Release Date:  January 12, 2000

RFA:  OH-00-001 

National Institute for Occupational Safety and Health
Letter of Intent Date: February 15, 2000
Application Receipt Date: April 19, 2000



The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 2000 funds for grant applications for 
research on childhood agricultural safety and health.  Projects are 
sought which will conduct research to: 1) develop new or enhance 
existing control technologies to reduce injury to youth exposed to 
agricultural production hazards or 2) evaluate the effectiveness of 
commonly used educational materials or training designed to increase 
childhood agricultural safety and health behaviors.  Findings from 
these projects are intended to advance the scientific base of 
knowledge needed to maximize the safety and health of children exposed 
to agricultural production hazards.

The research needs identified in this announcement are consistent with 
the National Occupational Research Agenda (NORA) developed by NIOSH 
and partners in the public and private sectors to provide a framework 
to guide occupational safety and health research in the new millennium 
towards topics which are most pressing and most likely to yield gains 
to the worker and the nation.  The agenda identifies 21 research 
priorities.  NORA priorities with specific relevance to this 
announcement are: traumatic injuries; special populations at risk; 
control technology; and intervention effectiveness research.  
Information about NORA is available through the NIOSH Home Page;


CDC is committed to achieving the health promotion and disease 
prevention objectives of "Healthy People 2000," a national activity to 
reduce morbidity and mortality and improve the quality of life.  This 
Request For Applications (RFA) is related to the priority areas of 
"Occupational Safety and Health" and "Unintentional Injuries."  
Potential applicants may obtain a copy of  "Healthy People 2000" (Full 
Report, Stock No. 017-001-00474-0 or Summary Report, Stock No. 
017-001-00473-1) through the Superintendent of Documents, Government 
Printing Office, Washington, DC 20402-9325, telephone (202) 512-1800.


Applications may be submitted by domestic and foreign, public and 
private nonprofit and for-profit organizations and by governments and 
their agencies; that is, universities, colleges, research 
institutions, hospitals, other public and private nonprofit and 
for-profit organizations, State and local governments or their bona 
fide agents, and federally recognized Indian tribal governments, 
Indian tribes, or Indian tribal organizations.  Note:  Public Law 
104-65 states that an organization described in section 501(c)(4) of 
the Internal Revenue Code of 1986 which engages in lobbying activities 
is not eligible to receive Federal funds constituting an award, grant 
(cooperative agreement), contract, loan, or any other form.


Approximately $1,600,000 is available in fiscal year (FY) 2000 to fund 
7-10 research project grants under this RFA. Awards are anticipated to 
range from $150,000 to $250,000 in total costs (direct and facilities 
and administrative) per year.  A higher budget may be requested, but 
only if the applicant first corresponds with program staff (see 
contact in the INQUIRIES section) and receives written approval prior 
to the submission deadline.  Applicants should include in their 
budgets funds for one trip per year for an annual meeting of grantees 
to be held in Morgantown, West Virginia.

Awards will be made for a 12-month budget period within a project 
period not to exceed 3 years.  Continuation awards within the project 
period will be made on the basis of satisfactory progress and 
availability of funds in future years. 

Awards are expected to begin in August 2000.  Only applications that 
are found to be of high scientific merit will be considered for 
funding, and not all of the funds will be spent if there are not 
enough highly meritorious applications. 


The mechanism of support will be the individual research project grant 
(R01).  The total requested project period for an application 
submitted in response to this RFA may not exceed three years.  
Specific application instructions have been modified to reflect 
"MODULAR GRANT" and "JUST-IN-TIME" streamlining efforts (see BUDGET 
INSTRUCTIONS).  The modular grant concept establishes specific modules 
in which direct costs may be requested as well as a maximum level for 
requested budgets.  Only limited budgetary information is required 
under this approach.  The just-in-time concept allows applicants to 
submit certain information only when there is a possibility for an 
award.  It is anticipated that these changes will reduce the 
administrative burden for the applicants, reviewers and Institute 
staff.  Complete and detailed instructions and information on Modular 
Grants can be found at

