National Indian Health Outreach and Education

Published date26 May 2020
Citation85 FR 31522
Record Number2020-11210
SectionNotices
CourtIndian Health Service
Federal Register, Volume 85 Issue 101 (Tuesday, May 26, 2020)
[Federal Register Volume 85, Number 101 (Tuesday, May 26, 2020)]
                [Notices]
                [Pages 31522-31529]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-11210]
                -----------------------------------------------------------------------
                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Indian Health Service
                National Indian Health Outreach and Education
                 Announcement Type: New.
                 Funding Announcement Number: HHS-2020-IHS-NIHOE-0001.
                 Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
                Number: 93.933.
                Key Dates
                 Application Deadline Date: June 29, 2020.
                 Earliest Anticipated Start Date: July 14, 2020.
                I. Funding Opportunity Description
                Statutory Authority
                 The Indian Health Service (IHS) is accepting applications for a
                cooperative agreement for the National Indian Health Outreach and
                Education program. This program is authorized under: The Snyder Act, 25
                U.S.C. 13; the Transfer Act, 42 U.S.C. 2001; the Indian Health Care
                Improvement Act at 25 U.S.C. 1621b; and Section 330C of the Public
                Health Service Act, 42 U.S.C. 254c-3. The HIV/AIDS Outreach and
                Education component is funded by the Office of the Assistant Secretary
                for Health (OASH), HHS, and is being made available through an intra-
                Departmental Delegation of Authority (IDDA) to IHS to award funding to
                be carried out pursuant to Section 301 of the Public Health Service
                Act. This program is described in the Assistance Listings located at
                https://beta.sam.gov (formerly known as Catalog of Federal Domestic
                Assistance) under 93.933.
                Background
                 The Indian Health Service is committed to providing quality health
                care, consistent with its statutory authorities and its government-to-
                government relationship with each Indian tribe. The IHS mission is to
                raise the physical, mental, social and spiritual health of American
                Indians and Alaska Natives to the highest level. To further mission
                success, the IHS seeks support on a national scale. The IHS serves as
                the principal federal health care provider and health advocate for
                approximately 2.6 million American Indians and Alaska Natives from 574
                federally recognized Tribes in 37 states, through a network of over 605
                hospitals, clinics and health stations on or near Indian reservations
                and predominantly in rural locations. Tribes administer over half of
                the annual IHS discretionary appropriation. The IHS also enters into
                agreements with 41 Urban Indian Organizations (UIOs). These 41 UIOs are
                501(c)(3) non-profit organizations that provide culturally appropriate
                and quality health care and referral services for Urban Indians
                throughout the United States in 22 states. The IHS seeks to collaborate
                with local communities, not-for-profit organizations, universities and
                schools, foundations, businesses, and Federal agencies. This effort
                will foster outreach and education addressing health policy and health
                program issues; broadcast educational information to all American
                Indian and Alaska Native people; provide policy/legislative updates,
                advocacy, and technical assistance.
                Purpose
                 The purpose of this IHS cooperative agreement is to further IHS's
                mission and goals related to providing quality health care to the AI/AN
                community through outreach and education efforts with a focus on
                improving Indian health care, promoting awareness, visibility,
                advocacy, training, technical assistance, and education efforts. This
                program includes the following seven components, as described in this
                announcement: ``Line Item 128 Health Education and Outreach funds;''
                ``Health Care Policy Analysis and Review;'' ``Substance Abuse and
                Suicide Prevention (SASP) program,'' formerly known as the
                Methamphetamine and Suicide Prevention Initiative; ``Domestic Violence
                Prevention (DVP) program,'' formerly known as the Domestic Violence
                Prevention Initiative--national awareness, visibility, advocacy,
                outreach and education award; the ``Human Immunodeficiency Virus/
                Acquired Immune Deficiency Syndrome (HIV/AIDS)'' outreach and
                education; the ``Special Diabetes Program for Indians'' (SDPI); the
                ``Affordable Care Act (ACA)''; and the ``Indian Health Care Improvement
                Act (IHCIA).''
                II. Award Information
                Funding Instrument
                 Cooperative Agreement.
                Estimated Funds Available
                 The total funding identified for fiscal year (FY) 2020 is
                approximately $842,311. The award amount for the first budget year is
                anticipated to be between $246,311 and $842,311. $246,311 is estimated
                for Line Item 128 Health Education and Outreach (this amount could vary
                based on Tribal shares assumptions); $125,000 for the Health Care
                Policy Analysis and Review; $150,000 for activities related
                [[Page 31523]]
                to the SASP program; $50,000 for activities related to the DVP program;
                $100,000 for HIV/AIDS outreach and education; $66,000 associated with
                providing legislative education, outreach and communication on the
                SDPI; and $105,000 for outreach and education activities on the ACA,
                and the IHCIA. The funding available for competing and subsequent
                continuation awards issued under this announcement is subject to the
                availability of appropriations and budgetary priorities of the Agency.
                The IHS is under no obligation to make awards that are selected for
                funding under this announcement.
                Anticipated Number of Awards
                 Approximately one award will be issued under this program
                announcement.
                Period of Performance
                 The period of performance is for three years.
                Cooperative Agreement
                 Cooperative agreements awarded by the Department of Health and
                Human Services (HHS) are administered under the same policies as a
                grant. However, the funding agency (IHS) is anticipated to have
                substantial programmatic involvement in the project during the entire
                award segment. Below is a detailed description of the level of
                involvement required for IHS.
