80 FR 46287 - Special Diabetes Program for Indians; Community-Directed Grant Program; Announcement Type: New and Competing Continuation

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service

Federal Register Volume 80, Issue 149 (August 4, 2015)

Page Range		46287-46307
FR Document		2015-19088

Federal Register, Volume 80 Issue 149 (Tuesday, August 4, 2015)

[Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)]
[Notices]
[Pages 46287-46307]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2015-19088]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

[Funding Announcement Number: HHS-2016-IHS-SDPI-0001; Catalog of
Federal Domestic Assistance Number: 93.237]

Special Diabetes Program for Indians; Community-Directed Grant
Program; Announcement Type: New and Competing Continuation

Key Dates

Application Deadline Date: October 7, 2015.

[[Page 46288]]

Review Date: October 19-November 6, 2015.
Earliest Anticipated Start Date: January 1, 2016.
Signed Tribal Resolution(s) Due Date: October 16, 2015.
Proof of Non-Profit Status Due Date: October 7, 2015.

I. Funding Opportunity Description

Statutory Authority

The Indian Health Service (IHS) Special Diabetes Program for
Indians (SDPI) is accepting new and competing continuation cooperative
agreement applications for the Community-Directed Grant Program. This
program is authorized by Section 330C of the Public Health Service Act,
codified at 42 U.S.C. 254c-3, as amended, and by the Snyder Act, 25
U.S.C. 13. This program is described in the Catalog of Federal Domestic
Assistance (CFDA) under 93.237.

Background

Diabetes is a complex and costly chronic disease that requires
tremendous long-term efforts to prevent and treat. Although diabetes is
a nationwide public health problem, American Indian/Alaska Native (AI/
AN) people are disproportionately affected. In 2012, 15.9% of AI/AN
people aged 20 years or older had diagnosed diabetes, compared to 7.6%
of non-Hispanic white people [CDC, 2014 (http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf)]. In addition, AI/
AN people have higher rates of diabetes-related morbidity and mortality
than the general U.S. population [O'Connell, 2012 (http://care.diabetesjournals.org/content/33/7/1463.full?sid=f3c75e2c-5b22-479b-ac82-6e96b5f7576c); Cho, 2014 (http://ajph.aphapublications.org/doi/full/10.2105/AJPH.2014.301968)]. Strategies to address the
prevention and treatment of diabetes in AI/AN communities are urgently
needed.
In response to the burgeoning diabetes epidemic among AI/AN people,
Congress established the SDPI through the Balanced Budget Act of 1997.
SDPI is a $150 million per year program that provides grants for
diabetes treatment and prevention services. SDPI is administered by
IHS, with programmatic oversight provided by the IHS Division of
Diabetes Treatment and Prevention (Division of Diabetes).
Over 330 programs have received SDPI Community-Directed grants
annually since 1998. A Congressional re-authorization in 2015 extended
SDPI through FY 2017.

Purpose

The purpose of this IHS cooperative agreement is to provide
diabetes treatment and/or prevention activities and/or services (also
referred to as ``activities/services'') for AI/AN communities. Grantees
will implement one SDPI Diabetes Best Practice (also referred to as
``Best Practice'') and report data on its Required Key Measure.
Grantees may also implement other activities/services based on
diabetes-related community needs and develop an evaluation plan.
Activities/services will be aimed at reducing the risk of diabetes in
at-risk individuals, providing high quality care to those with
diagnosed diabetes, and/or reducing the complications of diabetes.

II. Award Information

Type of Award

Cooperative Agreement.

Estimated Funds Available

The total amount of funding identified for fiscal year (FY) 2016 is
approximately $130.2 million. Individual award amounts are anticipated
to be between $12,500 and $6.5 million with an average award amount of
approximately $300,000.
The funding formula which determines the funds available to each
IHS area has been determined through Tribal consultation. Within each
area, grantee Tribes provide input on the formula which determines the
amount of funding available for each successful applicant.
Current SDPI Community-Directed grantees should budget for
the same amount as they received in FY 2015. However, funding amounts
may change. See the paragraph below for additional information.
New SDPI Community-Directed grant applicants should apply
for a $12,500 base amount.
The amount of funding available for competing and continuation
awards issued under this announcement are 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 325-450 awards will be issued under this program
announcement.

Project Period

January 1, 2016 to December 31, 2020.

Cooperative Agreement

Cooperative agreements awarded by the Department of Health and
Human Services (HHS) are administered under the same policies as a
grant. The funding agency (IHS) is required 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 both IHS and the grantee. IHS will be responsible for
activities listed under section A and the grantee will be responsible
for activities listed under section B as stated:

Substantial Involvement Description for Cooperative Agreement

A. IHS Involvement
1. IHS Division of Diabetes Treatment and Prevention (Division of
Diabetes): The Division of Diabetes will provide general programmatic
oversight, coordination, leadership, and resources. Detailed
responsibilities include:
a. Communication and technical assistance
i. Maintain a Community-Directed grantee email list and provide
updates and announcements via email.
ii. Maintain and update the Division of Diabetes Web site:
www.diabetes.ihs.gov
iii. Maintain and update SDPI Community-Directed Grant Program Web
pages (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=sdpi_hub), which provide information and resources
regarding the cooperative agreement, including:
(1) Information sessions--Recorded webinars available to view on
demand and provide a review of the programmatic Terms and Conditions
and overview of application or report-specific resources.
(2) Frequently Asked Questions (FAQs)--Updated annually, this Web
page provides answers to common questions about SDPI Community-Directed
grants.
(3) Additional resources--Documents and links from the Division of
Diabetes and the Division of Grants Management (DGM).
(4) New to SDPI--Provides information for new grantees and/or
staff.
b. Provide Question and Answer (Q&A) Sessions: The Division of
Diabetes will hold regular Q&A sessions regarding application and
report processes via live webinars. Sessions will be held regularly one
month before the due date for each application and report. These
sessions will provide the following:

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i. Review of programmatic Terms and Conditions.
ii. Overview of report or application instructions, templates and
resources.
iii. Opportunity for attendees to ask questions.
c. Create and provide instructions and templates for the Semi-
Annual and Annual Progress Reports.
d. Create and provide instructions and Project Narrative
template(s) for continuation applications.
e. Maintain and update the SDPI Diabetes Best Practices.
f. Provide resources, tools, support, and training for facilities
to conduct IHS Diabetes Care and Outcomes Audits.
g. Create and provide support for the SDPI Outcomes System (SOS)
which grantees will use to track and report on Required Key Measure
(RKM) data.
h. Establish SDPI grantee training requirements.
i. Provide or coordinate SDPI grantee training sessions and record
them.
2. Area Diabetes Consultant (ADC): Diabetes expert located in each
IHS area with the following responsibilities:
a. Serves as the project officer for the SDPI Community-Directed
Grant Programs in their IHS area. The project officer is a federal
program staff person who is responsible for managing and monitoring the
progress of grantees.
b. Serves as a liaison between the SDPI grant programs, Division of
Diabetes, and DGM.
c. Helps coordinate an extensive Indian health system diabetes
network to facilitate information flow between local and national
levels.
d. Provides diabetes training and resources to health care and
wellness professionals and paraprofessionals in the Indian health
system.
e. Works with the Division of Diabetes to translate and disseminate
the latest scientific findings on diabetes treatment and prevention to
AI/AN communities.
3. IHS Division of Grants Management: Official grants management
office. Provides complete monitoring and oversight for all financial
business management and administration for the life cycle of the grant
award. First contact for all financial grants operations and policy
requirements for compliance of the grant award terms and conditions.
Contact office for the Grants Management Specialist (GMS), Grants
Management Officer, Chief Grants Management Officer and Acting Director
of Grants Management Operations and Policy. Works on a daily basis with
all grants award recipients to provide guidance on all grants
management questions and concerns.
B. Grantee Cooperative Agreement Award Activities
All awardees (grantees) will need to meet the following
requirements. All requirements, including these programmatic
requirements, will also be provided as an attachment in the Notice of
Award.
1. Diabetes Treatment and Prevention Activities and Services:
Grantees must provide activities/services that:
a. Meet the purpose of this FOA (see section I above) which is to
provide diabetes treatment and/or prevention services and activities/
services for AI/AN communities.
b. Are targeted at reducing risk factors for diabetes and related
conditions.
c. Address diabetes-related issues as identified in the grantee's
needs assessment.
d. Implement a selected Best Practice and its RKM (see item 2
directly below).
e. Utilize SDPI funds as outlined in the grantee's Budget
Narrative.
2. SDPI Diabetes Best Practices (Best Practices): The Best
Practices (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedApp) were updated for FY
2016 to include the latest scientific findings and recommendations.
Grantees must select one Best Practice and implement activities/
services aimed at improving the RKM from their selected Best Practice.
Grantees will report on RKM data via the SDPI Outcomes System.
3. SDPI Outcomes System (SOS): Data for the RKM will be reported
using the new SOS. Grantees will enter results for the RKM for their
selected Best Practice into this system at the start and end of the
budget period, with the option to enter more frequently. The system
will generate reports of these results to meet the SDPI outcomes
reporting requirements. These results will be stored in the system and
accessible to program staff as needed. Grantees will need to appoint at
least one person in their program to get access to and add RKM data
into the SOS.
4. IHS Diabetes Care and Outcomes Audit (Diabetes Audit): SDPI
Community-Directed grantees are required to participate in the Annual
Diabetes Audit (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=resourcesAudit). Grantees must review the results and
submit a copy of the Annual Diabetes Audit Report with their
continuation applications. Non-clinical or community-based grantees
that are not able to directly participate in the Diabetes Audit will
need to acquire a copy of the Annual Diabetes Audit Report from their
local facility or ADC.
5. Collaboration: Grantee must agree to:
a. Consult with and accept guidance from the Division of Diabetes,
the DGM, and their ADC/Federal project officer(s) and/or designated
assignee(s). In addition, sub-grantees must agree to consult with and
accept guidance from their primary grantee.
b. Respond promptly to requests for information.
c. Attend required meetings and trainings.
d. Provide short presentations on their processes and successes, as
requested.
e. Keep the above entities (see item a. above) informed of emerging
issues, developments, and challenges that may affect the grantee's
ability to comply with the grant Terms and Conditions and/or any
requirements.
6. Program Coordinator: Grantees must have an officially approved
(by the IHS project officer) program coordinator with the following
qualifications:
a. Relevant health or wellness education and/or experience.
b. Experience with grant program management, including skills in
program coordination, budgeting, reporting, and supervision of staff.
c. Working knowledge of diabetes.
The program coordinator will also be the primary email contact to
entities listed in item B.5. above under ``Collaboration.'' All SDPI
grant program staff should be routinely updated by the program
coordinator with information and requirements related to their
program's activities/services.
7. Hardware/software requirements: The hardware and software items
listed below are required in order for grantees to access application
and report materials, Web sites, and training forums relevant to this
grant:
a. Desktop or laptop computer (recommended: Purchased in 2010 or
later).
b. Internet access (recommended: High speed).
c. Internet browser software (recommended: Microsoft[supreg]
Internet Explorer, version 10.0 or higher).
d. Adobe software compatibility for using Grants.gov. For more
information: http://www.grants.gov/web/grants/applicants/adobe-software-compatibility.html
e. Adobe Connect webinar capability. For more information: https://na1cps.adobeconnect.com/common/help/en/support/meeting_test.htm
In addition to the requirements above, it is recommended that
grantees have Microsoft Office software, version 2010 or higher.
8. Semi-Annual Progress Report: Grantees must adhere to reporting

