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Friday,

September 1, 2000

Part VI

Department of
Education
National Institute on Disability and
Rehabilitation Research; Notice

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53512 Federal Register / Vol. 65, No. 171 / Friday, September 1, 2000 / Notices

DEPARTMENT OF EDUCATION During and after the comment period, The proposed priority refers to
you may inspect all public comments NIDRR’s Long Range Plan (the Plan).
National Institute on Disability and about these priorities in Room 3414, The Plan can be accessed on the World
Rehabilitation Research Switzer Building, 330 C Street SW., Wide Web at: http://www.ed.gov/
Washington, D.C., between the hours of legislation/FedRegister/other/1999–12/
AGENCY: Office of Special Education and
8:00 a.m. and 4:00 p.m., Eastern time, 68576.html.
Rehabilitative Services, Department of Monday through Friday of each week
Education. except Federal holidays. Disability and Rehabilitation Research
ACTION: Notice of Proposed Funding Project and Centers Program
Priorities for Fiscal Years 2001–2002 for Assistance to Individuals With The authority for Disability and
collaborative projects in spinal cord Disabilities in Reviewing the Rehabilitation Research Projects (DRRP)
injury research. Rulemaking Record is contained in section 204 of the
On request, we will supply an Rehabilitation of 1973, as amended (29
SUMMARY: We propose funding priorities appropriate aid, such as a reader or U.S.C. 761a and 762a). The purpose of
for collaborative spinal cord injury print magnifier, to an individual with a the DRRP program is to plan and
research, a spinal cord injury data disability who needs assistance to conduct research, demonstration
center, and a spinal cord injury review the comments or other projects, training and related activities
dissemination center under the National documents in the public rulemaking to—
Institute on Disability and record for these proposed priorities. If (a) Develop methods, procedures, and
Rehabilitation Research (NIDRR) for you want to schedule an appointment rehabilitation technology that
fiscal years 2001–2002. We take this for this type of aid, you may call (202) maximizes the full inclusion and
action to focus research attention on 205–8113 or (202) 260–9895. If you use integration into society, employment,
areas of national need. We intend these a TDD, you may call the Federal independent living, family support, and
priorities to improve the rehabilitation Information Relay Service at 1–800– economic and social self-sufficiency of
services and outcomes for individuals 877–8339. individuals with disabilities; and
with disabilities. This notice contains (b) Improve the effectiveness of
proposed priorities under the Disability Goals 2000: Educate America Act
services authorized under the Act.
and Rehabilitation Research Projects The Goals 2000: Education America
and Centers Program. Act (Goals 2000) focuses the Nation’s Background
DATES: We must receive your comments education reform efforts on the eight The projects in these proposed
on or before October 2, 2000. National Education Goals and provides priorities are to conduct research in
a framework for meeting them. Goals collaboration with Centers established
ADDRESSES: All comments concerning
2000 promotes new partnerships to under the Special Projects and
these proposed priorities should be
strengthen schools and expands the Demonstrations for Spinal Cord Injury
addressed to Donna Nangle, U.S. Department’s capacities for helping
Department of Education, 400 Maryland (SCI) Program. The following section
communities to exchange ideas and provides background information
Avenue, S.W., room 3414, Switzer obtain information needed to achieve
Building, Washington, D.C. 20202–2645. regarding that program to assist
the goals. applicants in developing appropriate
Comments may also be sent through the These proposed priorities would
Internet: donna_nangle@ed.gov collaboration projects.
address the National Education Goal
FOR FURTHER INFORMATION CONTACT: that every adult American will be Special Projects and Demonstrations for
Donna Nangle. Telephone: (202) 205– literate and will possess the knowledge Spinal Cord Injury
5880. Individuals who use a and skills necessary to compete in a The authority for Model Spinal Cord
telecommunications device for the deaf global economy and exercise the rights Injury Centers (MSCI) is contained in
(TDD) may call the TDD number at (202) and responsibilities of citizenship. section 204(b)(4) of the Rehabilitation
205–4475. Internet: The authority for the program to Act of 1973, as amended (29 U.S.C.
donna_nangle@ed.gov establish research priorities by reserving 762(b)(4)). We may make awards for up
Individuals with disabilities may funds to support particular research to 60 months through grants or
obtain this document in an alternate activities is contained in sections 202(g) cooperative agreements. The MSCI
format (e.g., Braille, large print, and 204 of the Rehabilitation Act of program provides assistance to establish
audiotape, or computer diskette) on 1973, as amended (29 U.S.C. 762(g) and innovative projects for the delivery,
request to the contact person listed in 764). Regulations governing this demonstration, and evaluation of
the preceding paragraph. program are found in 34 CFR Part 350. comprehensive medical, vocational, and
SUPPLEMENTARY INFORMATION: We will announce the final priorities other rehabilitation services to meet the
in a notice in the Federal Register. We wide range of needs of individuals with
Invitation to Comment will determine the final priorities after SCI.
We invite you to submit comments considering responses to this notice and The MSCI program provides
regarding these proposed priorities. other information available to the assistance for projects that provide
We invite you to assist us in Department. This notice does not comprehensive rehabilitation services to
complying with the specific preclude us from proposing or funding individuals with SCI and conduct spinal
requirements of Executive Order 12866 additional priorities, subject to meeting cord research, including clinical
and its overall requirement of reducing applicable rulemaking requirements. research and the analysis of
regulatory burden that might result from Note: This notice does not solicit standardized data in collaboration with
these proposed priorities. Please let us applications. In any year in which we choose other related projects.
know of any further opportunities we to use these proposed priorities, we invite Each MSCI Center establishes a
applications through a notice published in
should take to reduce potential costs or the Federal Register. When inviting multidisciplinary system of providing
increase potential benefits while applications we designate each priority as rehabilitation services, specifically
preserving the effective and efficient absolute, competitive preference, or designed to meet the special needs of
administration of the program. invitational. individuals with SCI. This includes