                Substantial Involvement Description for Cooperative Agreement
                 1. The IHS assigned program official will work in partnership with
                the awardee in all decisions involving strategy, hiring of personnel,
                deployment of resources, release of public information materials,
                quality assurance, coordination of activities, any training, reports,
                budget and evaluation. Collaboration includes data analysis,
                interpretation of findings and reporting.
                 2. The IHS assigned program official will monitor the overall
                progress of the awardee's execution of the requirements of the award
                noted below, as well as their adherence to the terms and conditions of
                the cooperative agreement. This includes providing guidance for
                required reports, development of tools and other products, interpreting
                program findings and assisting with evaluation and overcoming any
                slippages encountered.
                 3. The IHS assigned program official will also coordinate the
                following:
                 Routinely scheduled conference calls.
                 Appropriate dissemination of required reports to each
                participating IHS program.
                 4. IHS will jointly, with the awardee, plan and set an agenda for
                events that:
                 Shares the outcomes of the outreach and health education
                training provided.
                 Fosters collaboration amongst the participating IHS
                program offices.
                 Increases visibility for the partnership between the
                awardee and IHS.
                 5. IHS may provide guidance in preparing articles for publication
                and/or presentations of program successes, lessons learned and new
                findings.
                 6. IHS staff will review articles concerning the HHS for accuracy
                and may, if requested by the awardee, provide relevant articles.
                 7. IHS will communicate, via routine conference calls and meetings,
                individual or collective (all participating programs) site visits to
                the awardee.
                 8. IHS will provide technical assistance to the awardee as
                requested.
                 9. IHS staff may, at the request of the entity's board, participate
                on study groups, attend board meetings, and recommend topics for
                analysis and discussion.
                III. Eligibility Information
                1. Eligibility
                 To be eligible for this ``New Announcement,'' an eligible applicant
                must be a 501(c)(3) organization that has demonstrated expertise as
                follows:
                 Representing Tribal governments and providing a variety of
                services to Tribes, area health boards, Tribal organizations, and
                federal agencies, and playing a major role in focusing attention on
                Indian health care needs, resulting in improved health outcomes for
                Tribes.
                 Promoting and supporting health education for AI/AN and
                coordinating efforts to inform AI/AN of federal decisions that affect
                Tribal government interests including the improvement of Indian health
                care.
                 Administering national health policy and health programs.
                 Maintaining a national AI/AN constituency and clearly
                supporting critical services and activities within the IHS mission of
                improving the quality of health care for AI/AN people.
                 Supporting improved healthcare in Indian Country.
                 Note: Please refer to Section IV.2 (Application and Submission
                Information/Subsection 2, Content and Form of Application Submission)
                for additional proof of applicant status documents required, such as
                tribal resolutions, proof of non-profit status, etc.
                2. Cost Sharing or Matching
                 The IHS does not require matching funds or cost sharing for grants
                or cooperative agreements.
                3. Other Requirements
                 Applications with budget requests that exceed the highest dollar
                amount outlined under the Award Information, Estimated Funds Available
                section, or exceed the Period of Performance outlined under the Award
                Information, Period of Performance section will be considered not
                responsive and will not be reviewed. The Division of Grants Management
                (DGM) will notify the applicant.
                Additional Required Documentation
                Proof of Non-Profit Status
                 Organizations claiming non-profit status must submit a current copy
                of the 501(c)(3) Certificate with the application.
                IV. Application and Submission Information
                1. Obtaining Application Materials
                 The application package and detailed instructions for this
                announcement are hosted on https://www.Grants.gov.
                 Please direct questions regarding the application process to Mr.
                Paul Gettys at (301) 443-2114 or (301) 443-5204.
                2. Content and Form Application Submission
                 The applicant must include the project narrative as an attachment
                to the application package. Mandatory documents for all applicants
                include:
                 Abstract (one page) summarizing the project.
                 Application forms:
                 1. SF-424, Application for Federal Assistance.
                 2. SF-424A, Budget Information--Non-Construction Programs.
                 3. SF-424B, Assurances--Non-Construction Programs.
                 Project Narrative (not to exceed ten pages for each of the
                components listed in Section I Purpose). See Section IV.2.A Project
                Narrative for instructions.
                 1. Background information on the organization.
                 2. Proposed scope of work, objectives, and activities that provide
                a description of what the applicant plans to accomplish.
                 Budget Justification and Narrative (not to exceed five
                pages). See Section IV.2.B Budget Narrative for instructions.
                 One-page Timeframe Chart.
                 Letters of Support from organization's Board of Directors.
                [[Page 31524]]
                 501(c)(3) Certificate.
                 Biographical sketches for all Key Personnel.
                 Contractor/Consultant resumes or qualifications and scope
                of work.
                 Disclosure of Lobbying Activities (SF-LLL).
                 Certification Regarding Lobbying (GG-Lobbying Form).
                 Copy of current Negotiated Indirect Cost rate (IDC)
                agreement (required in order to receive IDC).
                 Organizational Chart (optional).
                 Documentation of current Office of Management and Budget
                (OMB) Financial Audit (if applicable).
                 Acceptable forms of documentation include:
                 1. Email confirmation from Federal Audit Clearinghouse (FAC) that
                audits were submitted; or
                 2. Face sheets from audit reports. Applicants can find these on the
                FAC website: https://harvester.census.gov/facdissem/Main.aspx.
