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federal register

Tuesday
May 4, 1999

Part VI

Department of
Education
National Institute on Disability and
Rehabilitation Research; Final Funding
Priorities for Fiscal Years 1999–2000 for
Certain Centers and Projects; Inviting
Applications for New Awards Under the
Disability and Rehabilitation Research
Project and Centers Program for Fiscal
Year (FY) 1999; Notices
23988 Federal Register / Vol. 64, No. 85 / Tuesday, May 4, 1999 / Notices

DEPARTMENT OF EDUCATION funds to support particular research Changes: None.


activities is contained in sections 202(g)
National Institute on Disability and Priority 2: Rehabilitation for Children
and 204 of the Rehabilitation Act of
Rehabilitation Research; Notice of With Disabilities With Special Health
1973, as amended (29 U.S.C. 762(g) and
Final Funding Priorities for Fiscal Care Needs
764).
Years 1999–2000 for Certain Centers Note: This notice of final priorities does
Comment: Thirty-three commenters
and Projects not solicit applications. A notice inviting urged NIDRR to establish an RRTC on
applications is published elsewhere in this Pediatric Trauma and fund a National
AGENCY: Department of Education.
issue of the Federal Register. Pediatric Trauma Registry (NPTR).
SUMMARY: The Secretary announces final Discussion: After consulting with
funding priorities for four Rehabilitation Analysis of Comments and Changes other agencies carrying out related
Research and Training Centers (RRTCs) On February 25, 1999 the Secretary pediatric research and reviewing the
and two Disability and Rehabilitation published a notice of proposed research portfolios of current NIDRR
Research Projects (DRRPs) under the priorities in the Federal Register (64 FR grantees that carry out pediatric
National Institute on Disability and 9422). The Department of Education research, NIDRR will consider
Rehabilitation Research (NIDRR) for received 40 letters commenting on the establishing an RRTC on Pediatric
fiscal years 1999–2000. The Secretary notice of proposed priorities by the Trauma. After conducting a formal
takes this action to focus research deadline date. An analysis of the evaluation of the current NPTR, NIDRR
attention on areas of national need.
comments and of the changes in the will consider establishing a new NPTR.
These priorities are intended to improve
priorities since publication of the Changes: None.
rehabilitation services and outcomes for
proposed priorities follows. Other Comment: The RRTC should address
individuals with disabilities.
substantive issues are discussed under the healthcare access problems of
EFFECTIVE DATE: These priorities take
the priority in which they pertain. children with Chronic Fatigue
effect on June 3, 1999. Technical and other minor changes— Syndrome, fibromyalgia, Lyme disease,
FOR FURTHER INFORMATION CONTACT: and suggested changes the Secretary is or autoimmune diseases.
Donna Nangle. Telephone: (202) 205– not legally authorized to make under Discussion: The priority includes a
5880. Individuals who use a statutory authority—are not addressed. definition of children with disabilities
telecommunications device for the deaf
Rehabilitation Research and Training with special health care needs as having
(TDD) may call the TDD number at (202)
Centers a chronic physical, developmental,
l
205–2742. Internet:
behavioral, or emotional condition that
Donna Nangle@ed.gov Priority 1: Rehabilitation for Persons
Individuals with disabilities may also requires health and related services
With Long-Term Mental Illness of a type or amount beyond that
obtain this document in an alternate
format (e.g., Braille, large print, Comment: The RRTC should focus on required by children generally. The
audiotape, or computer diskette) on the role of conflict resolution skills in RRTC could address the healthcare
request to the contact person listed in the recovery of individuals with long- access problems of children with
the preceding paragraph. term mental illness. Chronic Fatigue Syndrome,
Discussion: Under the first required fibromyalgia, Lyme disease, or
SUPPLEMENTARY INFORMATION: This
activity, an applicant could propose to autoimmune diseases if their condition
notice contains final priorities under the
investigate the role of conflict resolution also requires health and related services
Disability and Rehabilitation Research
skills in the recovery of individuals of a type or amount beyond that
Projects and Centers Program for four
RRTCs related to: rehabilitation for with long-term mental illness. The peer required by children generally.