Applications will request direct costs in $25,000 modules, up to a 
direct cost request of $250,000 per year (however, see "FUNDS 
AVAILABLE" for guidance on budget).  A typical modular grant 
application will request the same number of modules in each year.
Application budgets will be simplified.  Detailed categorical budget 
information will not be submitted with the application; budget form 
pages of the application kits will not be used.  Instead, total direct 
costs requested for each year will be presented.  Information, in 
narrative form, will be provided only for Personnel and, when 
applicable, for Consortium/Contractual Costs.  See section on 

Additional narrative budget justification will be required in the 
application only if there is a variation in the number of modules 

There will be no routine escalation for future years.  In determining 
the total for each budget year, applicants should first consider the 
direct cost of the entire project period.  Well-justified modular 
increments or decrements in the total direct costs for any year of the 
project that reflect substantial changes in expected future activities 
may be requested.  For example, purchase of major equipment in the 
first year may justify a higher overall budget in the first, but not 
in succeeding years. 

AOther Support@ pages of the PHS 398 will not be submitted with the 
application.  Information on research projects ongoing or completed 
during the last three years of the principal investigator and key 
personnel will be provided as part of the "Biographical Sketch."  This 
information will include the specific aims, overall goals and 
responsibilities and should include Federal and non-Federal support.  
This information will be used by reviewers in the assessment of each 
individuals qualifications for a specific role in the proposed 

Following peer review, information about AOther Research Support@ will 
be requested from the applicant for applications being considered for 
award.  Additional budget information will be requested only under 
special circumstances. 

This RFA is a one-time solicitation.  Future unsolicited competing 
continuation applications will compete with all investigator-initiated 
applications and be reviewed according to the customary peer review 
procedures.  Responsibility for the planning, direction, and execution 
of the proposed project will be solely that of the applicant.



Agricultural production, which consistently ranks among the industries 
with the highest rates of work-related injuries and deaths in the 
United States, is unique with respect to children and adolescents.  
This is the only industry in which the workplace is often also a home. 
 Work by youth under 14 years of age is common and exposures to work 
hazards are not confined to working youths.  Research is needed to 
expand the knowledge base for the development and implementation of 
effective and appropriate intervention strategies. 

Analysis of death certificates suggest that approximately 100 injury 
deaths occur on farms each year to youth 19 years of age and younger. 
 These include deaths of youth who lived on the farm, visited the farm 
and or worked on the farm, but exclude transport-related fatalities.  
In 1998, as part of the Childhood Agricultural Injury Prevention 
Initiative, NIOSH, through the United States Department of 
Agriculture, conducted a childhood agricultural injury survey of 
50,000 farm households.  An injury was defined as any condition which 
occurred on the farm which resulted in at least 4 hours of restricted 
activity.  An estimated 32,800 agriculture-related injuries occurred 
nationally to children or adolescents under the age of 20 who lived 
on, worked directly for, or visited a farm in 1998.  Of these 
injuries, 44%, or about 15,000, were work-related injuries.

Farm tractors, farm machinery, stored grain, power lines, manure pits, 
ponds, and livestock are among the many injury hazards youth are 
exposed to in the agricultural workplaces.  Children and adolescents 
may be exposed to agricultural production hazards not only through 
work activities, but by virtue of living on a farm or ranch, 
accompanying their parents to work, or visiting farms or ranches.

Research Goals

The focus of these grants should facilitate progress in maximizing the 
safety and health of children and adolescents exposed to agricultural 
hazards.  The rationale for the significance of the research and 
application to the prioritization, development, or implementation of 
intervention efforts must be developed in the proposal.  Proposals 
will be accepted which focus on one of two research areas: 1) the 
development of new or the enhancement of existing control technologies 
to reduce injury to youth exposed to the hazards of production 
agriculture or 2) rigorously evaluate the effectiveness of commonly 
used educational materials or training designed to increase childhood 
agricultural safety and health behaviors.  Proposals should identify 
the types and geographical distribution of agricultural production 
which will be addressed, and the size and characteristics of child and 
adolescent populations which can potentially be impacted by the 
research findings. 