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requirements as specified by grants policy. See section VI.4 for
details. In addition, a programmatic Semi-Annual Progress Report will
be required in the middle of the grantee's budget period. Details,
instructions, and a report template will be made available on the
following Web page: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedMidReportingReq
9. Required Trainings: Grantees must participate in SDPI required
trainings offered by the Division of Diabetes. Training sessions will
be primarily live webinars that will be recorded for those not able to
attend the live sessions. Grantees will be expected to:
a. Participate in interactive discussion or chats during conference
calls or webinars.
b. Share activities, tools, and results.
c. Share problems encountered and how barriers are overcome.
d. Keep track of participation whether live or recorded.
The SDPI grantee training requirements will be provided on the
following Division of Diabetes Web page: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedTraining
10. Grantees that propose sub-grantees: A sub-grantee is an entity
that has an arrangement between a primary grantee institution and one
or more participating institutions in support of a project. Primary
grantee responsibilities include:
a. Providing oversight and coordination to ensure sub-grantees
adhere to the grant requirements as listed in this cooperative
agreement.
b. Serving as a liaison between the sub-grantees and the entities
provided in item 5.a. above.
I. Eligibility Information
1. Eligibility
To be eligible for this ``New/Competing Continuation Announcement''
under this cooperative agreement announcement, applicants must be one
of the following:
i. A Federally-recognized Indian Tribe as defined by 25 U.S.C.
1603(14), operating an Indian health program operated pursuant to a
contract, grant, cooperative agreement, or compact with IHS pursuant to
the Indian Self-Determination and Education Assistance Act (ISDEAA),
(Pub. L. 93-638).
ii. A Tribal organization as defined by 25 U.S.C. 1603(26),
operating an Indian health program operated pursuant to a contract,
grant, cooperative agreement, or compact with the IHS pursuant to the
ISDEAA, (Pub. L. 93-638).
iii. An urban Indian organization, as defined by 25 U.S.C.
1603(29), operating a Title V urban Indian health program that
currently has a grant or contract with the IHS under Title V of the
Indian Health Care Improvement Act, (Pub. L. 93-437). Applicants must
provide proof of non-profit status with the application, e.g.
501(c)(3).
iv. Indian Health Service facilities: Under this announcement, only
one SDPI Community-Directed diabetes grant will be awarded per entity.
If a Tribe submits an application, their local IHS facility cannot
apply; if the Tribe does not submit an application, the IHS facility
can apply. Tribes that are awarded grant funds may sub-contract with
local IHS facilities to provide specific clinical services. In this
case, the Tribe would be the primary SDPI grantee and the Federal
entity would have a sub-contract within the Tribe's SDPI grant.
Current SDPI Community-Directed grantees are eligible to apply for
competing continuation funding under this announcement and must
demonstrate that they have complied with previous terms and conditions
of the SDPI grant in order to receive funding under this announcement.
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
If application budgets exceed the highest dollar amount outlined
under the ``Estimated Funds Available'' section within this funding
announcement, the application will be considered ineligible and will
not be reviewed for further consideration. If deemed ineligible, IHS
will not return the application. The applicant will be notified by
email by the DGM of this decision.
Documentation of Support
Tribes and Tribal organizations
These entities must submit documentation of support from each of
the Indian Tribes served by the project. This documentation of support
must be either of the following for each Tribe served:
1. Tribal Resolution: Tribes and Tribal organizations should submit
an official signed Tribal resolution from each of the Indian Tribes
served by the project. Applications by Tribal organizations will not
require a specific Tribal resolution if the current Tribal
resolution(s) under which they operate would encompass the proposed
grant activities/services.
Official signed Tribal resolution(s) should be submitted along with
the electronic application submission by the Application Deadline Date
(see Key Dates). If an official signed Tribal resolution is not
available by the Application Deadline Date, a draft Tribal
resolution(s) should be submitted along with the electronic application
submission by the Application Deadline Date. Then, the official signed
Tribal resolution(s) must be received by the Signed Tribal
Resolution(s) Due Date (see Key Dates); otherwise, the application will
be considered incomplete and ineligible.
2. Letter of Support: If it is not possible to obtain a signed
official Tribal resolution by the Signed Tribal Resolution(s) Due Date
for a Tribe served by the project, then a letter of support signed by a
senior Tribal official may be submitted instead of a Tribal resolution
for that Tribe. Letter(s) of support must be submitted along with the
electronic application submission by the Application Deadline Date (see
Key Dates).
Title V Urban Indian Health Programs
These entities must submit a letter of support from their
organization's board of directors.
IHS Hospitals and Clinics
These entities must submit a letter of support from their chief
executive officer. In addition, letter(s) of support from Tribe(s)
served by the IHS SDPI program are highly recommended but not required.
Documentation of support as required above must be submitted with
the electronic application.
It is highly recommended that all application materials not
submitted via grants.gov be sent by a delivery method that includes
confirmation of receipt. Materials should be mailed to 801 Thompson
Avenue, TMP Suite 360, Rockville, MD 20852 (attention to the assigned
GMS, see section VII). Please contact the assigned GMS by telephone
prior to the Review Date (see Key Dates) regarding material submission
questions.

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Proof of Non-Profit Status
Organizations claiming non-profit status must also submit proof. A
copy of the 501(c)(3) Certificate must be received with the application
submission by the Application Deadline Date listed under the Key Dates
section on the cover page of this announcement.
IHS Diabetes Care and Outcomes Audit
The IHS Diabetes Care and Outcomes Audit is a process to assess
care and health outcomes for AI/AN people with diagnosed diabetes. IHS,
Tribal, and urban Indian health care facilities nationwide participate
in this process each year by auditing medical records for their
patients with diabetes. Applicants that are able to must submit copies
of their local facility's 2014 and 2015 Annual Diabetes Audit Reports.
1. Most applicants can obtain their 2014 and 2015 Annual Diabetes
Audit Reports in one of following ways:
a. Via the WebAudit: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=resourcesAudit.
b. By requesting these Reports from their local facility.
c. By requesting these Reports from their ADC: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=peopleADCDirectory.
2. If the applicant is unable to obtain their local facility's 2014
and 2015 Annual Diabetes Audit Reports, they must provide an
explanation in the Project Narrative (Part B).

IV. Application and Submission Information

1. Obtaining Application Materials

The application package and detailed instructions for this
announcement can be found at http://www.Grants.gov or https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_funding.
Questions regarding the electronic application process may be
directed 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:

Table of contents.
Abstract (one page) summarizing the project.
Application forms:
[cir] SF-424, Application for Federal Assistance.
[cir] SF-424A, Budget Information--Non-Construction Programs.
[cir] SF-424B, Assurances--Non-Construction Programs.
Budget Justification and Narrative (must be single spaced and
not exceed five pages). See section IV.2.B for details.
Project Narrative--a PDF-fillable template will be provided.
See section [section IV.2.A] for details and a link to the template.
2014 and 2015 Annual Diabetes Audit Reports or an explanation
as to why these reports cannot be submitted. See section III.3 for
details.
Tribal Resolution(s) (Tribes and/or Tribal organizations). See
section III.3 for details.
Letter(s) of Support (See section III.3) from one of the
following:
[cir] Board of Directors (Title V urban Indian health programs).
[cir] Chief Executive Officer (IHS facilities).
[cir] Tribes served (highly recommended for IHS facilities)
501(c)(3) Certificate (if applicable).
Biographical sketches for all Key Personnel.
Key contacts form for diabetes program coordinator.
Contractor/Consultant resumes or qualifications and scope of
work (if applicable).
Disclosure of Lobbying Activities (SF-LLL).
Certification Regarding Lobbying (GG-Lobbying Form).
Copy of current Negotiated Indirect Cost rate (IDC) agreement
(not applicable to IHS facilities).
Organizational chart or written information that shows where
the SDPI Program fits into the larger organization.
Documentation of current Office of Management and Budget (OMB)
A-133 required Financial Audit or other required audit for FY 2014 (not
applicable to IHS facilities).
Acceptable forms of documentation include:
[cir] Email confirmation from Federal Audit Clearinghouse (FAC)
that audits were submitted; or
[cir] Face sheets from audit reports. These can be found on the FAC
Web site: http://harvester.census.gov/sac/dissem/accessoptions.html?submit=Go+To+Database.
Mandatory Documents for Programs That Propose Sub-Grantees
A sub-grantee is an entity that has an arrangement between a
grantee institution and one or more participating institutions in
support of a project.
A complete application package including all mandatory documents
listed above must be completed, signed, and submitted to the primary
grantee to be included in their application in response to this
announcement. Sub-grantees cannot submit applications directly to
Grants.gov.
The primary grantee's application must reflect the total budget for
the entire cost of the project. Total budget for the sub-grantees
should be accounted for under the contractual/consultant category.
Mandatory Documents for Programs That Propose Sub-Contracts With Local
IHS Facilities
A sub-contract is between two entities to provide services or
supplies. Programs that propose sub-contracts with IHS facilities to
provide clinical services must submit a separate budget for the sub-
contract, but the grantee's application must reflect the total budget
for the entire cost of the project.
While not required for this grant application, it is highly
recommended that the grantee obtain a Memorandum of Agreement that is
signed by the grantee, the IHS facility, the IHS area director, and the
Tribal chairperson.
Public Policy Requirements
All Federal-wide public policies apply to organizations that
receive IHS grants and cooperative agreements with exception of the
Discrimination policy: http://www.hhs.gov/grants/grants/grants-policies-regulations/index.html.
Requirements for Project and Budget Narratives
A. Project Narrative: This narrative will be provided using a PDF
fillable template that will be available on the SDPI Community-Directed
Application Web page at http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedApp.
Be sure to answer succinctly all applicable questions in the
Project Narrative, being mindful of the evaluation criteria (see
section V.1). The Project Narrative will provide reviewers with
critical information about the applicant's resources, capabilities, and
proposed activities/services.
There are seven parts to the Project Narrative:

1. Part A--Program Identifiers
2. Part B--Needs Assessment
3. Part C--Program Support
4. Part D--SDPI Diabetes Best Practice
5. Part E--Activities/Services not related to selected Best Practice
(Optional)
6. Part F--Additional Information

B. Budget Narrative: The Budget Narrative provides additional
explanation to support the information provided on the SF-424A (Budget

[[Page 46292]]

Information for Non-Construction Programs). The Budget Narrative
consists of two parts:
(1) Budget Line Items.
(2) Budget Justification that provides a brief justification for
each budget item, including why it is necessary and relevant to the
proposed project and how it supports project activities/services.
The Budget Narrative must include a line item budget with a
justification for all expenditures identifying reasonable and allowable
costs necessary to accomplish the goals and objectives as outlined in
the Project Narrative. Budget should match the scope of work described
in the Project Narrative. The page limitation should not exceed five
pages.
The list of budget categories and items below is provided for ideas
about what might be included in the budget. The applicant does not need
to include all the categories and items below and may include others
not listed. The budget is specific to the applicant's program,
objectives, and activities/services. A sample Budget Narrative is also
provided in Appendix 2.
A. Personnel
For each position to be funded by the grant, including program
coordinator and others, provide the information below. Include ``in-
kind'' positions if applicable.
Position name.
Individual's name or enter ``To be named.''
Brief description of role and/or responsibilities.
Percentage of annual salary that will be paid for by SDPI
funds OR hourly rate and hours worked per year that will be paid for by
SDPI funds.
B. Fringe Benefits
List the fringe rate for each position separately. DO NOT list a
lump sum fringe benefit amount for all personnel combined.
C. Travel and Training
Staff travel necessary to provide project activities/services.
Staff travel to meetings planned during budget period.
Staff travel for training as needed to provide services
related to goals and objectives of the grant, such as continuing
clinical education courses, IHS SDPI Meetings, etc.
D. Equipment
Capital Equipment--Tangible property having a useful life of
more than one year and acquisition cost which equals or exceeds $5,000
per item.
E. Supplies
General office supplies.
Computers.
Software purchases or upgrades and other computer supplies.
Supplies needed for activities/services related to the
project.
File/storage cabinets.
F. Contractual/Consultant
May include partners, collaborators, and/or technical assistance
consultants procured to help with project activities/services. Include
direct costs and indirect costs for any subcontracts.
G. Alterations and Renovations (A&R)
Major A&R exceeding $150,000 is not allowable under this project
without prior approval from the program office.
H. Other
Participant incentives--list all types of incentives and
specify amount per item. See the IHS Grant Programs Incentive Policy at
http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_circ_main&circ=ihm_circ_0506 for more
information including restrictions.
Marketing, advertising, and promotional items.
Internet access.
Medications and lab tests--be specific; list all medications
and lab tests.
Miscellaneous services: rent, telephone, conference calls,
computer support, shipping, copying, printing, and equipment
maintenance.
I. Indirect Costs
Line item consists of facilities and administrative cost (include
IDC agreement computation)

