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					   Teenage Pregnancy Prevention:
Research and Demonstration Programs
and Personal Responsibility Education
          Program (PREP)

U.S. Department of Health and Human Services
        Office of Adolescent Health &
Administration on Children, Youth and Families
                 April 23, 2010
                1:00-3:00pm ET

                                             1
       Agenda for Today’s Call
 Welcome and Introductions
 Overview of the Funding Announcement
 Program Expectations
 Application Contents
 Application Submission Instructions
 Review and Selection Criteria




                                         2
Asking Questions During the Webinar
Printing the Webinar Slides




                              4
          Purpose of Today’s Call
   Review the Teenage Pregnancy Prevention:
    Research and Demonstration Programs and
    Personal Responsibility Education Program
    (PREP) Funding Opportunity Announcement,
    including the purpose, eligibility requirements,
    and how to apply for funds

   Will not be answering questions specific to
    individual applications



                                                   5
                   Introductions
Office of Adolescent Health
 Evelyn Kappeler, Acting Director
 Alice Bettencourt, Acting Deputy Director
 Allison Roper, Public Health Analyst
 Amy Margolis, Public Health Analyst
 Jennifer Gannon, Management Analyst
 Miryam Gerdine, Public Health Analyst

Administration on Children, Youth and Families
 Debbie Powell, Acting Associate Commissioner
 Stan Chappell, Director, Division of Research and Evaluation
 Seth Chamberlain, Social Science Research Analyst

Office of Grants Management
 Karen Campbell, Director
                                                             6
      Overview of the
Office of Adolescent Health
             &
Administration on Children,
    Youth and Families
Office of Adolescent Health (OAH)
   Consolidated Appropriations Act, 2010
    directed that a new OAH be established

   Responsible for implementing and
    administering new grant program to support
    evidence-based teen pregnancy prevention
    approaches

   Coordinates adolescent health programs and
    initiatives across the U.S. Department of
    Health and Human Services


                                                 8
Administration on Children, Youth, and
           Families (ACYF)
   Administers the major Federal programs that
    support:
       Social services that promote positive growth
        and development of children and youth and
        their families
       Protective services and shelter for children and
        youth in at-risk situations
       Foster Care, Child Abuse/Neglect Prevention,
        and Adoption Assistance programs

   Manages the Personal Responsibility Education
    Program

                                                           9
      Role of Grants Management
   Official signatory for obligating federal
    grant funds
   Official signatory for all grant business
   Monitor all business/financial transactions
    on grants for compliance to Federal
    Regulations (including interpretation of
    Federal Regulations)
   Maintain official grant files
                                                  10
U.S. Department of Health and Human Services




                                         11
                Office of Public Health and Science
                                                     Office of Public Health and Science
                Deputy Assistant                                                                               Deputy Assistant
               Secretary for Health             ASSISTANT SECRETARY FOR HEALTH                                Secretary for Health
             (Science and Medicine)                    Howard Koh, MD, MPH                                   (Healthcare Quality)
              Anand Parekh, MD,                                                                             Don Wright, MD, MPH
                      MPH                                 Principal Deputy Assistant
                                                             Secretary for Health
                                                             Wanda Jones, DrPH
                Regional Health                                                                           Office of Communications
                Administrators                           Senior Advisor to the ASH                               Dori Salcido
                 Regions I-X                          Rosemarie Henson, MPH, MSW




 Office of the Surgeon General            National Vaccine                    Office on Women’s Health              Office of Minority Health
        Surgeon General                    Program Office                              Director                    Deputy Assistant Secretary
 Regina Benjamin, MD, MBA             Deputy Assistant Secretary            Frances Ashe-Goins, RN, MPH            Garth Graham, MD, MPH
        VADM, USPHS                   Bruce Gellin, MD, MPH                            (Acting)                          LCDR, USPHS




    Office of HIV/AIDS Policy              Office for Human                     Office of Research Integrity         Office of Population Affairs
              Director                    Research Protections                            Director                             Director
    Christopher Bates, MPA                      Director                         Don Wright, MD, MPH                      Susan Moskosky
                                        Jerry Menikoff, MD, JD                            (Acting)                             (Acting)