                Public Policy Requirements
                 All federal public policies apply to IHS grants and cooperative
                agreements with the exception of the Discrimination Policy.
                Requirements for Project and Budget Narratives
                 A. Project Narrative: This narrative should be a separate document
                that is no more than ten pages per component and must: (1) Have
                consecutively numbered pages; (2) use black font 12 points or larger;
                (3) be single-spaced; (4) and be formatted to fit standard letter paper
                (8-1/2 x 11 inches).
                 Be sure to succinctly answer all questions listed under the
                evaluation criteria (refer to Section V.1, Evaluation Criteria) and
                place all responses and required information in the correct section
                noted below or they will not be considered or scored. If the narrative
                exceeds the page limit, the application will be considered not
                responsive and not be reviewed. The ten-page limit for the narrative
                does not include the work plan, standard forms, Tribal resolutions,
                budget, budget justifications, narratives, and/or other appendix items.
                 There are three parts to the narrative: Part 1--Program
                Information; Part 2--Program Planning and Evaluation; and Part 3--
                Program Report. See below for additional details about what must be
                included in the narrative.
                 The page limits below are for each narrative and budget submitted.
                Part 1: Program Information (limit--two pages)
                 Section 1: Capabilities and Qualifications
                 Describe how the applicant has the expertise to provide outreach
                and education efforts on a continuing basis regarding the pertinent
                changes and updates in health care for each of the seven components
                listed herein.
                Part 2: Program Planning and Evaluation (limit--six pages)
                 Section 1: Program Plans
                 Describe fully and clearly how the applicant plans to address the
                NIHOE requirements, including how the applicant plans to demonstrate
                improved health education and outreach services to all federally-
                recognized Tribes for each of the components described herein. Include
                proposed timelines as appropriate and applicable.
                 Section 2: Program Evaluation
                 Describe fully and clearly how the outreach and education efforts
                will impact changes in knowledge and awareness in Tribal communities.
                Identify anticipated or expected benefits for the Tribal constituency.
                 Describe fully and clearly how each project objective will be
                evaluated, including a sample list of data variables to be collected
                (i.e., health education and outreach services, response from community
                surveys, rating of program or project's ability to use technology,
                program or project's ability to cover costs of peripherals and software
                to manage grant). Identify anticipated or expected benefits for the
                tribal community or target population.
                Part 3: Program Report (limit--two pages)
                 Section 1: Describe your organization's significant program
                activities and accomplishments over the past five years associated with
                the goals of this announcement.
                 Section 2: Describe major activities over the last 24 months.
                Please identify and summarize recent major health related project
                activities of the work done regarding each of the four components
                during the project period.
                 B. Budget Narrative (limit--five pages).
                 Provide a budget narrative that explains the amounts requested for
                each line item of the budget. The budget narrative should specifically
                describe how each item will support the achievement of proposed
                objectives. Be very careful about showing how each item in the
                ``Other'' category is justified. For subsequent budget years, the
                narrative should highlight the changes from year 1 or clearly indicate
                that there are no substantive budget changes during the period of
                performance. Do NOT use the budget narrative to expand the project
                narrative.
                3. Submission Dates and Times
                 Applications must be submitted through Grants.gov by 11:59 p.m.
                Eastern Daylight Time (EDT) on the Application Deadline Date. Any
                application received after the application deadline will not be
                accepted for review. Grants.gov will notify the applicant via email if
                the application is rejected. If technical challenges arise and
                assistance is required with the application process, contact Grants.gov
                Customer Support (see contact information at https://www.grants.gov).
                If problems persist, contact Mr. Paul Gettys ([email protected]),
                Acting Director, DGM, by telephone at (301) 443-2114 or (301) 443-5204.
                Please be sure to contact Mr. Gettys at least ten days prior to the
                application deadline. Please do not contact the DGM until you have
                received a Grants.gov tracking number. In the event you are not able to
                obtain a tracking number, call the DGM as soon as possible.
                 IHS will not acknowledge receipt of applications.
                4. Intergovernmental Review
                 Executive Order 12372 requiring intergovernmental review is not
                applicable to this program.
                5. Funding Restrictions
                 Pre-award costs are allowable up to 90 days before the
                start date of the award provided the costs are otherwise allowable if
                awarded. Pre-award costs are incurred at the risk of the applicant.
                 The available funds are inclusive of direct and indirect
                costs.
                 Only one cooperative agreement will be awarded per
                applicant.
                6. Electronic Submission Requirements
                 All applications must be submitted via Grants.gov. Please use the
                https://www.Grants.gov website to submit an application. Find the
                application by selecting the ``Search Grants'' link on the homepage.
                Follow the instructions for submitting an application under the Package
                tab. No other method of application submission is acceptable.
                 If the applicant cannot submit an application through Grants.gov, a
                waiver must be requested. Prior approval must be requested and obtained
                from Mr. Paul Gettys, Acting Director, DGM. A written waiver request
                must be sent to [email protected] with a copy to
                [email protected]. The waiver request must: (1) Be documented
                [[Page 31525]]
                in writing (emails are acceptable) before submitting an application by
                some other method, and (2) include clear justification for the need to
                deviate from the required application submission process.