1. Develop New or Enhance Existing Control Technologies

Control technologies, in the broadest sense, include any strategy 
which will control the exposure of children to agricultural hazards.  
Exposures to agricultural hazards may be ameliorated through 
engineering controls and/or administrative controls.  Examples of 
research efforts which are appropriate under this priority area 
include, but are not limited to: a) engineering controlsBthese could 
encompass the development of new or the application and evaluation of 
existing equipment or devices which could prevent childhood 
agricultural injuries, such as ensuring that agricultural structures 
have proper barriers and warnings, developing and evaluating play area 
designs to reduce child exposures to hazards, and developing and 
evaluating sensor technology to notify operators or automatically shut 
down machines when children are in harms way and/or b) administrative 
controlsB these could encompass the evaluation of the impact of 
changes in work practices, such as limiting the type of work a youth 
does (i.e., not allowing youth under 16 to drive tractors), 
modification of work periods, (such as limiting the amount of time a 
youth works), limiting the exposure of the youth (ensuring equipment 
in the work environment is properly shielded), and the type and amount 
of training and supervision given to the young worker. 

2. Evaluate commonly used educational materials or training

Evaluations of commonly used and available education or training 
programs are needed to determine their effectiveness for increasing 
childhood agricultural safety and health.  Existing childhood 
education or training programs which need evaluation include, but are 
not limited to: farm safety day camps; tractor and/or machine operator 
safety certification programs; school-based agricultural safety and 
health curricula, including apprenticeship and vocational agriculture 
education training programs; community-based agricultural safety and 
health programs; and the North American Guidelines for Childhood 
Agricultural Tasks (NAGCAT).  NAGCAT information is available at

Research projects must include process and outcome measures.  Process 
measures must be detailed enough to allow for replication in other 
areas.  Outcome measures of interest include, but are not limited to: 
exposure to injury hazards, knowledge of safety and health hazards, 
documenting safety and health behavior change, and incidence of 
childhood agricultural injuries.  The research proposals need to 
indicate that the study design and size is sufficient to detect 
intervention effects, and to evaluate the changes in outcomes of 
interest from the intervention with confounding variables, such as 
natural change, extraneous events, etc.  Evaluation results will guide 
decisions in the future that will direct implementation of those 
programs which have demonstrated success in reducing injury.  Guidance 
for such research is available in a new NIOSH publication A Model for 
Research on Training Effectiveness that is available through the NIOSH 
Home Page;

Useful References 
The following documents may also provide useful information: 

National Committee for Childhood Agricultural Injury Prevention.  
Children and Agriculture: Opportunities for Safety and Health.  
Marshfield, WI: Marshfield Clinic, 1996. 

North American Guidelines for Children=s Agricultural Tasks (NAGCAT)

National Institute for Occupational Safety and Health.  A Model for 
Research on Training Effectiveness.  Cincinnati, OH: U.S. Department 
of Health and Human Services, Public Health Service, Centers for 
Disease Control and Prevention, National Institute for Occupational 
Safety and Health, DHHS (NIOSH) Publication No.96-142 

National Institute for Occupational Safety and Health.  National 
Occupational Research Agenda. Cincinnati, OH: U.S. Department of 
Health and Human Services, Public Health Service, Centers for Disease 
Control and Prevention, National Institute for Occupational Safety and 
Health, DHHS (NIOSH) Publication No.96-115 


Human Subjects

If a project involves research on human subjects, assurance (in 
accordance with Department of Health and Human Services Regulations, 
45 CFR Part 46) of the protection of human subjects is required.  In 
addition to other applicable committees, Indian Health Service (IHS) 
institutional review committees also must review the project if any 
component of IHS will be involved with or will support the research.  
If any American Indian community is involved, its tribal government 
must also approve that portion of the project applicable to it.  
Unless the grantee holds a Multiple Project Assurance, a Single 
Project Assurance is required, as well as an assurance for each 
subcontractor or cooperating institution that has immediate 
responsibility for human subjects.  The Office for Protection from 
Research Risks (OPRR) at the National Institutes of Health (NIH) 
negotiates assurances for all activities involving human subjects that 
are supported by the Department of Health and Human Services.