Office of Adolescent Health          Office of Disease Prevention              President’s Council on Physical            Office of Commissioned
          Director                      and Health Promotion                          Fitness & Sports                    Corps Force Management
     Evelyn Kappeler                  Deputy Assistant Secretary                     Executive Director                           Director
          (Acting)                Penelope Slade-Sawyer, PT, MSW                    Shellie Y. Pfohl, MS                  Denise Canton, JD, RN
                                           RADM, USPHS                                                                        RADM, USPHS

                                                                                                                                           12
Administration on Children and Families




                                          13
Teenage Pregnancy Prevention Initiative
   Consolidated Appropriations Act, 2010 (Public
    Law 111-117)- $110 million
       $75 million - replicate program models
        proven effective through rigorous evaluation
        (Tier 1)
       $25 million - research and demonstration
        grants to develop, replicate, refine, and test
        additional models and innovative strategies
        (Tier 2)
       $10 million - training and technical
        assistance, evaluation, outreach, and
        additional program support activities
                                                         14
        Personal Responsibility Education
                Program (PREP)
   Patient Protection and Affordable Care Act (Public
    Law 111-148) - $10 million
       Implement innovative youth pregnancy
        prevention strategies, and
       Target services to high-risk, vulnerable, and
        culturally under-represented youth
        populations, including:
            Youth in foster care, homeless youth, youth with
             HIV/AIDS, pregnant and parenting women who
             are under 21 years of age and their partners,
             and youth residing in areas with high birth rates
             for youth                                        15
Tier 2 Review & Award Process
                OAH & ACYF Jointly
           Announce Availability of Funds
               Review Applications
            Select Successful Grantees




          OAH                         ACYF
   Awards and Monitors        Awards and Monitors
       TPP Funds                  PREP Funds
   ($15 - $25 million)            ($10 million)


                                                    16
     Introduction to
    TPP: Research and
Demonstration Programs and
          PREP
  Funding Announcement
    Purpose of Funding Announcement

   To support research and demonstration
    programs that will develop, replicate, and test
    additional models and innovative strategies
    for preventing teenage pregnancy and target
    services to identified populations




                                                  18
                  Target Populations
   Youth ages 10-19 at program entry
       PREP projects should and TPP projects
        may target high-risk, vulnerable and
        culturally under-represented youth
        populations

   Pregnant women and mothers under
    age 21 and their partners (PREP only)

   All Applicants:
       Are encouraged to serve specific priority populations as
        long as there is a sound rationale with supporting data
       Should clearly define target populations by age groups and
        priority populations, when appropriate, within geographic
        areas with high teen birth rates                         19
              Who’s eligible to apply?
   “Funds made available … shall be for making
    competitive contracts and grants to public and
    private entities” (Consolidated Appropriations Bill, 2010)
        Nonprofit organizations
        For-profit organizations
        Small, minority, and women-owned businesses
        Universities and colleges
        Research institutions
        Hospitals
        Community-based organizations
        Faith-based organizations
        Federally recognized or state-recognized
         tribal governments
        State and local governments
        State and local school districts
        Political subdivisions of States
                                                                 20
             Funding Ranges

   Range A - $400,000 to $600,000 per yr
   Range B - $600,000 to $1,000,000 per yr


* Applicants may only apply for one funding
   range under this announcement.
* Applicants may choose to opt out of
   consideration for funding from a specific
   funding stream (TPP or PREP)

                                               21
          Cost-Sharing or Matching
   Neither cost-sharing nor matching are required
   Funded programs should build on, but not duplicate,
    current Federal, state, local, or community programs
    and coordinate with existing programs and resources
    in the community
   While not required, applicants are welcome to
    supplement this effort with additional or non-federal
    resources
   Any written commitment of institutional support from
    the applicant and its collaborators may demonstrate
    a greater potential of success and sustainability of
    the project                                          22
            Award Information
   Number of awards: Up to 45
   Type of Award: Cooperative Agreements
   Funding Range: $400,000 - $1,000,000
   Project Period: Up to 5 years
   Start Date: September 2010
   Applicants may only submit one application
    for consideration
                                            23
Any Questions?