3. Submission Dates and Times

Applications must be submitted electronically through Grants.gov by
11:59 p.m. Eastern Daylight Time (EDT) on the application deadline date
listed in the Key Dates section on page one of this announcement. Any
application received after the application deadline will not be
accepted for processing, nor will it be given further consideration for
funding. Grants.gov will notify the applicant via email if the
application is rejected.
If technical challenges arise and assistance is required with the
electronic application process, contact Grants.gov Customer Support via
email to support@grants.gov or at (800) 518-4726. Customer Support is
available to address questions 24 hours a day, 7 days a week (except on
Federal holidays). If problems persist, contact Mr. Paul Gettys
(Paul.Gettys@ihs.gov), DGM Grant Systems Coordinator, 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.
If the applicant needs to submit a paper application instead of
submitting electronically through Grants.gov, a waiver must be
requested. Prior approval must be requested and obtained from Ms. Tammy
Bagley, Acting Director of DGM, (see Section IV.6 below for additional
information). The waiver must: (1) Be documented in writing (emails are
acceptable), before submitting a paper application, and (2) include
clear justification for the need to deviate from the required
electronic grants submission process. A written waiver request must be
sent to GrantsPolicy@ihs.gov with a copy to Tammy.Bagley@ihs.gov. Once
the waiver request has been approved, the applicant will receive a
confirmation of approval email containing submission instructions and
the mailing address to submit the application. A copy of the written
approval must be submitted along with the hardcopy of the application
that is mailed to DGM. Paper applications that are submitted without a
copy of the signed waiver from the Acting Director of the DGM will not
be reviewed or considered for funding. The applicant will be notified
via email of this decision by the Grants Management Officer of the DGM.
Paper applications must be received by the DGM no later than 5:00 p.m.,
EDT, on the application deadline date listed in the Key Dates section
on page one of this announcement. Late applications will not be
accepted for processing or considered for funding.

4. Intergovernmental Review

Executive Order 12372 requiring intergovernmental review is not
applicable to this program.

5. Funding Restrictions

Pre-award costs are not allowable.
The available funds are inclusive of direct and appropriate
indirect costs.
Only one grant/cooperative agreement will be awarded per
applicant.
IHS will not acknowledge receipt of applications.

6. Electronic Submission Requirements

All applications must be submitted electronically. Please use the
http://www.Grants.gov Web site to submit an application electronically
and select the

[[Page 46293]]

``Find Grant Opportunities'' link on the homepage. Download a copy of
the application package, complete it offline, and then upload and
submit the completed application via the http://www.Grants.gov Web
site. Electronic copies of the application may not be submitted as
attachments to email messages addressed to IHS employees or offices.
If the applicant receives a waiver to submit paper application
documents, they must follow the rules and timelines that are noted
above. The applicant must seek assistance at least ten days prior to
the application deadline date listed in the Key Dates section on page
one of this announcement.
Applicants that do not adhere to the timelines for System for Award
Management (SAM) and/or http://www.Grants.gov registration or that fail
to request timely assistance with technical issues will not be
considered for a waiver to submit a paper application.
Please be aware of the following:
Please search for the application package in http://www.Grants.gov by entering the 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 electronically, please contact Grants.gov Support directly
at: support@grants.gov or (800) 518-4726. Customer Support is available
to address questions 24 hours a day, 7 days a week (except on Federal
holidays).
Upon contacting Grants.gov, note the tracking number provided
as proof of contact. The tracking number is helpful if there are
technical issues that cannot be resolved and a waiver to submit paper
application documents from the agency must be obtained.
If it is determined that a waiver is needed, the applicant
must submit a request in writing (emails are acceptable) to
GrantsPolicy@ihs.gov with a copy to Tammy.Bagley@ihs.gov. Please
include a clear justification for the need to deviate from the standard
electronic submission process.
If the waiver is approved, the application should be sent
directly to the DGM by the application deadline date listed in the Key
Dates section on page one of this announcement.
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
fifteen working days.
Please use the optional attachment feature in Grants.gov to
attach additional documentation that may be requested by the DGM.
All applicants must comply with any page limitation
requirements described in this Funding Announcement.
After electronically submitting the application, the applicant
will receive an automatic acknowledgment from Grants.gov that contains
a Grants.gov tracking number. DGM will download the application from
Grants.gov and provide necessary copies to the appropriate agency
officials. Neither DGM nor the Division of Diabetes will notify the
applicant that the application has been received.
Email applications will not be accepted under this
announcement.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
All IHS 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 which 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 it through http://
fedgov.dnb.com/webform, or to expedite the process, call (866) 705-
5711.
All HHS recipients are required by the Federal Funding
Accountability and Transparency Act of 2006, as amended (``Transparency
Act''), to report information on subawards. Accordingly, all IHS
grantees must notify potential first-tier subrecipients that no entity
may receive a first-tier subaward 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 were not registered with Central Contractor
Registration and have 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). Completing and submitting the registration takes approximately
one hour to complete and SAM registration will take 3-5 business days
to process. Registration with the SAM is free of charge. Applicants may
register online at https://www.sam.gov.
Additional information on implementing the Transparency Act,
including the specific requirements for DUNS and SAM, can be found on
the IHS Grants Management, Grants Policy Web site: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.

V. Application Review Information

The evaluation criteria for reviewing and scoring the application
are provided below. Weights assigned to each section are noted in
parentheses. Ensure that this Project Narrative and other submitted
application documents provide a clear and complete, but succinct,
overview of your program. Anticipate that reviewers know nothing about
your program and little about IHS and Tribal systems. Points will be
assigned to each evaluation criteria adding up to a total of 100
points. A minimum score of 60 points is required for funding. Points
are assigned as follows:

1. Criteria

A. Introduction and Need for Assistance (15 Points)
(i) Program Identifiers (Project Narrative Part A)
(1) Was the Project Narrative Template used?
(2) Was program identifier information adequately completed?
(3) Was an appropriate abstract provided?
(ii) Needs Assessment (Project Narrative Part B)
(1) Did the applicant adequately describe the key diabetes-related
health issues identified by their community/leadership?
(2) Were numbers provided for applicant's local user population and
people with diagnosed diabetes?
(3) Was the 2014 Annual Diabetes Audit Report provided? If not, was
an adequate statement included regarding why it was not provided?
(4) Was the 2015 Annual Diabetes Audit Report provided? If not, was
an adequate statement included regarding why it was not provided?
(5) Did the applicant appropriately identify Diabetes Audit items
(or diabetes-related issues if Audit Reports

[[Page 46294]]

were not provided) that need to be improved?
(6) Did the applicant adequately describe how they will address the
Diabetes Audit items or diabetes-related issues that need to be
improved?
(7) Did the applicant adequately describe challenges?
B. Project Objective(s), Work Plan and Approach (30 Points)
(iii) SDPI Diabetes Best Practice (Project Narrative Part D)
(1) Did the applicant provide an adequate description of
activities/services to improve the RKM?
(2) Are the activities/services proposed appropriate for the
selected Best Practice and Target Group?
(3) Are the planned activities/services realistic given the
constraints of timeframe, resources, and staff?
(iv) If Applicable: Activities/Services Not Related to Selected Best
Practice (Project Narrative Part E)
(1) Do activities/services address diabetes-related issues
identified in the needs assessment in Part B?
(2) Are activities/services aimed at reducing risk factors for
diabetes and/or related conditions?
(3) Are activities/services adequately described?
(4) Are the planned activities/services realistic given the
constraints of timeframe, resources, and staff?
C. Program Evaluation (15 Points)
(v) SDPI Diabetes Best Practice (Project Narrative Part D)
(1) Was one Best Practice selected?
(2) Was the number of patients/participants in the Target Group
provided?
(3) Was the Target Group adequately described?
(4) Are the Target Group and number of patients/participants
appropriate given the information the applicant provided in their needs
assessment and program resources sections?
(vi) If Applicable: Activities/Services Not Related to Selected Best
Practice (Project Narrative Part E)
(1) Was an appropriate target group identified for each activity/
service?
(2) Did the applicant specify how improvement and reduction in risk
factors will be evaluated?
D. Organizational Capabilities, Key Personnel, and Qualifications (20
Points)
(vii) Program Support (Project Narrative Part C)
(1) Was a completed Key Contact form submitted for the program
coordinator?
(2) Were appropriate biographical sketches, resumes, or curricula
vitae provided for all key personnel?
(3) Was an appropriate organizational chart or description
provided?
(4) Were appropriate Tribal Resolution(s) and/or Letter(s) of
Support provided?
(5) Did the applicant identify at least one organization
administrator or Tribal leader, other than the Program Coordinator, to
support their SDPI program?
(6) Did the applicant describe how this leader will be involved
with the SDPI Community-Directed grant program?
(7) Did the applicant provide appropriate and adequate information
about key personnel in the Project Narrative?
(8) Did the applicant provide appropriate and adequate information
about partnerships and collaborations in the Project Narrative?
(viii) Additional Information (Project Narrative Part F)
(1) Did the applicant adequately complete this part of the Project
Narrative?
E. Categorical Budget and Budget Justification (20 Points)
(i) Does the budget match the scope of work described in the
Project Narrative?
(ii) Was each line item adequately specified and justified?
(iii) Was the Budget Narrative within the five-page limit?
(iv) Do funding totals match between the SF-424A, budget line item,
and justification?
(v) Is the budget reasonable and realistic?
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 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 by DGM staff for eligibility
and completeness as outlined in the funding announcement. Applications
that meet the eligibility criteria shall be reviewed for merit by the
ORC based on evaluation criteria in this funding announcement. The ORC
could be composed of both Tribal and Federal reviewers appointed by the
IHS program to review and make recommendations on these applications.
The technical review process ensures selection of quality projects in a
national competition for limited funding. Incomplete applications and
applications that are non-responsive to the eligibility criteria will
not be referred to the ORC. The applicant will be notified via email of
this decision by the Grants Management Officer of the DGM. Applicants
may be notified by DGM, via email, to provide minor missing components
(e.g., fiscal audit documentation, key contact form) needed for an
otherwise complete application. All missing documents must be sent to
DGM on or before the due date listed in the email of notification of
missing documents required.
To obtain a minimum score for funding by the ORC, applicants must
address all program requirements and provide all required
documentation.

VI. Award Administration Information

1. Award Notices

The Notice of Award (NoA) is a legally binding document signed by
the grants management officer and serves as the official notification
of the grant award. The NoA will be initiated by the DGM in the
following grant system, GrantSolutions (https://www.grantsolutions.gov). Each entity that is approved for funding under
this announcement will need to request or have a user account in
GrantSolutions in order to retrieve their NoA. The 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.
Disapproved Applicants
Applicants who receive a score less than the recommended funding
level for approval, (60 points), and are deemed to be disapproved by
the ORC, will receive an Executive Summary Statement from the IHS
program office within 30 days of the conclusion of the ORC outlining
the strengths and weaknesses of the application submitted. The IHS
program office will also provide additional contact information as
needed to address questions and concerns.

[[Page 46295]]

Approved But Unfunded Applicants
Approved but unfunded applicants that met the minimum scoring range
and were deemed by the ORC to be ``Approved.'' but were not funded due
to lack of funding, will have their applications held by DGM for a
period of one year. If additional funding becomes available during the
course of FY 2016, the approved but unfunded application may be re-
considered by the awarding program office for possible funding. The
applicant will also receive an Executive Summary Statement from the IHS
program office within 30 days of the conclusion of the ORC.
Note: Any correspondence other than the official NoA signed 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 IHS.

2. Administrative Requirements

Cooperative agreements are administered in accordance with the
following regulations, policies, and OMB cost principles:
A. The criteria as outlined in this program announcement.
B. Administrative Regulations for Grants:
Uniform Administrative Requirements 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.