                 Once the waiver request has been approved, the applicant will
                receive a confirmation of approval email containing submission
                instructions. A copy of the written approval must be included with the
                application that is submitted to the DGM. Applications that are
                submitted without a copy of the signed waiver from the Director of the
                DGM will not be reviewed. The Grants Management Officer of the DGM will
                notify the applicant via email of this decision. Applications submitted
                under waiver must be received by the DGM no later than 5:00 p.m., EDT,
                on the Application Deadline Date. Late applications will not be
                accepted for processing. Applicants that do not register for both the
                System for Award Management (SAM) and Grants.gov and/or fail to request
                timely assistance with technical issues will not be considered for a
                waiver to submit an application via alternative method.
                 Please be aware of the following:
                 Please search for the application package in https://www.Grants.gov by entering the Assistance Listing (CFDA) number or the
                Funding Opportunity Number. Both numbers are located in the header of
                this announcement.
                 If you experience technical challenges while submitting
                your application, please contact Grants.gov Customer Support (see
                contact information at https://www.grants.gov).
                 Upon contacting Grants.gov, obtain a tracking number as
                proof of contact. The tracking number is helpful if there are technical
                issues that cannot be resolved and a waiver from the agency must be
                obtained.
                 Applicants are strongly encouraged not to wait until the
                deadline date to begin the application process through Grants.gov as
                the registration process for SAM and Grants.gov could take up to twenty
                working days.
                 Please follow the instructions on Grants.gov to include
                additional documentation that may be requested by this funding
                announcement.
                 Applicants must comply with any page limits described in
                this funding announcement.
                 After submitting the application, the applicant will
                receive an automatic acknowledgment from Grants.gov that contains a
                Grants.gov tracking number. IHS will not notify the applicant that the
                application has been received.
                Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
                 Applicants and grantee organizations are required to obtain a DUNS
                number and maintain an active registration in the SAM database. The
                DUNS number is a unique 9-digit identification number provided by D&B
                that uniquely identifies each entity. The DUNS number is site specific;
                therefore, each distinct performance site may be assigned a DUNS
                number. Obtaining a DUNS number is easy, and there is no charge. To
                obtain a DUNS number, please access the request service through https://fedgov.dnb.com/webform, or call (866) 705-5711.
                 The Federal Funding Accountability and Transparency Act of 2006, as
                amended (``Transparency Act''), requires all HHS recipients to report
                information on sub-awards. Accordingly, all IHS grantees must notify
                potential first-tier sub-recipients that no entity may receive a first-
                tier sub-award unless the entity has provided its DUNS number to the
                prime grantee organization. This requirement ensures the use of a
                universal identifier to enhance the quality of information available to
                the public pursuant to the Transparency Act.
                System for Award Management (SAM)
                 Organizations that are not registered with SAM will need to obtain
                a DUNS number first and then access the SAM online registration through
                the SAM home page at https://www.sam.gov (U.S. organizations will also
                need to provide an Employer Identification Number from the Internal
                Revenue Service that may take an additional 2-5 weeks to become
                active). Please see SAM.gov for details on the registration process and
                timeline. Registration with the SAM is free of charge, but can take
                several weeks to process. Applicants may register online at https://www.sam.gov.
                 Additional information on implementing the Transparency Act,
                including the specific requirements for DUNS and SAM, are available on
                the DGM Grants Management, Policy Topics web page: https://www.ihs.gov/dgm/policytopics/.
                V. Application Review Information
                 Weights assigned to each section are noted in parentheses. The ten-
                page project narrative should include only the first year of
                activities; information for multi-year projects should be included as
                an appendix. See ``Multi-year Project Requirements'' at the end of this
                section for more information. The narrative section should be written
                in a manner that is clear to outside reviewers unfamiliar with prior
                related activities of the applicant. It should be well organized,
                succinct, and contain all information necessary for reviewers to
                understand the project fully. Points will be assigned to each
                evaluation criteria adding up to a total of 100 possible points. Points
                are assigned as follows:
                1. Evaluation Criteria
                A. Introduction and Need for Assistance (15 Points)
                 (1) Describe the organization's current health, education and
                technical assistance operations as related to the broad spectrum of
                health needs of the AI/AN community. Include what programs and services
                are currently provided (i.e., federally-funded, state-funded, etc.),
                any memorandums of agreement with other national, area or local Indian
                health board organizations. This could also include HHS agencies that
                rely on the applicant as the primary gateway organization to AI/AN
                communities that are capable of providing the dissemination of health
                information. Include information regarding technologies currently used
                (i.e., hardware, software, services, websites, etc.), and identify the
                source(s) of technical support for those technologies (i.e., in-house
                staff, contractors, vendors, etc.). Include information regarding how
                long the applicant has been operating and its length of association/
                partnerships with area health boards, etc. (historical collaboration).
                 (2) Describe the organization's current technical assistance
                ability. Include what programs and services are currently provided,
                programs and services projected to be provided, memorandums of
                agreement with other national Indian organizations that deem the
                applicant as the primary source of health policy information for AI/AN,
                memorandums of agreement with other area Indian health boards, etc.
                 (3) Describe the population to be served by the proposed projects.
                 (4) Identify all previous IHS cooperative agreement awards
                received, dates of funding and summaries of the projects'
                accomplishments. State how previous cooperative agreement funds
                facilitated education, training and technical assistance nationwide for
                AI/ANs and relate the progression of health care information delivery
                and development relative to the current proposed projects. (Copies of
                reports will not be accepted.)