Animal Subjects Requirements

If the proposed project involves research on animal subjects, 
compliance with the "PHS Policy on Humane Care and Use of Laboratory 
Animals by Awardee Institutions" is required.  An applicant (as well 
as each subcontractor or cooperating institution that has immediate 
responsibility for animal subjects) proposing to use vertebrate 
animals in CDC-supported activities must file (or have on file) the 
Animal Welfare Assurance with the Office for the Protection from 
Research Risks (OPRR) at the National Institutes of Health.  The 
applicant must provide in the application the assurance of compliance 
number and evidence of review and approval (including the date of the 
most recent approval) by the Institutional Care and Use Committee 


It is the policy of the Centers for Disease Control and Prevention 
(CDC) to ensure that individuals of both sexes and the various racial 
and ethnic groups will be included in CDC-supported research projects 
involving human subjects, whenever feasible and appropriate.  Racial 
and ethnic groups are those defined in OMB Directive No. 15 and 
include American Indian or Alaska Native, Asian, Black or African 
American, Hispanic or Latino, Native Hawaiian or Other Pacific 
Islander.  Applicants shall ensure that women, racial and ethnic 
minority populations are appropriately represented in applications for 
research involving human subjects.  Where clear and compelling 
rationale exist that inclusion is inappropriate or not feasible, this 
situation must be explained as part of the application.  This policy 
does not apply to research studies when the investigator cannot 
control the race, ethnicity, and/or sex of subjects.  Further guidance 
to this policy is contained in the Federal Register, Vol. 60, No. 179, 
pages 47947-47951, and dated Friday, September 15, 1995.

This policy was published in the NIH Guide for Grants and Contracts, 
March 18, 1994, and is available at:


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:


Prospective applicants are asked to submit, by February 15, 2000, a 
letter of intent that includes the number and title of the RFA, a 
descriptive title of the proposed research, the name, address, and 
telephone number of the Principal Investigator, and the identities of 
other key personnel and participating institutions.  Although a letter 
of intent is not required, is not binding, and is not used in the 
review of an application, the information that it contains is used to 
estimate the potential review workload and avoid conflict of interest 
in the review.

The letter of intent is to be submitted to: 

Ms. Ann Cronin
Office of Extramural Programs
National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention (CDC)
1600 Clifton Road, N.E.
Building 1, Room 3070B, MS D-40
Atlanta, GA  30333
Telephone 404-639-2376; Fax 404-639-0035


Applicants must use Form PHS 398 (rev. 4/98).  Application kits are 
available at most institutional offices of sponsored research and may 
be obtained from the Division of Extramural Outreach and Information 
Resources, National Institutes of Health, 6701 Rockledge Drive, MSC 
7910, Bethesda, MD 20892-7910, telephone 301/710-0267,  Email:  Application kits are also available at:


The total direct costs must be requested in accordance with the 
program guidelines and the modifications made to the standard PHS 398 
application instructions described below:

o  FACE PAGE: Items 7a and 7b should be completed, indicating Direct 
Costs (in $25,000 increments up to a maximum of $250,000) and Total 
Costs  [Modular Total Direct plus Facilities and Administrative (F&A) 
costs] for the initial budget period.  (However, see "FUNDS AVAILABLE" 
for guidance on budget.)  Items 8a and 8b should be completed 
indicating the Direct and Total Costs for the entire proposed period 
of support. 

Form Page 4 of the PHS 398.  It is not required and will not be 
accepted with the application.

the categorical budget table on Form Page 5 of the PHS 398.  It is not 
required and will not be accepted with the application.

Narrative page. 
(See for sample 
pages.) At the top of the page, enter the total direct costs requested 
for each year.

o  Under Personnel, List key project personnel, including their names, 
percent of effort, and roles on the project. No individual salary 
information should be provided.

For Consortium/Contractual costs, provide an estimate of total costs 
(direct plus facilities and administrative) for each year, each 
rounded to the nearest $1,000.  List the individuals/organizations 
with whom consortium or contractual arrangements have been made, the 
percent effort of key personnel, and the role on the project.  
Indicate whether the collaborating institution is foreign or domestic. 
 The total cost for a consortium/contractual arrangement is included 
in the overall requested modular direct cost amount.