3. Indirect Costs

This section applies to all grant recipients that request
reimbursement of indirect costs (IDC) in their grant application. In
accordance with HHS Grants Policy Statement, Part II-27, IHS requires
applicants to obtain a current IDC rate agreement prior to 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/services under
the current award's budget period. If the current rate 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
is provided to the DGM.
Generally, IDC rates for IHS grantees are negotiated with the
Division of Cost Allocation (DCA) https://rates.psc.gov/ and the
Department of Interior (Interior Business Center) http://www.doi.gov/ibc/services/Indirect_Cost_Services/index.cfm. For questions regarding
the indirect cost policy, please call the GMS listed under ``Agency
Contacts'' or the main DGM office at (301) 443-5204.

4. Reporting Requirements

The grantee 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/services. This
requirement applies whether the delinquency is attributable to the
failure of the grantee organization or the individual responsible for
preparation of the reports. Reports must be submitted electronically
via GrantSolutions. Personnel responsible for submitting 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, once during
the budget period with a due date to be determined by the Division of
Diabetes and once within 90 days after the budget period ends. These
reports must include a brief summary of progress to date for the
period, or, if applicable, provide sound justification for the lack of
progress, and other pertinent information as required. A final annual
report must be submitted within 90 days of expiration of the budget/
project period.
For SDPI Community-Directed grant programs, the following
programmatic reports will be required:
i. Semi-Annual Progress Report: Instructions, templates, and other
information will be posted on the Division of Diabetes Web site at
http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedMidReportingReq. Report
will be submitted by attaching as a ``Grant Note'' in GrantSolutions.
The due date will be determined by the Division of Diabetes and will
fall within the grant program's budget period.
ii. Annual Progress Report: Instructions, template(s), and other
information will be posted on the Division of Diabetes Web site at
http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedReportingReq. Per DGM
policy, the report will be submitted by attaching as a ``Grant Note''
in GrantSolutions within 90 days after the end of the grant program's
budget period.
Refer to the SDPI Community-Directed Grant Program Web page (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=sdpi_hub) for
the latest information on report templates, due dates, Q&A sessions and
submission instructions.
B. Financial Reports
Federal Financial Report FFR (SF-425), Cash Transaction Reports are
due 30 days after the close of every calendar quarter to the Payment
Management Services, HHS at: http://www.dpm.psc.gov. It is recommended
that the applicant also send a copy of the FFR (SF-425) report to the
GMS. Failure to submit timely reports may cause a disruption in timely
payments to the organization.
Grantees are responsible and accountable for accurate information
being reported on all required reports: The Progress Reports and
Federal Financial Report.
Federal Subaward 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 subawards 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

[[Page 46296]]

sub-award obligation dollar threshold met for any specific reporting
period. Additionally, all new (discretionary) IHS awards (where the
project period is made up of more than one budget period) and where:
(1) The project period 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 Web site at: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.
Telecommunication for the hearing impaired is available at: TTY
(301) 443-6394.

VII. Agency Contacts

1. Questions on the programmatic issues may be directed to:
Applicant's Area Diabetes Consultant: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=peopleADCDirectory.
IHS Division of Diabetes Treatment and Prevention, 801
Thompson Avenue, Suite 300, Rockville, MD 20852, Phone: 1-844-IHS-DDTP
(1-844-447-3387), Fax: 301-594-6213, Email:
IHSDDTPSDPICommunity@ihs.gov, Division of Diabetes Web site:
www.diabetes.ihs.gov.
2. Questions on grants management and fiscal matters may be
directed to DGM:
For IHS Areas: Albuquerque, Nashville, Navajo, Phoenix, and Tucson
GMS: John Hoffman.
Email: John.Hoffman@ihs.gov, phone: 301-443-2116.
For IHS Areas: California, Great Plains, Oklahoma City, and
Portland GMS: Cherron Smith.
Email: Cherron.Smith@ihs.gov, phone: 301-443-2192.
For IHS Areas: Alaska, Bemidji, and Billings GMS: Patience
Musikikongo.
Email: Patience.Musikikongo@ihs.gov, phone: 301-443-2059.
For urban programs:
GMS: Pallop Chareonvootitam.
Email: Pallop.Chareonvootitam@ihs.gov, phone: 301-443-2195, 801
Thompson Avenue, TMP 360, Rockville, MD 20852, Phone: 301-443-5204,
Fax: 301-443-9602.
3. Questions on systems matters may be directed to: Paul Gettys,
Grant Systems Coordinator, 801 Thompson Avenue, TMP Suite 360,
Rockville, MD 20852, Phone: 301-443-2114; or the DGM main line 301-443-
5204, Fax: 301-443-9602, Email: Paul.Gettys@ihs.gov.

VIII. Other Information

The Public Health Service strongly encourages all cooperative
agreement and contract recipients to provide a smoke-free workplace and
promote the non-use of all tobacco products. In addition, Pub. L. 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.

Date: July 28, 2015.
Robert G. McSwain,
Deputy Director, Indian Health Service.

VIII. Appendix 1: Commonly Used Abbreviations

ADC = Area Diabetes Consultant
AI/AN = American Indian/Alaska Native
DGM = Division of Grants Management
FOA = Funding Opportunity Announcement
FY = Fiscal Year
GMS = Grants Management Specialist
HHS = Health and Human Services
IHS = Indian Health Service
NOA/NGA = Notice of (Grant) Award
ORC = Objective Review Committee
PDF = Portable Document Format (Access using Adobe Acrobat Reader or
Pro)
RKM = Required Key Measure (Pertains to Best Practice requirement)
SDPI = Special Diabetes Program for Indians
SOS = SDPI Outcomes System

IX. Appendix 2: Sample Budget Narrative

Note: This information is included for sample purposes only.
Each program's Budget Narrative must include only their budget items
and a justification that is relevant to the program's activities/
services.

Line Item Budget--SAMPLE

A. Personnel:
Program Coordinator........................................ 40,000
Administrative Assistant................................... 6,373
CNA/Transporter............................................ 6,552
Mental Health Counselor.................................... 5,769
----------
Total Personnel.......................................... 58,694
B. Benefits:
Program Coordinator........................................ 14,000
Administrative Assistant\.................................. 2,231
CNA/Transporter............................................ 2,293
Mental Health Counselor\................................... 2,019
----------
Total Fringe Benefits.................................... 20,543
C. Supplies:
Desk Top Computers and Software (2)........................ 3,000
Exercise Equipment......................................... 3,300
Laptop Computer............................................ 1,500
LCD Projector.............................................. 1,200
Educational/Outreach....................................... 3,000
Office Supplies............................................ 1,200
Food Supplies for Wellness Luncheons....................... 2,400
Medical Supplies (Clinic).................................. 3,000
----------
Total Supplies........................................... 18,600
D. Training and Travel:
Local Mileage.............................................. 1,350
Staff Training & Travel--Out of State...................... 2,400
----------
Total Travel............................................. 3,750
E. Contractual:
Fiscal Officer............................................. 16,640
Consulting Medical Doctor.................................. 14,440
Registered Dietitian/Diabetes Educator..................... 18,720
Exercise Therapist......................................... 33,250
----------
Total Contractual........................................ 83,050
F. Equipment:
Heavy Duty Printer/Scanner/Copier.......................... 9,000
----------
Total Equipment.......................................... 9,000
G. Other Direct Costs:
Rent....................................................... 20,805
Utility.................................................... 4,000
Postage.................................................... 500
Telephone.................................................. 2,611
Audit Fees................................................. 2,500
Professional Fees.......................................... 2,400
Insurance Liability........................................ 1,593
Office Cleaning............................................ 1,680
Storage Fees............................................... 240
Biohazard Disposal......................................... 154
Marketing/Advertising...................................... 2,010
----------
Total Other Direct Costs................................. 38,493
H. Indirect Costs (15%) $34,819
TOTAL DIRECT COSTS......................................... $232,130
TOTAL DIRECT COST AND INDIRECT COSTS....................... $266,949

Budget Justification--SAMPLE

A. Personnel: $58,694.00

Program Coordinator: George Smith

A full-time employee responsible for the implementation of the
program goals as well as overseeing financial and grant application
aspects of the agency.

(100% Annual Salary = $40,000/year)

Administrative Assistant: Susan Brown

A part-time employee responsible for providing assistance to the
Program Coordinator.

(416 hours x $15.32/hour = $6,373.12)

CAN/Transporter/Homemaker: To Be Named

A full-time employee working 8 hours per week on this grant
providing transportation services and in-home health care to
clients.

(416 hours x $15.75/hour = $6,552.00)

Mental Health Counselor: Lisa Green

A part-time employee works 6 hours per week in the ADAPT/Mental
Health Program providing counseling and workshops to clients.

(6 hours x 52 weeks x $18.49/hour = $5,768.88)

B. Fringe Benefits: $20,543.00

Fringe benefits are calculated at 35% for both salaried and
hourly employees. Fringe is composed of health, dental, life and
vision insurance (20%), FICA/Medicare (7.65%), worker's compensation
(1.10%), State

[[Page 46297]]

unemployment insurance (1.25%), and retirement (5%).
Program Coordinator: $14,000.
Administrative Assistant: $2,230.59.
CAN/Transporter/Homemaker: $2293.20.
Mental Health Coordinator: $2019.11.

C. Supplies: $18,600.00

Desk Top Computers and Software (2)

Needed by our Diabetes Educator, Exercise Specialist, and
Medical Director in order to access and update information on
client's records. (2 x $1,500.00 = $3,000.00).

Exercise Equipment

Elliptical cross trainer equipment (creates less impact on the
knees), body fat analyzer, 8 dumbbell weights, 4 exercise balls, 4
exercise mats, step stretch, adjustable bench, bow flex plates kit,
2 dance pads, ball stacker set, and exercise video. Total for all
exercise equipment is $3,300.00.

Laptop Computer

This type of computer is needed to be used in conjunction with
the LCD projector that will be used by the Diabetes Educator for
presentations. Cost is $1,500.00.

LCD Projector

This equipment will be used by the Diabetes Educator for
presentations. Cost is $1,200.00.

Educational & Outreach Supplies

Various printed literature, books, videos, pamphlets, pens,
bottled water, little promotional items will be needed to hand out
at various health fairs, events, and to various groups to educate
and promote health. Funds allocated are $3,000.00.

Office Supplies

General office supplies are essential in order to properly
maintain client records, financial records, and all reporting
requirements. General office supplies include file folders, labels,
writing pads, pens, paper clips, toner, etc. $1,200.00 will be
included in this budget.

Supplies for Monthly Wellness Meetings

An allocation of $200.00 has been made towards teaching tools
that will be used by the Diabetes Educator during the monthly
wellness classes.

($200.00 x 12 months = $2,400.00)

Medical Supplies--Clinic

An allocation has been made for purchasing medical supplies for
our clinic such as alcohol wipes, strips for glucometers, paper
sheets, gloves, gowns, etc., in the amount of $3,000.00.

D. Training and Travel: $3,750.00

Local Mileage--Mileage for transportation of clients and
outreach services. Estimated at 300 miles/month x 12 months x $0.375
= $1,350.00.
Staff Travel & Training--Expenses in this category are
associated with attending conference and seminars associated with
diabetes for 2 staff: The budget covers the cost of registration
fees ($250 x 2 = $500.00), lodging ($175/night x 2 people x 2 days =
$700.00), airfare ($450.00 x 2 people = $900.00), per diem allowance
($50.00 x 2 days x 2 people = $200.00), and ground transportation
($25.00 x 2 x 2 people = $100.00). A total of $2,400.00 for staff
travel and training.

E. Contractual: $83,050.00

Fiscal Officer

An independent contractor to perform payroll, accounts payable,
financial and grant reporting, and budgetary duties.

(416 hours x $40.00 per hour = $16,640.00)

Consulting Medical Doctor

A medical doctor is contracted to provide medical care to our
clients with diabetes.

(12 hours per month x 12 mos. x $100.00 per hour = $14,400.00)

Registered Dietitian/Diabetes Educator

A Registered Dietitian/diabetes educator is contracted to
provide diabetes related meal planning and instruction and
facilitate one-on-one consultation with clients.