             24
Asking Questions & Printing the Slides




                                         25
Program Expectations
Overview of Program Expectations
   Implement a program intervention likely to
    demonstrate a change in sexual behaviors
   Explain potential to provide evidence of results and how
    the intervention could be replicated
   Address the target population
   Ensure age-appropriateness, and scientific and medical
    accuracy
   Engage in phased-in implementation period
   Collect and report performance measurement data
   Adhere to evaluation expectations


                                                         27
              Program Interventions
   Focus on interventions most likely to demonstrate
    change in sexual behaviors

   Interest in applications that propose to address
    gaps in the field of teenage pregnancy prevention
       Programs with some evidence of effectiveness
       Significant adaptations to an evidence-based program
        identified as eligible for Tier 1 TPP funding (Appendix A)
       Innovative programs for 18-19 year olds
       Program approaches for priority populations
       Programs to reduce repeat-pregnancies and target
        pregnant and parenting women ages 21 and under
       Other innovative program models, including use of new
        social media                                              28
        Significant Adaptations to Tier 1
                 Program Models
   Significant adaptations are changes to the program
    or curriculum activities that alter one or more core
    components of the program, including but not
    limited to:
       Changing sequence of activities
       Adding activities
       Addressing additional risk and protective factors
       Replacing videos
       Modifying instructional activities
       Using other models/tools that cover same ground

   Such changes are sought in applications under this
    funding announcement
                                                            29
Document the Potential to Demonstrate
             Evidence
   Identify the evidence or research base
   Document the intervention using a logic model and
    identify the core components
   Document significant adaptations (if modifying an
    existing model in Appendix A)
   Document the program/curriculum in a manual,
    including staff training
   Document changes made for quality improvement
    based on piloting
   Document any adjustments made during
    implementation
   Include plan for disseminating intervention findings
                                                     30
Medical Accuracy & Age-Appropriateness
   Funded programs will need to ensure that
    information provided is age appropriate, and
    scientifically and medically accurate
   Materials will be reviewed by OAH or ACYF
    prior to implementation to ensure medical
    accuracy
   Full curricula should NOT be submitted with
    the application. The review and approval
    process will occur during the planning phase
    of the first grant year
                                                   31
     Phased-In Implementation Period
   Funded recipients will engage in a planning, piloting, and
    readiness period for the first 6 to 12 months of funding
   During this period, grantees will:
      Continue to assess needs and resources
      Finalize goals, objectives, and logic model
      Assess program fit
      Build organizational capacity
      Finalize implementation plans
      Pilot test program

   The length of the phased-in implementation may vary by
    grantee depending on implementation readiness
   OAH or ACYF approval is required before full-scale
    implementation                                         32
             Evaluation Strategies
   Monitoring and reporting on program
    implementation and outcomes through
    performance measures

   Rigorous independent grantee-level
    evaluation design unique to grantee project

   Federal evaluation of a subset of all grantees



                                                     33
             Performance Measures
   Developed by OAH and ACYF during first year of
    program
   All grantees will be expected to collect and report
    on common set of performance measures to
    assess program implementation and outcomes
   Training and technical assistance will be provided
   Anticipated categories for measures:
       Output measures
       Fidelity/adaptation
       Implementation and capacity building
       Outcome measures
       Community data

                                                      34
            Grantee-level Evaluation
   Rigorous independent grantee-level evaluation design
    unique to proposed program intervention
       Use either random assignment or quasi-experimental
        design
       HHS will review and assess proposed evaluation designs
       HHS approval required before implementing evaluation
        plan
       HHS will provide training & TA on evaluation – general &
        project specific.

   See Appendix C in the FOA for detailed guidance
   Budget 20-25% to support evaluation activities


                                                               35
     Federal-level Evaluation of TPP
   Funded grantees will be required to participate in
    Federal evaluation, if selected, and agree to follow all
    evaluation protocols established by HHS or its designee
   Selected grantees will no longer be expected to have a
    grantee-level evaluation and will be required to redirect
    their evaluation budget to support activities related to
    the Federal level evaluation
   Decisions regarding participation in Federal evaluation
    expected by end of planning year
       Anticipate selecting approximately 12 grantees across TPP
        (Tiers 1&2) and PREP

                                                              36
Access to Health Care and Other Services

   As appropriate and allowable, applicants may
    provide teenage pregnancy prevention related
    health care services and/or make use of referral
    arrangements with other providers




                                                       37
Items Requiring OAH or ACYF Approval
   Approval required for:
       Medical accuracy of curricula and program
        materials
       Evaluation plans
       Full-scale implementation

   Full curricula should NOT be submitted with
    the application. Program materials will be
    submitted for review and approval during the
    phased-in implementation period of the first
    grant year.                                     38
Any Questions?