                 (5) Describe collaborative and supportive efforts with national,
                area and local Indian health boards.
                [[Page 31526]]
                 (6) Explain the need/reason for your proposed projects by
                identifying specific gaps or weaknesses in services or infrastructure
                that will be addressed by the proposed projects. Explain how these
                gaps/weaknesses have been assessed.
                 (7) If the proposed projects include information technology (i.e.,
                hardware, software, etc.), provide further information regarding
                measures taken or to be taken that ensure the proposed projects will
                not create other gaps in services or infrastructure (i.e., negatively
                or adversely affect IHS interface capability, Government Performance
                Results Act reporting requirements, contract reporting requirements,
                information technology compatibility, etc.), if applicable.
                 (8) Describe the effect of the proposed projects on current
                programs (i.e., federally-funded, state-funded, etc.) and, if
                applicable, on current equipment (i.e., hardware, software, services,
                etc.). Include the effect of the proposed projects on planned/
                anticipated programs and/or equipment.
                 (9) Describe how the projects relate to the purpose of the
                cooperative agreement by addressing the following: Identify how the
                proposed projects will address outreach and education regarding each of
                the components listed.
                B. Project Objective(s), Work Plan and Approach (40 Points)
                 (1) Identify the proposed objective(s) for each of the four
                projects, as applicable. Objectives should be:
                 Measurable and (if applicable) quantifiable.
                 Results oriented.
                 Time-limited.
                 Example: Issue quarterly newsletters, provide alerts and quantify
                number of contacts with Tribes.
                 Goals must be clear and concise. Objectives must be measurable,
                feasible and attainable for each of the selected projects.
                 (2) Address how the proposed projects will result in change or
                improvement in program operations or processes for each proposed
                project objective for all of the projects. Also address what tangible
                products, if any, are expected from the projects, (i.e., policy
                analysis, outreach events, summits, etc.).
                 (3) Address the extent to which the proposed projects will provide,
                improve, or expand services that address the need(s) of the target
                population. Include a current strategic plan and business plan that
                includes the expanded services. Include the plan(s) with the
                application submission.
                 (4) Submit a work plan in the appendix which includes the following
                information.
                 Provide the action steps on a timeline for accomplishing
                each of the projects' proposed objective(s).
                 Identify who will perform the action steps.
                 Identify who will supervise the action steps.
                 Identify what tangible products will be produced during
                and at the end of the proposed projects' objective(s).
                 Identify who will accept and/or approve work products
                during the duration of the proposed projects and at the end of the
                proposed projects.
                 Include any training that will take place during the
                proposed projects and who will be attending the training.
                 Include evaluation activities planned in the work plans.
                 (5) If consultants or contractors will be used during the proposed
                project, please include the following information in their scope of
                work (or note if consultants/contractors will not be used).
                 Educational requirements.
                 Desired qualifications and work experience.
                 Expected work products to be delivered on a timeline.
                 If a potential consultant/contractor has already been identified,
                please include a resume in the Appendix.
                 (6) Describe what updates will be required for the continued
                success of the proposed projects. Include when these updates are
                anticipated and where funds will come from to conduct the update and/or
                maintenance.
                C. Program Evaluation (20 Points)
                 Each proposed objective requires an evaluation component to assess
                its progression and ensure its completion. Also, include the evaluation
                activities in the work plan.
                 Describe the proposed plan to evaluate both outcomes and process.
                Outcome evaluation relates to the results identified in the objectives,
                and process evaluation relates to the work plan and activities of the
                project.
                 (1) For outcome evaluation, describe:
                 What will the criteria be for determining success of each
                objective?
                 What data will be collected to determine whether the
                objective was met?
                 At what intervals will data be collected?
                 Who will collect the data and their qualifications?
                 How will the data be analyzed?
                 How will the results be used?
                 (2) For process evaluation, describe:
                 How will each project be monitored and assessed for
                potential problems and needed quality improvements?
                 Who will be responsible for monitoring and managing each
                project's improvements based on results of ongoing process improvements
                and their qualifications?
                 How will ongoing monitoring be used to improve the
                projects?
                 Describe any products, such as manuals or policies, that
                might be developed and how they might lend themselves to replication by
                others.
                 How will the organization document what is learned
                throughout each of the projects' periods?
                 (3) Describe any evaluation efforts planned after the grant period
                has ended.
                 (4) Describe the ultimate benefit to the AI/AN population that the
                applicant organization serves that will be derived from these projects.
                D. Organizational Capabilities, Key Personnel and Qualifications (15
                Points)
                 This section outlines the broader capacity of the organization to
                complete the project outlined in the work plan. It includes the
                identification of personnel responsible for completing tasks and the
                chain of responsibility for successful completion of the projects
                outlined in the work plan.
                 (1) Describe the organizational structure of the organization
                beyond health care activities, if applicable.
                 (2) Describe the ability of the organization to manage the proposed
                projects. Include information regarding similarly sized projects in
                scope and financial assistance, as well as other cooperative
                agreements/grants and projects successfully completed.
                 (3) Describe what equipment (i.e., fax machine, phone, computer,
                etc.) and facility space (i.e., office space) will be available for use
                during the proposed projects. Include information about any equipment
                not currently available that will be purchased through the cooperative
                agreement/grant.