(8 hours per week x 52 weeks x $45 per hour = $18,720.00)

Exercise Specialist

An exercise specialist is contracted to conduct and monitor the
exercise program necessary for each client.

(950 hours x $35 per hour = $33,250.00)

F. Equipment: $9,000.00

Heavy Duty Printer/Scanner/Copier

High Performance, high volume printer/scanner/copier to produce
materials for diabetes wellness classes. $9,000.00

G. Other Direct Costs: $38,493.00

Rent

This program rents two office locations for a total cost of
$83,220.00 per year. Special Diabetes grant program will cover
$20,805.00 which is 25% of the rent cost.

Utility

This program will cover 25% of the total utility cost of
$16,000.00 per year.

($16,000.00 x 25% = $4,000.00)

Postage

The Diabetes Program postage is estimated at $500.00.

Telephone

This program currently has eight telephone lines at two separate
offices as well as pager service and a toll-free number for clients.
Diabetes Program will cover $2,611.00 of this expense which is 25%
of the annual cost of $10,445.00.

Audit Fees

An annual audit is conducted for this program's financial
statements. Funding agencies require audit financial statements of
grant funds. Diabetes will cover $2,500.00 of audit expenses which
is 25% of the $10,000.00 proposal.

Professional Fees

A computer consultant is needed to fix computer problems.
$200.00 per month x 12 mos. = $2,400.00 will cover the expenses.

Insurance Liability

General liability insurance is required to protect the
organization against fire and property damage. Diabetes portion of
this expense is $1,593.00.

Office Cleaning

Office cleanings are required to keep the agency clean. Diabetes
will cover 20% of the contract cost of $8,400.00 = $1,680.00.

Storage Fees

This program stores its records in a storage facility. Diabetes
grant will fund $240.00 of this cost.

Biohazard Disposal

A special handling fee for biohazard disposal will cost $154.00
for this program.

Marketing/Advertising

Newspaper advertising will be used to promote Diabetes events.
Three (3) ads x $670.00 = $2,010.00

I. Indirect Costs (15%): $34,819

The most recent Indirect Rate Cost Agreement was approved by the
Department of the Interior on June 16, 2014. A copy of this
agreement is attached separately in the application. The Indirect
Rate Cost Agreement for FY2015 will be negotiated after completion
of the FY2014 Single Audit.

TOTAL DIRECT COSTS--$232,130.00

TOTAL DIRECT COST AND INDIRECT COSTS--$266,949.00

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[FR Doc. 2015-19088 Filed 8-3-15; 8:45 am]
BILLING CODE 4165-16-C

Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices 46287

In compliance with the requirements DEPARTMENT OF HEALTH AND after this document publishes in the
of Section 506(c)(2)(A) of the Paperwork HUMAN SERVICES Federal Register).
Reduction Act of 1995, the
Administration for Children and Food and Drug Administration FOR FURTHER INFORMATION CONTACT: Ann
Families is soliciting public comment Anonsen, University of Maryland,
on the specific aspects of the Fischell Dept. of Bioengineering, 2207
[Docket No. FDA–2015–N–2390]
information collection described above. Jeong H. Kim Bldg., College Park, MD
Copies of the proposed collection of Evidentiary Considerations for 20742, 301–405–0285, FAX: 304–405–
information can be obtained and Integration of Biomarkers in Drug 9953, aanonsen@umd.edu.
comments may be forwarded by writing Development; Notice of Public SUPPLEMENTARY INFORMATION:
to the Administration for Children and Meeting; Request for Comments
Families, Office of Planning, Research I. Background
and Evaluation, 370 L’Enfant AGENCY: Food and Drug Administration,
Promenade, SW., Washington, DC HHS. The purpose of this public workshop
20447, Attn: ACF Reports Clearance ACTION: Notice of public meeting; is to facilitate a unique opportunity for
Officer. Email address: infocollection@ request for comments. relevant stakeholders from industry,
acf.hhs.gov. All requests should be academia, and FDA to discuss
identified by the title of the information SUMMARY: The Food and Drug biomarker development and provide a
collection. Administration (FDA), in collaboration framework for evidentiary
The Department specifically requests with the University of Maryland’s considerations required for biomarker
comments on: (a) Whether the proposed Center of Excellence in Regulatory qualification. The objective of the
collection of information is necessary Science and Innovation and the Critical workshop is to discuss evidentiary
for the proper performance of the Path Institute, is announcing a public considerations for use of clinical safety
functions of the agency, including workshop entitled ‘‘Evidentiary and enrichment biomarkers in drug
whether the information shall have Considerations for Integration of development.
practical utility; (b) the accuracy of the Biomarkers in Drug Development.’’ The
agency’s estimate of the burden of the purpose of the meeting is to discuss A. Registration
proposed collection of information; (c) current scientific approaches to
the quality, utility, and clarity of the biomarker development, acceptance, There is a registration fee to attend
information to be collected; and (d) and utility in drug and biologic this meeting. The registration fee is
ways to minimize the burden (hereafter referred to as therapeutic charged to help defray the costs for
information to be collected; and (d) product) development programs. facilities, materials, and food. Seats are
ways to minimize the burden of the limited, and registration will be on a
DATES: The meeting will be held on
collection of information on first-come, first-served basis.
August 21, 2015, from 9 a.m. to 5 p.m.
respondents, including through the use To register, please complete
of automated collection techniques or ADDRESSES: The meeting will be held at
the University of Maryland, Pharmacy registration online at http://
other forms of information technology. www.pharmacy.umaryland.edu/cersibio
Consideration will be given to Hall, 20 North Pine St., Baltimore, MD
21201. For additional travel and hotel markers. (FDA has verified the Web
comments and suggestions submitted address, but FDA is not responsible for
within 60 days of this publication. information, please refer to
www.pharmacy.umaryland.edu/ subsequent changes to the Web site after
Robert Sargis, cersibiomarkers. (FDA has verified the this document publishes in the Federal
Reports Clearance Officer. Web site addresses throughout this Register). The costs of registration for
[FR Doc. 2015–18987 Filed 8–3–15; 8:45 am] notice, but FDA is not responsible for the different categories of attendees are
BILLING CODE 4184–01–P subsequent changes to the Web sites as follows:

Category Cost

Industry Representatives ............................................................................................................................................................. $50
Charitable Nonprofit/Academic .................................................................................................................................................... 50
Government ................................................................................................................................................................................. 0

B. Accommodations Identify all comments with the DEPARTMENT OF HEALTH AND
Attendees are responsible for their corresponding docket number found in HUMAN SERVICES
own hotel accommodations. If you need brackets in the heading of this
special accommodations due to a document. Received comments may be Indian Health Service
disability, please contact Ann Anonsen seen in the Division of Dockets [Funding Announcement Number: HHS–
(see FOR FURTHER INFORMATION CONTACT). Management between 9 a.m. and 4 p.m., 2016–IHS–SDPI–0001; Catalog of Federal
Monday through Friday, and will be Domestic Assistance Number: 93.237]
II. Comments posted to the docket at http://
Interested persons may submit www.regulations.gov. Special Diabetes Program for Indians;
tkelley on DSK3SPTVN1PROD with NOTICES

electronic comments to http:// Community-Directed Grant Program;
Dated: July 29, 2015.
www.regulations.gov or written Announcement Type: New and
comments to the Division of Dockets Leslie Kux, Competing Continuation
Management (HFA–305), Food and Drug Associate Commissioner for Policy.
Administration, 5630 Fishers Lane, Rm. [FR Doc. 2015–19037 Filed 8–3–15; 8:45 am]
Key Dates
1061, Rockville, MD 20852. It is only BILLING CODE 4164–01–P Application Deadline Date: October 7,
necessary to send one set of comments. 2015.

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46288 Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices

Review Date: October 19–November 6, Purpose Cooperative Agreement
2015. Cooperative agreements awarded by
The purpose of this IHS cooperative
Earliest Anticipated Start Date: the Department of Health and Human
agreement is to provide diabetes
January 1, 2016. Services (HHS) are administered under
treatment and/or prevention activities
Signed Tribal Resolution(s) Due Date: and/or services (also referred to as the same policies as a grant. The
October 16, 2015. ‘‘activities/services’’) for AI/AN funding agency (IHS) is required to have
Proof of Non-Profit Status Due Date: communities. Grantees will implement substantial programmatic involvement
October 7, 2015. one SDPI Diabetes Best Practice (also in the project during the entire award
referred to as ‘‘Best Practice’’) and report segment. Below is a detailed description
I. Funding Opportunity Description
data on its Required Key Measure. of the level of involvement required for
Statutory Authority Grantees may also implement other both IHS and the grantee. IHS will be
activities/services based on diabetes- responsible for activities listed under
The Indian Health Service (IHS)
related community needs and develop section A and the grantee will be
Special Diabetes Program for Indians
an evaluation plan. Activities/services responsible for activities listed under
(SDPI) is accepting new and competing
will be aimed at reducing the risk of section B as stated:
continuation cooperative agreement
applications for the Community- diabetes in at-risk individuals, Substantial Involvement Description for
Directed Grant Program. This program is providing high quality care to those Cooperative Agreement
authorized by Section 330C of the with diagnosed diabetes, and/or
reducing the complications of diabetes. A. IHS Involvement
Public Health Service Act, codified at 42
U.S.C. 254c–3, as amended, and by the II. Award Information 1. IHS Division of Diabetes Treatment
Snyder Act, 25 U.S.C. 13. This program and Prevention (Division of Diabetes):
is described in the Catalog of Federal Type of Award The Division of Diabetes will provide
Domestic Assistance (CFDA) under Cooperative Agreement. general programmatic oversight,
93.237. coordination, leadership, and resources.
Estimated Funds Available Detailed responsibilities include:
Background
The total amount of funding a. Communication and technical
Diabetes is a complex and costly identified for fiscal year (FY) 2016 is assistance
chronic disease that requires approximately $130.2 million. i. Maintain a Community-Directed
tremendous long-term efforts to prevent Individual award amounts are grantee email list and provide updates
and treat. Although diabetes is a anticipated to be between $12,500 and and announcements via email.
nationwide public health problem, $6.5 million with an average award ii. Maintain and update the Division
American Indian/Alaska Native (AI/AN) amount of approximately $300,000. of Diabetes Web site:
people are disproportionately affected. www.diabetes.ihs.gov
The funding formula which
In 2012, 15.9% of AI/AN people aged 20 iii. Maintain and update SDPI
determines the funds available to each
years or older had diagnosed diabetes, Community-Directed Grant Program
IHS area has been determined through
compared to 7.6% of non-Hispanic Web pages (http://www.ihs.gov/Medical
Tribal consultation. Within each area,
white people [CDC, 2014 (http:// Programs/Diabetes/index.cfm?module=
grantee Tribes provide input on the
www.cdc.gov/diabetes/pubs/ sdpi_hub), which provide information
formula which determines the amount
statsreport14/national-diabetes-report- and resources regarding the cooperative
of funding available for each successful
web.pdf)]. In addition, AI/AN people agreement, including:
applicant.
have higher rates of diabetes-related (1) Information sessions—Recorded
morbidity and mortality than the • Current SDPI Community-Directed webinars available to view on demand
general U.S. population [O’Connell, grantees should budget for the same and provide a review of the
2012 (http://care.diabetesjournals.org/ amount as they received in FY 2015. programmatic Terms and Conditions
content/33/7/1463.full?sid=f3c75e2c- However, funding amounts may change. and overview of application or report-
5b22-479b-ac82-6e96b5f7576c); Cho, See the paragraph below for additional specific resources.
2014 (http://ajph.aphapublications.org/ information.
(2) Frequently Asked Questions
doi/full/10.2105/AJPH.2014.301968)]. • New SDPI Community-Directed (FAQs)—Updated annually, this Web
Strategies to address the prevention and grant applicants should apply for a page provides answers to common
treatment of diabetes in AI/AN $12,500 base amount. questions about SDPI Community-
communities are urgently needed. The amount of funding available for Directed grants.
In response to the burgeoning diabetes competing and continuation awards (3) Additional resources—Documents
epidemic among AI/AN people, issued under this announcement are and links from the Division of Diabetes
Congress established the SDPI through subject to the availability of and the Division of Grants Management
the Balanced Budget Act of 1997. SDPI appropriations and budgetary priorities (DGM).
is a $150 million per year program that of the Agency. The IHS is under no (4) New to SDPI—Provides
provides grants for diabetes treatment obligation to make awards that are information for new grantees and/or
and prevention services. SDPI is selected for funding under this staff.
administered by IHS, with announcement. b. Provide Question and Answer
programmatic oversight provided by the Anticipated Number of Awards (Q&A) Sessions: The Division of
tkelley on DSK3SPTVN1PROD with NOTICES