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Federal Register / Vol. 65, No. 171 / Friday, September 1, 2000 / Notices 53513

acute care as well as periodic inpatient impact on individuals’ lives and the will maintain the database, provide
or outpatient follow up and vocational associated substantial health care costs technical assistance regarding data
services. MSCI Centers demonstrate and and living expenses. A traumatic SCI collection, and collaborate with all of
evaluate the benefits and cost has far-reaching repercussions on the the centers to publish information from
effectiveness of such a system for the lives of the injured persons and their the database. Historically the data center
care of individuals SCI and demonstrate families that can be devastating if not has been funded as a supplement to one
and evaluate existing, new, and addressed effectively. According to a of the centers in the program. However,
improved methods and equipment report from the Agency for Health Care we propose to establish a separate
essential to the care, management, and Policy and Research (Hospital Inpatient center to maintain this information.
rehabilitation of individuals with SCI. Statistics, 1996, AHCPR Publication No.
Dissemination Center
MSCI Centers demonstrate and evaluate 99–0034), SCI is the most expensive
methods of community outreach and condition or diagnosis treated in U.S. The collection and dissemination of
education for individuals with SCI in hospitals. The estimated lifetime costs academic and consumer education
connection with the problems of those for an individual injured at the age of 25 products produced by the centers has
individuals in areas such as housing, range from $365,000 for an incomplete been conducted by collaborative efforts
transportation, recreation, employment, injury to more than $1.7 million for an among the centers in the program. This
and community activities. individual with a high cervical injury has resulted in a bibliography of articles
NIDRR is in the final selection process (NSCISC, op cit). published in professional journals and a
for MSCI Centers for the period 2000– Collaborative research projects are database of consumer education
2005. The priority announcement and essential in the development of new materials. We propose to establish a
notice inviting applications were knowledge for improved treatment and center to maintain and continue to
published in the Federal Register on services for people with SCI. Multi- collect and disseminate this
March 16, 2000 (65 FR 14345–14377). center collaboration enables the information. This center will be
Additional information about the MSCI collection of data from a larger number required to collaborate with all of the
Centers Program is available on the of subjects, increasing the statistical MSCI Centers and collaborative research
World Wide Web at www.ncddr.org/ reliability of the information. projects as well as the Data Center and
rpp/hf/hfdw/mscis and in the special Collaborative research enables projects other NIDRR supported dissemination
issue ‘‘Current Research Outcomes from with a wider range of expertise than centers, the National Rehabilitation
the Model Spinal Cord Injury Care may be available at a single center. Information Center (NARIC) and the
Systems’’, Archives of Physical Multi-center collaboration may also National Center for the Dissemination of
Medicine and Rehabilitation, Vol. 80, enable comparisons of different health Disability Research (NCDDR).
No. 11, November 1999. care delivery systems.
Additionally, multi-center projects Proposed Priority 1: Collaborative
Proposed Priority for Collaborative may facilitate the inclusion of a more Research in Spinal Cord Injury
