81_FR_38828 81 FR 38714 - Office of Urban Indian Health Programs; Urban Indian Education and Research Organization Cooperative Agreement Program Announcement Type: New and Competing Continuation Funding Announcement Number: HHS-2016-IHS-UIHP3-0001; Catalog of Federal Domestic Assistance Number: 93.193

81 FR 38714 - Office of Urban Indian Health Programs; Urban Indian Education and Research Organization Cooperative Agreement Program Announcement Type: New and Competing Continuation Funding Announcement Number: HHS-2016-IHS-UIHP3-0001; Catalog of Federal Domestic Assistance Number: 93.193

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service

Federal Register Volume 81, Issue 114 (June 14, 2016)

Page Range38714-38723
FR Document2016-14043

Federal Register, Volume 81 Issue 114 (Tuesday, June 14, 2016)
[Federal Register Volume 81, Number 114 (Tuesday, June 14, 2016)]
[Notices]
[Pages 38714-38723]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-14043]



[[Page 38714]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Office of Urban Indian Health Programs; Urban Indian Education 
and Research Organization Cooperative Agreement Program Announcement 
Type: New and Competing Continuation Funding Announcement Number: HHS-
2016-IHS-UIHP3-0001; Catalog of Federal Domestic Assistance Number: 
93.193

Key Dates

    Application Deadline Date: August 18, 2016.
    Review Date: August 22, 2016-August 26, 2016.
    Earliest Anticipated Start Date: September 15, 2016.
    Proof of Non-Profit Status Due Date: August 18, 2016.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting competitive 
cooperative agreement applications for the Urban Indian Organization 
Education and Research Cooperative Agreement Program. This program is 
authorized under the Snyder Act, 25 U.S.C. 13, and Section 301(a) of 
the Public Health Service Act, 42 U.S.C. 241(a). This program is 
described in the Catalog of Federal Domestic Assistance (CFDA) under 
93.193.

Background

    The Office of Urban Indian Health Programs (OUIHP) oversees the 
implementation of the Indian Health Care Improvement Act (IHCIA) 
provisions for making health services more accessible to urban Indians. 
Pursuant to those authorities, the IHS enters into contracts and grants 
with urban Indian organizations for the provision of health care and 
referral services for urban Indians residing in the urban centers. 
Those services may include (1) alcohol and substance abuse prevention, 
treatment, rehabilitation and education; (2) mental health needs and 
assessments; (3) health promotion and disease prevention services; and 
(4) immunization services. The cooperative agreement provides services 
and advocacy for urban Indian organizations (UIOs) that include the 
following four core activities: (1) Public policy; (2) research and 
data; (3) training and technical assistance; (4) education, public 
relations and marketing.

Purpose

    The purpose of this IHS cooperative agreement is to fund a national 
urban Indian organization to act as an education and research partner 
for OUIHP and urban Indian organizations funded under the IHCIA.

Pre-Conference Grant Requirements

    The awardee is required to comply with the ``HHS Policy on 
Promoting Efficient Spending: Use of Appropriated Funds for Conferences 
and Meeting Space, Food, Promotional Items, and Printing and 
Publications,'' dated December 16, 2013 (``Policy''), as applicable to 
conferences funded by grants and cooperative agreements. The Policy is 
available at http://www.hhs.gov/grants/contracts/contract-policies-regulations/conference-spending/.
    The awardee is required to:
    Provide a separate detailed budget justification and narrative for 
each conference anticipated. The cost categories to be addressed are as 
follows: (1) Contract/Planner, (2) Meeting Space/Venue, (3) 
Registration Web site, (4) Audiovisual, (5) Speakers Fees, (6) Non-
Federal Attendee Travel, (7) Registration Fees, and (8) Other (explain 
in detail and cost breakdown). For additional questions please contact 
Shannon Beyale at (301) 945-3657 or email her at 
[email protected].

II. Award Information

Type of Award

    Cooperative Agreement.

Estimated Funds Available

    The total amount of funding identified for the current fiscal year 
(FY) 2016 is approximately $800,000. Individual award amounts are 
anticipated to be between $500,000 and $800,000. 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

    One award will be issued under this program announcement.

Project Period

    The project period is for three years and will run consecutively 
from September 15, 2016 to September 14, 2019.

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 Programmatic Involvement
    In addition to the usual monitoring and technical assistance 
provided under the cooperative agreement, the IHS/OUIHP 
responsibilities shall include:
    (1) Assurance of the availability of the services of experienced 
staff to participate in the planning and development of all phases of 
this cooperative agreement;
    (2) Working closely with the IHS Public Affairs Office regarding 
dissemination of publications completed under the cooperative agreement 
and cooperating on the referral of inquiries and request for technical 
assistance, publications and other information;
    (3) Participation in, including the planning of, any meetings 
conducted as part of project activities;
    (4) Assistance in establishing Federal interagency and state 
contacts necessary for the successful completion of tasks and 
activities identified in the approved scope of work;
    (5) Identification of other awardees and organizations with whom 
the awardee will be asked to develop cooperative and collaborative 
relationships; and
    (6) Assisting the awardee to establish, review and update 
priorities for activities conducted under the auspices of the 
cooperative agreement.
    (7) Assisting the awardee to determine which issues will be 
addressed during the project period, the sequence in which they will be 
addressed, what approaches and strategies will be used to address them, 
and how relevant information will be transmitted to specified target 
audiences and used to enhance project activities and advance the 
program.

[[Page 38715]]

B. Grantee Cooperative Agreement Award Activities
    Requirements and obligations of the cooperative agreement recipient 
shall include:
    (1) Work collaboratively with the urban Indian organizations funded 
under the IHCIA;
    (2) Respond in a flexible manner to collaborating on occasional 
short-term projects, in addition to long-term and on-going efforts;
    (3) Work closely with the Federal project officer when hiring new 
key project staff and planning/implementing new activities;
    (4) Consult with the Federal project officer before scheduling any 
meetings, including project advisory/steering committee meetings, that 
pertain to the scope of work and at which the project officer's 
attendance would be appropriate;
    (5) Provide the Federal project officer with the opportunity to 
review, provide advisory input, and approve at the program level, any 
publications, audiovisuals and other materials produced, as well as 
meetings/conferences planned under the auspices of this cooperative 
agreement (such review should start as part of concept development and 
include review of drafts and final products);
    (6) Provide the Federal project officer with an electronic copy of, 
or electronic access to, each product developed under the auspices of 
this project;
    (7) Participate in the implementation of awardee performance 
measures, including the collection of information and administrative 
data as designated by the OUIHP;
    (8) Ensure that all products developed or produced, either 
partially or in full, under the auspices of this cooperative agreement 
are fully accessible and available for free to members of the public;
    (9) Identify IHS/OUIHP as a funding sponsor on written products and 
during meetings and conferences relevant to cooperative agreement 
activities;
    (10) Acknowledge IHS/OUIHP has uncontested access to any and all 
data generated under this cooperative agreement, and agree to provide 
royalty-free, nonexclusive, and irrevocable license for the government 
to reproduce, publish, or otherwise use any products derived from 
activities conducted under this cooperative agreement; and
    (11) Comply with relevant Office of Management and Budget (OMB) 
circular provisions regarding lobbying, any applicable lobbying 
restrictions provided under other law and any applicable restriction on 
the use of appropriated funds for lobbying activities.

III. Eligibility Information

1. Eligibility

    The applicant must demonstrate a national non-profit organization 
with demonstrated experience working with IHCIA Title V-funded urban 
Indian health programs. The applicant must provide proof of non-profit 
status, e.g., 501(c)(3).
    Competition is open to a national urban Indian organization that 
has demonstrated experience working with IHCIA Title V-funded urban 
Indian health programs.
    Current OUIHP grantees are eligible to apply for this new and 
competing continuation funding under this announcement and must 
demonstrate that they have complied with previous terms and conditions 
of the OUIHP 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 
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 Division of Grants Management (DGM) of this decision.
Proof of Non-Profit Status
    Organizations claiming non-profit status must 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 page one of this announcement.
    An applicant submitting any of the above additional documentation 
after the initial application submission due date is required to ensure 
the information was received by the IHS by obtaining documentation 
confirming delivery (i.e., FedEx tracking, postal return receipt, 
etc.).

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 http://www.ihs.gov/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).
 Project Narrative (must be single-spaced and not exceed 50 
pages).
    [cir] Background information on the organization.
    [cir] Proposed scope of work, objectives, and activities that 
provide a description of what will be accomplished, including a one-
page Timeframe Chart.
 Letter of Support from Organization's Board of Directors.
 501(c)(3) Certificate.
 Biographical sketches for all Key Personnel.
 Contractor/Consultant resumes or qualifications and scope of 
work.
 Disclosure of Lobbying Activities (SF-LLL).
 Certification Regarding Lobbying (GG-Lobbying Form).
 Copy of current Negotiated Indirect Cost rate (IDC) agreement 
(required) in order to receive IDC.
 Copy of current approved Organizational Chart.
 Documentation of current OMB audit, as required by 45 CFR part 
75, subpart F, or other required financial audit.

    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

[[Page 38716]]

Web site: http://harvester.census.gov/sac/dissem/accessoptions.html?submit=Go+To+Database.
Public Policy Requirements
    All Federal-wide public policies apply to IHS grants and 
cooperative agreements with exception of the discrimination policy.
Requirements for Project and Budget Narratives
    A. Project Narrative: This narrative should be a separate Word 
document that is no longer than 50 pages and must: Be single-spaced, be 
type written, have consecutively numbered pages, use black type not 
smaller than 12 characters per one inch, and be printed on one side 
only of standard size 8\1/2\'' x 11'' paper.
    Be sure to succinctly address and answer all questions listed under 
the narrative and place them under the evaluation criteria (refer to 
Section V.1, Evaluation criteria in this announcement) and place all 
responses and required information in the correct section (noted 
below), or they shall not be considered or scored. These narratives 
will assist the Objective Review Committee (ORC) in becoming familiar 
with the applicant's activities and accomplishments prior to this 
cooperative agreement award. If the narrative exceeds the page limit, 
only the first 50 pages will be reviewed. The 50-page limit for the 
narrative does not include the work plan, standard forms, Tribal 
resolutions, table of contents, budget, budget justifications, 
narratives, and/or other appendix items.
    There are three parts to the narrative: Part A--Program 
Information; Part B--Program Planning and Evaluation; and Part C--
Program Report.

Part A: Program Information (35 Pages)
Section 1: Needs
    This section should help reviewers understand the UIOs that will be 
served by the proposed project.
    Summarize the overall need for assistance: (1) The target 
population and its unmet health needs; and (2) socio-cultural 
determinants of health and health disparities impacting the urban 
Indian population or communities served and unmet. Demographic data 
should be used and cited whenever possible to support the information 
provided.
    For each Project Area, in addition to the specific components 
below, address: (1) Relevant barriers that the project hopes to 
overcome; (2) the administrative infrastructure to provide the four 
program requirements: Public policy, research and data, structured 
training and technical assistance for UIOs and education, public 
relations and marketing of UIOs; and (3) the previous planning 
activities the applicant has completed and if the applicant has 
identified or will establish best-practices or evidence-based practices 
relative to these services.
Core Activities
1. Public Policy
    i. Summarize the public policy opportunities and challenges of UIOs 
in the implementation of the various laws including, but not limited 
to, the following:
    1. Public Law 111-148, The Patient Protection and Affordable Care 
Act of March 21, 2010; House of Representatives 4872, the Health Care 
and Education Reconciliation Act of March 23, 2010; and
    2. The Indian Health Care Improvement Reauthorization and Extension 
Act of 2009 (IHCIA).
    ii. Describe the need for education on the IHS Policy on Conferring 
with Urban Indian Organizations (IHCIA, 25 U.S.C. 1660d).
2. Research and Data
    i. Describe the need to collect and analyze health disparities 
data, morbidity and mortality data, and urban Indian health services 
costs data in order to reduce urban Indian health disparities and 
identify, improve, evaluate, and document UIOs through practice-based 
and evidence-based best practices.
3. Structured Training and Technical Assistance for UIOs
    Describe the need for training and technical assistance to support:
    i. UIO Leaders.
    ii. UIO Board of Directors: Executive roles and responsibilities.
    iii. UIO Staff: i.e., clinical staff, administration, business 
office, health information technology (IT), behavioral health.
    Further describe the need for training and technical assistance to 
support urban Indian organization administration in the following 
areas:
    i. Enhance Revenue and Third Party Billing;
    ii. Implement the Payment Systems Reform;
    iii. Meet Government Performance and Results Act (GPRA)/Government 
Performance and Results Modernization Act (GPRAMA) Performance Measure 
Targets;
    iv. International Classification of Diseases (ICD)-10 Planning and 
Implementation of Medicare Access and CHIP Reauthorization Act (MACRA);
    v. Electronic Health Records/Meaningful Use; and
    vi. Incentives and Penalties.
4. Education, Public Relations and Marketing of UIOs
    i. Summarize the need to market the urban Indian organizations 
through development of national, regional and local marketing 
strategies and campaigns.
    ii. Describe the need for enhanced communication among local 
private and non-profit health care entities.
    iii. Summarize the need to enhance communication, interaction and 
coordination on policy and health care reform activities by initiating 
and maintaining partnerships and collaborative relationships with other 
urban Indian organizations, national Indian organizations, key state 
and local health entities, and education and public safety networks.
Part B: Program Planning and Evaluation (10 Pages)
Section 1: Program Plans--Project Goals and Objectives, Methodology, 
Work Plan, Resolution of Challenges, and Impact
Goals and Objectives
    Applicant should:
    1. State the goals for the proposed project. For project goals, 
which should be national in scope, describe the desired short and long-
term outcomes in cooperation with the IHS.
    2. Provide at least five goals for each of the four core 
activities. These goals are broad statements that establish the overall 
direction for, and focus of, a project. They serve as the foundation 
for developing project objectives.
    Applicant should provide at least one specific, achievable, 
measurable, time-framed outcome objective for each proposed project 
goal. Outcome objectives are specific statements of positive change to 
be effected in order to achieve the goals of the project. That is, 
outcome objectives are measurable steps, or stepping stones, for 
reaching goals. They form the basis for monitoring progress toward 
achieving project goals and setting targets for accountability. 
Collectively, the proposed outcome objectives should frame the set of 
national outcomes that the applicant wants to achieve in meeting 
project goals.
Methodology
    Propose methods that will be used to meet each of the previously-
described program requirements and expectations