persons with long-term mental illness; review process will evaluate the merits Changes: None.
rehabilitation for children with of the proposal. NIDRR has no basis to Comment: One commenter questioned
disabilities with special health care require all applicants to investigate the the appropriateness of the target
needs; policies affecting the provision of role of conflict resolution skills in the population and asked for a clarification.
services to children with emotional recovery of individuals with long-term The commenter asked if it was
disturbances and their families; and mental illness. necessary to include children with
improving services and supports to Changes: None. serious emotional conditions in this
children with emotional disturbances Comment: The RRTC should be RRTC in light of the two RRTCs related
and their families. The notice also required to identify and evaluate to children with serious emotional
contains final priorities for two DRRPs interventions that promote the disturbances. In addition, the
related to: rehabilitation for women functioning of single parent families in commenter asked for clarification
with disabilities; and analysis of service which the parent has a history of mental regarding the age range of the target
delivery and policies affecting emerging illness. population, the importance of the onset
disability populations. The final Discussion: The purpose of the of disability, and the inclusion of
priorities refer to NIDRR’s proposed priority is to address the employment children who are institutionalized.
Long-Range Plan (LRP). The proposed status of persons with LTMI and Discussion: The two RRTCs related to
LRP can be accessed on the World Wide investigate the effectiveness of children with serious emotional
Web at: http://www.ed.gov/legislation/ functional recovery. Within that disturbances will not address the
FedRegister/announcements/1998–4/ context, an applicant could propose to healthcare issues that are addressed by
102698a.html place a special emphasis on individuals this RRTC.
These final priorities support the with long-term mental illness who are In terms of the target population,
National Education Goal that calls for single parents. The peer review process NIDRR prefers to give applicants the
every adult American to possess the will evaluate the merits of the proposal. discretion to propose the characteristics
skills necessary to compete in a global NIDRR has no basis to require all of the target population who meet the
economy. applicants to place a special emphasis definition in the priority of children
The authority for the Secretary to on individuals with long-term mental disabilities with special health care
establish research priorities by reserving illness who are single parents. needs. The peer review process will
Federal Register / Vol. 64, No. 85 / Tuesday, May 4, 1999 / Notices 23989

evaluate the merits of the proposed training, and dissemination activities, design, development, delivery, and
target population. and in evaluating the Center. No further evaluation of services and supports of
All children, including those who are requirements are necessary. children, youth, and families.
institutionalized, who meet the Changes: None. Changes: None.
definition of children with disabilities Comment: The first and third required Comment: The priority refers to the
with special health care needs, should activities should include family-run Office of Policy and Planning in the
be included in the target population. organizations. Department of Health and Human
Changes: None. Discussion: An applicant could Services. Is this reference correct?
Comment: One commenter questioned propose to address the role of family- Discussion: No. The correct reference
the utility of requiring the RRTC to run organizations within the first and should be the Office of the Assistant
coordinate with the Rehabilitation third required activities. The peer Secretary for Planning and Evaluation in
Engineering Research Center (RERC) on review process will evaluate the merits the Department of Health and Human
Telerehabilitation. of the proposal. NIDRR has no basis to Services.
Discussion: The RRTC is required to require all applicants to address the role Changes: The priority has been
assess the effectiveness and of family-run organizations within the revised to refer to the Office of the
appropriateness of using first and third required activities. Assistant Secretary for Planning and
telerehabilitation to provide health care Changes: None. Evaluation in the Department of Health
services to children in remote settings. Priority 4: Improving Services and and Human Services.
The RERC on Telerehabilitation should Supports to Children With Emotional Priority 5: Improved Economic
be instrumental in successfully carrying Disturbances and Their Families Outcomes for Women With Disabilities
out this research.