Research Projects in Spinal Cord Injury diverse range of individuals with SCI We propose to fund collaborative
In the announcement of March 16, than may be available at a single center. projects in SCI research for the purpose
2000 it was indicated that a separate It is a requirement of this proposed of generating new knowledge through
competition would be held for priority that the research include two or research, development, or
collaborative projects in SCI. We now more centers from the MSCI Centers demonstration to improve outcomes for
propose to establish a priority for those Program. However, to achieve the SCI through improved interventions and
collaborative projects. In addition, it is combination of target populations and service delivery models. A collaborative
proposed to establish a Data Center to professional expertise necessary to SCI Project must:
maintain and manage the database of answer relevant questions, collaboration (1) Conduct a significant and
information regarding individuals with with other NIDRR centers and centers substantial research project in SCI that
SCI who receive treatment in the MSCI supported by the Department of will contribute to the advancement of
Centers. It is also proposed to establish Veterans Affairs, the National Institutes knowledge in SCI consistent with the
a Dissemination Center to manage the of Health, and other public and private Plan.
collection and dissemination of agencies are encouraged. A list of the Applicants may select from the
academic and consumer information MSCI Centers for 2000–2005 will be following examples of research
developed by those centers. included in the final announcement of objectives related to specific areas of the
this priority. Plan or other research objectives,
Collaborative Spinal Cord Injury
including those that cut across areas of
Research Projects Spinal Cord Injury Data Center
the Plan:
Estimates of the number of people The database of the MSCI Centers (Chapter 3, Employment Outcomes):
living with traumatic SCI range from Program is a collaborative project in Either (1) Assess barriers to employment
183,000 to 230,000, with an incidence of which all of the centers participate. The of people with SCI; or (2) conduct multi-
approximately 10,000 new cases each parameters of the database are center evaluation of direct intervention
year (‘‘Spinal Cord Injury Facts and determined by the directors of the strategies for improving employment
Figures at a Glance,’’ National Spinal centers, in consultation with NIDRR. outcomes.
Cord Injury Statistical Center (NSCISC), The specification of the database as it is (Chapter 4, Maintaining Health and
University of Alabama at Birmingham. currently implemented can be obtained Function): Either (1) conduct multi-
Although SCI predominately affects from the National SCI Statistical Center center evaluations of interventions to
young adults (56% of SCIs occur among at the University of Alabama at improve outcomes in the preservation or
people aged 16–30 years), there is an Birmingham. The Center may be restoration of function or the prevention
increasing proportion of new SCI cases contacted on the World Wide Web at and treatment of secondary conditions;
in the population over 60 years of age http://www.ncddr.org/rpp/hf/hfdw/ or (2) assess service delivery models
(NSCISC, ibid.). The true significance of mscis/index.html or by e-mail at that provide quality care under
traumatic SCI lies not primarily in the NSCISC@uab.edu or by telephone at constraints imposed by recent changes
numbers affected, but in the substantial (205) 934–5049). The SCI data center in the health care financing system.

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53514 Federal Register / Vol. 65, No. 171 / Friday, September 1, 2000 / Notices