             39
Asking Questions During the Webinar




                                      40
Application Contents
Contents of Application Submission
   Abstract (one-page)
   Project Narrative (no more than 50 pages)
       Organizational Capability Statement
       Project Management
       Need Statement
       Intervention to be Tested and Project Approach
                                                         No more
       Target Population                                 than
       Program Goal(s), Objectives, and Activities      100 pgs
       Work plan and Timetable
       Collaborations and Description of MOUs
       Performance Measurement
       Evaluation
   Appendices
   Budget Narrative/Justification
                                                            42
            Project Abstract (1 page)
   Clear, concise description of the project that
    can be understood without reference to other
    parts of the application. Should include:
       Project title
       Applicant contact information
       Type of organization applying
       Overarching goal(s)
       Description of intervention to be implemented
       Geographic area to be served
       Target population

                                                        43
       Project Narrative Formatting
   Double-spaced
   8 ½ x 11 inch (letter-size) pages
   1-inch or larger margins on top, bottom, and
    both sides
   At least 12 point font
   All pages, charts, figures, and tables should
    be numbered
   Maximum length for Project Narrative = 50
    pages

                                                    44
              Project Narrative:
           Organizational Capability
   Current capability to organize and operate
    effectively and efficiently
   Decision-making authority and structure
   Past experience in implementing teen pregnancy
    prevention programs
   Past experience and accomplishments in creating
    partnerships with organizations/agencies to
    implement programs or systems to address teen
    pregnancy prevention
   How various sites and outside resources will be
    managed logistically and programmatically
                                                  45
               Project Narrative:
              Project Management
   Plans to govern and manage the execution of the
    overall program
   Governance structure, roles/responsibilities,
    operating procedures, composition of
    committees, workgroups, terms and associated
    leaders, and communications plans
   How plans and decisions are developed and
    documented and issues/risks managed
   Specify mechanisms to ensure accountability
    across community participants and incremental
    progress in achieving milestones
                                                  46
                Project Narrative:
                 Need Statement
   Geographic area to be served
   Benefit for the target population
   Incidence of teen births in the area
   Documentation of sexually transmitted disease
    rates, socio-economic conditions including income
    levels, existing services and unmet needs in the
    service area
   Unique challenges and barriers facing proposed
    population



                                                    47
    Project Narrative: Intervention to be
       Tested and Project Approach
   Program intervention and appropriateness for
    population to be served
   Rationale for choosing proposed intervention & how
    approach is based upon previous experience and
    community needs
   Implementation plans and site (s)
   Rationale for proposed adaptations to existing
    evidence-based program model in Tier 1, if applicable
   Plans to provide directly, and/or by referral, teenage
    pregnancy prevention related health or social services
   Coordination with existing services in the area
   Staff training and program management
   Request, if desired, to opt out of one of the funding
    streams – TPP or PREP                                  48
                Project Narrative:
                Target Population
   Describe target population using statistical data
    and other community factors
   Provide realistic estimates of overall number of
    program participants and number participating in
    proposed project site(s)
   Describe expected number of participants during
    first and second year of implementation; break
    out by age, race, and ethnicity
   Describe age appropriateness of proposed
    intervention

                                                        49
     Project Narrative: Program Goal(s),
          Objectives, and Activities
   Specific program goal(s) and up to 6 outcome
    objectives
   SMART objectives
       S – Specific
       M – Measurable
       A – Achievable
       R – Realistic
       T – Time-framed

   Logic Model (5-year) – visual representation of
    relationships between proposed resources, planned
    activities, and desired outputs and outcomes