IHS Division of Diabetes Treatment and Diabetes will hold regular Q&A sessions
Prevention (Division of Diabetes). Approximately 325–450 awards will regarding application and report
Over 330 programs have received be issued under this program processes via live webinars. Sessions
SDPI Community-Directed grants announcement. will be held regularly one month before
annually since 1998. A Congressional Project Period the due date for each application and
re-authorization in 2015 extended SDPI report. These sessions will provide the
through FY 2017. January 1, 2016 to December 31, 2020. following:

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Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices 46289

i. Review of programmatic Terms and B. Grantee Cooperative Agreement 5. Collaboration: Grantee must agree
Conditions. Award Activities to:
ii. Overview of report or application All awardees (grantees) will need to a. Consult with and accept guidance
instructions, templates and resources. meet the following requirements. All from the Division of Diabetes, the DGM,
iii. Opportunity for attendees to ask requirements, including these and their ADC/Federal project officer(s)
questions. programmatic requirements, will also be and/or designated assignee(s). In
c. Create and provide instructions and provided as an attachment in the Notice addition, sub-grantees must agree to
templates for the Semi-Annual and of Award. consult with and accept guidance from
Annual Progress Reports. 1. Diabetes Treatment and Prevention their primary grantee.
d. Create and provide instructions and Activities and Services: Grantees must b. Respond promptly to requests for
Project Narrative template(s) for provide activities/services that: information.
continuation applications. a. Meet the purpose of this FOA (see c. Attend required meetings and
e. Maintain and update the SDPI section I above) which is to provide trainings.
Diabetes Best Practices. diabetes treatment and/or prevention d. Provide short presentations on their
f. Provide resources, tools, support, services and activities/services for AI/ processes and successes, as requested.
and training for facilities to conduct IHS AN communities. e. Keep the above entities (see item a.
Diabetes Care and Outcomes Audits. b. Are targeted at reducing risk factors above) informed of emerging issues,
g. Create and provide support for the for diabetes and related conditions. developments, and challenges that may
SDPI Outcomes System (SOS) which c. Address diabetes-related issues as affect the grantee’s ability to comply
grantees will use to track and report on identified in the grantee’s needs with the grant Terms and Conditions
Required Key Measure (RKM) data. assessment. and/or any requirements.
h. Establish SDPI grantee training d. Implement a selected Best Practice 6. Program Coordinator: Grantees
requirements. and its RKM (see item 2 directly below). must have an officially approved (by the
e. Utilize SDPI funds as outlined in IHS project officer) program coordinator
i. Provide or coordinate SDPI grantee
the grantee’s Budget Narrative. with the following qualifications:
training sessions and record them.
2. SDPI Diabetes Best Practices (Best a. Relevant health or wellness
2. Area Diabetes Consultant (ADC): Practices): The Best Practices (http:// education and/or experience.
Diabetes expert located in each IHS area www.ihs.gov/MedicalPrograms/ b. Experience with grant program
with the following responsibilities: Diabetes/index.cfm?module=programs management, including skills in
a. Serves as the project officer for the SDPIcommunityDirectedApp) were program coordination, budgeting,
SDPI Community-Directed Grant updated for FY 2016 to include the reporting, and supervision of staff.
Programs in their IHS area. The project latest scientific findings and c. Working knowledge of diabetes.
officer is a federal program staff person recommendations. Grantees must select The program coordinator will also be
who is responsible for managing and one Best Practice and implement the primary email contact to entities
monitoring the progress of grantees. activities/services aimed at improving listed in item B.5. above under
b. Serves as a liaison between the the RKM from their selected Best ‘‘Collaboration.’’ All SDPI grant program
SDPI grant programs, Division of Practice. Grantees will report on RKM staff should be routinely updated by the
Diabetes, and DGM. data via the SDPI Outcomes System. program coordinator with information
c. Helps coordinate an extensive 3. SDPI Outcomes System (SOS): Data and requirements related to their
Indian health system diabetes network for the RKM will be reported using the program’s activities/services.
to facilitate information flow between new SOS. Grantees will enter results for 7. Hardware/software requirements:
local and national levels. the RKM for their selected Best Practice The hardware and software items listed
d. Provides diabetes training and into this system at the start and end of below are required in order for grantees
resources to health care and wellness the budget period, with the option to to access application and report
professionals and paraprofessionals in enter more frequently. The system will materials, Web sites, and training
the Indian health system. generate reports of these results to meet forums relevant to this grant:
e. Works with the Division of Diabetes the SDPI outcomes reporting a. Desktop or laptop computer
to translate and disseminate the latest requirements. These results will be (recommended: Purchased in 2010 or
scientific findings on diabetes treatment stored in the system and accessible to later).
and prevention to AI/AN communities. program staff as needed. Grantees will b. Internet access (recommended:
3. IHS Division of Grants need to appoint at least one person in High speed).
Management: Official grants their program to get access to and add c. Internet browser software
management office. Provides complete RKM data into the SOS. (recommended: Microsoft® Internet
monitoring and oversight for all 4. IHS Diabetes Care and Outcomes Explorer, version 10.0 or higher).
financial business management and Audit (Diabetes Audit): SDPI d. Adobe software compatibility for
administration for the life cycle of the Community-Directed grantees are using Grants.gov. For more information:
grant award. First contact for all required to participate in the Annual http://www.grants.gov/web/grants/
financial grants operations and policy Diabetes Audit (http://www.ihs.gov/ applicants/adobe-software-
requirements for compliance of the MedicalPrograms/Diabetes/ compatibility.html
grant award terms and conditions. index.cfm?module=resourcesAudit). e. Adobe Connect webinar capability.
Contact office for the Grants Grantees must review the results and For more information: https://na1cps.
Management Specialist (GMS), Grants submit a copy of the Annual Diabetes adobeconnect.com/common/help/en/
tkelley on DSK3SPTVN1PROD with NOTICES

Management Officer, Chief Grants Audit Report with their continuation support/meeting_test.htm
Management Officer and Acting Director applications. Non-clinical or In addition to the requirements above,
of Grants Management Operations and community-based grantees that are not it is recommended that grantees have
Policy. Works on a daily basis with all able to directly participate in the Microsoft Office software, version 2010
grants award recipients to provide Diabetes Audit will need to acquire a or higher.
guidance on all grants management copy of the Annual Diabetes Audit 8. Semi-Annual Progress Report:
questions and concerns. Report from their local facility or ADC. Grantees must adhere to reporting

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Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices 46291

Proof of Non-Profit Status Construction Programs. and submitted to the primary grantee to
Organizations claiming non-profit • Budget Justification and Narrative be included in their application in
status must also submit proof. A copy of (must be single spaced and not exceed response to this announcement. Sub-
the 501(c)(3) Certificate must be five pages). See section IV.2.B for grantees cannot submit applications
received with the application details. directly to Grants.gov.
submission by the Application Deadline • Project Narrative—a PDF-fillable The primary grantee’s application
Date listed under the Key Dates section template will be provided. See section must reflect the total budget for the
on the cover page of this announcement. [section IV.2.A] for details and a link entire cost of the project. Total budget
to the template. for the sub-grantees should be
IHS Diabetes Care and Outcomes Audit • 2014 and 2015 Annual Diabetes Audit accounted for under the contractual/
The IHS Diabetes Care and Outcomes Reports or an explanation as to why consultant category.
Audit is a process to assess care and these reports cannot be submitted. See
Mandatory Documents for Programs
health outcomes for AI/AN people with section III.3 for details.
• Tribal Resolution(s) (Tribes and/or That Propose Sub-Contracts With Local
diagnosed diabetes. IHS, Tribal, and IHS Facilities
urban Indian health care facilities Tribal organizations). See section III.3
for details. A sub-contract is between two entities
nationwide participate in this process
each year by auditing medical records • Letter(s) of Support (See section III.3) to provide services or supplies.
from one of the following: Programs that propose sub-contracts
for their patients with diabetes.
Æ Board of Directors (Title V urban with IHS facilities to provide clinical
Applicants that are able to must submit
Indian health programs). services must submit a separate budget
copies of their local facility’s 2014 and
Æ Chief Executive Officer (IHS for the sub-contract, but the grantee’s
2015 Annual Diabetes Audit Reports.
1. Most applicants can obtain their facilities). application must reflect the total budget
Æ Tribes served (highly recommended for the entire cost of the project.
2014 and 2015 Annual Diabetes Audit
for IHS facilities) While not required for this grant
Reports in one of following ways:
a. Via the WebAudit: http://www.ihs. • 501(c)(3) Certificate (if applicable). application, it is highly recommended
• Biographical sketches for all Key that the grantee obtain a Memorandum
gov/MedicalPrograms/Diabetes/
Personnel. of Agreement that is signed by the
index.cfm?module=resourcesAudit.
• Key contacts form for diabetes grantee, the IHS facility, the IHS area
b. By requesting these Reports from
program coordinator. director, and the Tribal chairperson.
their local facility.
• Contractor/Consultant resumes or
c. By requesting these Reports from Public Policy Requirements
qualifications and scope of work (if
their ADC: http://www.ihs.gov/
applicable). All Federal-wide public policies
MedicalPrograms/Diabetes/
• Disclosure of Lobbying Activities (SF– apply to organizations that receive IHS
index.cfm?module=peopleADC
LLL). grants and cooperative agreements with
Directory.
• Certification Regarding Lobbying (GG- exception of the Discrimination policy:
2. If the applicant is unable to obtain
Lobbying Form). http://www.hhs.gov/grants/grants/
their local facility’s 2014 and 2015
• Copy of current Negotiated Indirect grants-policies-regulations/index.html.
Annual Diabetes Audit Reports, they
Cost rate (IDC) agreement (not
must provide an explanation in the Requirements for Project and Budget
applicable to IHS facilities).
Project Narrative (Part B). Narratives
• Organizational chart or written
IV. Application and Submission information that shows where the A. Project Narrative: This narrative
Information SDPI Program fits into the larger will be provided using a PDF fillable
organization. template that will be available on the
1. Obtaining Application Materials • Documentation of current Office of SDPI Community-Directed Application
The application package and detailed Management and Budget (OMB) A– Web page at http://www.ihs.gov/Medical
instructions for this announcement can 133 required Financial Audit or other Programs/Diabetes/index.cfm?module=
be found at http://www.Grants.gov or required audit for FY 2014 (not programsSDPIcommunityDirectedApp.
https://www.ihs.gov/dgm/ applicable to IHS facilities). Be sure to answer succinctly all
index.cfm?module=dsp_dgm_funding. Acceptable forms of documentation applicable questions in the Project
Questions regarding the electronic include: Narrative, being mindful of the
application process may be directed to Æ Email confirmation from Federal evaluation criteria (see section V.1). The
Mr. Paul Gettys at (301) 443–2114 or Audit Clearinghouse (FAC) that Project Narrative will provide reviewers
(301) 443–5204. audits were submitted; or with critical information about the
Æ Face sheets from audit reports. applicant’s resources, capabilities, and
2. Content and Form Application proposed activities/services.
These can be found on the FAC
Submission There are seven parts to the Project
Web site: http://harvester.census.
The applicant must include the gov/sac/dissem/accessoptions. Narrative:
Project Narrative as an attachment to the html?submit=Go+To+Database. 1. Part A—Program Identifiers
application package. Mandatory 2. Part B—Needs Assessment
documents for all applicants include: Mandatory Documents for Programs 3. Part C—Program Support
That Propose Sub-Grantees
• Table of contents. 4. Part D—SDPI Diabetes Best Practice
• Abstract (one page) summarizing the A sub-grantee is an entity that has an 5. Part E—Activities/Services not
tkelley on DSK3SPTVN1PROD with NOTICES

project. arrangement between a grantee related to selected Best Practice
• Application forms: institution and one or more (Optional)
Æ SF–424, Application for Federal participating institutions in support of a 6. Part F—Additional Information
Assistance. project. B. Budget Narrative: The Budget
Æ SF–424A, Budget Information— A complete application package Narrative provides additional
Non-Construction Programs. including all mandatory documents explanation to support the information
Æ SF–424B, Assurances—Non- listed above must be completed, signed, provided on the SF–424A (Budget