                 (4) List key personnel who will work on the projects. Include title
                used in the work plans. In the appendix, include position descriptions
                and resumes for all key personnel. Position descriptions should clearly
                describe each position and duties, indicating desired qualifications
                and experience requirements related to the proposed projects. Resumes
                must indicate that the proposed staff member is qualified to carry out
                the proposed projects' activities. If a position is to be filled,
                indicate that information on the proposed position description.
                [[Page 31527]]
                 (5) If personnel are to be only partially funded by this
                cooperative agreement, indicate the percentage of time to be allocated
                to the projects and identify the resources used to fund the remainder
                of the individual's salary.
                E. Categorical Budget and Budget Justification (10 Points)
                 This section should provide a clear estimate of the projects'
                program costs and justification for expenses for the entire cooperative
                agreement period. The budgets and budget justifications should be
                consistent with the tasks identified in the work plans.
                 (1) Provide a categorical budget for each of the 12-month budget
                periods requested for each of the four projects.
                 (2) If indirect costs are claimed, indicate and apply the current
                negotiated rate to the budget. Include a copy of the rate agreement in
                the appendix.
                 (3) Provide a narrative justification explaining why each line item
                is necessary/relevant to the proposed project. Include sufficient cost
                and other details to facilitate the determination of cost allowability
                (i.e., equipment specifications, etc.).
                Multi-Year Project Requirements
                 Applications must include a brief project narrative and budget (one
                additional page per year) addressing the developmental plans for each
                additional year of the project. This attachment will not count as part
                of the project narrative or the budget narrative.
                Additional Documents Can Be Uploaded as Appendix Items in Grants.gov
                 Work plan, logic model and/or time line for proposed
                objectives.
                 Position descriptions for key staff.
                 Resumes of key staff that reflect current duties.
                 Consultant or contractor proposed scope of work and letter
                of commitment (if applicable).
                 Current Indirect Cost Rate Agreement.
                 Organizational chart.
                 Map of area identifying project location(s).
                 Additional documents to support narrative (i.e. data
                tables, key news articles, etc.).
                2. Review and Selection
                 Each application will be prescreened for eligibility and
                completeness as outlined in the funding announcement. Applications that
                meet the eligibility criteria shall be reviewed for merit by the
                Objective Review Committee (ORC) based on evaluation criteria.
                Incomplete applications and applications that are not responsive to the
                administrative thresholds will not be referred to the ORC and will not
                be funded. The applicant will be notified of this determination.
                Applicants must address all program requirements and provide all
                required documentation.
                3. Notifications of Disposition
                 All applicants will receive an Executive Summary Statement from the
                IHS Office of Direct Service and Contracting Tribes within 30 days of
                the conclusion of the ORC outlining the strengths and weaknesses of
                their application. The summary statement will be sent to the
                Authorizing Official identified on the face page (SF-424) of the
                application.
                A. Award Notices for Funded Applications
                 The Notice of Award (NoA) is the authorizing document for which
                funds are dispersed to the approved entities and reflects the amount of
                federal funds awarded, the purpose of the grant, the terms and
                conditions of the award, the effective date of the award, and the
                budget/project period. Each entity approved for funding must have a
                user account in GrantSolutions in order to retrieve the NoA. Please see
                the Agency Contacts list in Section VII for the systems contact
                information.
                B. Approved But Unfunded Applications
                 Approved applications not funded due to lack of available funds
                will be held for one year. If funding becomes available during the
                course of the year, the application may be reconsidered.
                 Note: Any correspondence other than the official NoA executed by an
                IHS grants management official announcing to the project director that
                an award has been made to their organization is not an authorization to
                implement their program on behalf of the IHS.
                VI. Award Administration Information
                1. Administrative Requirements
                 Cooperative agreements are administered in accordance with the
                following regulations and policies:
                 A. The criteria as outlined in this program announcement.
                 B. Administrative Regulations for Grants:
                 Uniform Administrative Requirements for HHS Awards,
                located at 45 CFR part 75.
                 C. Grants Policy:
                 HHS Grants Policy Statement, Revised 01/07.
                 D. Cost Principles:
                 Uniform Administrative Requirements for HHS Awards, ``Cost
                Principles,'' located at 45 CFR part 75, subpart E.
                 E. Audit Requirements:
                 Uniform Administrative Requirements for HHS Awards,
                ``Audit Requirements,'' located at 45 CFR part 75, subpart F.
                2. Indirect Costs
                 This section applies to all recipients that request reimbursement
                of indirect costs (IDC) in their application budget. In accordance with
                HHS Grants Policy Statement, Part II-27, IHS requires applicants to
                obtain a current IDC rate agreement, and submit it to DGM, prior to DGM
                issuing an award. The rate agreement must be prepared in accordance
                with the applicable cost principles and guidance as provided by the
                cognizant agency or office. A current rate covers the applicable grant
                activities under the current award's budget period. If the current rate
                agreement is not on file with the DGM at the time of award, the IDC
                portion of the budget will be restricted. The restrictions remain in
                place until the current rate agreement is provided to the DGM.
                 Generally, IDC rates for IHS grantees are negotiated with the
                Division of Cost Allocation (DCA) https://rates.psc.gov/ or the
                Department of Interior (Interior Business Center) https://ibc.doi.gov/ICS/tribal. For questions regarding the indirect cost policy, please
                call the Grants Management Specialist listed under ``Agency Contacts''
                or the main DGM office at (301) 443-5204.