(Chapter 5, Technology for Access (4) Demonstrate the capacity to under this program. The maximum
and Function): Either (1) conduct a conduct, facilitate, and disseminate score for all the criteria is 100 points;
multi-center evaluation of the impact of research utilizing the database. however, we will also use the following
selected innovations in technology and (5) Develop and facilitate methods for criterion so that up to an additional ten
rehabilitation engineering on service linking the data from the MSCI Centers points may be earned by an applicant
delivery; or (2) assess the impact of with other databases to advance for a total possible score of 110 points.
selected innovations in technology and knowledge regarding SCI. Up to ten (10) points based on the
rehabilitation engineering on outcomes In carrying out these purposes the extent to which an application includes
such as function, independence, and center must: effective strategies for employing and
employment. • Incorporate culturally appropriate advancing in employment qualified
(Chapter 6, Independent Living and methods of community outreach and individuals with disabilities in projects
Community Integration): Measure the education in areas such as health and awarded under this absolute priority. In
environmental factors influencing wellness, housing, transportation, determining the effectiveness of those
independence and community recreation, employment, and other strategies, we will consider the
integration, employment function, and community activities for individuals applicant’s prior success, as described
health maintenance. with diverse backgrounds with SCI; and in the application, in employing and
(Chapter 7, Associated): Either (1) • Demonstrate the capacity to provide advancing in employment qualified
Evaluate methods to build the capacity technical assistance to the MSCI Centers individuals with disabilities.
for rehabilitation services for and to other related projects regarding Thus for purposes of this competitive
individuals with SCI; or (2) Investigate database development and maintenance. preference, applicants can be awarded
the impact of national up to a total of 10 points in addition to
Proposed Priority 3: Dissemination
telecommunications and information those awarded under the published
Center
policy on the access of persons with SCI selection criteria for this priority. That
to related education, work, and other We propose to establish a center for
is, an applicant meeting this
opportunities. the purpose of collecting, maintaining
competitive preference could earn a
(2) Disseminate research and and disseminating academic and
maximum total of 110 points.
demonstration findings to SCI centers, consumer education materials produced
by the MSCI Centers and the Applicable Program Regulations: 34
rehabilitation practitioners, researchers,
Collaborative Research Projects in SCI. CFR Part 350.
individuals with SCI and their families
or other authorized representatives, and The Dissemination Center must: Electronic Access to This Document
other public and private organizations (1) Establish, maintain, and
disseminate a bibliography of the You may view this document, as well
involved in SCI care and rehabilitation.
In carrying out these purposes, the academic publications of the MSCI as all other Department of Education
project must: Centers and the Collaborative Research documents published in the Federal
• Include two or more centers from Projects in SCI. Register, in text or Adobe Portable
the MSCI Centers Program. (2) Establish a system to collect, Document Format (PDF) on the Internet
• Incorporate culturally appropriate maintain, and disseminate consumer at either of the following sites:
methods of community outreach and education materials produced by the http://ocfo.ed.gov/fedreg.htm
education in areas such as health and MSCI Centers and the Collaborative http://www.ed.gov/news.html
wellness, housing, transportation, Research Projects in SCI. To use the PDF you must have Adobe
recreation, employment, and other (3) Establish collaborative
Acrobat Reader, which is available free
community activities for individuals relationships with NIDRR supported
at either of the preceding sites. If you
with diverse backgrounds with SCI; dissemination centers, NARIC
have questions about using the PDF, call
(www.naric.com) and NCDDR
Proposed Priority 2: Data Center the U.S. Government Printing Office
(www.ncddr.org).
We propose to establish a data center (GPO), toll free, at 1–888–293–6498; or
In carrying out these purposes, the
to manage and facilitate the use of in the Washington, DC, area at (202)
project must:
512–1530.
information on individuals with SCI • Incorporate culturally appropriate
collected by the MSCI Centers. The Data methods of community outreach and Note: The official version of the document
is published in the Federal Register. Free
Center must: education in areas such as health and Internet access to the official edition of the
(1) Establish a hardware and software wellness, housing, transportation, Federal Register and the Code of Federal
system to securely maintain data from recreation, employment, and other Regulations is available on GPO Access at:
the MSCI Centers. The system must community activities for individuals http://www.access.gpo.gov/nara/index.html
maintain individual confidentiality and with diverse backgrounds with SCI; and (Catalog of Federal Domestic Assistance
provide for data entry, quality control, • Establish procedures to collaborate Numbers 84.133A, Disability Rehabilitation
data retrieval, and data analysis. with the SCI Data Center and other Research Project)
(2) Train and provide technical information sources supported by Program Authority: 29 U.S.C. 761a(g) and
assistance to the MSCI Centers on public or private agencies to facilitate 762a.
proper data collection methods, data dissemination of information regarding
entry, and utilization of the database. Dated: August 29, 2000.
SCI research.
(3) Establish methods and procedures Curtis L. Richards,
to communicate with NIDRR and the Proposed Additional Selection Acting Assistant Secretary for Special
directors of the MSCI Centers regarding Criterion Education and Rehabilitative Services.
submissions to the database and the We will use the selection criteria in [FR Doc. 00–22431 Filed 8–31–00; 8:45 am]
quality and utility of data elements. 34 CFR 350.54 to evaluate applications BILLING CODE 4000–01–U

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