Provide an additional narrative budget justification for any variation 
in the number of modules requested. 

o  BIOGRAPHICAL SKETCH - The Biographical Sketch provides information 
used by reviewers in the assessment of each individual's 
qualifications for a specific role in the proposed project, as well as 
to evaluate the overall qualifications of the research team.  A 
biographical sketch is required for all key personnel, following the 
instructions below.  No more than three pages may be used for each 
person.  A sample biographical sketch may be viewed at:

- Complete the educational block at the top of the form page.
- List position(s) and any honors.
- Provide information, including overall goals and responsibilities, 
on research projects ongoing or completed during the last three years.
- List selected peer-reviewed publications, will full citations.

o  CHECKLIST - This page should be completed and submitted with the 
If the F&A rate agreement has been established, indicate the type of 
agreement and the date.  It is important to identify all exclusions 
that were used in the calculation of the F&A costs for the initial 
budget period and all future budget years.

o  The applicant should provide the name and phone number of the 
individual to contact concerning fiscal and administrative issues if 
additional information is necessary following the initial review.

Applications not conforming to these guidelines will be considered 
unresponsive to this RFA and will be returned without further review.

The RFA label found in the PHS 398 (rev. 4/98) application form must 
be affixed to the bottom of the face page of the application and must 
display the number of this RFA (OH-00-01).  A sample RFA label is 
available at:
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 (Childhood Agricultural Safety 
and Health Research) and number (OH-00-001) must be typed on line 2 of 
the face page of the application form and the YES box must be marked.

If the proposed project involves organizations or persons other than 
those affiliated with the applicant organization, letters of support 
and/or cooperation must be included.

Submit a signed, typewritten original, including the checklist, and 
three signed, clear, and single sided photocopies in one package to:

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 
must also be sent to Ms. Ann Cronin at the address under LETTER OF 

Applications must be received by April 19, 2000.  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.


Upon receipt, applications will be reviewed for completeness by CSR 
and responsiveness by NIOSH.  Applicants should clearly indicate in 
the project Description (page 2 of application) which priority area of 
this RFA is being addressed by their proposal.  Applications 
determined to be incomplete or unresponsive to this RFA will be 
returned to the applicant without further consideration.

Applications that are complete and responsive to the RFA will be 
reviewed for technical merit by a scientific review group convened by 
NIOSH.  Reviewers will identify those applications with the highest 
scientific merit, which generally comprise the top half of 
applications reviewed.  Those applications will be discussed fully and 
assigned a priority score between 100 and 300 (100 is the best 
possible score).  For all other applications, there will be a limited 
discussion and they will not be scored.  Notification of the 
scientific review results will be sent to the applicants after the 

Following the scientific review, applications will receive a review 
for programmatic importance. 

Scientific Review Criteria

o  Significance - Does this study address an important problem related 
to the topical research issues outlined in this solicitation?  If the 
aims of the application are achieved, how will scientific knowledge be 
advanced?  What will be the effect of these studies on the concepts or 
methods that drive this field?

o  Approach - Are the conceptual framework, design (including 
composition of study population), methods, and analyses adequately 
developed, well-integrated and appropriate to the aims of the project? 
 Does the applicant acknowledge potential problem areas and consider 
alternative tactics?

o  Innovation - Does the project employ novel concepts, approaches or 
methods?  Are the aims original and innovative? Does the project 
challenge existing paradigms or develop new methodologies or 

o  Investigator - Is the investigator appropriately trained and well 
suited to carry out this work?  Is the work proposed appropriate to 
the experience level of the principal investigator and other 
researchers, if any?

o  Environment - Does the scientific environment in which the work 
will be done contribute to the probability of success?  Do the 
proposed experiments take advantage of unique features of the 
scientific environment or employ useful collaborative arrangements?  
Is there documentation of cooperation from industry, unions, or other 
participants in the project, where applicable?  Is there evidence of 
institutional support and availability of resources necessary to 
perform the project?