Changes: None. Comment: The first required activity Comment: The DRRP should include
should acknowledge the importance of some international focus, evaluate a
Priority 3: Policies Affecting the family participation at the case level, in range of domestic economic
Provision of Services to Children with service planning, implementation, and development models, identify
Emotional Disturbances and Their planning, as well as in policy making. technological obstacles and solutions,
Families Discussion: An applicant could and focus on girls and young women
Comment: The shared Introduction propose to stress the importance of from a variety of ethnic backgrounds,
that prefaces this priority and the family participation in carrying out the economic strata, and disability groups.
priority on improving services and first required activity. The peer review Discussion: An applicant could
supports to children with emotional process will evaluate merits of the propose to include all of the
disturbances and their families should proposal. NIDRR has no basis to require commenter’s suggestions in the research
focus on strengths, family-centered and all applicants to stress the importance of to be carried out by the DRRP. The peer
family-driven planning, family participation in carrying out the review process will evaluate the merits
implementation, and evaluation, as well first required activity. of the proposals. NIDRR has no basis to
as an injunction that all aspects of Changes: None. require all applicants to include some
service delivery should be culturally Comment: Two commenters indicated international focus, evaluate a range of
competent. that the fourth required activity should domestic economic development
Discussion: The introductions to include issues related to collaboration models, identify technological obstacles
these, and other priorities, include only in addition to issues on communication and solutions, and focus on girls and
that background information that is skills. young women from a variety of ethnic
necessary in order for potential Discussion: An applicant could backgrounds, economic strata, and
applicants to propose to fulfill the propose to approach communication disability groups.
purpose of the priority. NIDRR believes skills broadly so as to include issues Changes: None.
that the principles articulated in the related to collaboration. The peer review Comment: The DRRP should identify
comment are valuable, but not essential. process will evaluate merits of the jobs that can accommodate the special
Changes: None. proposal. NIDRR has no basis to require problems of persons with relapsing-
Comment: This RRTC and the RRTC all applicants to approach remitting illnesses and cognitive
on improving services and supports to communication skills broadly so as to problems, such as Chronic Fatigue
children with emotional disturbances include issues related to collaboration. Syndrome (CFS), multiple sclerosis,
and their families should include Changes: None. fibromyalgia, lupus, and rheumatoid
individuals from a range of diverse Comment: The RRTC should be arthritis.
backgrounds and engage family required to describe the evolution and Discussion: The DRRP is not required
members in all of the work they development of family-run to identify jobs for any disability group.
perform. organizations and their impact on the However, as part of the research carried
Discussion: The description and design, development, delivery, and out under the second and third required
general requirements of the RRTC evaluation of services and supports of activity, an applicant could propose to
include provisions that are consistent children, youth, and families. carry out the research suggested by the
with the commenter’s suggestions. They Discussion: An applicant could commenter. The peer review process
state that NIDRR encourages all Centers propose to carry out the research that will evaluate the merits of the proposal.
to involve individuals with disabilities the commenter has suggested as part of NIDRR has no basis to require all
and individuals from minority their research under the first or second applicants to identify jobs that can
backgrounds as recipients of research required activities. The peer review accommodate the special problems of
training, as well as clinical training, and process will evaluate the merits of the persons with relapsing-remitting
that each RRTC must involve proposal. NIDRR has no basis to require illnesses and cognitive problems, such
individuals with disabilities and, if all applicants to describe the evolution as CFS, multiple sclerosis, fibromyalgia,
appropriate, their representatives, in and development of family-run lupus, and rheumatoid arthritis.
planning and implementing its research, organizations and their impact on the Changes: None.
23990 Federal Register / Vol. 64, No. 85 / Tuesday, May 4, 1999 / Notices

Priority 6: Analysis of Service Delivery RRTCs conduct coordinated, Each RRTC must develop and
and Policies Affecting Emerging integrated, and advanced programs of disseminate informational materials
Disability Populations research in rehabilitation targeted based on knowledge gained from the
Comment: How will the DRRP toward the production of new Center’s research activities, and
determine what disabilities qualify as knowledge to improve rehabilitation disseminate the materials to persons
‘‘emerging,’’ and specifically, does methodology and service delivery with disabilities, their representatives,
NIDRR consider CFS an emerging systems, to alleviate or stabilize service providers, and other interested
disability? disabling conditions, and to promote parties.