[[Page 38717]]

in this funding opportunity announcement. As appropriate, include 
development of effective tools and strategies for ongoing staff 
training, outreach, collaborations, clear communication, and 
information sharing/dissemination with efforts to involve urban Indian 
organization staff and patients, Tribal, Federal, state, and local 
entities.
    1. Describe proposed approaches and activities for achieving 
project goals and objectives, as outlined in Part A. Program 
Information Needs. In particular, applicants should demonstrate that 
the proposed methodological approaches are national in scope and 
contribute to increased capacity within the urban Indian health system.
    2. Describe the specific activities necessary to carry out each 
methodological approach. Applicants should take into consideration the 
logic, technical soundness, feasibility, creativity and innovativeness, 
potential utility, and national applicability of the activities it 
proposes.
    3. The description of the project methodology should cover budget 
period September 1, 2016 through August 31, 2017.
    4. Develop a systematic diagram that links anticipated outcomes 
with the project's activities/processes and theoretical assumptions. It 
should include the following basic components: Goal, resources/inputs, 
activities, outputs, outcomes, impacts, and timelines. The system 
diagram should be included as part of the application appendix.
    5. Evidence should be provided that the approaches and activities 
can reasonably be expected to be effective.
Work Plan
    1. Develop and include a Work Plan that describes the sequence of 
specific activities and steps that will be used to carry out each 
proposed methodological approach. Explicitly describe who will conduct 
each activity, as well as when, where, and how each activity will be 
carried out.
    2. A detailed time line of proposed project activities should be 
developed by the applicant, and attached as an appendix. The time line 
should link activities to project objectives and should cover the three 
years of the project period.
    3. Describe an efficient and effective plan for managing the 
project, including its personnel and resources.
    4. Describe an effective plan for monitoring and tracking project 
activities.
Resolution of Challenges
    Discuss challenges, including both opportunities and barriers that 
are likely to be encountered in designing and implementing the 
activities described in the Description of Methodology and Work Plan 
sections, as well as approaches that will be used to address such 
challenges.
Impact
    This section of the Project Narrative discusses the proposed 
project's national impact, how the applicant plans to engage UIO, and 
how project activities will yield benefits for UIO.
    1. Explain how the proposed project's products and results will 
have a national scope and applicability.
    2. Provide an inclusive description of the target audiences as well 
as proposed strategies for reaching these audiences.
    3. Describe how and to what extent the proposed project activities 
will directly improve leadership within the urban Indian health 
organizations being targeted, and contribute to improved health status 
among urban Indians. The applicant should include a description of how 
it intends to mobilize its audiences to learn from and actually use the 
materials, products and resources it has developed to address the four 
program requirements identified in Part A.--Program Information Needs.
Section 2: Program Evaluation
    Evaluation and self-assessment have vital importance for quality 
improvement and assessing the value-added contribution of urban Indian 
education and research investments. Consequently, cooperative agreement 
projects are expected to incorporate a carefully designed and well-
planned evaluation protocol capable of demonstrating and documenting 
measurable progress toward reaching the project's stated goals through 
achievement of the project's measurable objectives. The evaluation 
protocol should be based on a clear rationale relating the identified 
needs of the target population with project goals, award activities, 
and the evaluation measures. Whenever possible, the measurements of 
progress toward goals should focus on outcomes and results over which 
the project has some degree of influence, rather than on intermediate 
measures such as process or outputs.
Instructions
    1. Provide a well-conceived and logical plan for assessing the 
achievement of the project's process and outcome objectives and for 
evaluating changes in the specific problems and contributing factors. 
The evaluation plan should focus primarily on outcomes over which the 
project has influence and that have the capacity to produce meaningful 
data on an annual basis.
    2. Develop at least two (2) performance measures by which it will 
track its progress over time. A performance measure is a quantifiable 
indicator of progress and achievement that includes outcome, output, 
input, efficiency, and explanatory indicators. It can measure such 
domains as productivity, effectiveness, quality and timeliness 
(Government Accounting Standards Board, http://www.seagov.org/aboutpmg/performance_measurement.shtml).
Part C: Program Report (5 Pages)
    Section 1: Describe major accomplishments over the last 12 months.
    Please identify and describe significant program achievements for 
each of the four core activities. Provide a comparison of the actual 
accomplishments to the goals established for the project period, or if 
applicable, provide justification for the lack of progress.
    Section 2: Describe major activities over the last 12 months.
    Please identify and summarize recent major activities of the work 
done during the project period for each of the four core activities.
    B. Budget Narrative: This narrative must include a line item budget 
with a narrative 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 budget 
narrative should not exceed five pages.

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 [email protected] 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

[[Page 38718]]

problems persist, contact Mr. Paul Gettys ([email protected]), 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 Mr. 
Robert Tarwater, Director, 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 [email protected] with a copy to [email protected]. 
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 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 ``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 
below. 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: [email protected] 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, obtain a tracking number as 
proof of contact. The tracking number is helpful if there are technical 
issues that cannot be resolved and a waiver from the agency must be 
obtained.
     If it is determined that a waiver is needed, the applicant 
must submit a request in writing (emails are acceptable) to 
[email protected] with a copy to [email protected]. 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. The DGM will download the 
application from Grants.gov and provide necessary copies to the 
appropriate agency officials. Neither the DGM nor the OUIHP 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 sub-awards. Accordingly, all IHS 
grantees must notify potential first-tier sub-recipients that no entity 
may receive a first-tier sub-award unless the entity has provided its 
DUNS number to the prime grantee organization. This requirement ensures 
the use of a universal identifier to enhance the quality of information 
available to the public pursuant to the Transparency Act.
System for Award Management (SAM)
    Organizations that 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

[[Page 38719]]

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: http://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    The instructions for preparing the application narrative also 
constitute the evaluation criteria for reviewing and scoring the 
application. Weights assigned to each section are noted in parentheses. 
The 50 page narrative should include only the first year of activities; 
information for multi-year projects should be included as an appendix. 
See ``Multi-year Project Requirements'' at the end of this section for 
more information. The narrative section should be written in a manner 
that is clear to outside reviewers unfamiliar with prior related 
activities of the applicant. It should be well organized, succinct, and 
contain all information necessary for reviewers to understand the 
project fully. Points will be assigned to each evaluation criteria 
adding up to a total of 100 points. A minimum score of 70 points is 
required for funding. Points are assigned as follows:

1. Criteria

A. Introduction and Need for Assistance (35 Points)
    1. The target population and its unmet health needs are described 
and documented;
    2. Socio-cultural determinants of health and health disparities 
impacting the urban Indian population or communities served are 
identified and described;
    3. Demographic data is used and cited to support the information 
provided;
    4. Relevant barriers that the project hopes to overcome are 
discussed;
    5. Describe how the applicant determined it has the administrative 
infrastructure to provide the four program requirements: Public policy, 
research and data, structured training and technical assistance for 
UIOs, and education, public relations and marketing of UIOs; and
    6. Explain previous planning activities the applicant has completed 
and if the applicant has identified or established best-practices or 
evidence-based practices relative to each of the four program 
requirements.
Public Policy
    A. Applicant summarized the public policy opportunities and 
challenges of UIOs of the various laws including: Public Law 111-148, 
The Patient Protection and Affordable Care Act of March 21, 2010; House 
of Representatives 4872, the Health Care and Education Reconciliation 
Act of March 23, 2010; and the Indian Health Care Improvement 
Reauthorization and Extension Act of 2009.
    B. Applicant summarized the need for education on the IHS policy on 
conferring with UIOs.
Research and Data
    Applicant described the need to collect and analyze health 
disparities data, morbidity and mortality data, and urban Indian health 
services costs data in order to reduce urban Indian health disparities 
and identify, improve, evaluate, and document UIOs through practice-
based and Evidence-based best practices.
Structured Training and Technical Assistance for UIOs
    Applicant described the need for training and technical assistance 
to support:
    A. UIO Leaders;
    B. UIO Board of Directors: Executive roles and responsibilities; 
and
    C. UIO Staff: i.e., clinical staff, administration, business 
office, health IT, behavioral health.
    Applicant further described the need for training and technical 
assistance to support urban Indian organization administration in the 
following areas:
    A. Enhance Revenue and Third Party Billing;
    B. Implement the Payment Systems Reform;
    C. Meet GPRA/GPRAMA Performance Measure Targets;
    D. ICD-10 Planning and Implementation of MACRA;
    E. Electronic Health Records/Meaningful Use; and
    F. Incentives and Penalties.
Education, Public Relations and Marketing of UIOs
    A. Applicant summarized the need to market the UIOs through 
development of national, regional and local marketing strategies and 
campaigns.
    B. Applicant described the need for enhanced communication among 
local private and non-profit health care entities.
    C. Applicant summarized the need to enhance communication, 
interaction and coordination on policy and health care reform 
activities by initiating and maintaining partnerships and collaborative 
relationships with other UIOs, national Indian organizations, key state 
and local health entities, and education and public safety networks.
B. Project Objective(s), Work Plan and Approach (25 Points)
Program Plans--Project Goals and Objectives, Methodology, Work Plan, 
Resolution of Challenges, and Impact
Goals and Objectives
    Applicant stated the goals for each program requirement. Project 
goals were national in scope and described the desired short and long-
term outcomes in cooperation with the IHS. At least five goals for each 
of the four core activities were provided.
    Applicant provided at least one specific, achievable, measurable, 
time-framed outcome objective for each proposed project goal. The 
proposed outcome objectives framed the set of national outcomes the 
applicant wanted to achieve in meeting project goals.
Methodology
    Applicant described methods that will be used to meet each of the 
three project areas requirements and expectations in this funding 
opportunity announcement. Applicant also addressed development of 
effective tools and strategies for ongoing staff training, outreach, 
collaborations, clear communication, and information sharing/
dissemination with efforts to involve urban Indian organization staff 
and patients, Tribal, Federal, state and local entities.
    A. Applicant described proposed approaches and activities for 
achieving project goals and objectives, as outlined in Part A. Program 
Information Needs. Applicant demonstrated that the proposed 
methodological approaches were national in scope and contributes to 
increased capacity within the urban Indian health system.
    B. Applicant described the specific activities necessary to carry 
out each methodological approach. Applicants took into consideration 
the logic, technical soundness, feasibility, creativity and 
innovativeness, potential utility, and national applicability of the 
activities it proposed.
    C. The description of the project methodology covered September 1, 
2016 through August 31, 2017.
    D. Applicant developed a systematic diagram that linked anticipated 
outcomes with the project's activities/processes and theoretical 
assumptions. It included the following basic

[[Page 38720]]

components: Goal, resources/inputs, activities, outputs, outcomes, 
impacts and timelines. The system diagram was included as part of the 
application appendix.
    E. Applicant provided evidence that the approaches and activities 
can reasonably be expected to be effective.
Work Plan
    A. A work plan was included that described the sequence of specific 
activities and steps that will be used to carry out each proposed 
methodological approach. The applicant explicitly described who will 
conduct each activity, as well as when, where, and how each activity 
will be carried out.
    B. A detailed time line of proposed project activities was 
developed and included in the appendix. The time line linked activities 
to project objectives and covered the three years of the project 
period.
    C. The applicant described an efficient and effective plan for 
managing the project, including its personnel and resources.
    D. The applicant described an effective plan for monitoring and 
tracking project activities.
Resolution of Challenges
    The applicant discussed challenges, including both opportunities 
and barriers, that are likely to be encountered in designing and 
implementing the activities described in the Description of Methodology 
and Work Plan sections, as well as approaches that will be used to 
address such challenges.
Impact
    A. The applicant explained how the proposed project's products and 
results will have a national scope and applicability.
    B. The applicant provided an inclusive description of its national 
target audiences as well as proposed strategies for reaching these 
audiences.
    C. The applicant described how and to what extent the proposed 
project activities will directly improve leadership with the urban 
Indian health organizations being targeted, and contribute to improved 
health status among urban Indians. The applicant included a description 
of how it intends to mobilize its audiences to learn from and actually 
use the materials, products and resources it has developed to address 
the four program requirements identified in A.--Program Information 
needs.
C. Program Evaluation (15 Points)
    1. The applicant provided a well-conceived and logical plan for 
assessing the achievement of the project's process and outcome 
objectives and for evaluating changes in the specific problems and 
contributing factors. The evaluation plan focused primarily on outcomes 
over which the project has influence and that have the capacity to 
produce meaningful data on an annual basis.
    2. The applicant developed at least two (2) performance measures by 
which it will track its progress over time. The performance measures 
are quantifiable indicators of progress and achievement that includes 
outcome, output, input, efficiency, and explanatory indicators. The 
performance measures can be measured by domains including productivity, 
effectiveness, quality and timeliness.
D. Organizational Capabilities, Key Personnel and Qualifications (10 
Points)
    The applicant identified its credibility including how long and why 
the organization exists, accomplishments and impact, size and 
characteristics of its constituency, its funding sources and their 
positive comments on the organization's work, and results of internal 
and external evaluations of the programs. Included a listing of the 
current board of directors (the listing of board members includes their 
status as an urban Indian, professions, education degrees, and board 
appointment terms.)
    Discussed the organization's administrative capacity including:
    A. OMB circular administrative requirements for non-profit 
organizations;
    B. Fiscal; and
    C. Human resources policies and procedures and audit reporting.
Key Personnel and Qualifications
    A. Identified current staff and new staff education, experience, 
skills, and knowledge; materials published; and previous work of a 
similar nature.
    B. Described data collection strategy to collect, analyze and track 
data to measure process and impact/outcomes with UIOs, Tribes, national 
Indian organizations and States and explain how the data will be used 
to inform program development and service delivery.
    E. Categorical Budget and Budget Justification (15 Points)
    The applicant was specific and provided an itemized categorical 
budget and a clear succinct budget narrative justification to support 
the scope of work described in the project narrative. Did not exceed 
five pages.
Multi-Year Project Requirements
    Projects requiring a second and third year must include a brief 
project narrative and budget (one additional page per year) addressing 
the developmental plans for each additional year of the project.
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 the 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 will be notified by DGM, via 
email, to outline minor missing components (i.e., budget narratives, 
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