                                                   50
              Project Narrative:
            Work plan & Timetable
   Detailed work plan and timetable for the five
    year project period
   Work plan is a concise, easy-to-read overview
    of goals, strategies, objectives, measures,
    activities, timeline, and those responsible
   Within the work plan include each activity
    associated with the implementation, the
    proposed time frame for the start and
    completion of each activity, and the
    responsible staff
                                                    51
                Project Narrative:
                 Collaborations
   Detail intent to coordinate with other community
    agencies and not duplicate existing efforts
   Describe expertise and capabilities of other
    partnering agencies
   Identify community stakeholders
   Detail the specific nature of involvement and
    level of commitment of each stakeholder
   Include MOUs from each participating site,
    stakeholders, and outside resources (if
    applicable) in the Appendices
                                                       52
              Project Narrative:
          Performance Measurement
   Monitor progress on uniform set of process
    and outcome performance measures
   Describe capability to implement monitoring
    and reporting systems to aid in internal data
    collection around metrics for successful
    achievement of performance measures




                                                    53
                 Project Narrative:
                    Evaluation
   Demonstrate capability to conduct a rigorous local,
    independent evaluation
   Provide clear and fully developed evaluation plan in
    accordance with criteria in Appendix C of the FOA
   Describe program intervention to be tested; theory
    upon which intervention is based; experimental design;
    proposed evaluation questions; data collection
    instruments; and plans for sampling, data collection,
    and data analysis
   Describe how data will be used for ongoing program
    improvements
   Describe plans to ensure confidentiality of data
   Include a MOU and CV from the independent evaluator
    in Appendices
                                                        54
              Project Narrative:
              Federal Evaluation
   Successful applicants must agree, if selected,
    to participate in a Federal evaluation,
    conducted by an independent contractor
    through a separate competitive award process




                                                55
                    Appendices
   Resumes for Project Director and detailed position
    descriptions
   Program logic model (see the Application Kit for
    example)
   Memoranda of Understanding from all participating sites
   Memorandum of Understanding with independent
    evaluator
   Curriculum Vitae of independent evaluator
   Memoranda of Understanding from all partners
   Organizational chart
   Applicant organization’s Federal-Wide Assurance
   Proof of nonprofit status, if applicable
                                                        56
      Budget Narrative/Justification
   State the funding range requested
   Outline proposed costs that support all project
    activities
   Thoroughly describe how the proposed costs are
    derived
      Breakdown each line item and provide an
       explanation of the costs
      Personnel should include salary per person and
       percent of time each person will spend on grant
   Specify the source of in-kind contributions (if
    applicable), and how the valuation of that contribution
    was determined
                                                          57
           Budget Information:
     Explanation of Line Items for 424a
a.   Personnel
b.   Fringe Benefits- based on bylaws of
     organization; taxes; social security; insurance
     benefits; percent varies by organization
c.   Travel- include an annual meeting & 3 regional
     trainings
d.   Equipment- any items over $5,000 per unit
e.   Supplies- items under $5,000 per unit
f.   Contractual- include independent evaluator
g.   Construction – not allowed
h.   Other
                                                   58
               Funding Restrictions
   Funds may not be used:
       For building alterations or renovations,
        construction, fundraising activities, political
        education or lobbying
       To supplant/replace any non-Federal or other
        Federal funds that would otherwise be made
        available for the activity proposed in the application
       To supplant on-going or usual activities of any
        organization involved in the project
       To purchase or improve land, or to purchase,
        construct, or make permanent improvements to
        any building
       To reimburse pre-award costs                         59
    Other Required Application Forms
   Application for Federal Assistance (SF 424)
   Budget Information for Non-Construction
    Programs (SF-424a)
   Project Abstract
   Project Narrative Attachment Form
   Budget Narrative Attachment Form
   Assurances for Non-Construction Programs (SF-
    424B)
   Disclosure of Lobbying Activities (SF-LLL)
   HHS Certifications (08-2007)

                                                    60
Any Questions?




             61
Asking Questions During the Webinar




                                      62
Application Submission
     Instructions
               Opt-out Provision
   Applicants may only submit one application
    under this FOA
   Applicants will be considered for both the TPP
    and PREP funding unless the applicant
    specifies that it only wants to be considered
    for funding under one program
   If you choose to opt out, do so in the
    Intervention to be Tested and Project
    Approach section of your application.