Discussion: As indicated in the maximum social and economic Each RRTC must involve individuals
Introduction, NIDRR’s proposed LRP independence of individuals with with disabilities and, if appropriate,
provides a description of characteristics disabilities. their representatives, in planning and
of emerging disability populations. RRTCs provide training, including implementing its research, training, and
Applicants will use that description to graduate, pre-service, and in-service dissemination activities, and in
propose those disabilities that will be training, to assist individuals to more evaluating the Center.
addressed by the DRRP. An applicant effectively provide rehabilitation The RRTC must conduct a state-of-
could propose to include CFS as an services. They also provide training the-science conference and publish a
emerging disability. The peer review including graduate, pre-service, and in- comprehensive report on the final
process will evaluate the merits of the service training, for rehabilitation outcomes of the conference. The report
proposal. NIDRR has no basis to require research personnel and other must be published in the fourth year of
all applicants to consider CFS an rehabilitation personnel. the grant.
emerging disability. RRTCs serve as informational and The RRTC must coordinate with other
Changes: None. technical assistance resources to entities carrying out related research or
providers, individuals with disabilities, training activities.
Rehabilitation Research and Training and the parents, family members,
Centers guardians, advocates, or authorized Priorities
Authority for the RRTC program of representatives of these individuals Under 34 CFR 75.105(c)(3), the
NIDRR is contained in section 204(b)(2) through conferences, workshops, public Secretary gives an absolute preference to
of the Rehabilitation Act of 1973, as education programs, in-service training applications that meet the following
amended (29 U.S.C. 764(b)(2)). Under programs and similar activities. priority. The Secretary will fund under
this program the Secretary makes RRTCs disseminate materials in this competition only applications that
awards to public and private alternate formats to ensure that they are meet this priority.
organizations, including institutions of accessible to individuals with a range of
higher education and Indian tribes or disabling conditions. Priority 1: Rehabilitation for Persons
tribal organizations for coordinated NIDRR encourages all Centers to With Long-Term Mental Illness
research and training activities. These involve individuals with disabilities Introduction
entities must be of sufficient size, scope, and individuals from minority
backgrounds as recipients of research Chapter Two of NIDRR’s proposed
and quality to effectively carry out the
activities of the Center in an efficient training, as well as clinical training. LRP addresses the employment status of
manner consistent with appropriate The Department is particularly persons with mental illness (63 FR
State and Federal laws. They must interested in ensuring that the 57197–57198) and Chapter Six (63 FR
demonstrate the ability to carry out the expenditure of public funds is justified 57208) sets forth the background to
training activities either directly or by the execution of intended activities research addressing their rehabilitation
through another entity that can provide and the advancement of knowledge and, needs within the framework of
that training. thus, has built this accountability into community integration. The National
The Secretary may make awards for the selection criteria. Not later than Institute of Mental Health estimates that
up to 60 months through grants or three years after the establishment of there are over 3 million adults ages 18–
cooperative agreements. The purpose of any RRTC, NIDRR will conduct one or 69 who have a serious mental illness
the awards is for planning and more reviews of the activities and (Manderscheid, R.W. & Sonnenschein,
conducting research, training, achievements of the Center. In M.A. (Eds.), Mental Health, United
demonstrations, and related activities accordance with the provisions of 34 States 1992 U.S. Department of Health
leading to the development of methods, CFR 75.253(a), continued funding and Human Services, Rockville, MD;
procedures, and devices that will depends at all times on satisfactory DHHS Publication No. (SMA) 92–1942).
benefit individuals with disabilities, performance and accomplishment. The psychiatric rehabilitation model
especially those with the most severe includes recovery as an outcome for
General Requirements persons experiencing long-term mental
disabilities.