[[Page 38721]]

Grants Management Officer and serves as the official notification of 
the grant award. The NoA will be initiated by the DGM in our 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 received a score less than the recommended funding 
level for approval, 70, and were 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 their application submitted. The IHS program office will 
also provide additional contact information as needed to address 
questions and concerns as well as provide technical assistance if 
desired.
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 for HHS Awards, 
located at 45 CFR part 75.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' located at 45 CFR part 75, subpart E.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' located at 45 CFR part 75, subpart F.

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 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) https://www.doi.gov/ibc/services/finance/indirect-Cost-Services/indian-tribes. For 
questions regarding the indirect cost policy, please call the Grants 
Management Specialist listed under ``Agency Contacts'' or the main DGM 
office at (301) 443-5204.

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. This requirement 
applies whether the delinquency is attributable to the failure of the 
grantee organization or the individual responsible for preparation of 
the reports. Per DGM policy, all reports are required to be submitted 
electronically by attaching them as a ``Grant Note'' in GrantSolutions. 
Personnel responsible for submitting reports will be required to obtain 
a login and password for GrantSolutions. Please see the Agency Contacts 
list in section VII for the systems contact information.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required semi-annually, within 30 days 
after the budget period ends. These reports must include a brief 
comparison of actual accomplishments to the goals established for the 
period, a summary of progress to date or, if applicable, provide sound 
justification for the lack of progress, and other pertinent information 
as required. A final report must be submitted within 90 days of 
expiration of the budget/project period.
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 
Grants Management Specialist. 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.
C. Post Conference Grant Reporting
    The following requirements were enacted in Section 3003 of the 
Consolidated Continuing Appropriations Act, 2013, and Section 119 of 
the Continuing Appropriations Act, 2014; Office of Management and 
Budget Memorandum M-12-12: All HHS/IHS awards containing grants funds 
allocated for conferences will be required to complete a mandatory post 
award report for all conferences. Specifically: The total amount of 
funds provided in this award/cooperative agreement that were spent for 
``Conference X'', must be reported in final detailed actual costs 
within 15 days of the completion of the conference. Cost categories to 
address should be: (1) Contract/Planner, (2) Meeting Space/Venue, (3) 
Registration Web site, (4) Audiovisual, (5) Speakers

[[Page 38722]]

Fees, (6) Non-Federal Attendee Travel, (7) Registration Fees, and (8) 
Other.
D. Federal Sub-Award Reporting System (FSRS)
    This award may be subject to the Transparency Act sub-award and 
executive compensation reporting requirements of 2 CFR part 170.
    The Transparency Act requires the OMB to establish a single 
searchable database, accessible to the public, with information on 
financial assistance awards made by Federal agencies. The Transparency 
Act also includes a requirement for recipients of Federal grants to 
report information about first-tier sub-awards and executive 
compensation under Federal assistance awards.
    IHS has implemented a Term of Award into all IHS Standard Terms and 
Conditions, NoAs and funding announcements regarding the FSRS reporting 
requirement. This IHS Term of Award is applicable to all IHS grant and 
cooperative agreements issued on or after October 1, 2010, with a 
$25,000 sub-award obligation dollar threshold met for any specific 
reporting period. Additionally, all new (discretionary) IHS awards 
(where the 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: http://www.ihs.gov/dgm/policytopics/.
E. Compliance With Executive Order 13166 Implementation of Services 
Accessibility Provisions for All Grant Application Packages and Funding 
Opportunity Announcements
    Recipients of Federal Financial Assistance (FFA) from HHS must 
administer their programs in compliance with Federal civil rights law. 
This means that recipients of HHS funds must ensure equal access to 
their programs without regard to a person's race, color, national 
origin, disability, age and, in some circumstances, sex and religion. 
This includes ensuring your programs are accessible to persons with 
limited English proficiency. HHS provides guidance to recipients of FFA 
on meeting their legal obligation to take reasonable steps to provide 
meaningful access to their programs by persons with limited English 
proficiency. Please see http://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/guidance-federal-financial-assistance-recipients-title-VI/.
    The HHS Office for Civil Rights (OCR) also provides guidance on 
complying with civil rights laws enforced by HHS. Please see http://www.hhs.gov/civil-rights/for-individuals/section-1557/index.html; and 
http://www.hhs.gov/civil-rights/index.html. Recipients of FFA also have 
specific legal obligations for serving qualified individuals with 
disabilities. Please see http://www.hhs.gov/civil-rights/for-individuals/disability/index.html. Please contact the HHS OCR for more 
information about obligations and prohibitions under federal civil 
rights laws at http://www.hhs.gov/civil-rights/for-individuals/disability/index.html or call 1-800-368-1019 or TDD 1-800-537-7697. 
Also note it is an HHS Departmental goal to ensure access to quality, 
culturally competent care, including long-term services and supports, 
for vulnerable populations. For further guidance on providing 
culturally and linguistically appropriate services, recipients should 
review the National Standards for Culturally and Linguistically 
Appropriate Services in Health and Health Care at http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
    Pursuant to 45 CFR 80.3(d), an individual shall not be deemed 
subjected to discrimination by reason of his/her exclusion from 
benefits limited by Federal law to individuals eligible for benefits 
and services from the IHS.
    Recipients will be required to sign the HHS-690 Assurance of 
Compliance form which can be obtained from the following Web site: 
http://www.hhs.gov/sites/default/files/forms/hhs-690.pdf, and send it 
directly to the: U.S. Department of Health and Human Services, Office 
of Civil Rights, 200 Independence Ave. SW., Washington, DC 20201.
F. Federal Awardee Performance and Integrity Information System 
(FAPIIS)
    The IHS is required to review and consider any information about 
the applicant that is in the Federal Awardee Performance and Integrity 
Information System (FAPIIS) before making any award in excess of the 
simplified acquisition threshold (currently $150,000) over the period 
of performance. An applicant may review and comment on any information 
about itself that a Federal awarding agency previously entered. IHS 
will consider any comments by the applicant, in addition to other 
information in FAPIIS in making a judgment about the applicant's 
integrity, business ethics, and record of performance under Federal 
awards when completing the review of risk posed by applicants as 
described in 45 CFR 75.205.
    As required by 45 CFR part 75 Appendix XII of the Uniform Guidance, 
non-federal entities (NFEs) are required to disclose in FAPIIS any 
information about criminal, civil, and administrative proceedings, and/
or affirm that there is no new information to provide. This applies to 
NFEs that receive Federal awards (currently active grants, cooperative 
agreements, and procurement contracts) greater than $10,000,000 for any 
period of time during the period of performance of an award/project.
Mandatory Disclosure Requirements
    As required by 2 CFR part 200 of the Uniform Guidance, and the HHS 
implementing regulations at 45 CFR part 75, effective January 1, 2016, 
the IHS must require a non-federal entity or an applicant for a Federal 
award to disclose, in a timely manner, in writing to the IHS or pass-
through entity all violations of Federal criminal law involving fraud, 
bribery,or gratutity violations potentially affecting the award.
    Submission is required for all applicants and recipients, in 
writing, to the IHS and to the HHS Office of Inspector General all 
information related to violations of Federal criminal law involving 
fraud, bribery, or gratuity violations potentially affecting the 
Federal award. 45 CFR 75.113.
    Disclosures must be sent in writing to:

U.S. Department of Health and Human Services, Indian Health Service, 
Division of Grants Management, ATTN: Robert Tarwater, Director, 5600 
Fishers Lane, Mailstop: 09E70, Rockville, Maryland 20857, (Include 
``Mandatory Grant Disclosures'' in subject line), Phone: (301) 443-
5204, Fax: (301) 594-0899, Email: [email protected].

AND

U.S. Department of Health and Human Services, Office of Inspector 
General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330 
Independence Avenue SW., Cohen Building, Room 5527, Washington, DC 
20201, URL: http://oig.hhs.gov/fraud/reportfraud/index.asp, (Include 
``Mandatory Grant Disclosures'' in subject line) Fax: (202) 205-0604, 
(Include ``Mandatory Grant Disclosures'' in subject line) or Email: 
[email protected].

    Failure to make required disclosures can result in any of the 
remedies

[[Page 38723]]

described in 45 CFR 75.371 Remedies for noncompliance, including 
suspension or debarment (See 2 CFR parts 180 & 376 and 31 U.S.C. 3321).

VII. Agency Contacts

    1. Questions on the programmatic issues may be directed to: 
Sherriann Moore, Acting Director, Office of Urban Indian Health 
Programs, 5600 Fishers Lane, Mail Stop: 08E65C, Rockville, MD 20857, 
Phone: (301) 443-1044, Fax: (301) 443-4794, Email: 
[email protected], Or Shannon Beyale, Health Information 
Specialist, Office of Urban Indian Health Programs, 5600 Fishers Lane, 
Mail Stop: 08E65C, Rockville, MD 20857, Phone: (301) 945-3657, Fax: 
(301) 443-4794, Email: [email protected].
    2. Questions on grants management and fiscal matters may be 
directed to: Donald Gooding, Senior Grant Management Specialist, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 443-
5204, Fax: (301) 594-0899, Email: [email protected].
    3. Questions on systems matters may be directed to: Paul Gettys, 
Grant Systems Coordinator, 5600 Fishers Lane, Mail Stop: 09E70, 
Rockville, MD 20857, Phone: (301) 443-2114; or the DGM main line (301) 
443-5204, Fax: (301) 594-0899, Email: [email protected].

VIII. Other Information

    The Public Health Service strongly encourages all cooperative 
agreement and contract recipients to provide a smoke-free workplace and 
promote the non-use of all tobacco products. In addition, Public Law 
103-227, the Pro-Children Act of 1994, prohibits smoking in certain 
facilities (or in some cases, any portion of the facility) in which 
regular or routine education, library, day care, health care, or early 
childhood development services are provided to children. This is 
consistent with the HHS mission to protect and advance the physical and 
mental health of the American people.