                3. Reporting Requirements
                 The awardee must submit required reports consistent with the
                applicable deadlines. Failure to submit required reports within the
                time allowed may result in suspension or termination of an active
                grant, withholding of additional awards for the project, or other
                enforcement actions such as withholding of payments or converting to
                the reimbursement method of payment. Continued failure to submit
                required reports may result in one or both of the following: (1) The
                imposition of special award provisions; and (2) the non-funding or non-
                award of other eligible projects or activities. This requirement
                applies whether the delinquency is attributable to the failure of the
                awardee organization or the individual responsible for preparation of
                the reports. Per DGM policy, all reports are required to be submitted
                electronically by attaching them as a ``Grant Note'' in GrantSolutions.
                Personnel responsible for submitting
                [[Page 31528]]
                reports will be required to obtain a login and password for
                GrantSolutions. Please see the Agency Contacts list in section VII for
                the systems contact information.
                 The reporting requirements for this program are noted below.
                A. Progress Reports
                 Program progress reports are required semi-annually, within 30 days
                after the budget period ends (specific dates will be listed in the NoA
                Terms and Conditions). These reports must include a brief comparison of
                actual accomplishments to the goals established for the period, a
                summary of progress to date or, if applicable, provide sound
                justification for the lack of progress, and other pertinent information
                as required. A final report must be submitted within 90 days of
                expiration of the period of performance.
                B. Financial Reports
                 Federal Financial Report (FFR or SF-425), Cash Transaction Reports
                are due 30 days after the close of every calendar quarter to the
                Payment Management Services, HHS at https://pms.psc.gov. The applicant
                is also requested to upload a copy of the FFR (SF-425) into our grants
                management system, GrantSolutions. Failure to submit timely reports may
                result in adverse award actions blocking access to funds.
                 Awardees are responsible and accountable for accurate information
                being reported on all required reports: The Progress Reports and
                Federal Financial Report.
                C. Post Conference Grant Reporting
                 The following requirements were enacted in Section 3003 of the
                Consolidated Continuing Appropriations Act, 2013, and Section 119 of
                the Continuing Appropriations Act, 2014; Office of Management and
                Budget Memorandum M-12-12: All HHS/IHS awards containing grants funds
                allocated for conferences will be required to complete a mandatory post
                award report for all conferences. Specifically: The total amount of
                funds provided in this award/cooperative agreement that were spent for
                ``Conference X'', must be reported in final detailed actual costs
                within 15 days of the completion of the conference. Cost categories to
                address should be: (1) Contract/Planner, (2) Meeting Space/Venue, (3)
                Registration website, (4) Audio Visual, (5) Speakers Fees, (6) Non-
                Federal Attendee Travel, (7) Registration Fees, (8) Other.
                D. Federal Sub-Award Reporting System (FSRS)
                 This award may be subject to the Transparency Act sub-award and
                executive compensation reporting requirements of 2 CFR part 170.
                 The Transparency Act requires the OMB to establish a single
                searchable database, accessible to the public, with information on
                financial assistance awards made by federal agencies. The Transparency
                Act also includes a requirement for recipients of federal grants to
                report information about first-tier sub-awards and executive
                compensation under federal assistance awards.
                 IHS has implemented a Term of Award into all IHS Standard Terms and
                Conditions, NoAs and funding announcements regarding the FSRS reporting
                requirement. This IHS Term of Award is applicable to all IHS grant and
                cooperative agreements issued on or after October 1, 2010, with a
                $25,000 sub-award obligation dollar threshold met for any specific
                reporting period. Additionally, all new (discretionary) IHS awards
                (where the period of performance is made up of more than one budget
                period) and where: (1) The period of performance start date was October
                1, 2010 or after, and (2) the primary awardee will have a $25,000 sub-
                award obligation dollar threshold during any specific reporting period
                will be required to address the FSRS reporting.
                 For the full IHS award term implementing this requirement and
                additional award applicability information, visit the DGM Grants Policy
                website at https://www.ihs.gov/dgm/policytopics/.
                E. Compliance With Executive Order 13166 Implementation of Services
                Accessibility Provisions for All Grant Application Packages and Funding
                Opportunity Announcements
                 Recipients of federal financial assistance (FFA) from HHS must
                administer their programs in compliance with federal civil rights laws
                that prohibit discrimination on the basis of race, color, national
                origin, disability, age and, in some circumstances, religion,
                conscience, and sex. This includes ensuring programs are accessible to
                persons with limited English proficiency. The HHS Office for Civil
                Rights provides guidance on complying with civil rights laws enforced
                by HHS. Please see https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html and http://www.hhs.gov/ocr/civilrights/understanding/section1557/index.html.
                 Recipients of FFA must ensure that their programs are
                accessible to persons with limited English proficiency. HHS provides
                guidance to recipients of FFA on meeting their legal obligation to take
                reasonable steps to provide meaningful access to their programs by
                persons with limited English proficiency. Please see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/index.html and https://www.lep.gov. For further guidance on providing culturally and
                linguistically appropriate services, recipients should review the
                National Standards for Culturally and Linguistically Appropriate
                Services in Health and Health Care at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
                 Recipients of FFA also have specific legal obligations for
                serving qualified individuals with disabilities. Please see http://www.hhs.gov/ocr/civilrights/understanding/disability/index.html.