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46292 Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices

Information for Non-Construction E. Supplies Grant Systems Coordinator, by
Programs). The Budget Narrative • General office supplies. telephone at (301) 443–2114 or (301)
consists of two parts: • Computers. 443–5204. Please be sure to contact Mr.
(1) Budget Line Items. • Software purchases or upgrades and Gettys at least ten days prior to the
(2) Budget Justification that provides other computer supplies. application deadline. Please do not
a brief justification for each budget item, • Supplies needed for activities/ contact the DGM until you have
including why it is necessary and services related to the project. received a Grants.gov tracking number.
relevant to the proposed project and • File/storage cabinets. In the event you are not able to obtain
how it supports project activities/ a tracking number, call the DGM as soon
services. F. Contractual/Consultant as possible.
The Budget Narrative must include a May include partners, collaborators, If the applicant needs to submit a
line item budget with a justification for and/or technical assistance consultants paper application instead of submitting
all expenditures identifying reasonable procured to help with project activities/ electronically through Grants.gov, a
and allowable costs necessary to services. Include direct costs and waiver must be requested. Prior
accomplish the goals and objectives as indirect costs for any subcontracts. approval must be requested and
outlined in the Project Narrative. Budget obtained from Ms. Tammy Bagley,
should match the scope of work G. Alterations and Renovations (A&R) Acting Director of DGM, (see Section
described in the Project Narrative. The Major A&R exceeding $150,000 is not IV.6 below for additional information).
page limitation should not exceed five allowable under this project without The waiver must: (1) Be documented in
pages. prior approval from the program office. writing (emails are acceptable), before
The list of budget categories and items submitting a paper application, and (2)
below is provided for ideas about what H. Other
include clear justification for the need
might be included in the budget. The • Participant incentives—list all types to deviate from the required electronic
applicant does not need to include all of incentives and specify amount per grants submission process. A written
the categories and items below and may item. See the IHS Grant Programs waiver request must be sent to
include others not listed. The budget is Incentive Policy at http://www.ihs. GrantsPolicy@ihs.gov with a copy to
specific to the applicant’s program, gov/IHM/index.cfm?module=dsp_ Tammy.Bagley@ihs.gov. Once the
objectives, and activities/services. A ihm_circ_main&circ=ihm_circ_0506 waiver request has been approved, the
sample Budget Narrative is also for more information including applicant will receive a confirmation of
provided in Appendix 2. restrictions. approval email containing submission
A. Personnel • Marketing, advertising, and instructions and the mailing address to
promotional items. submit the application. A copy of the
For each position to be funded by the • Internet access.
grant, including program coordinator written approval must be submitted
• Medications and lab tests—be along with the hardcopy of the
and others, provide the information specific; list all medications and lab
below. Include ‘‘in-kind’’ positions if application that is mailed to DGM.
tests. Paper applications that are submitted
applicable. • Miscellaneous services: rent,
• Position name. without a copy of the signed waiver
telephone, conference calls, computer
• Individual’s name or enter ‘‘To be support, shipping, copying, printing,
from the Acting Director of the DGM
named.’’ will not be reviewed or considered for
and equipment maintenance.
• Brief description of role and/or funding. The applicant will be notified
responsibilities. I. Indirect Costs via email of this decision by the Grants
• Percentage of annual salary that will Line item consists of facilities and
Management Officer of the DGM. Paper
be paid for by SDPI funds OR hourly applications must be received by the
administrative cost (include IDC
rate and hours worked per year that DGM no later than 5:00 p.m., EDT, on
agreement computation)
will be paid for by SDPI funds. the application deadline date listed in
3. Submission Dates and Times the Key Dates section on page one of
B. Fringe Benefits
Applications must be submitted this announcement. Late applications
List the fringe rate for each position will not be accepted for processing or
electronically through Grants.gov by
separately. DO NOT list a lump sum considered for funding.
11:59 p.m. Eastern Daylight Time (EDT)
fringe benefit amount for all personnel
on the application deadline date listed 4. Intergovernmental Review
combined.
in the Key Dates section on page one of
Executive Order 12372 requiring
C. Travel and Training this announcement. Any application
intergovernmental review is not
• Staff travel necessary to provide received after the application deadline
applicable to this program.
project activities/services. will not be accepted for processing, nor
• Staff travel to meetings planned will it be given further consideration for 5. Funding Restrictions
during budget period. funding. Grants.gov will notify the • Pre-award costs are not allowable.
• Staff travel for training as needed to applicant via email if the application is • The available funds are inclusive of
provide services related to goals and rejected. direct and appropriate indirect costs.
objectives of the grant, such as If technical challenges arise and • Only one grant/cooperative agreement
continuing clinical education courses, assistance is required with the will be awarded per applicant.
IHS SDPI Meetings, etc. electronic application process, contact • IHS will not acknowledge receipt of
tkelley on DSK3SPTVN1PROD with NOTICES

Grants.gov Customer Support via email applications.
D. Equipment to support@grants.gov or at (800) 518–
• Capital Equipment—Tangible 4726. Customer Support is available to 6. Electronic Submission Requirements
property having a useful life of more address questions 24 hours a day, 7 days All applications must be submitted
than one year and acquisition cost a week (except on Federal holidays). If electronically. Please use the http://
which equals or exceeds $5,000 per problems persist, contact Mr. Paul www.Grants.gov Web site to submit an
item. Gettys (Paul.Gettys@ihs.gov), DGM application electronically and select the

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46294 Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices

were not provided) that need to be (2) Were appropriate biographical announcement. Applications that meet
improved? sketches, resumes, or curricula vitae the eligibility criteria shall be reviewed
(6) Did the applicant adequately provided for all key personnel? for merit by the ORC based on
describe how they will address the (3) Was an appropriate organizational evaluation criteria in this funding
Diabetes Audit items or diabetes-related chart or description provided? announcement. The ORC could be
issues that need to be improved? (4) Were appropriate Tribal composed of both Tribal and Federal
(7) Did the applicant adequately Resolution(s) and/or Letter(s) of Support reviewers appointed by the IHS program
describe challenges? provided? to review and make recommendations
B. Project Objective(s), Work Plan and (5) Did the applicant identify at least on these applications. The technical
Approach (30 Points) one organization administrator or Tribal review process ensures selection of
leader, other than the Program quality projects in a national
(iii) SDPI Diabetes Best Practice (Project Coordinator, to support their SDPI competition for limited funding.
Narrative Part D) program? Incomplete applications and
(1) Did the applicant provide an (6) Did the applicant describe how applications that are non-responsive to
adequate description of activities/ this leader will be involved with the the eligibility criteria will not be
services to improve the RKM? SDPI Community-Directed grant referred to the ORC. The applicant will
(2) Are the activities/services program? be notified via email of this decision by
proposed appropriate for the selected (7) Did the applicant provide the Grants Management Officer of the
Best Practice and Target Group? appropriate and adequate information DGM. Applicants may be notified by
(3) Are the planned activities/services about key personnel in the Project DGM, via email, to provide minor
realistic given the constraints of Narrative? missing components (e.g., fiscal audit
timeframe, resources, and staff? (8) Did the applicant provide documentation, key contact form)
(iv) If Applicable: Activities/Services appropriate and adequate information needed for an otherwise complete
Not Related to Selected Best Practice about partnerships and collaborations in application. All missing documents
(Project Narrative Part E) the Project Narrative? must be sent to DGM on or before the
(viii) Additional Information (Project due date listed in the email of
(1) Do activities/services address notification of missing documents
diabetes-related issues identified in the Narrative Part F)
required.
needs assessment in Part B? (1) Did the applicant adequately To obtain a minimum score for
(2) Are activities/services aimed at complete this part of the Project funding by the ORC, applicants must
reducing risk factors for diabetes and/or Narrative? address all program requirements and
related conditions? provide all required documentation.
(3) Are activities/services adequately E. Categorical Budget and Budget
described? Justification (20 Points) VI. Award Administration Information
(4) Are the planned activities/services (i) Does the budget match the scope of
realistic given the constraints of 1. Award Notices
work described in the Project Narrative?
timeframe, resources, and staff? (ii) Was each line item adequately The Notice of Award (NoA) is a
specified and justified? legally binding document signed by the
C. Program Evaluation (15 Points)
(iii) Was the Budget Narrative within grants management officer and serves as
(v) SDPI Diabetes Best Practice (Project the five-page limit? the official notification of the grant
Narrative Part D) (iv) Do funding totals match between award. The NoA will be initiated by the
(1) Was one Best Practice selected? the SF–424A, budget line item, and DGM in the following grant system,
(2) Was the number of patients/ justification? GrantSolutions (https://
participants in the Target Group (v) Is the budget reasonable and www.grantsolutions.gov). Each entity
provided? realistic? that is approved for funding under this
(3) Was the Target Group adequately announcement will need to request or
described? Additional Documents Can Be have a user account in GrantSolutions
(4) Are the Target Group and number Uploaded as Appendix Items in in order to retrieve their NoA. The NoA
of patients/participants appropriate Grants.gov is the authorizing document for which
given the information the applicant • Work plan, logic model and/or time funds are dispersed to the approved
provided in their needs assessment and line for proposed objectives. entities and reflects the amount of
program resources sections? • Position descriptions for key staff. Federal funds awarded, the purpose of
(vi) If Applicable: Activities/Services • Resumes of key staff that reflect the grant, the terms and conditions of
current duties. the award, the effective date of the
Not Related to Selected Best Practice
(Project Narrative Part E) • Consultant or contractor proposed award, and the budget/project period.
scope of work and letter of commitment Disapproved Applicants
(1) Was an appropriate target group (if applicable).
identified for each activity/service? • Current Indirect Cost Agreement. Applicants who receive a score less
(2) Did the applicant specify how • Organizational chart. than the recommended funding level for
improvement and reduction in risk • Map of area identifying project approval, (60 points), and are deemed to
factors will be evaluated? location(s). be disapproved by the ORC, will receive
D. Organizational Capabilities, Key • Additional documents to support an Executive Summary Statement from
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Personnel, and Qualifications (20 narrative (i.e. data tables, key news the IHS program office within 30 days
Points) articles, etc.). of the conclusion of the ORC outlining
the strengths and weaknesses of the
(vii) Program Support (Project Narrative 2. Review and Selection application submitted. The IHS program
Part C) Each application will be prescreened office will also provide additional
(1) Was a completed Key Contact form by DGM staff for eligibility and contact information as needed to
submitted for the program coordinator? completeness as outlined in the funding address questions and concerns.