    Dated: May 7, 2016.
Elizabeth Fowler,
Deputy Director for Management Operations, Indian Health Service.
[FR Doc. 2016-14043 Filed 6-13-16; 8:45 am]
 BILLING CODE 4165-16-P



                                                38714                          Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices

                                                DEPARTMENT OF HEALTH AND                                Purpose                                                Cooperative Agreement
                                                HUMAN SERVICES
                                                                                                          The purpose of this IHS cooperative                    Cooperative agreements awarded by
                                                Indian Health Service                                   agreement is to fund a national urban                  the Department of Health and Human
                                                                                                        Indian organization to act as an                       Services (HHS) are administered under
                                                Office of Urban Indian Health                           education and research partner for                     the same policies as a grant. The
                                                Programs; Urban Indian Education and                    OUIHP and urban Indian organizations                   funding agency (IHS) is required to have
                                                Research Organization Cooperative                       funded under the IHCIA.                                substantial programmatic involvement
                                                Agreement Program Announcement                          Pre-Conference Grant Requirements                      in the project during the entire award
                                                Type: New and Competing                                                                                        segment. Below is a detailed description
                                                Continuation Funding Announcement                         The awardee is required to comply                    of the level of involvement required for
                                                Number: HHS–2016–IHS–UIHP3–0001;                        with the ‘‘HHS Policy on Promoting                     both IHS and the grantee. IHS will be
                                                Catalog of Federal Domestic                             Efficient Spending: Use of Appropriated                responsible for activities listed under
                                                Assistance Number: 93.193                               Funds for Conferences and Meeting                      section A and the grantee will be
                                                                                                        Space, Food, Promotional Items, and                    responsible for activities listed under
                                                Key Dates                                               Printing and Publications,’’ dated                     section B as stated:
                                                  Application Deadline Date: August                     December 16, 2013 (‘‘Policy’’), as
                                                                                                        applicable to conferences funded by                    Substantial Involvement Description for
                                                18, 2016.
                                                                                                        grants and cooperative agreements. The                 Cooperative Agreement
                                                  Review Date: August 22, 2016–August                   Policy is available at http://
                                                26, 2016.                                                                                                      A. IHS Programmatic Involvement
                                                                                                        www.hhs.gov/grants/contracts/contract-
                                                  Earliest Anticipated Start Date:                      policies-regulations/conference-                         In addition to the usual monitoring
                                                September 15, 2016.                                     spending/.                                             and technical assistance provided under
                                                  Proof of Non-Profit Status Due Date:                    The awardee is required to:                          the cooperative agreement, the IHS/
                                                August 18, 2016.                                          Provide a separate detailed budget                   OUIHP responsibilities shall include:
                                                                                                        justification and narrative for each                     (1) Assurance of the availability of the
                                                I. Funding Opportunity Description
                                                                                                        conference anticipated. The cost                       services of experienced staff to
                                                Statutory Authority                                     categories to be addressed are as                      participate in the planning and
                                                                                                        follows: (1) Contract/Planner, (2)                     development of all phases of this
                                                  The Indian Health Service (IHS) is                    Meeting Space/Venue, (3) Registration
                                                accepting competitive cooperative                                                                              cooperative agreement;
                                                                                                        Web site, (4) Audiovisual, (5) Speakers
                                                agreement applications for the Urban                    Fees, (6) Non-Federal Attendee Travel,                   (2) Working closely with the IHS
                                                Indian Organization Education and                       (7) Registration Fees, and (8) Other                   Public Affairs Office regarding
                                                Research Cooperative Agreement                          (explain in detail and cost breakdown).                dissemination of publications
                                                Program. This program is authorized                     For additional questions please contact                completed under the cooperative
                                                under the Snyder Act, 25 U.S.C. 13, and                 Shannon Beyale at (301) 945–3657 or                    agreement and cooperating on the
                                                Section 301(a) of the Public Health                     email her at Shannon.Beyale@ihs.gov.                   referral of inquiries and request for
                                                Service Act, 42 U.S.C. 241(a). This                                                                            technical assistance, publications and
                                                program is described in the Catalog of                  II. Award Information                                  other information;
                                                Federal Domestic Assistance (CFDA)                      Type of Award                                            (3) Participation in, including the
                                                under 93.193.
                                                                                                          Cooperative Agreement.                               planning of, any meetings conducted as
                                                Background                                                                                                     part of project activities;
                                                                                                        Estimated Funds Available                                (4) Assistance in establishing Federal
                                                  The Office of Urban Indian Health
                                                Programs (OUIHP) oversees the                             The total amount of funding                          interagency and state contacts necessary
                                                implementation of the Indian Health                     identified for the current fiscal year (FY)            for the successful completion of tasks
                                                Care Improvement Act (IHCIA)                            2016 is approximately $800,000.                        and activities identified in the approved
                                                provisions for making health services                   Individual award amounts are                           scope of work;
                                                more accessible to urban Indians.                       anticipated to be between $500,000 and                   (5) Identification of other awardees
                                                Pursuant to those authorities, the IHS                  $800,000. The amount of funding                        and organizations with whom the
                                                enters into contracts and grants with                   available for competing and                            awardee will be asked to develop
                                                urban Indian organizations for the                      continuation awards issued under this                  cooperative and collaborative
                                                provision of health care and referral                   announcement are subject to the                        relationships; and
                                                services for urban Indians residing in                  availability of appropriations and
                                                                                                        budgetary priorities of the Agency. The                  (6) Assisting the awardee to establish,
                                                the urban centers. Those services may                                                                          review and update priorities for
                                                include (1) alcohol and substance abuse                 IHS is under no obligation to make
                                                                                                        awards that are selected for funding                   activities conducted under the auspices
                                                prevention, treatment, rehabilitation
                                                                                                        under this announcement.                               of the cooperative agreement.
                                                and education; (2) mental health needs
                                                and assessments; (3) health promotion                                                                            (7) Assisting the awardee to determine
                                                                                                        Anticipated Number of Awards
                                                and disease prevention services; and (4)                                                                       which issues will be addressed during
                                                immunization services. The cooperative                    One award will be issued under this                  the project period, the sequence in
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                                                agreement provides services and                         program announcement.                                  which they will be addressed, what
                                                advocacy for urban Indian organizations                                                                        approaches and strategies will be used
                                                                                                        Project Period
                                                (UIOs) that include the following four                                                                         to address them, and how relevant
                                                core activities: (1) Public policy; (2)                   The project period is for three years                information will be transmitted to
                                                research and data; (3) training and                     and will run consecutively from                        specified target audiences and used to
                                                technical assistance; (4) education,                    September 15, 2016 to September 14,                    enhance project activities and advance
                                                public relations and marketing.                         2019.                                                  the program.


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                                                                               Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices                                            38715

                                                B. Grantee Cooperative Agreement                        appropriated funds for lobbying                        IV. Application and Submission
                                                Award Activities                                        activities.                                            Information
                                                   Requirements and obligations of the                  III. Eligibility Information                           1. Obtaining Application Materials
                                                cooperative agreement recipient shall
                                                                                                        1. Eligibility                                           The application package and detailed
                                                include:
                                                                                                                                                               instructions for this announcement can
                                                   (1) Work collaboratively with the                      The applicant must demonstrate a
                                                                                                                                                               be found at http://www.Grants.gov or
                                                urban Indian organizations funded                       national non-profit organization with
                                                                                                                                                               http://www.ihs.gov/dgm/funding/.
                                                under the IHCIA;                                        demonstrated experience working with
                                                   (2) Respond in a flexible manner to                                                                           Questions regarding the electronic
                                                                                                        IHCIA Title V-funded urban Indian
                                                collaborating on occasional short-term                                                                         application process may be directed to
                                                                                                        health programs. The applicant must
                                                projects, in addition to long-term and                                                                         Mr. Paul Gettys at (301) 443–2114 or
                                                                                                        provide proof of non-profit status, e.g.,
                                                on-going efforts;                                                                                              (301) 443–5204.
                                                                                                        501(c)(3).
                                                   (3) Work closely with the Federal                      Competition is open to a national                    2. Content and Form Application
                                                project officer when hiring new key                     urban Indian organization that has                     Submission
                                                project staff and planning/implementing                 demonstrated experience working with
                                                                                                                                                                 The applicant must include the
                                                new activities;                                         IHCIA Title V-funded urban Indian
                                                                                                                                                               project narrative as an attachment to the
                                                   (4) Consult with the Federal project                 health programs.
                                                                                                                                                               application package. Mandatory
                                                officer before scheduling any meetings,                   Current OUIHP grantees are eligible to
                                                                                                                                                               documents for all applicants include:
                                                including project advisory/steering                     apply for this new and competing
                                                                                                                                                               • Table of contents.
                                                committee meetings, that pertain to the                 continuation funding under this
                                                                                                                                                               • Abstract (one page) summarizing the
                                                scope of work and at which the project                  announcement and must demonstrate
                                                                                                                                                                   project.
                                                officer’s attendance would be                           that they have complied with previous
                                                                                                                                                               • Application forms:
                                                appropriate;                                            terms and conditions of the OUIHP
                                                                                                                                                                 Æ SF–424, Application for Federal
                                                   (5) Provide the Federal project officer              grant in order to receive funding under
                                                                                                                                                                   Assistance.
                                                with the opportunity to review, provide                 this announcement.
                                                                                                                                                                 Æ SF–424A, Budget Information—
                                                advisory input, and approve at the                        NOTE: Please refer to Section IV.2                       Non-Construction Programs.
                                                program level, any publications,                        (Application and Submission                              Æ SF–424B, Assurances—Non-
                                                audiovisuals and other materials                        Information/Subsection 2, Content and                      Construction Programs.
                                                produced, as well as meetings/                          Form of Application Submission) for                    • Budget Justification and Narrative
                                                conferences planned under the auspices                  additional proof of applicant status                       (must be single-spaced and not
                                                of this cooperative agreement (such                     documents required such as proof of                        exceed five pages).
                                                review should start as part of concept                  non-profit status, etc.                                • Project Narrative (must be single-
                                                development and include review of
                                                                                                        2. Cost Sharing or Matching                                spaced and not exceed 50 pages).
                                                drafts and final products);
                                                                                                                                                                 Æ Background information on the
                                                   (6) Provide the Federal project officer                The IHS does not require matching                        organization.
                                                with an electronic copy of, or electronic               funds or cost sharing for grants or                      Æ Proposed scope of work, objectives,
                                                access to, each product developed under                 cooperative agreements.                                    and activities that provide a
                                                the auspices of this project;
                                                   (7) Participate in the implementation                3. Other Requirements                                      description of what will be
                                                of awardee performance measures,                                                                                   accomplished, including a one-page
                                                                                                          If application budgets exceed the                        Timeframe Chart.
                                                including the collection of information                 highest dollar amount outlined under
                                                and administrative data as designated                                                                          • Letter of Support from Organization’s
                                                                                                        the ‘‘Estimated Funds Available’’                          Board of Directors.
                                                by the OUIHP;                                           section within this funding
                                                   (8) Ensure that all products developed                                                                      • 501(c)(3) Certificate.
                                                                                                        announcement, the application will be                  • Biographical sketches for all Key
                                                or produced, either partially or in full,               considered ineligible and will not be
                                                under the auspices of this cooperative                                                                             Personnel.
                                                                                                        reviewed for further consideration. If                 • Contractor/Consultant resumes or
                                                agreement are fully accessible and                      deemed ineligible, IHS will not return
                                                available for free to members of the                                                                               qualifications and scope of work.
                                                                                                        the application. The applicant will be                 • Disclosure of Lobbying Activities (SF–
                                                public;                                                 notified by email by the Division of
                                                   (9) Identify IHS/OUIHP as a funding                                                                             LLL).
                                                                                                        Grants Management (DGM) of this                        • Certification Regarding Lobbying
                                                sponsor on written products and during                  decision.
                                                meetings and conferences relevant to                                                                               (GG–Lobbying Form).
                                                cooperative agreement activities;                       Proof of Non-Profit Status                             • Copy of current Negotiated Indirect
                                                   (10) Acknowledge IHS/OUIHP has                         Organizations claiming non-profit                        Cost rate (IDC) agreement (required)
                                                uncontested access to any and all data                  status must submit proof. A copy of the                    in order to receive IDC.
                                                generated under this cooperative                        501(c)(3) Certificate must be received                 • Copy of current approved
                                                agreement, and agree to provide royalty-                with the application submission by the                     Organizational Chart.
                                                free, nonexclusive, and irrevocable                     Application Deadline Date listed under                 • Documentation of current OMB audit,
                                                license for the government to reproduce,                the Key Dates section on page one of                       as required by 45 CFR part 75,
                                                publish, or otherwise use any products                  this announcement.                                         subpart F, or other required
                                                derived from activities conducted under                   An applicant submitting any of the                       financial audit.
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                                                this cooperative agreement; and                         above additional documentation after                     Acceptable forms of documentation
                                                   (11) Comply with relevant Office of                  the initial application submission due                 include:
                                                Management and Budget (OMB) circular                    date is required to ensure the                           Æ Email confirmation from Federal
                                                provisions regarding lobbying, any                      information was received by the IHS by                     Audit Clearinghouse (FAC) that
                                                applicable lobbying restrictions                        obtaining documentation confirming                         audits were submitted; or
                                                provided under other law and any                        delivery (i.e., FedEx tracking, postal                   Æ Face sheets from audit reports.
                                                applicable restriction on the use of                    return receipt, etc.).                                     These can be found on the FAC


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                                                38716                          Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices

                                                     Web site: http://harvester.                        the four program requirements: Public                  Implementation of Medicare Access and
                                                     census.gov/sac/dissem/                             policy, research and data, structured                  CHIP Reauthorization Act (MACRA);
                                                     accessoptions.html?submit=                         training and technical assistance for                    v. Electronic Health Records/
                                                     Go+To+Database.                                    UIOs and education, public relations                   Meaningful Use; and
                                                                                                        and marketing of UIOs; and (3) the                       vi. Incentives and Penalties.
                                                Public Policy Requirements
                                                                                                        previous planning activities the                       4. Education, Public Relations and
                                                  All Federal-wide public policies                      applicant has completed and if the                     Marketing of UIOs
                                                apply to IHS grants and cooperative                     applicant has identified or will establish
                                                agreements with exception of the                        best-practices or evidence-based                         i. Summarize the need to market the
                                                discrimination policy.                                  practices relative to these services.                  urban Indian organizations through
                                                                                                                                                               development of national, regional and
                                                Requirements for Project and Budget                     Core Activities                                        local marketing strategies and
                                                Narratives                                                                                                     campaigns.
                                                                                                        1. Public Policy
                                                  A. Project Narrative: This narrative                                                                           ii. Describe the need for enhanced
                                                                                                           i. Summarize the public policy
                                                should be a separate Word document                                                                             communication among local private and
                                                                                                        opportunities and challenges of UIOs in
                                                that is no longer than 50 pages and                                                                            non-profit health care entities.
                                                                                                        the implementation of the various laws
                                                must: Be single-spaced, be type written,                                                                         iii. Summarize the need to enhance
                                                                                                        including, but not limited to, the
                                                have consecutively numbered pages, use                                                                         communication, interaction and
                                                                                                        following:
                                                black type not smaller than 12                             1. Public Law 111–148, The Patient                  coordination on policy and health care
                                                characters per one inch, and be printed                 Protection and Affordable Care Act of                  reform activities by initiating and
                                                on one side only of standard size 81⁄2″                 March 21, 2010; House of                               maintaining partnerships and
                                                x 11″ paper.                                            Representatives 4872, the Health Care                  collaborative relationships with other
                                                  Be sure to succinctly address and                     and Education Reconciliation Act of                    urban Indian organizations, national
                                                answer all questions listed under the                   March 23, 2010; and                                    Indian organizations, key state and local
                                                narrative and place them under the                         2. The Indian Health Care                           health entities, and education and
                                                evaluation criteria (refer to Section V.1,              Improvement Reauthorization and                        public safety networks.
                                                Evaluation criteria in this                             Extension Act of 2009 (IHCIA).                         Part B: Program Planning and
                                                announcement) and place all responses                      ii. Describe the need for education on              Evaluation (10 Pages)
                                                and required information in the correct                 the IHS Policy on Conferring with
                                                section (noted below), or they shall not                Urban Indian Organizations (IHCIA, 25                  Section 1: Program Plans—Project Goals
                                                be considered or scored. These                          U.S.C. 1660d).                                         and Objectives, Methodology, Work
                                                narratives will assist the Objective                                                                           Plan, Resolution of Challenges, and
                                                Review Committee (ORC) in becoming                      2. Research and Data                                   Impact
                                                familiar with the applicant’s activities                   i. Describe the need to collect and                 Goals and Objectives
                                                and accomplishments prior to this                       analyze health disparities data,
                                                cooperative agreement award. If the                     morbidity and mortality data, and urban                   Applicant should:
                                                narrative exceeds the page limit, only                                                                            1. State the goals for the proposed
                                                                                                        Indian health services costs data in
                                                the first 50 pages will be reviewed. The                                                                       project. For project goals, which should
                                                                                                        order to reduce urban Indian health
                                                50-page limit for the narrative does not                                                                       be national in scope, describe the
                                                                                                        disparities and identify, improve,
                                                include the work plan, standard forms,                                                                         desired short and long-term outcomes in
                                                                                                        evaluate, and document UIOs through
                                                Tribal resolutions, table of contents,                                                                         cooperation with the IHS.
                                                                                                        practice-based and evidence-based best
                                                budget, budget justifications, narratives,                                                                        2. Provide at least five goals for each
                                                                                                        practices.
                                                and/or other appendix items.                                                                                   of the four core activities. These goals
                                                  There are three parts to the narrative:               3. Structured Training and Technical                   are broad statements that establish the
                                                Part A—Program Information; Part B—                     Assistance for UIOs                                    overall direction for, and focus of, a
                                                Program Planning and Evaluation; and                       Describe the need for training and                  project. They serve as the foundation for
                                                Part C—Program Report.                                  technical assistance to support:                       developing project objectives.
                                                                                                           i. UIO Leaders.                                        Applicant should provide at least one
                                                Part A: Program Information (35 Pages)                     ii. UIO Board of Directors: Executive               specific, achievable, measurable, time-
                                                                                                        roles and responsibilities.                            framed outcome objective for each
                                                Section 1: Needs
                                                                                                           iii. UIO Staff: i.e., clinical staff,               proposed project goal. Outcome
                                                   This section should help reviewers                   administration, business office, health                objectives are specific statements of
                                                understand the UIOs that will be served                 information technology (IT), behavioral                positive change to be effected in order
                                                by the proposed project.                                health.                                                to achieve the goals of the project. That
                                                   Summarize the overall need for                          Further describe the need for training              is, outcome objectives are measurable
                                                assistance: (1) The target population and               and technical assistance to support                    steps, or stepping stones, for reaching
                                                its unmet health needs; and (2) socio-                  urban Indian organization                              goals. They form the basis for
                                                cultural determinants of health and                     administration in the following areas:                 monitoring progress toward achieving
                                                health disparities impacting the urban                     i. Enhance Revenue and Third Party                  project goals and setting targets for
                                                Indian population or communities                        Billing;                                               accountability. Collectively, the
                                                served and unmet. Demographic data                         ii. Implement the Payment Systems                   proposed outcome objectives should
                                                should be used and cited whenever
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                                                                                                        Reform;                                                frame the set of national outcomes that
                                                possible to support the information                        iii. Meet Government Performance                    the applicant wants to achieve in
                                                provided.                                               and Results Act (GPRA)/Government                      meeting project goals.
                                                   For each Project Area, in addition to                Performance and Results Modernization
                                                the specific components below, address:                 Act (GPRAMA) Performance Measure                       Methodology
                                                (1) Relevant barriers that the project                  Targets;                                                 Propose methods that will be used to
                                                hopes to overcome; (2) the                                 iv. International Classification of                 meet each of the previously-described
                                                administrative infrastructure to provide                Diseases (ICD)–10 Planning and                         program requirements and expectations


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                                                                               Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices                                            38717

                                                in this funding opportunity                             Resolution of Challenges                               plan should focus primarily on
                                                announcement. As appropriate, include                     Discuss challenges, including both                   outcomes over which the project has
                                                development of effective tools and                      opportunities and barriers that are likely             influence and that have the capacity to
                                                strategies for ongoing staff training,                  to be encountered in designing and                     produce meaningful data on an annual
                                                outreach, collaborations, clear                         implementing the activities described in               basis.
                                                communication, and information                          the Description of Methodology and                        2. Develop at least two (2)
                                                sharing/dissemination with efforts to                   Work Plan sections, as well as                         performance measures by which it will
                                                involve urban Indian organization staff                 approaches that will be used to address                track its progress over time. A
                                                and patients, Tribal, Federal, state, and               such challenges.                                       performance measure is a quantifiable
                                                local entities.                                                                                                indicator of progress and achievement
                                                   1. Describe proposed approaches and                  Impact                                                 that includes outcome, output, input,
                                                activities for achieving project goals and                 This section of the Project Narrative               efficiency, and explanatory indicators. It
                                                objectives, as outlined in Part A.                      discusses the proposed project’s                       can measure such domains as
                                                Program Information Needs. In                           national impact, how the applicant                     productivity, effectiveness, quality and
                                                particular, applicants should                           plans to engage UIO, and how project                   timeliness (Government Accounting
                                                demonstrate that the proposed                           activities will yield benefits for UIO.                Standards Board, http://
                                                methodological approaches are national                     1. Explain how the proposed project’s               www.seagov.org/aboutpmg/
                                                in scope and contribute to increased                    products and results will have a                       performance_measurement.shtml).
                                                capacity within the urban Indian health                 national scope and applicability.
                                                                                                           2. Provide an inclusive description of              Part C: Program Report (5 Pages)
                                                system.
                                                   2. Describe the specific activities                  the target audiences as well as proposed                  Section 1: Describe major
                                                necessary to carry out each                             strategies for reaching these audiences.               accomplishments over the last 12
                                                methodological approach. Applicants                        3. Describe how and to what extent                  months.
                                                should take into consideration the logic,               the proposed project activities will                      Please identify and describe
                                                technical soundness, feasibility,                       directly improve leadership within the                 significant program achievements for
                                                creativity and innovativeness, potential                urban Indian health organizations being                each of the four core activities. Provide
                                                utility, and national applicability of the              targeted, and contribute to improved                   a comparison of the actual
                                                activities it proposes.                                 health status among urban Indians. The                 accomplishments to the goals
                                                                                                        applicant should include a description                 established for the project period, or if
                                                   3. The description of the project
                                                                                                        of how it intends to mobilize its                      applicable, provide justification for the
                                                methodology should cover budget
                                                                                                        audiences to learn from and actually use               lack of progress.
                                                period September 1, 2016 through                                                                                  Section 2: Describe major activities
                                                                                                        the materials, products and resources it
                                                August 31, 2017.                                                                                               over the last 12 months.
                                                                                                        has developed to address the four
                                                   4. Develop a systematic diagram that                                                                           Please identify and summarize recent
                                                                                                        program requirements identified in Part
                                                links anticipated outcomes with the                                                                            major activities of the work done during
                                                                                                        A.—Program Information Needs.
                                                project’s activities/processes and                                                                             the project period for each of the four
                                                theoretical assumptions. It should                      Section 2: Program Evaluation                          core activities.
                                                include the following basic components:                   Evaluation and self-assessment have                     B. Budget Narrative: This narrative
                                                Goal, resources/inputs, activities,                     vital importance for quality                           must include a line item budget with a
                                                outputs, outcomes, impacts, and                         improvement and assessing the value-                   narrative justification for all
                                                timelines. The system diagram should                    added contribution of urban Indian                     expenditures identifying reasonable and
                                                be included as part of the application                  education and research investments.                    allowable costs necessary to accomplish
                                                appendix.                                               Consequently, cooperative agreement                    the goals and objectives as outlined in
                                                   5. Evidence should be provided that                  projects are expected to incorporate a                 the project narrative. Budget should
                                                the approaches and activities can                       carefully designed and well-planned                    match the scope of work described in
                                                reasonably be expected to be effective.                 evaluation protocol capable of                         the project narrative. The budget
                                                Work Plan                                               demonstrating and documenting                          narrative should not exceed five pages.
                                                                                                        measurable progress toward reaching
                                                   1. Develop and include a Work Plan                                                                          3. Submission Dates and Times
                                                                                                        the project’s stated goals through
                                                that describes the sequence of specific                 achievement of the project’s measurable                   Applications must be submitted
                                                activities and steps that will be used to               objectives. The evaluation protocol                    electronically through Grants.gov by
                                                carry out each proposed methodological                  should be based on a clear rationale                   11:59 p.m. Eastern Daylight Time (EDT)
                                                approach. Explicitly describe who will                  relating the identified needs of the target            on the Application Deadline Date listed
                                                conduct each activity, as well as when,                 population with project goals, award                   in the Key Dates section on page one of
                                                where, and how each activity will be                    activities, and the evaluation measures.               this announcement. Any application
                                                carried out.                                            Whenever possible, the measurements                    received after the application deadline
                                                   2. A detailed time line of proposed                  of progress toward goals should focus                  will not be accepted for processing, nor
                                                project activities should be developed                  on outcomes and results over which the                 will it be given further consideration for
                                                by the applicant, and attached as an                    project has some degree of influence,                  funding. Grants.gov will notify the
                                                appendix. The time line should link                     rather than on intermediate measures                   applicant via email if the application is
                                                activities to project objectives and                    such as process or outputs.                            rejected.
                                                should cover the three years of the                                                                               If technical challenges arise and
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                                                project period.                                         Instructions                                           assistance is required with the
                                                   3. Describe an efficient and effective                 1. Provide a well-conceived and                      electronic application process, contact
                                                plan for managing the project, including                logical plan for assessing the                         Grants.gov Customer Support via email
                                                its personnel and resources.                            achievement of the project’s process and               to support@grants.gov or at (800) 518–
                                                   4. Describe an effective plan for                    outcome objectives and for evaluating                  4726. Customer Support is available to
                                                monitoring and tracking project                         changes in the specific problems and                   address questions 24 hours a day, 7 days
                                                activities.                                             contributing factors. The evaluation                   a week (except on Federal holidays). If


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                                                38718                          Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices

                                                problems persist, contact Mr. Paul                      6. Electronic Submission Requirements                  Grants.gov as the registration process for
                                                Gettys (Paul.Gettys@ihs.gov), DGM                          All applications must be submitted                  SAM and Grants.gov could take up to
                                                Grant Systems Coordinator, by                           electronically. Please use the http://                 fifteen working days.
                                                telephone at (301) 443–2114 or (301)                                                                              • Please use the optional attachment
                                                                                                        www.Grants.gov Web site to submit an
                                                443–5204. Please be sure to contact Mr.                                                                        feature in Grants.gov to attach
                                                                                                        application electronically and select the
                                                Gettys at least ten days prior to the                                                                          additional documentation that may be
                                                                                                        ‘‘Find Grant Opportunities’’ link on the
                                                application deadline. Please do not                                                                            requested by the DGM.
                                                                                                        homepage. Download a copy of the
                                                contact the DGM until you have                                                                                    • All applicants must comply with
                                                                                                        application package, complete it offline,
                                                received a Grants.gov tracking number.                                                                         any page limitation requirements
                                                                                                        and then upload and submit the
                                                In the event you are not able to obtain                                                                        described in this funding
                                                                                                        completed application via the http://
                                                a tracking number, call the DGM as soon                                                                        announcement.
                                                                                                        www.Grants.gov Web site. Electronic                       • After electronically submitting the
                                                as possible.                                            copies of the application may not be                   application, the applicant will receive
                                                   If the applicant needs to submit a                   submitted as attachments to email                      an automatic acknowledgment from
                                                paper application instead of submitting                 messages addressed to IHS employees or                 Grants.gov that contains a Grants.gov
                                                electronically through Grants.gov, a                    offices.                                               tracking number. The DGM will
                                                waiver must be requested. Prior                            If the applicant receives a waiver to               download the application from
                                                approval must be requested and                          submit paper application documents,                    Grants.gov and provide necessary copies
                                                obtained from Mr. Robert Tarwater,                      they must follow the rules and timelines               to the appropriate agency officials.
                                                Director, DGM, (see Section IV.6 below                  that are noted below. The applicant                    Neither the DGM nor the OUIHP will
                                                for additional information). The waiver                 must seek assistance at least ten days                 notify the applicant that the application
                                                must: (1) Be documented in writing                      prior to the Application Deadline Date                 has been received.
                                                (emails are acceptable), before                         listed in the Key Dates section on page                   • Email applications will not be
                                                submitting a paper application, and (2)                 one of this announcement.                              accepted under this announcement.
                                                include clear justification for the need                   Applicants that do not adhere to the
                                                to deviate from the required electronic                 timelines for System for Award                         Dun and Bradstreet (D&B) Data
                                                grants submission process. A written                    Management (SAM) and/or http://                        Universal Numbering System (DUNS)
                                                waiver request must be sent to                          www.Grants.gov registration or that fail                  All IHS applicants and grantee
                                                GrantsPolicy@ihs.gov with a copy to                     to request timely assistance with                      organizations are required to obtain a
                                                Robert.Tarwater@ihs.gov. Once the                       technical issues will not be considered                DUNS number and maintain an active
                                                waiver request has been approved, the                   for a waiver to submit a paper                         registration in the SAM database. The
                                                applicant will receive a confirmation of                application.                                           DUNS number is a unique 9-digit
                                                approval email containing submission                       Please be aware of the following:                   identification number provided by D&B
                                                instructions and the mailing address to                    • Please search for the application                 which uniquely identifies each entity.
                                                submit the application. A copy of the                   package in http://www.Grants.gov by                    The DUNS number is site specific;
                                                written approval must be submitted                      entering the CFDA number or the                        therefore, each distinct performance site
                                                along with the hardcopy of the                          Funding Opportunity Number. Both                       may be assigned a DUNS number.
                                                application that is mailed to DGM.                      numbers are located in the header of                   Obtaining a DUNS number is easy, and
                                                Paper applications that are submitted                   this announcement.                                     there is no charge. To obtain a DUNS
                                                without a copy of the signed waiver                        • If you experience technical                       number, please access it through http://
                                                from the Director of the DGM will not                   challenges while submitting your                       fedgov.dnb.com/webform, or to expedite
                                                be reviewed or considered for funding.                  application electronically, please                     the process, call (866) 705–5711.
                                                The applicant will be notified via email                contact Grants.gov Support directly at:                   All HHS recipients are required by the
                                                of this decision by the Grants                          support@grants.gov or (800) 518–4726.                  Federal Funding Accountability and
                                                Management Officer of the DGM. Paper                    Customer Support is available to                       Transparency Act of 2006, as amended
                                                applications must be received by the                    address questions 24 hours a day, 7 days               (‘‘Transparency Act’’), to report
                                                DGM no later than 5:00 p.m., EDT, on                    a week (except on Federal holidays).                   information on sub-awards.
                                                the Application Deadline Date listed in                    • Upon contacting Grants.gov, obtain                Accordingly, all IHS grantees must
                                                the Key Dates section on page one of                    a tracking number as proof of contact.                 notify potential first-tier sub-recipients
                                                this announcement. Late applications                    The tracking number is helpful if there                that no entity may receive a first-tier
                                                will not be accepted for processing or                  are technical issues that cannot be                    sub-award unless the entity has
                                                considered for funding.                                 resolved and a waiver from the agency                  provided its DUNS number to the prime
                                                                                                        must be obtained.                                      grantee organization. This requirement
                                                4. Intergovernmental Review                                • If it is determined that a waiver is              ensures the use of a universal identifier
                                                                                                        needed, the applicant must submit a                    to enhance the quality of information
                                                  Executive Order 12372 requiring                       request in writing (emails are                         available to the public pursuant to the
                                                intergovernmental review is not                         acceptable) to GrantsPolicy@ihs.gov                    Transparency Act.
                                                applicable to this program.                             with a copy to Robert.Tarwater@ihs.gov.
                                                                                                        Please include a clear justification for               System for Award Management (SAM)
                                                5. Funding Restrictions
                                                                                                        the need to deviate from the standard                    Organizations that were not registered
                                                  • Pre-award costs are not allowable.                  electronic submission process.                         with Central Contractor Registration and
                                                                                                           • If the waiver is approved, the                    have not registered with SAM will need
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                                                  • The available funds are inclusive of
                                                direct and appropriate indirect costs.                  application should be sent directly to                 to obtain a DUNS number first and then
                                                                                                        the DGM by the Application Deadline                    access the SAM online registration
                                                  • Only one grant/cooperative                          Date listed in the Key Dates section on                through the SAM home page at https://
                                                agreement will be awarded per                           page one of this announcement.                         www.sam.gov (U.S. organizations will
                                                applicant.                                                 • Applicants are strongly encouraged                also need to provide an Employer
                                                  • IHS will not acknowledge receipt of                 not to wait until the deadline date to                 Identification Number from the Internal
                                                applications.                                           begin the application process through                  Revenue Service that may take an


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                                                                               Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices                                            38719

                                                additional 2–5 weeks to become active).                 established best-practices or evidence-                and coordination on policy and health
                                                Completing and submitting the                           based practices relative to each of the                care reform activities by initiating and
                                                registration takes approximately one                    four program requirements.                             maintaining partnerships and
                                                hour to complete and SAM registration                                                                          collaborative relationships with other
                                                                                                        Public Policy
                                                will take 3–5 business days to process.                                                                        UIOs, national Indian organizations, key
                                                Registration with the SAM is free of                      A. Applicant summarized the public                   state and local health entities, and
                                                charge. Applicants may register online                  policy opportunities and challenges of                 education and public safety networks.
                                                at https://www.sam.gov.                                 UIOs of the various laws including:
                                                                                                        Public Law 111–148, The Patient                        B. Project Objective(s), Work Plan and
                                                   Additional information on
                                                                                                        Protection and Affordable Care Act of                  Approach (25 Points)
                                                implementing the Transparency Act,
                                                including the specific requirements for                 March 21, 2010; House of                               Program Plans—Project Goals and
                                                DUNS and SAM, can be found on the                       Representatives 4872, the Health Care                  Objectives, Methodology, Work Plan,
                                                IHS Grants Management, Grants Policy                    and Education Reconciliation Act of                    Resolution of Challenges, and Impact
                                                Web site: http://www.ihs.gov/dgm/                       March 23, 2010; and the Indian Health
                                                                                                                                                               Goals and Objectives
                                                policytopics/.                                          Care Improvement Reauthorization and
                                                                                                        Extension Act of 2009.                                    Applicant stated the goals for each
                                                V. Application Review Information                         B. Applicant summarized the need for                 program requirement. Project goals were
                                                  The instructions for preparing the                    education on the IHS policy on                         national in scope and described the
                                                application narrative also constitute the               conferring with UIOs.                                  desired short and long-term outcomes in
                                                evaluation criteria for reviewing and                                                                          cooperation with the IHS. At least five
                                                                                                        Research and Data                                      goals for each of the four core activities
                                                scoring the application. Weights
                                                assigned to each section are noted in                     Applicant described the need to                      were provided.
                                                parentheses. The 50 page narrative                      collect and analyze health disparities                    Applicant provided at least one
                                                should include only the first year of                   data, morbidity and mortality data, and                specific, achievable, measurable, time-
                                                activities; information for multi-year                  urban Indian health services costs data                framed outcome objective for each
                                                projects should be included as an                       in order to reduce urban Indian health                 proposed project goal. The proposed
                                                appendix. See ‘‘Multi-year Project                      disparities and identify, improve,                     outcome objectives framed the set of
                                                Requirements’’ at the end of this section               evaluate, and document UIOs through                    national outcomes the applicant wanted
                                                for more information. The narrative                     practice-based and Evidence-based best                 to achieve in meeting project goals.
                                                section should be written in a manner                   practices.
                                                                                                                                                               Methodology
                                                that is clear to outside reviewers                      Structured Training and Technical
                                                unfamiliar with prior related activities                                                                          Applicant described methods that
                                                                                                        Assistance for UIOs                                    will be used to meet each of the three
                                                of the applicant. It should be well
                                                                                                           Applicant described the need for                    project areas requirements and
                                                organized, succinct, and contain all
                                                                                                        training and technical assistance to                   expectations in this funding opportunity
                                                information necessary for reviewers to
                                                                                                        support:                                               announcement. Applicant also
                                                understand the project fully. Points will                  A. UIO Leaders;
                                                be assigned to each evaluation criteria                                                                        addressed development of effective
                                                                                                           B. UIO Board of Directors: Executive                tools and strategies for ongoing staff
                                                adding up to a total of 100 points. A                   roles and responsibilities; and
                                                minimum score of 70 points is required                                                                         training, outreach, collaborations, clear
                                                                                                           C. UIO Staff: i.e., clinical staff,                 communication, and information
                                                for funding. Points are assigned as                     administration, business office, health
                                                follows:                                                                                                       sharing/dissemination with efforts to
                                                                                                        IT, behavioral health.                                 involve urban Indian organization staff
                                                1. Criteria                                                Applicant further described the need                and patients, Tribal, Federal, state and
                                                                                                        for training and technical assistance to               local entities.
                                                A. Introduction and Need for Assistance                 support urban Indian organization                         A. Applicant described proposed
                                                (35 Points)                                             administration in the following areas:                 approaches and activities for achieving
                                                  1. The target population and its unmet                   A. Enhance Revenue and Third Party                  project goals and objectives, as outlined
                                                health needs are described and                          Billing;                                               in Part A. Program Information Needs.
                                                documented;                                                B. Implement the Payment Systems
                                                                                                                                                               Applicant demonstrated that the
                                                  2. Socio-cultural determinants of                     Reform;
                                                                                                           C. Meet GPRA/GPRAMA Performance                     proposed methodological approaches
                                                health and health disparities impacting                                                                        were national in scope and contributes
                                                                                                        Measure Targets;
                                                the urban Indian population or                                                                                 to increased capacity within the urban
                                                                                                           D. ICD–10 Planning and
                                                communities served are identified and                                                                          Indian health system.
                                                                                                        Implementation of MACRA;
                                                described;                                                 E. Electronic Health Records/                          B. Applicant described the specific
                                                  3. Demographic data is used and cited                 Meaningful Use; and                                    activities necessary to carry out each
                                                to support the information provided;                       F. Incentives and Penalties.                        methodological approach. Applicants
                                                  4. Relevant barriers that the project                                                                        took into consideration the logic,
                                                hopes to overcome are discussed;                        Education, Public Relations and                        technical soundness, feasibility,
                                                  5. Describe how the applicant                         Marketing of UIOs                                      creativity and innovativeness, potential
                                                determined it has the administrative                       A. Applicant summarized the need to                 utility, and national applicability of the
                                                infrastructure to provide the four                      market the UIOs through development                    activities it proposed.
                                                program requirements: Public policy,                                                                              C. The description of the project
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                                                                                                        of national, regional and local marketing
                                                research and data, structured training                  strategies and campaigns.                              methodology covered September 1, 2016
                                                and technical assistance for UIOs, and                     B. Applicant described the need for                 through August 31, 2017.
                                                education, public relations and                         enhanced communication among local                        D. Applicant developed a systematic
                                                marketing of UIOs; and                                  private and non-profit health care                     diagram that linked anticipated
                                                  6. Explain previous planning                          entities.                                              outcomes with the project’s activities/
                                                activities the applicant has completed                     C. Applicant summarized the need to                 processes and theoretical assumptions.
                                                and if the applicant has identified or                  enhance communication, interaction                     It included the following basic


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                                                38720                          Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices

                                                components: Goal, resources/inputs,                     C. Program Evaluation (15 Points)                      Multi-Year Project Requirements
                                                activities, outputs, outcomes, impacts                     1. The applicant provided a well-                     Projects requiring a second and third
                                                and timelines. The system diagram was                   conceived and logical plan for assessing               year must include a brief project
                                                included as part of the application                     the achievement of the project’s process               narrative and budget (one additional
                                                appendix.                                               and outcome objectives and for                         page per year) addressing the
                                                  E. Applicant provided evidence that                   evaluating changes in the specific                     developmental plans for each additional
                                                the approaches and activities can                       problems and contributing factors. The                 year of the project.
                                                reasonably be expected to be effective.                 evaluation plan focused primarily on
                                                                                                        outcomes over which the project has                    Additional Documents Can Be
                                                Work Plan                                                                                                      Uploaded as Appendix Items in
                                                                                                        influence and that have the capacity to
                                                                                                        produce meaningful data on an annual                   Grants.gov
                                                   A. A work plan was included that
                                                described the sequence of specific                      basis.                                                    • Work plan, logic model and/or time
                                                activities and steps that will be used to                  2. The applicant developed at least                 line for proposed objectives.
                                                carry out each proposed methodological                  two (2) performance measures by which                     • Position descriptions for key staff.
                                                approach. The applicant explicitly                      it will track its progress over time. The                 • Resumes of key staff that reflect
                                                described who will conduct each                         performance measures are quantifiable                  current duties.
                                                activity, as well as when, where, and                   indicators of progress and achievement                    • Consultant or contractor proposed
                                                how each activity will be carried out.                  that includes outcome, output, input,                  scope of work and letter of commitment
                                                                                                        efficiency, and explanatory indicators.                (if applicable).
                                                   B. A detailed time line of proposed                  The performance measures can be                           • Current Indirect Cost Agreement.
                                                project activities was developed and                    measured by domains including                             • Organizational chart.
                                                included in the appendix. The time line                 productivity, effectiveness, quality and                  • Map of area identifying project
                                                linked activities to project objectives                 timeliness.                                            location(s).
                                                and covered the three years of the                                                                                • Additional documents to support
                                                project period.                                         D. Organizational Capabilities, Key                    narrative (i.e., data tables, key news
                                                   C. The applicant described an                        Personnel and Qualifications (10 Points)               articles, etc.).
                                                efficient and effective plan for managing                  The applicant identified its credibility
                                                                                                                                                               2. Review and Selection
                                                the project, including its personnel and                including how long and why the
                                                resources.                                              organization exists, accomplishments                     Each application will be prescreened
                                                   D. The applicant described an                        and impact, size and characteristics of                by the DGM staff for eligibility and
                                                effective plan for monitoring and                       its constituency, its funding sources and              completeness as outlined in the funding
                                                tracking project activities.                            their positive comments on the                         announcement. Applications that meet
                                                                                                        organization’s work, and results of                    the eligibility criteria shall be reviewed
                                                Resolution of Challenges                                internal and external evaluations of the               for merit by the ORC based on
                                                                                                        programs. Included a listing of the                    evaluation criteria in this funding
                                                  The applicant discussed challenges,                                                                          announcement. The ORC could be
                                                                                                        current board of directors (the listing of
                                                including both opportunities and                                                                               composed of both Tribal and Federal
                                                                                                        board members includes their status as
                                                barriers, that are likely to be                                                                                reviewers appointed by the IHS program
                                                                                                        an urban Indian, professions, education
                                                encountered in designing and                                                                                   to review and make recommendations
                                                                                                        degrees, and board appointment terms.)
                                                implementing the activities described in                   Discussed the organization’s                        on these applications. The technical
                                                the Description of Methodology and                      administrative capacity including:                     review process ensures selection of
                                                Work Plan sections, as well as                             A. OMB circular administrative                      quality projects in a national
                                                approaches that will be used to address                 requirements for non-profit                            competition for limited funding.
                                                such challenges.                                        organizations;                                         Incomplete applications and
                                                Impact                                                     B. Fiscal; and                                      applications that are non-responsive to
                                                                                                           C. Human resources policies and                     the eligibility criteria will not be
                                                   A. The applicant explained how the                   procedures and audit reporting.                        referred to the ORC. The applicant will
                                                proposed project’s products and results                                                                        be notified via email of this decision by
                                                                                                        Key Personnel and Qualifications
                                                will have a national scope and                                                                                 the Grants Management Officer of the
                                                applicability.                                            A. Identified current staff and new                  DGM. Applicants will be notified by
                                                                                                        staff education, experience, skills, and               DGM, via email, to outline minor
                                                   B. The applicant provided an
                                                                                                        knowledge; materials published; and                    missing components (i.e., budget
                                                inclusive description of its national
                                                                                                        previous work of a similar nature.                     narratives, audit documentation, key
                                                target audiences as well as proposed                      B. Described data collection strategy
                                                strategies for reaching these audiences.                                                                       contact form) needed for an otherwise
                                                                                                        to collect, analyze and track data to
                                                   C. The applicant described how and                                                                          complete application. All missing
                                                                                                        measure process and impact/outcomes
                                                to what extent the proposed project                                                                            documents must be sent to DGM on or
                                                                                                        with UIOs, Tribes, national Indian
                                                activities will directly improve                                                                               before the due date listed in the email
                                                                                                        organizations and States and explain
                                                leadership with the urban Indian health                                                                        of notification of missing documents
                                                                                                        how the data will be used to inform
                                                organizations being targeted, and                                                                              required.
                                                                                                        program development and service
                                                contribute to improved health status                                                                             To obtain a minimum score for
                                                                                                        delivery.
                                                among urban Indians. The applicant                                                                             funding by the ORC, applicants must
                                                                                                          E. Categorical Budget and Budget
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                                                included a description of how it intends                                                                       address all program requirements and
                                                                                                        Justification (15 Points)
                                                to mobilize its audiences to learn from                   The applicant was specific and                       provide all required documentation.
                                                and actually use the materials, products                provided an itemized categorical budget                VI. Award Administration Information
                                                and resources it has developed to                       and a clear succinct budget narrative
                                                address the four program requirements                   justification to support the scope of                  1. Award Notices
                                                identified in A.—Program Information                    work described in the project narrative.                 The Notice of Award (NoA) is a
                                                needs.                                                  Did not exceed five pages.                             legally binding document signed by the


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                                                                               Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices                                            38721

                                                Grants Management Officer and serves                       • Uniform Administrative                            individual responsible for preparation
                                                as the official notification of the grant               Requirements for HHS Awards, located                   of the reports. Per DGM policy, all
                                                award. The NoA will be initiated by the                 at 45 CFR part 75.                                     reports are required to be submitted
                                                DGM in our grant system,                                   C. Grants Policy:                                   electronically by attaching them as a
                                                GrantSolutions (https://                                   • HHS Grants Policy Statement,                      ‘‘Grant Note’’ in GrantSolutions.
                                                www.grantsolutions.gov). Each entity                    Revised 01/07.                                         Personnel responsible for submitting
                                                that is approved for funding under this                    D. Cost Principles:                                 reports will be required to obtain a login
                                                announcement will need to request or                       • Uniform Administrative                            and password for GrantSolutions. Please
                                                have a user account in GrantSolutions                   Requirements for HHS Awards, ‘‘Cost                    see the Agency Contacts list in section
                                                in order to retrieve their NoA. The NoA                 Principles,’’ located at 45 CFR part 75,               VII for the systems contact information.
                                                is the authorizing document for which                   subpart E.                                                The reporting requirements for this
                                                funds are dispersed to the approved                        E. Audit Requirements:                              program are noted below.
                                                entities and reflects the amount of                        • Uniform Administrative
                                                Federal funds awarded, the purpose of                   Requirements for HHS Awards, ‘‘Audit                   A. Progress Reports
                                                the grant, the terms and conditions of                  Requirements,’’ located at 45 CFR part
                                                                                                                                                                 Program progress reports are required
                                                the award, the effective date of the                    75, subpart F.
                                                                                                                                                               semi-annually, within 30 days after the
                                                award, and the budget/project period.                   3. Indirect Costs                                      budget period ends. These reports must
                                                Disapproved Applicants                                     This section applies to all grant                   include a brief comparison of actual
                                                                                                        recipients that request reimbursement of               accomplishments to the goals
                                                   Applicants who received a score less                 indirect costs (IDC) in their grant                    established for the period, a summary of
                                                than the recommended funding level for                  application. In accordance with HHS                    progress to date or, if applicable,
                                                approval, 70, and were deemed to be                     Grants Policy Statement, Part II–27, IHS               provide sound justification for the lack
                                                disapproved by the ORC, will receive an                 requires applicants to obtain a current                of progress, and other pertinent
                                                Executive Summary Statement from the                    IDC rate agreement prior to award. The                 information as required. A final report
                                                IHS program office within 30 days of the                rate agreement must be prepared in                     must be submitted within 90 days of
                                                conclusion of the ORC outlining the                     accordance with the applicable cost                    expiration of the budget/project period.
                                                strengths and weaknesses of their                       principles and guidance as provided by                 B. Financial Reports
                                                application submitted. The IHS program                  the cognizant agency or office. A current
                                                office will also provide additional                     rate covers the applicable grant                         Federal Financial Report FFR (SF–
                                                contact information as needed to                        activities under the current award’s                   425), Cash Transaction Reports are due
                                                address questions and concerns as well                  budget period. If the current rate is not              30 days after the close of every calendar
                                                as provide technical assistance if                      on file with the DGM at the time of                    quarter to the Payment Management
                                                desired.                                                award, the IDC portion of the budget                   Services, HHS at http://
                                                                                                        will be restricted. The restrictions                   www.dpm.psc.gov. It is recommended
                                                Approved But Unfunded Applicants                                                                               that the applicant also send a copy of
                                                                                                        remain in place until the current rate is
                                                   Approved but unfunded applicants                     provided to the DGM.                                   the FFR (SF–425) report to the Grants
                                                that met the minimum scoring range                         Generally, IDC rates for IHS grantees               Management Specialist. Failure to
                                                and were deemed by the ORC to be                        are negotiated with the Division of Cost               submit timely reports may cause a
                                                ‘‘Approved’’, but were not funded due                   Allocation (DCA) https://rates.psc.gov/                disruption in timely payments to the
                                                to lack of funding, will have their                     and the Department of Interior (Interior               organization.
                                                applications held by DGM for a period                   Business Center) https://www.doi.gov/                    Grantees are responsible and
                                                of one year. If additional funding                      ibc/services/finance/indirect-Cost-                    accountable for accurate information
                                                becomes available during the course of                  Services/indian-tribes. For questions                  being reported on all required reports:
                                                FY 2016 the approved but unfunded                       regarding the indirect cost policy, please             The Progress Reports and Federal
                                                application may be re-considered by the                 call the Grants Management Specialist                  Financial Report.
                                                awarding program office for possible                    listed under ‘‘Agency Contacts’’ or the                C. Post Conference Grant Reporting
                                                funding. The applicant will also receive                main DGM office at (301) 443–5204.
                                                an Executive Summary Statement from                                                                               The following requirements were
                                                the IHS program office within 30 days                   4. Reporting Requirements                              enacted in Section 3003 of the
                                                of the conclusion of the ORC.                              The grantee must submit required                    Consolidated Continuing
                                                   Note: Any correspondence other than                  reports consistent with the applicable                 Appropriations Act, 2013, and Section
                                                the official NoA signed by an IHS grants                deadlines. Failure to submit required                  119 of the Continuing Appropriations
                                                management official announcing to the                   reports within the time allowed may                    Act, 2014; Office of Management and
                                                Project Director that an award has been                 result in suspension or termination of                 Budget Memorandum M–12–12: All
                                                made to their organization is not an                    an active grant, withholding of                        HHS/IHS awards containing grants
                                                authorization to implement their                        additional awards for the project, or                  funds allocated for conferences will be
                                                program on behalf of IHS.                               other enforcement actions such as                      required to complete a mandatory post
                                                                                                        withholding of payments or converting                  award report for all conferences.
                                                2. Administrative Requirements                          to the reimbursement method of                         Specifically: The total amount of funds
                                                                                                        payment. Continued failure to submit                   provided in this award/cooperative
                                                  Cooperative agreements are
                                                                                                        required reports may result in one or                  agreement that were spent for
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                                                administered in accordance with the
                                                                                                        both of the following: (1) The                         ‘‘Conference X’’, must be reported in
                                                following regulations, policies, and
                                                                                                        imposition of special award provisions;                final detailed actual costs within 15
                                                OMB cost principles:
                                                                                                        and (2) the non-funding or non-award of                days of the completion of the
                                                  A. The criteria as outlined in this                   other eligible projects or activities. This            conference. Cost categories to address
                                                program announcement.                                   requirement applies whether the                        should be: (1) Contract/Planner, (2)
                                                  B. Administrative Regulations for                     delinquency is attributable to the failure             Meeting Space/Venue, (3) Registration
                                                Grants:                                                 of the grantee organization or the                     Web site, (4) Audiovisual, (5) Speakers


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                                                38722                          Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices

                                                Fees, (6) Non-Federal Attendee Travel,                  individuals/special-topics/limited-                    and record of performance under
                                                (7) Registration Fees, and (8) Other.                   english-proficiency/guidance-federal-                  Federal awards when completing the
                                                                                                        financial-assistance-recipients-title-VI/.             review of risk posed by applicants as
                                                D. Federal Sub-Award Reporting System                      The HHS Office for Civil Rights (OCR)               described in 45 CFR 75.205.
                                                (FSRS)                                                  also provides guidance on complying                      As required by 45 CFR part 75
                                                   This award may be subject to the                     with civil rights laws enforced by HHS.                Appendix XII of the Uniform Guidance,
                                                Transparency Act sub-award and                          Please see http://www.hhs.gov/civil-                   non-federal entities (NFEs) are required
                                                executive compensation reporting                        rights/for-individuals/section-1557/                   to disclose in FAPIIS any information
                                                requirements of 2 CFR part 170.                         index.html; and http://www.hhs.gov/                    about criminal, civil, and administrative
                                                   The Transparency Act requires the                    civil-rights/index.html. Recipients of                 proceedings, and/or affirm that there is
                                                OMB to establish a single searchable                    FFA also have specific legal obligations               no new information to provide. This
                                                database, accessible to the public, with                for serving qualified individuals with                 applies to NFEs that receive Federal
                                                information on financial assistance                     disabilities. Please see http://                       awards (currently active grants,
                                                awards made by Federal agencies. The                    www.hhs.gov/civil-rights/for-                          cooperative agreements, and
                                                Transparency Act also includes a                        individuals/disability/index.html.                     procurement contracts) greater than
                                                requirement for recipients of Federal                   Please contact the HHS OCR for more                    $10,000,000 for any period of time
                                                grants to report information about first-               information about obligations and                      during the period of performance of an
                                                tier sub-awards and executive                           prohibitions under federal civil rights                award/project.
                                                compensation under Federal assistance                   laws at http://www.hhs.gov/civil-rights/
                                                awards.                                                 for-individuals/disability/index.html or               Mandatory Disclosure Requirements
                                                   IHS has implemented a Term of                        call 1–800–368–1019 or TDD 1–800–                        As required by 2 CFR part 200 of the
                                                Award into all IHS Standard Terms and                   537–7697. Also note it is an HHS                       Uniform Guidance, and the HHS
                                                Conditions, NoAs and funding                            Departmental goal to ensure access to                  implementing regulations at 45 CFR part
                                                announcements regarding the FSRS                        quality, culturally competent care,                    75, effective January 1, 2016, the IHS
                                                reporting requirement. This IHS Term of                 including long-term services and                       must require a non-federal entity or an
                                                Award is applicable to all IHS grant and                supports, for vulnerable populations.                  applicant for a Federal award to
                                                cooperative agreements issued on or                     For further guidance on providing                      disclose, in a timely manner, in writing
                                                after October 1, 2010, with a $25,000                   culturally and linguistically appropriate              to the IHS or pass-through entity all
                                                sub-award obligation dollar threshold                   services, recipients should review the                 violations of Federal criminal law
                                                met for any specific reporting period.                  National Standards for Culturally and                  involving fraud, bribery,or gratutity
                                                Additionally, all new (discretionary)                   Linguistically Appropriate Services in                 violations potentially affecting the
                                                IHS awards (where the project period is                 Health and Health Care at http://                      award.
                                                made up of more than one budget                         minorityhealth.hhs.gov/omh/                              Submission is required for all
                                                period) and where: (1) The project                      browse.aspx?lvl=2&lvlid=53.                            applicants and recipients, in writing, to
                                                period start date was October 1, 2010 or                   Pursuant to 45 CFR 80.3(d), an                      the IHS and to the HHS Office of
                                                after and (2) the primary awardee will                  individual shall not be deemed                         Inspector General all information
                                                have a $25,000 sub-award obligation                     subjected to discrimination by reason of               related to violations of Federal criminal
                                                dollar threshold during any specific                    his/her exclusion from benefits limited                law involving fraud, bribery, or gratuity
                                                reporting period will be required to                    by Federal law to individuals eligible                 violations potentially affecting the
                                                address the FSRS reporting. For the full                for benefits and services from the IHS.                Federal award. 45 CFR 75.113.
                                                IHS award term implementing this                           Recipients will be required to sign the               Disclosures must be sent in writing to:
                                                requirement and additional award                        HHS–690 Assurance of Compliance                        U.S. Department of Health and Human
                                                applicability information, visit the DGM                form which can be obtained from the                      Services, Indian Health Service,
                                                Grants Policy Web site at: http://                      following Web site: http://www.hhs.gov/                  Division of Grants Management,
                                                www.ihs.gov/dgm/policytopics/.                          sites/default/files/forms/hhs-690.pdf,                   ATTN: Robert Tarwater, Director,
                                                                                                        and send it directly to the: U.S.                        5600 Fishers Lane, Mailstop: 09E70,
                                                E. Compliance With Executive Order
                                                                                                        Department of Health and Human                           Rockville, Maryland 20857, (Include
                                                13166 Implementation of Services
                                                                                                        Services, Office of Civil Rights, 200                    ‘‘Mandatory Grant Disclosures’’ in
                                                Accessibility Provisions for All Grant
                                                                                                        Independence Ave. SW., Washington,                       subject line), Phone: (301) 443–5204,
                                                Application Packages and Funding
                                                                                                        DC 20201.                                                Fax: (301) 594–0899, Email:
                                                Opportunity Announcements
                                                  Recipients of Federal Financial                       F. Federal Awardee Performance and                       Robert.Tarwater@ihs.gov.
                                                Assistance (FFA) from HHS must                          Integrity Information System (FAPIIS)                  AND
                                                administer their programs in                               The IHS is required to review and                   U.S. Department of Health and Human
                                                compliance with Federal civil rights                    consider any information about the                       Services, Office of Inspector General,
                                                law. This means that recipients of HHS                  applicant that is in the Federal Awardee                 ATTN: Mandatory Grant Disclosures,
                                                funds must ensure equal access to their                 Performance and Integrity Information                    Intake Coordinator, 330 Independence
                                                programs without regard to a person’s                   System (FAPIIS) before making any                        Avenue SW., Cohen Building, Room
                                                race, color, national origin, disability,               award in excess of the simplified                        5527, Washington, DC 20201, URL:
                                                age and, in some circumstances, sex and                 acquisition threshold (currently                         http://oig.hhs.gov/fraud/reportfraud/
                                                religion. This includes ensuring your                   $150,000) over the period of                             index.asp, (Include ‘‘Mandatory Grant
                                                programs are accessible to persons with                 performance. An applicant may review                     Disclosures’’ in subject line) Fax:
srobinson on DSK5SPTVN1PROD with NOTICES




                                                limited English proficiency. HHS                        and comment on any information about                     (202) 205–0604, (Include ‘‘Mandatory
                                                provides guidance to recipients of FFA                  itself that a Federal awarding agency                    Grant Disclosures’’ in subject line) or
                                                on meeting their legal obligation to take               previously entered. IHS will consider                    Email:
                                                reasonable steps to provide meaningful                  any comments by the applicant, in                        MandatoryGranteeDisclosures@
                                                access to their programs by persons with                addition to other information in FAPIIS                  oig.hhs.gov.
                                                limited English proficiency. Please see                 in making a judgment about the                           Failure to make required disclosures
                                                http://www.hhs.gov/civil-rights/for-                    applicant’s integrity, business ethics,                can result in any of the remedies


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                                                                               Federal Register / Vol. 81, No. 114 / Tuesday, June 14, 2016 / Notices                                                  38723

                                                described in 45 CFR 75.371 Remedies                     DEPARTMENT OF HEALTH AND                                 Dated: June 8, 2016.
                                                for noncompliance, including                            HUMAN SERVICES                                         Sylvia L. Neal,
                                                suspension or debarment (See 2 CFR                                                                             Program Analyst, Office of Federal Advisory
                                                parts 180 & 376 and 31 U.S.C. 3321).                    National Institutes of Health                          Committee Policy.
                                                                                                                                                               [FR Doc. 2016–13931 Filed 6–13–16; 8:45 am]
                                                VII. Agency Contacts                                    National Institute of Neurological
                                                                                                                                                               BILLING CODE 4140–01–P
                                                                                                        Disorders and Stroke; Notice of Closed
                                                   1. Questions on the programmatic                     Meetings
                                                issues may be directed to: Sherriann
                                                Moore, Acting Director, Office of Urban                   Pursuant to section 10(d) of the                     DEPARTMENT OF HOMELAND
                                                Indian Health Programs, 5600 Fishers                    Federal Advisory Committee Act, as                     SECURITY
                                                Lane, Mail Stop: 08E65C, Rockville, MD                  amended (5 U.S.C. App.), notice is
                                                                                                        hereby given of the following meetings.                Coast Guard
                                                20857, Phone: (301) 443–1044, Fax:
                                                (301) 443–4794, Email:                                    The meetings will be closed to the                   [Docket No. USCG–2016–0445]
                                                Sherriann.Moore@ihs.gov, Or Shannon                     public in accordance with the
                                                Beyale, Health Information Specialist,                  provisions set forth in sections                       Limited Purpose Cooperative Research
                                                                                                        552b(c)(4) and 552b(c)(6), title 5 U.S.C.,             and Development Agreement—UAS
                                                Office of Urban Indian Health Programs,
                                                                                                        as amended. The grant applications and                 Research With the University of
                                                5600 Fishers Lane, Mail Stop: 08E65C,
                                                                                                        the discussions could disclose                         Massachusetts Amherst
                                                Rockville, MD 20857, Phone: (301) 945–
                                                3657, Fax: (301) 443–4794, Email:                       confidential trade secrets or commercial                     Coast Guard, DHS.
                                                                                                                                                               AGENCY:
                                                Shannon.Beyale@ihs.gov.                                 property such as patentable material,
                                                                                                                                                                     Notice of intent; request for
                                                                                                                                                               ACTION:
                                                                                                        and personal information concerning
                                                   2. Questions on grants management                                                                           comments.
                                                                                                        individuals associated with the grant
                                                and fiscal matters may be directed to:                  applications, the disclosure of which                  SUMMARY:    The Coast Guard announces
                                                Donald Gooding, Senior Grant                            would constitute a clearly unwarranted                 its intent to enter into a cooperative
                                                Management Specialist, 5600 Fishers                     invasion of personal privacy.                          research and development agreement
                                                Lane, Mail Stop: 09E70, Rockville, MD                                                                          (CRADA) with several companies to
                                                                                                          Name of Committee: Neurological Sciences
                                                20857, Phone: (301) 443–5204, Fax:                      Training Initial Review Group; NST–1                   evaluate small unmanned aircraft
                                                (301) 594–0899, Email:                                  Subcommittee.                                          systems (SUAS) and their airborne
                                                Donald.Gooding@ihs.gov.                                   Date: June 16–17, 2016.                              sensors, to determine their potential for
                                                   3. Questions on systems matters may                    Time: 8:00 a.m. to 6:00 p.m.                         use in a maritime environment by a first
                                                                                                          Agenda: To review and evaluate grant
                                                be directed to: Paul Gettys, Grant                                                                             responder and DHS operational
                                                                                                        applications.
                                                Systems Coordinator, 5600 Fishers                         Place: Wyndham Grande Chicago                        components. The Coast Guard will
                                                Lane, Mail Stop: 09E70, Rockville, MD                   Riverfront, 71 East Wacker Drive, Chicago, IL          conduct flight testing and evaluation of
                                                20857, Phone: (301) 443–2114; or the                    60601.                                                 SUAS under a wide variety of simulated
                                                DGM main line (301) 443–5204, Fax:                        Contact Person: William Benzing, Ph.D.,              but realistic and relevant real-world
                                                (301) 594–0899, Email: Paul.Gettys@                     Scientific Review Administrator, Scientific            maritime operational scenarios, such as
                                                                                                        Review Branch, NINDS/NIH/DHHS,                         law enforcement, search and rescue, and
                                                ihs.gov.                                                Neuroscience Center, 6001 Executive Blvd.,             maritime environmental response.
                                                VIII. Other Information                                 Suite 3204, MSC 9529, Bethesda, MD 20892–              While the Coast Guard is currently
                                                                                                        9529, 301–496–0660, benzingw@
                                                                                                                                                               considering partnering with the
                                                  The Public Health Service strongly                    mail.nih.gov.
                                                                                                                                                               University of Massachusetts Amherst, it
                                                encourages all cooperative agreement                      This notice is being published less than 15
                                                                                                                                                               solicits public comment on the possible
                                                and contract recipients to provide a                    days prior to the meeting due to timing
                                                                                                        limitations imposed by the review and                  participation of other parties in the
                                                smoke-free workplace and promote the                                                                           proposed CRADA, and the nature of that
                                                                                                        funding cycle.
                                                non-use of all tobacco products. In                                                                            participation. The Coast Guard also
                                                                                                          Name of Committee: Neurological Sciences
                                                addition, Public Law 103–227, the Pro-                  Training Initial Review Group; NST–2                   invites other potential non-Federal
                                                Children Act of 1994, prohibits smoking                 Subcommittee.                                          participants, who have the interest and
                                                in certain facilities (or in some cases,                  Date: June 20–21, 2016.                              capability to bring similar contributions
                                                any portion of the facility) in which                     Time: 8:00 a.m. to 5:00 p.m.                         to this type of research, to consider
                                                regular or routine education, library,                    Agenda: To review and evaluate grant                 submitting proposals for consideration
                                                day care, health care, or early childhood               applications.                                          in similar CRADAs.
                                                development services are provided to                      Place: Hotel Monaco Alexandria, 480 King
                                                                                                                                                               DATES: Comments must be submitted to
                                                                                                        Street, Alexandria, VA 22314.
                                                children. This is consistent with the                     Contact Person: Elizabeth Webber, Ph.D.,             the online docket via http://
                                                HHS mission to protect and advance the                  Scientific Review Administrator, Scientific            www.regulations.gov, or reach the
                                                physical and mental health of the                       Review Branch, NINDS/NIH/DHHS,                         Docket Management Facility, on or
                                                American people.                                        Neuroscience Center, 6001 Executive Blvd.,             before July 14, 2016.
                                                                                                        Suite 3204, MSC 9529, Bethesda, MD 20892–                 Synopses of proposals regarding
                                                  Dated: May 7, 2016.                                   9529, 301–496–1917, webbere@mail.nih.gov.              future CRADAs must reach the Coast
                                                Elizabeth Fowler,                                         This notice is being published less than 15          Guard (see FOR FURTHER INFORMATION
                                                Deputy Director for Management Operations,              days prior to the meeting due to timing                CONTACT) on or before July 14, 2016.
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                                                Indian Health Service.                                  limitations imposed by the review and
                                                                                                                                                               ADDRESSES: Submit comments using one
                                                [FR Doc. 2016–14043 Filed 6–13–16; 8:45 am]             funding cycle.
                                                                                                                                                               of the listed methods, and see
                                                                                                        (Catalogue of Federal Domestic Assistance
                                                BILLING CODE 4165–16–P                                                                                         SUPPLEMENTARY INFORMATION for more
                                                                                                        Program Nos. 93.853, Clinical Research
                                                                                                        Related to Neurological Disorders; 93.854,             information on public comments.
                                                                                                        Biological Basis Research in the                          • Online—http://www.regulations.gov
                                                                                                        Neurosciences, National Institutes of Health,          following Web site instructions.
                                                                                                        HHS)                                                      • Fax—202–493–2251.


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Document Created: 2016-06-14 02:58:23
Document Modified: 2016-06-14 02:58:23
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
DatesAugust 18, 2016.
FR Citation81 FR 38714 

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