The scientific review group will also examine the appropriateness of 
proposed project budget and duration; the adequacy of plans to include 
both genders, minorities and their subgroups, and children as 
appropriate for the  scientific goals of the research and plans for 
the recruitment and retention of subjects; the provisions for the 
protection of human and animal subjects; and the safety of the 
research environment.

The personnel category will be reviewed for appropriate staffing based 
on the requested percent effort.  The direct costs budget request will 
be reviewed for consistency with the proposed methods and specific 
aims.  Any budgetary adjustments recommended by the reviewers will be 
in $25,000 modules.  The duration of support will be reviewed to 
determine if it is appropriate to ensure successful completion of the 
requested scope of the project.

Programmatic Review Criteria:

o  Magnitude of the problem in terms of numbers of workers affected.

o  Severity of the disease or injury in the worker population.

o  Likelihood of developing applied technical knowledge for the 
prevention of occupational safety and health hazards on a national or 
regional basis.


Final funding decisions are based on the recommendations of the 
scientific and programmatic reviews, balance of awards across the 
areas of research goals of this RFA, and availability of funds.  
Awards are expected to begin in August 2000.


Inquiries concerning this RFA are encouraged.  The opportunity to 
clarify any issues or questions from potential applicants is welcome. 
 This RFA and other CDC Announcements can be found on the CDC HomePage 
( under the "Funding" section (see AGrants and Cooperative 
Agreements@ scroll down to AOccupational Safety and Health@).  This 
RFA can also be found on the NIOSH HomePage ( under 
"Extramural Programs", "Current Funding Opportunities".

Direct inquiries regarding programmatic issues to:

Roy M. Fleming, Sc.D.
Director, Research Grants Program
National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention
1600 Clifton Road, N.E.
Building 1, Room 3053, MS D-30
Atlanta, GA  30333
Telephone: 404/639-3343
FAX: 404/639-4616

Direct inquiries regarding grants management matters to:

Joanne Wojcik
Grants Management Branch
Procurement and Grants Office
Centers for Disease Control and Prevention
2920 Brandywine Road, Suite 3000
Atlanta, GA 30341-4146
Telephone: 770/488-2717
FAX: 770/488-2777


Applicants should be aware of restrictions on the use of HHS funds for 
lobbying of Federal or State legislative bodies.  Under the provisions 
of 31 U.S.C. Section 1352, recipients (and their subtier contractors) 
are prohibited from using appropriated Federal funds (other than 
profits from a Federal contract) for lobbying congress or any Federal 
agency in connection with the award of a particular contract, grant, 
cooperative agreement, or loan.  This includes grants/cooperative 
agreements that, in whole or in part, involve conferences for which 
Federal funds cannot be used directly or indirectly to encourage 
participants to lobby or to instruct participants on how to lobby.

In addition no part of PHS appropriated funds, shall be used, other 
than for normal and recognized executive-legislative relationships, 
for publicity or propaganda purposes, for the preparation, 
distribution, or use of any kit, pamphlet, booklet, publication, 
radio, television, or video presentation designed to support or defeat 
legislation pending before the Congress or any State or local 
legislature, except in presentation to the Congress or any State or 
local legislature itself.  No part of the appropriated funds shall be 
used to pay the salary or expenses of any grant or contract recipient, 
or agent acting for such recipient, related to any activity designed 
to influence legislation or appropriations pending before the Congress 
or any State or local legislature.


The Catalog of Federal Domestic Assistance number is: 93.262 for the 
National Institute for Occupational Safety and Health (NIOSH).  This 
program is authorized under the Public Health Service Act, as amended, 
Section 301(a) [42 U.S.C. 241(a)], and the Occupational Safety and 
Health Act of 1970, Section 20(a) [29 U.S.C. 669(a)].  The applicable 
program regulation is 42 CFR Part 52.  This program is not subject to 
the intergovernmental review requirements of executive order 12372 or 
Health Systems Agency Review.


CDC strongly encourages all grant recipients to provide a smoke-free 
workplace and promote the non-use of all tobacco products, and Public 
Law 103- 227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities that receive Federal funds in which education, 
library, day care, health care, and early childhood development 
services are provided to children.

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