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46296 Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices

sub-award obligation dollar threshold VIII. Other Information Medical Supplies (Clinic) ........ 3,000
met for any specific reporting period. The Public Health Service strongly
Additionally, all new (discretionary) Total Supplies ...................... 18,600
encourages all cooperative agreement D. Training and Travel:
IHS awards (where the project period is and contract recipients to provide a Local Mileage ........................... 1,350
made up of more than one budget smoke-free workplace and promote the Staff Training & Travel—Out
period) and where: (1) The project non-use of all tobacco products. In of State .................................. 2,400
period start date was October 1, 2010 or addition, Pub. L. 103–227, the Pro-
after and (2) the primary awardee will Children Act of 1994, prohibits smoking Total Travel .......................... 3,750
have a $25,000 sub-award obligation in certain facilities (or in some cases, E. Contractual:
dollar threshold during any specific Fiscal Officer ............................ 16,640
any portion of the facility) in which Consulting Medical Doctor ...... 14,440
reporting period will be required to regular or routine education, library,
address the FSRS reporting. For the full Registered Dietitian/Diabetes
day care, health care, or early childhood Educator ................................ 18,720
IHS award term implementing this development services are provided to Exercise Therapist .................... 33,250
requirement and additional award children. This is consistent with the
applicability information, visit the DGM Total Contractual .................. 83,050
HHS mission to protect and advance the
Grants Policy Web site at: https:// F. Equipment:
physical and mental health of the
www.ihs.gov/dgm/ Heavy Duty Printer/Scanner/
American people. Copier .................................... 9,000
index.cfm?module=dsp_dgm_policy_
topics. Date: July 28, 2015.
Telecommunication for the hearing Robert G. McSwain, Total Equipment ................... 9,000
impaired is available at: TTY (301) 443– G. Other Direct Costs:
Deputy Director, Indian Health Service.
Rent ........................................... 20,805
6394. Utility ....................................... 4,000
VIII. Appendix 1: Commonly Used
VII. Agency Contacts Abbreviations Postage ...................................... 500
Telephone ................................. 2,611
1. Questions on the programmatic ADC = Area Diabetes Consultant Audit Fees ................................ 2,500
issues may be directed to: AI/AN = American Indian/Alaska Native Professional Fees ...................... 2,400
• Applicant’s Area Diabetes DGM = Division of Grants Management Insurance Liability ................... 1,593
Consultant: http://www.ihs.gov/ FOA = Funding Opportunity Announcement Office Cleaning ......................... 1,680
MedicalPrograms/Diabetes/index.cfm? FY = Fiscal Year Storage Fees .............................. 240
module=peopleADCDirectory. GMS = Grants Management Specialist Biohazard Disposal .................. 154
HHS = Health and Human Services
• IHS Division of Diabetes Treatment Marketing/Advertising ............. 2,010
IHS = Indian Health Service
and Prevention, 801 Thompson Avenue, NOA/NGA = Notice of (Grant) Award
Suite 300, Rockville, MD 20852, Phone: Total Other Direct Costs ...... 38,493
ORC = Objective Review Committee H. Indirect Costs (15%) $34,819
1–844–IHS–DDTP (1–844–447–3387), PDF = Portable Document Format (Access TOTAL DIRECT COSTS .......... $232,130
Fax: 301–594–6213, Email: using Adobe Acrobat Reader or Pro) TOTAL DIRECT COST AND
IHSDDTPSDPICommunity@ihs.gov, RKM = Required Key Measure (Pertains to INDIRECT COSTS ................ $266,949
Division of Diabetes Web site: Best Practice requirement)
www.diabetes.ihs.gov. SDPI = Special Diabetes Program for Indians Budget Justification—SAMPLE
2. Questions on grants management SOS = SDPI Outcomes System A. Personnel: $58,694.00
and fiscal matters may be directed to IX. Appendix 2: Sample Budget Program Coordinator: George Smith
DGM: Narrative
For IHS Areas: Albuquerque, A full-time employee responsible for the
Note: This information is included for implementation of the program goals as well
Nashville, Navajo, Phoenix, and Tucson
sample purposes only. Each program’s as overseeing financial and grant application
GMS: John Hoffman. aspects of the agency.
Budget Narrative must include only their
Email: John.Hoffman@ihs.gov, phone: budget items and a justification that is (100% Annual Salary = $40,000/year)
301–443–2116. relevant to the program’s activities/services.
For IHS Areas: California, Great Administrative Assistant: Susan Brown
Plains, Oklahoma City, and Portland Line Item Budget—SAMPLE A part-time employee responsible for
GMS: Cherron Smith. A. Personnel: providing assistance to the Program
Email: Cherron.Smith@ihs.gov, phone: Program Coordinator ................ 40,000 Coordinator.
301–443–2192. Administrative Assistant ......... 6,373 (416 hours × $15.32/hour = $6,373.12)
For IHS Areas: Alaska, Bemidji, and CNA/Transporter ..................... 6,552
Mental Health Counselor ......... 5,769 CAN/Transporter/Homemaker: To Be Named
Billings GMS: Patience Musikikongo.
Email: Patience.Musikikongo@ihs.gov, A full-time employee working 8 hours per
Total Personnel ..................... 58,694 week on this grant providing transportation
phone: 301–443–2059. B. Benefits: services and in-home health care to clients.
For urban programs: Program Coordinator ................ 14,000
GMS: Pallop Chareonvootitam. (416 hours × $15.75/hour = $6,552.00)
Administrative Assistant\ ....... 2,231
Email: Pallop.Chareonvootitam@ CNA/Transporter ..................... 2,293 Mental Health Counselor: Lisa Green
ihs.gov, phone: 301–443–2195, 801 Mental Health Counselor\ ...... 2,019 A part-time employee works 6 hours per
Thompson Avenue, TMP 360, Rockville, week in the ADAPT/Mental Health Program
MD 20852, Phone: 301–443–5204, Fax: Total Fringe Benefits ............ 20,543 providing counseling and workshops to
301–443–9602. C. Supplies: clients.
3. Questions on systems matters may Desk Top Computers and Soft- (6 hours × 52 weeks × $18.49/hour =
ware (2) ................................. 3,000
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be directed to: Paul Gettys, Grant $5,768.88)
Systems Coordinator, 801 Thompson Exercise Equipment ................. 3,300
Laptop Computer ..................... 1,500 B. Fringe Benefits: $20,543.00
Avenue, TMP Suite 360, Rockville, MD LCD Projector ........................... 1,200 Fringe benefits are calculated at 35% for
20852, Phone: 301–443–2114; or the Educational/Outreach .............. 3,000 both salaried and hourly employees. Fringe
DGM main line 301–443–5204, Fax: Office Supplies ......................... 1,200 is composed of health, dental, life and vision
301–443–9602, Email: Paul.Gettys@ Food Supplies for Wellness insurance (20%), FICA/Medicare (7.65%),
ihs.gov. Luncheons ............................ 2,400 worker’s compensation (1.10%), State

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Federal Register / Vol. 80, No. 149 / Tuesday, August 4, 2015 / Notices 46297

unemployment insurance (1.25%), and D. Training and Travel: $3,750.00 Postage
retirement (5%). Local Mileage—Mileage for transportation The Diabetes Program postage is estimated
Program Coordinator: $14,000. of clients and outreach services. Estimated at at $500.00.
Administrative Assistant: $2,230.59. 300 miles/month × 12 months × $0.375 =
CAN/Transporter/Homemaker: $2293.20. Telephone
$1,350.00.
Mental Health Coordinator: $2019.11. Staff Travel & Training—Expenses in this This program currently has eight telephone
C. Supplies: $18,600.00 category are associated with attending lines at two separate offices as well as pager
conference and seminars associated with service and a toll-free number for clients.
Desk Top Computers and Software (2) diabetes for 2 staff: The budget covers the Diabetes Program will cover $2,611.00 of this
Needed by our Diabetes Educator, Exercise cost of registration fees ($250 × 2 = $500.00), expense which is 25% of the annual cost of
Specialist, and Medical Director in order to lodging ($175/night × 2 people × 2 days = $10,445.00.
access and update information on client’s $700.00), airfare ($450.00 × 2 people =
$900.00), per diem allowance ($50.00 × 2 Audit Fees
records. (2 × $1,500.00 = $3,000.00).
Exercise Equipment days × 2 people = $200.00), and ground An annual audit is conducted for this
transportation ($25.00 × 2 × 2 people = program’s financial statements. Funding
Elliptical cross trainer equipment (creates $100.00). A total of $2,400.00 for staff travel agencies require audit financial statements of
less impact on the knees), body fat analyzer, and training. grant funds. Diabetes will cover $2,500.00 of
8 dumbbell weights, 4 exercise balls, 4 audit expenses which is 25% of the
E. Contractual: $83,050.00
exercise mats, step stretch, adjustable bench, $10,000.00 proposal.
bow flex plates kit, 2 dance pads, ball stacker Fiscal Officer
set, and exercise video. Total for all exercise Professional Fees
An independent contractor to perform
equipment is $3,300.00. payroll, accounts payable, financial and grant A computer consultant is needed to fix
Laptop Computer reporting, and budgetary duties. computer problems. $200.00 per month × 12
(416 hours × $40.00 per hour = $16,640.00) mos. = $2,400.00 will cover the expenses.
This type of computer is needed to be used
in conjunction with the LCD projector that Consulting Medical Doctor Insurance Liability
will be used by the Diabetes Educator for General liability insurance is required to
A medical doctor is contracted to provide
presentations. Cost is $1,500.00. protect the organization against fire and
medical care to our clients with diabetes.
LCD Projector (12 hours per month × 12 mos. × $100.00 per property damage. Diabetes portion of this
This equipment will be used by the hour = $14,400.00) expense is $1,593.00.
Diabetes Educator for presentations. Cost is Registered Dietitian/Diabetes Educator Office Cleaning
$1,200.00. Office cleanings are required to keep the
A Registered Dietitian/diabetes educator is
Educational & Outreach Supplies contracted to provide diabetes related meal agency clean. Diabetes will cover 20% of the
Various printed literature, books, videos, planning and instruction and facilitate one- contract cost of $8,400.00 = $1,680.00.
pamphlets, pens, bottled water, little on-one consultation with clients. Storage Fees
promotional items will be needed to hand (8 hours per week × 52 weeks × $45 per hour This program stores its records in a storage
out at various health fairs, events, and to = $18,720.00)
various groups to educate and promote facility. Diabetes grant will fund $240.00 of
Exercise Specialist this cost.
health. Funds allocated are $3,000.00.
An exercise specialist is contracted to Biohazard Disposal
Office Supplies
conduct and monitor the exercise program
General office supplies are essential in A special handling fee for biohazard
necessary for each client.
order to properly maintain client records, disposal will cost $154.00 for this program.
(950 hours × $35 per hour = $33,250.00)
financial records, and all reporting Marketing/Advertising
requirements. General office supplies include F. Equipment: $9,000.00
Newspaper advertising will be used to
file folders, labels, writing pads, pens, paper Heavy Duty Printer/Scanner/Copier promote Diabetes events. Three (3) ads ×
clips, toner, etc. $1,200.00 will be included $670.00 = $2,010.00
in this budget. High Performance, high volume printer/
scanner/copier to produce materials for I. Indirect Costs (15%): $34,819
Supplies for Monthly Wellness Meetings diabetes wellness classes. $9,000.00
The most recent Indirect Rate Cost
An allocation of $200.00 has been made G. Other Direct Costs: $38,493.00 Agreement was approved by the Department
towards teaching tools that will be used by
Rent of the Interior on June 16, 2014. A copy of
the Diabetes Educator during the monthly
this agreement is attached separately in the
wellness classes. This program rents two office locations for
application. The Indirect Rate Cost
($200.00 × 12 months = $2,400.00) a total cost of $83,220.00 per year. Special
Agreement for FY2015 will be negotiated
Diabetes grant program will cover $20,805.00
Medical Supplies—Clinic after completion of the FY2014 Single Audit.
which is 25% of the rent cost.
An allocation has been made for TOTAL DIRECT COSTS—$232,130.00
Utility
purchasing medical supplies for our clinic
such as alcohol wipes, strips for glucometers, This program will cover 25% of the total TOTAL DIRECT COST AND INDIRECT
paper sheets, gloves, gowns, etc., in the utility cost of $16,000.00 per year. COSTS—$266,949.00
amount of $3,000.00. ($16,000.00 × 25% = $4,000.00) BILLING CODE 4165–16–P
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Document Created: 2015-12-18 14:50:54
Document Modified: 2015-12-18 14:50:54

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Dates		October 7, 2015.
FR Citation		80 FR 46287

80 FR 46287 - Special Diabetes Program for Indians; Community-Directed Grant Program; Announcement Type: New and Competing Continuation

DEPARTMENT OF HEALTH AND HUMAN SERVICESIndian Health Service

Federal Register Volume 80, Issue 149 (August 4, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service