The following requirements apply to illness (LTMI). The recovery paradigm
Description of Rehabilitation Research these RRTCs pursuant to these absolute is defined as the personal, unique
and Training Centers priorities unless noted otherwise. An process of changing one’s attitudes,
RRTCs are operated in collaboration applicant’s proposal to fulfill these values, skills, and roles to maximize
with institutions of higher education or proposed requirements will be assessed personal functioning (Psychiatric
providers of rehabilitation services or using applicable selection criteria in the Rehabilitation Services, Inc., http://
other appropriate services. RRTCs serve peer review process. www.psychdismgmt.com/index.html).
as centers of national excellence and Each RRTC must provide: (1) training It refers to persons with LTMI regaining
national or regional resources for on research methodology and applied social function and developing new
providers and individuals with research experience; and (2) training on meaning and purpose in their lives
disabilities and the parents, family knowledge gained from the Center’s through understanding and accepting
members, guardians, advocates or research activities to persons with their disability, taking personal
authorized representatives of the disabilities and their families, service responsibility, developing hope, and
individuals. providers, and other appropriate parties. effectively utilizing support. There is a
Federal Register / Vol. 64, No. 85 / Tuesday, May 4, 1999 / Notices 23991

need to determine the effectiveness of Priority Priority 3: Policies Affecting the


the recovery approach to rehabilitation Provision of Services to Children With
for persons with LTMI. The Secretary will establish an RRTC Emotional Disturbances and Their
to improve rehabilitation outcomes for Families
Priority children with disabilities with special
The Secretary, in collaboration with health care needs. The RRTC must: Introduction
the Substance Abuse and Mental Health (1) Investigate access to pediatric Many children with emotional
Services Administration and the Center rehabilitation, including specialized and disturbances receive services over
for Mental Health Services, will extended periods of time from multiple
support services, and technologies, by
establish an RRTC on rehabilitation for agencies including child welfare and
persons with LTMI to address the children with disabilities with special
health care needs; protective services agencies, schools
employment status of persons with and local educational agencies, and
LTMI and investigate the effectiveness (2) Analyze the impact of cost control elements of the juvenile justice system.
of functional recovery. The RRTC must: strategies on the provision of health care Coordination of the delivery of services
(1) Investigate individual and to children with disabilities with special from multiple agencies is a difficult
environmental factors that facilitate or health care needs; undertaking that may be facilitated by
hinder recovery, and describe the ensuring that the public policies
(3) Identify best practices in the
recovery process; authorizing the services are compatible
(2) Investigate whether the recovery transition from pediatric to adult
medical care in capitated managed care and promote coordination and
process differs for individuals based on
settings; collaboration.
diagnosis, ethnicity, and history of
The costs, or part of the costs, of
physical or psychological abuse; (4) Assess the effectiveness and
(3) Investigate the relationships mental health services provided to
appropriateness of using children with emotional disturbances
between recovery and job training, telerehabilitation to provide health care
education, and employment; and are routinely covered by insurance
services to children with disabilities programs. Research is needed to
(4) Investigate the impact of various with special health care needs in remote
alternative health care practices and understand the impact of changes in the
settings; and field of health care financing on mental
wellness activities such as exercise,
diet, meditation, peer support, and (5) Identify training issues for service health services provided to children
personal assistance services on providers who diagnose and assess the with emotional disturbances.
employment outcomes for persons with assistive technology needs of children Priority
LTMI. with disabilities who have special
health care needs. The Secretary, in collaboration with
Priority 2: Rehabilitation for Children the Substance Abuse and Mental Health
With Disabilities With Special Health In carrying out these purposes, the Services Administration and the Center
Care Needs RRTC must coordinate with the for Mental Health Services, will
Maternal and Child Health Bureau and establish an RRTC to improve policies
Introduction
the Office of Policy and Planning in the affecting the provision of services to
Chapter Four of NIDRR’s proposed Department of Health and Human children with emotional disturbances
LRP addresses health care and health Services, the Office of Special Education and their families. The RRTC must:
care systems for persons with Programs, the Federal Interagency (1) Develop an analytical framework
disabilities (63 FR 57202–57203). For Coordinating Council, and the for assessing: family characteristics and
the purposes of this proposed priority, Rehabilitation Engineering Research
children with disabilities with special policies, structure of service systems,
Center on Telerehabilitation. service delivery processes, interagency
health care needs have a chronic
physical, developmental, behavioral, or coordination and collaboration, and
Two Priorities Addressing Children
emotional condition and also require outcomes for children with emotional
With Emotional Disturbances
health and related services of a type or disturbances and their families;
amount beyond that required by Chapter Seven of NIDRR’s proposed (2) Using the methodology developed
children generally. LRP (63 FR 57213) addresses public above, determine the effectiveness of
As the trend toward enrolling policy issues for people with disabilities specific policies, implementation
Medicaid-eligible populations in including the integration of service strategies, service delivery procedures,
capitated healthcare delivery programs systems. Children with emotional and coordination practices in meeting
(e.g., health maintenance organizations) disturbances and their families are the needs of children with emotional
continues, States have begun to address likely to receive services from a number disturbances and their families;
the challenges of providing coordinated, of social service systems. Gaining a (3) Identify the impact of specific
high quality health care to high cost better of understanding of the policies characteristics of interagency
populations. Children with disabilities collaboration and coordination on the
that serve as the foundation for these
with special health care are among those provision of services to children with
services, and their interaction, may
high cost populations because they tend emotional disturbances and their
contribute to improvements in the families;
to need multiple services, advanced
quality of services.
