PHS strongly encourages all grant recipients to provide a smoke-free workplace and promote the non-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.
Return to NIH Guide Main Index
Office of Extramural Research (OER) |
National Institutes of Health (NIH) 9000 Rockville Pike Bethesda, Maryland 20892 |
Department of Health and Human Services (HHS) |
||||||||
Note: For help accessing PDF, RTF, MS Word, Excel, PowerPoint, Audio or Video files, see Help Downloading Files. |