                 HHS funded health and education programs must be
                administered in an environment free of sexual harassment. Please see
                https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/index.html; https://www2.ed.gov/about/offices/list/ocr/docs/shguide.html; and https://www.eeoc.gov/eeoc/publications/fs-sex.cfm.
                 Recipients of FFA must also administer their programs in
                compliance with applicable federal religious nondiscrimination laws and
                applicable federal conscience protection and associated anti-
                discrimination laws. Collectively, these laws prohibit exclusion,
                adverse treatment, coercion, or other discrimination against persons or
                entities on the basis of their consciences, religious beliefs, or moral
                convictions. Please see https://www.hhs.gov/conscience/conscience-protections/index.html and https://www.hhs.gov/conscience/religious-freedom/index.html.
                 Please contact the HHS Office for Civil Rights for more information
                about obligations and prohibitions under federal civil rights laws at
                https://www.hhs.gov/ocr/about-us/contact-us/index.html or call 1-800-
                368-1019 or TDD 1-800-537-7697.
                F. Federal Awardee Performance and Integrity Information System
                (FAPIIS)
                 The IHS is required to review and consider any information about
                the applicant that is in the Federal Awardee Performance and Integrity
                Information System (FAPIIS), at https://www.fapiis.gov, before making
                any award in excess of the simplified acquisition threshold (currently
                [[Page 31529]]
                $150,000) over the period of performance. An applicant may review and
                comment on any information about itself that a federal awarding agency
                previously entered. IHS will consider any comments by the applicant, in
                addition to other information in FAPIIS in making a judgment about the
                applicant's integrity, business ethics, and record of performance under
                federal awards when completing the review of risk posed by applicants
                as described in 45 CFR 75.205.
                 As required by 45 CFR part 75 Appendix XII of the Uniform Guidance,
                non-federal entities (NFEs) are required to disclose in FAPIIS any
                information about criminal, civil, and administrative proceedings, and/
                or affirm that there is no new information to provide. This applies to
                NFEs that receive federal awards (currently active grants, cooperative
                agreements, and procurement contracts) greater than $10,000,000 for any
                period of time during the period of performance of an award/project.
                Mandatory Disclosure Requirements
                 As required by 2 CFR part 200 of the Uniform Guidance, and the HHS
                implementing regulations at 45 CFR part 75, the IHS must require a non-
                federal entity or an applicant for a federal award to disclose, in a
                timely manner, in writing to the IHS or pass-through entity all
                violations of federal criminal law involving fraud, bribery, or
                gratuity violations potentially affecting the federal award.
                 Submission is required for all applicants and recipients, in
                writing, to the IHS and to the HHS Office of Inspector General all
                information related to violations of federal criminal law involving
                fraud, bribery, or gratuity violations potentially affecting the
                federal award. See 45 CFR 75.113.
                 Disclosures must be sent in writing to: U.S. Department of Health
                and Human Services, Indian Health Service, Division of Grants
                Management, ATTN: Paul Gettys, Acting Director, 5600 Fishers Lane, Mail
                Stop: 09E70, Rockville, MD 20857, (Include ``Mandatory Grant
                Disclosures'' in subject line), Office: (301) 443-5204, Fax: (301) 594-
                0899, Email: [email protected]; AND U.S. Department of Health and
                Human Services, Office of Inspector General, ATTN: Mandatory Grant
                Disclosures, Intake Coordinator, 330 Independence Avenue SW, Cohen
                Building, Room 5527, Washington, DC 20201, URL: https://oig.hhs.gov/fraud/report-fraud/, (Include ``Mandatory Grant Disclosures'' in
                subject line), Fax: (202) 205-0604 (Include ``Mandatory Grant
                Disclosures'' in subject line) or Email:
                [email protected].
                 Failure to make required disclosures can result in any of the
                remedies described in 45 CFR 75.371 Remedies for noncompliance,
                including suspension or debarment (see 2 CFR parts 180 & 376).
                VII. Agency Contacts
                 1. Questions on the programmatic issues may be directed to: Mr.
                Kenneth Coriz, Program Analyst, ODSCT, Mail Stop, 8E17, 5600 Fishers
                Lane, Rockville, Maryland 20857, Phone: (301) 443-1104, Email:
                [email protected].
                 2. Questions on grants management and fiscal matters may be
                directed to: Patience Musikikongo, Grants Management Specialist, 5600
                Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 443-
                2059, Fax: (301) 594-0899, Email: [email protected].
                 3. Questions on systems matters may be directed to: Paul Gettys,
                Acting Director, DGM, 5600 Fishers Lane, Mail Stop: 09E70, Rockville,
                MD 20857, Phone: (301) 443-2114; or the DGM main line (301) 443-5204,
                Fax: (301) 594-0899, Email: [email protected].
                VIII. Other Information
                 The Public Health Service strongly encourages all grant,
                cooperative agreement and contract recipients to provide a smoke-free
                workplace and promote the non-use of all tobacco products. In addition,
                Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in
                certain facilities (or in some cases, any portion of the facility) in
                which regular or routine education, library, day care, health care, or
                early childhood development services are provided to children. This is
                consistent with the HHS mission to protect and advance the physical and
                mental health of the American people.
                Michael D. Weahkee,
                Assistant Surgeon General, RADM, U.S. Public Health Service, Director,
                Indian Health Service.
                [FR Doc. 2020-11210 Filed 5-22-20; 8:45 am]
                BILLING CODE 4165-16-P
                

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