technologies, and specialized services. (4) Assess the impact of specific
Research is needed to determine Approximately 3.5 to 4 million policies on access to services of children
whether cost control strategies are youngsters (from ages 9–17) are with emotional disturbances from
preventing children with disabilities estimated to have an emotional diverse cultural, linguistic, ethnic and
with special health care needs from disturbance accompanied by substantial socioeconomic backgrounds; and
receiving access to the range of functional impairment (Center for (5) Investigate the impact of changes
specialized and support services, and Mental Health Services, Publication in health care financing, particularly the
technologies that they need to treat their SMA96–308, Chapter 6, 1996). State Children’s Health Insurance
condition and prevent further disability. Program, on mental health services
23992 Federal Register / Vol. 64, No. 85 / Tuesday, May 4, 1999 / Notices

provided to children with emotional Planning and Evaluation in the and support of children (Introduction to
disturbances. Department of Health and Human Disability, McColl, M. and Bickenbach,
In carrying out these purposes, the Services, the Office of Special Education J., Eds., W.B. Saunders Co., 1998).
RRTC must: Programs, and the Federal Interagency NIDRR expects this project to
• Coordinate with the Center for Coordinating Council. contribute to our understanding of
Mental Health Services and the Office of strategies that women with disabilities
Disability and Rehabilitation Research
Assistant Secretary for Planning and can use to achieve greater economic
Projects
Evaluation in the Department of Health independence. The project may focus on
and Human Services, the Office of Authority for Disability and ways to maximize earnings from work,
Special Education Programs, and the Rehabilitation Research Projects self-employment, and financial life
Federal Interagency Coordinating (DRRPs) is contained in section 204(a) planning. In the effort to maximize
Council; and of the Rehabilitation Act of 1973, as earnings, some women with disabilities
• Establish practical statistical amended (29 U.S.C. 764(a)). DRRPs at various educational levels are setting
methodologies and measurement tools carry out one or more of the following career goals, attaining appropriate
that specifically assess the policies types of activities, as specified in 34 training and education throughout the
affecting families of children with CFR 350.13–350.19: research, life span, and developing networks and
serious emotional disturbance. development, demonstration, training, support systems to improve their
dissemination, utilization, and technical employment outcomes. Some disabled
Priority 4: Improving Services and assistance. Disability and Rehabilitation women, especially those with young
Supports to Children With Emotional Research Projects develop methods, children, are now considering the
Disturbances and Their Families procedures, and rehabilitation advantages and disadvantages of home-
Introduction technology that maximize the full based employment.
inclusion and integration into society,
Families of children with emotional Priority
employment, independent living, family
disturbances face multiple challenges
support, and economic and social self- The Secretary will establish a DRRP to
and need appropriate services for their
sufficiency of individuals with evaluate the economic status of women
children as well as supportive services
disabilities, especially individuals with with disabilities and identify strategies
for the family. Early identification of an
the most severe disabilities. In addition, to improve employment outcomes and
emotional disturbance is beneficial not
DRRPs improve the effectiveness of economic independence.