                                                 64
                Receipt Deadlines
   Letter of Intent – May 10, 2010
       Include descriptive title, funding range, and
        contact information
       Submit via fax to (240) 453-2801 or via email
        to oah.gov@hhs.gov

   Applications
       Electronic submission – June 8, 2010 by
        11:00pm ET
       Paper submission – June 8, 2010 by 5:00pm
        ET
                                                        65
           Electronic Submissions
   Grants.gov- http://www.grants.gov/
   GrantSolutions- https://www.grantsolutions.gov/
   Register well in advance
   Must be submitted no later than 11:00pm Eastern
    Time on June 8, 2010
   All required hardcopy original signatures and mail-
    in items must be received by the Office of Grants
    Management Grant Application Center no later
    than 5:00pm Eastern Time on June 9, 2010
   Applications are not considered valid until all
    electronic components, hardcopy original
    signatures, and mail-in items are received
                                                      66
               Paper Submissions
   Must be received no later than 5:00pm Eastern Time
    on June 8,2010
   Address all materials to:
    Office of Grants Management
    Office of Public Health and Science (OPHS)
    Department of Health and Human Services (DHHS)
    c/o Grant Application Center
    1515 Wilson Blvd., Suite 100
    Arlington, VA 22209
    Attention: Office of Adolescent Health
   Include the following on the lower left corner of your
    mailing envelope: “ATTENTION: OFFICE OF
    ADOLESCENT HEALTH – TIER 2 (NEW GRANT
    APPLICATION)”
                                                             67
        Application Tracking Form
   Applicants are strongly encouraged to
    complete and submit this form at the time of
    application submission
     Fax to (240) 453-2801, or
     Email to oah.gov@hhs.gov


   Used by the OAH and ACYF to track grant
    applications

   Form available in Appendix D of FOA or on
    the OAH website under “Current Grant
    Announcements” - “Application Kit”
                                                   68
                 Application Tips
   If submitting a hardcopy by mail or hand
    delivering…
       Do NOT staple or otherwise bind your application
       Do NOT send any extraneous materials such as
        videos, books, etc.
       Do NOT send double-sided information/ pamphlets
       Do NOT submit the proposed curriculum or
        educational materials
       DO double space on 8 ½ X 11 paper
       DO submit an original and two copies


                                                       69
                  Application Tips
   Read the entire FOA and application kit BEFORE
    writing
   Write the One Page Summary - AFTER the entire
    narrative is complete
   Read the review criteria
   Read the application instructions
   Do NOT exceed the 50 page limit for the project
    narrative OR the total page limit of 100 pages for
    the full application
   Turn in application no later than 5pm ET (hard
    copies) or 11pm (electronic copies) on June 8,
    2010
       Allow time for any unforeseen difficulties with the
        on-line application process, etc.
                                                              70
              Application Tips
   Remember that the FOA is the primary guide
    to programmatic requirements

   Follow what the FOA says




                                             71
Review & Selection Criteria
      The Application Review Process:
             Review Criteria
   Project Approach and Work Plan (35 points)
   Organizational Capacity and Experience (25
    points)
   Evaluation Plan and Performance
    Measurement (20 points)
   Project Management and Staffing (15 points)
   Budget (5 points)




                                                  73
              Selection Process
   Objective Review Committee
     Expert peer reviewers
     Federal Staff


   Applications reviewed according to the
    published review criteria




                                             74
      Final Award Decision Criteria
   Score and rank order given by the Objective
    Review Committee
   Availability of funds
   Representation of programs across communities,
    including varied types of interventions and
    evidence-based strategies
   Geographic distribution of projects
   Inclusion of communities of varying sizes
   Inclusion of populations disproportionately
    affected by teenage pregnancy
   Feasibility of evaluation plan
                                                     75
          Notification of Funding
   Notice of Grant Award notifies successful
    applicant of selection

   Includes any conditions on the award




                                                76
Tier 2 Review & Award Process
                OAH & ACYF Jointly
           Announce Availability of Funds
               Review Applications
            Select Successful Grantees




          OAH                         ACYF
   Awards and Monitors        Awards and Monitors
       TPP Funds                  PREP Funds
   ($15 - $25 million)            ($10 million)


                                                    77
Any Questions?




             78
Asking Questions During the Webinar




                                      79
           Thank you!
   Office of Adolescent Health
     Website - www.hhs.gov/ophs/oah
     Email – oah.gov@hhs.gov
     Phone – (240) 453-2806

   Administration on Children, Youth and
    Families
      Phone – (202) 205-8102

   Office of Grants Management
     Email – karen.campbell@hhs.gov
     Phone – (240) 453-8822
                                            80

				
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