only to the child, but also to the family
services authorized under the (1) Analyze, using existing data
who must learn to address the impact of
Rehabilitation Act of 1973, as amended. sources, the employment conditions and
their child’s behavior on the family and
economic status of disabled women,
to navigate various service systems. In Priorities including uses of public and private
order to address family needs and be Under 34 CFR 75.105(c)(3) the income supports;
successful advocates for their child, Secretary gives an absolute preference to (2) Analyze the skills and conditions
families must learn to communicate applications that meet the following that promote lifelong economics self-
effectively with providers. At the same priorities. The Secretary will fund under sufficiency for disabled women;
time, service providers must have the this competition only applications that (3) Identify innovative strategies to
ability to understand families’ needs meet these priorities. improve employment outcomes,
and respond positively to those needs.
including earnings, career progression,
Priority 5: Improved Economic
Priority and benefits packages, for women with
Outcomes for Women With Disabilities
The Secretary, in collaboration with disabilities; and
Introduction (4) Identify innovative strategies,
the Substance Abuse and Mental Health
Services Administration and the Center Chapter One of NIDRR’s proposed including peer support strategies, to
for Mental Health Services, will LRP (63 FR 57192) addresses the need assist disabled women to develop plans
establish an RRTC to improve services for research to explore new ways of to increase lifelong economic security.
and supports for children with measuring and assessing disability in Priority 6: Analysis of Service Delivery
emotional disturbances and their context, taking into account the effects and Policies Affecting Emerging
families. The RRTC must: of physical, policy, and social Disability Populations
(1) Develop and evaluate service environments, and the dynamic nature
delivery models for children with an of disability over the life span and Introduction
emotional disturbance and their across environments. Among the Chapter 2 of NIDRR’s proposed LRP
families, including family centered and objectives for persons with disabilities (63 FR 57196–57198) describes what has
culturally sensitive services; are satisfactory employment, economic become known as the ‘‘emerging
(2) Define and evaluate the formal and self-sufficiency, and the opportunity to universe of disability.’’ Demographic,
informal components of family support participate in mainstream community social and environmental trends affect
and identify successful family support life. the prevalence and distribution of
interventions; There is evidence that the economic various types of disability as well as the
(3) Identify and evaluate early conditions of women with disability are demands of those disabilities on social
intervention strategies; and comparatively poor. Disabled women policy and service systems. Studies of
(4) Identify, develop, and evaluate have lower levels of educational such emergent disabilities address
communication skills to enable families attainment, lower employment rates factors that include: (1) changing
and service providers to communicate regardless of education, and lower etiologies for existing disabilities; (2)
effectively with each other. earnings. Also, they are more likely to growth in segments of the population
In carrying out these purposes, the be dependent on public income with higher prevalence rates for certain
RRTC must coordinate with the Center supports, to live in poverty, and to be disabilities, including the aging of the
for Mental Health Services and the single parents at some time during their population of individuals with
Office of the Assistant Secretary for lives, with responsibility for the care disabilities; (3) the consequences of
Federal Register / Vol. 64, No. 85 / Tuesday, May 4, 1999 / Notices 23993

changes in public policy and in health World Wide Web at either of the application forms, and instructions
care services and technologies; and (4) following sites: needed to apply for a grant under these
the appearance of new disabilities. http://ocfo.ed.gov/fedreg.htm competitions.
Priority http://www.ed.gov/news.html This program supports the National
To use the PDF you must have the Education Goal that calls for all
The Secretary will establish a DRRP to Adobe Acrobat Reader Program with Americans to possess the knowledge
improve the provision of services to Search, which is available free at either and skills necessary to compete in a
persons with emerging disabilities. The of the previous sites. If you have global economy and exercise the rights
DRRP must: questions about using the PDF, call the and responsibilities of citizenship.
(1) Evaluate the implications of
U.S. Government Printing Office (GPO) The estimated funding levels in this
emerging disabilities for service systems
at (202) 512–1530 or, toll free at 1–888– notice do not bind the Department of
and social policy; and
(2) Assess the particular needs, with 293–6498. Education to make awards in any of
attention to identifying unmet needs of Note: The official version of this document these categories, or to any specific
the emerging universe for independent is the document published in the Federal number of awards or funding levels,
living services, assistive technology Register. Free Internet access to the official unless otherwise specified in statute.
edition of the Federal Register and the Code
services, community-based supports, of Federal Regulations is available on GPO Applicable Regulations: The
and other services such as vocational access at: http://www.access.gpo.gov/nara/ Education Department General
rehabilitation, special education, index.html Administrative Regulations (EDGAR),
medical and psychosocial rehabilitation, 34 CFR Parts 74, 75, 77, 80, 81, 82, 85,
income supports, and medical Applicable Program Regulations: 34
CFR Part 350. 86, and 350.
assistance. Program Title: Disability and
In carrying out these purposes the Program Authority: 29 U.S.C. 760–762.
Rehabilitation Research Project and
DRRP must: (Catalog of Federal Domestic Assistance
Centers Program
• Use a range of existing data sources Number 84.133A, Disability and
to estimate and describe the emerging Rehabilitation Research Projects, and CFDA Numbers: 84.133A and 84.133B
universe of disability and predict future 84.133B, Rehabilitation Research and Purpose of Program: The purpose of
Training Centers) the Disability and Rehabilitation
trends;
• Assess the feasibility of using Dated: April 28, 1999. Research Project and Centers Program is
existing, or establishing new Judith E. Heumann, to plan and conduct research,
surveillance systems in order to Assistant Secretary for Special Education and demonstration projects, training, and
improve the accuracy of predicting Rehabilitative Services. related activities, including
changes in the emerging universe; [FR Doc. 99–11155 Filed 5–3–99; 8:45 am] international activities, develop
• Identify etiologies, including BILLING CODE 4000–01–U methods, procedures, and rehabilitation
environmental or social factors, technology, that maximize the full
associated with these emerging inclusion and integration into society,
disabilities; DEPARTMENT OF EDUCATION employment, independent living, family
• Design a practical and prioritized [CFDA Nos.: 84.133A and 84.133B] support, and economic and social self-
agenda for a future research program to sufficiency of individuals with
address gaps in service delivery, to Office of Special Education and disabilities, especially individuals with
develop interventions and to develop Rehabilitative Services; National the most severe disabilities. In addition,
policy approaches to address the Institute on Disability and the purpose of the Disability and
disability-related problems of various Rehabilitation Research Notice Inviting Rehabilitation Research Project and
segments of the emerging universe; and Applications for New Awards Under Centers Program is to improve the
• Convene a conference to discuss the the Disability and Rehabilitation effectiveness of services authorized
Center’s findings and their implications, Research Project and Centers Program under the Act.
with an emphasis on dissemination of for Fiscal Year (FY) 1999 Eligible Applicants: Parties eligible to
results of the conference to appropriate
Note to Applicants: This notice is a apply for grants under this program are
NIDRR grantees.
complete application package. Together States, public or private agencies,
Electronic Access to This Document with the statute authorizing the including for-profit agencies, public or
You may review this document, as programs and applicable regulations private organizations, including for-
well as all other Department of governing the programs, including the profit organizations, institutions of
Education documents published in the Education Department General higher education, and Indian tribes and
Federal Register, in text or Adobe Administrative Regulations (EDGAR), tribal organizations.
Portable Document Format (PDF) on the this notice contains information, Program Authority: 29 U.S.C. 762.

APPLICATION NOTICE FOR FISCAL YEAR 1999 DISABILITY AND REHABILITATION RESEARCH PROJECTS, CFDA NO. 84–
133A
Maximum
Deadline for Estimated Project
award
Funding priority transmittal of number of period
amount
applications awards (months)
(per year)*

84–133A–4, Improved Economic Outcomes for Women with Disabilities ............. June 18, 1999 .... 1 $200,000 36
84–133A–6, Analysis of Service Delivery and Policies Affecting Emerging Dis- June 18, 1999 .... 1 250,000 36
ability Populations.
*Note: The Secretary will reject without consideration or evaluation any application that proposes a project funding level that exceeds the stat-
ed maximum award amount per year (See 34 CFR 75.104(b)).

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