81 FR 46089 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education, Policy/Budget/Diabetes
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service Federal Register Volume 81, Issue 136 (July 15, 2016)
Indian Health Service
Federal Register Volume 81, Issue 136 (July 15, 2016)
| Page Range | 46089-46100 | |
| FR Document | 2016-16824 |
[Federal Register Volume 81, Number 136 (Friday, July 15, 2016)] [Notices] [Pages 46089-46100] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-16824] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education, Policy/Budget/Diabetes Announcement Type: Limited New and Competing Continuation. Funding Announcement Number: HHS-2016-IHS-NIHOE-1-PBD-0001. Catalog of Federal Domestic Assistance Number: 93.933. Key Dates Application Deadline Date: August 15, 2016. Review Date: August 22, 2016. Earliest Anticipated Start Date: September 15, 2016. Proof of Non-Profit Status Due Date: August 15, 2016. I. Funding Opportunity Description Statutory Authority The Indian Health Service (IHS) is accepting competitive cooperative agreement applications for the National Indian Health Outreach and Education, Policy/Budget/Diabetes (NIHOE-I) limited competition cooperative agreement program. This award includes the following four components, as described in this announcement: ``Line Item 128 Health Education and Outreach funds,'' ``Health Care Policy Analysis and Review,'' ``Budget Formulation,'' and ``Tribal Leaders Diabetes Committee'' (TLDC). This program is authorized under the Snyder Act, codified at 25 U.S.C. 13. The TLDC component is authorized by section 330C of the Public Health Service Act, codified at 42 U.S.C. 254c-3. This program is described in the Catalog of Federal Domestic Assistance under 93.933. Background The NIHOE-I program carries out health program objectives in American Indian and Alaska Native (AI/AN) communities in the interest of improving Indian health care for all 567 Federally-recognized Tribes, including Tribal governments operating their own health care delivery systems through self-determination contracts with the IHS and Tribes that continue to receive health care directly from the IHS. This program addresses health policy and health program issues and disseminates educational information to all AI/AN Tribes and villages. This program requires that public forums be held at Tribal educational consumer conferences to disseminate changes and updates in the latest health care information. This program also requires that regional and national meetings be coordinated for information dissemination as well as the inclusion of planning and technical assistance and health care recommendations on behalf of participating Tribes to ultimately inform IHS based on Tribal input through a broad based consumer network. Purpose The purpose of this IHS cooperative agreement is to further IHS's mission and goals related to providing quality health care to the AI/AN community through outreach and education efforts with the sole outcome of improving Indian health care. This award includes the following four health services components: Line Item 128 Health Education and Outreach funds, Health Care Policy Analysis and Review, Budget Formulation, and TLDC. Limited Competition Justification Competition for the award included in this announcement is limited to [[Page 46090]] national Indian health care organizations with at least ten years of experience providing education and outreach on a national scale. This limitation ensures that the awardee will have: (1) A national information-sharing infrastructure which will facilitate the timely exchange of information between the Department of Health and Human Services (HHS) and Tribes and Tribal organizations on a broad scale; (2) a national perspective on the needs of AI/AN communities that will ensure that the information developed and disseminated through the projects is appropriate, useful and addresses the most pressing needs of AI/AN communities; and (3) established relationships with Tribes and Tribal organizations that will foster open and honest participation by AI/AN communities. Regional or local organizations will not have the mechanisms in place to conduct communication on a national level, nor will they have an accurate picture of the health care needs facing AI/ ANs nationwide. Organizations with less experience will lack the established relationships with Tribes and Tribal organizations throughout the country that will facilitate participation and the open and honest exchange of information between Tribes and HHS. With the limited funds available for these projects, HHS must ensure that the education and outreach efforts described in this announcement reach the widest audience possible in a timely fashion, are appropriately tailored to the needs of AI/AN communities throughout the country, and come from a source that AI/ANs recognize and trust. For these reasons, this is a limited competition announcement. II. Award Information Type of Award Cooperative Agreement. Estimated Funds Available The total amount of funding identified for the current fiscal period covering (FY) 2016-2018 is approximately $2,475,000 or approximately $825,000 per FY. Three hundred thousand dollars ($300,000) per fiscal year is estimated for outreach, education, and support to Tribes who have elected to leave their Tribal shares with the IHS (this amount could vary based on Tribal shares assumptions; Line Item 128 Health Education and Outreach funding will be awarded in partial increments based on availability and amount of funding); $200,000 per fiscal year for the Health Care Policy Analysis and Review; $75,000 per fiscal year for Budget Formulation; and $250,000 per fiscal year associated with providing legislative education, outreach and communications support to the IHS TLDC and to facilitate Tribal consultation on the Special Diabetes Program for Indians (SDPI). The amount of funding available for both competing and continuation awards issued under this announcement is subject to the availability of appropriations and budgetary priorities of the Agency. The IHS is under no obligation to make awards that are selected for funding under this announcement. Anticipated Number of Awards One award will be issued under this program announcement comprised of the following four components: Line Item 128 Health Education and Outreach; Health Care Policy Analysis and Review; Budget Formulation; and TLDC. Project Period The project period will run for three years from September 15, 2016 through September 14, 2019. Cooperative Agreement Cooperative agreements awarded by 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 1. The IHS assigned program official will work in partnership with the awardee in all decisions involving strategy, hiring of personnel, deployment of resources, release of public information materials, quality assurance, coordination of activities, any training, reports, budget and evaluation. Collaboration includes data analysis, interpretation of findings and reporting. 2. The IHS assigned program official will monitor the overall progress of the awardee's execution of the requirements of the award noted below, as well as their adherence to the terms and conditions of the cooperative agreement. This includes providing guidance for required reports, development of tools and other products, interpreting program findings and assisting with evaluation and overcoming any slippages encountered. 3. The IHS assigned program official will coordinate review and provide final approval of any deliverables, including printed materials, reports, testimony, and PowerPoint slides, prior to their distribution or dissemination to HHS, Tribes, or the public. 4. The IHS assigned program official will also coordinate the following:Discussion and release of any and all special grant conditions upon fulfillment. Monthly scheduled conference calls. Appropriate dissemination of required reports to each participating IHS program. 5. IHS will jointly with the awardee, plan and set an agenda for an annual conference that: Shares the outcomes of the outreach and health education training provided. Fosters collaboration amongst the participating IHS program offices. Increases visibility for the partnership between the awardee and IHS. Includes HHS Conference Policy: 6. IHS will provide guidance in preparing articles for publication and/or presentations of program successes, lessons learned and new findings. 7. IHS staff will review articles concerning the HHS for accuracy and may, if requested by the awardee, provide relevant articles. 8. IHS will communicate, via monthly conference calls and meetings, individual or collective (all participating programs) site visits to the awardee. 9. IHS will provide technical assistance to the awardee as requested. 10. IHS staff may, at the request of the entity's board, participate on study groups, attend board meetings, and recommend topics for analysis and discussion. B. Grantee Cooperative Agreement Award Activities The awardee must obtain written IHS approval of all deliverables produced with award funds, including printed materials, reports, testimony, and PowerPoint slides, prior to their distribution or dissemination to HHS, Tribes, or the public. The awardee must 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. [[Page 46091]] Pre-Conference Grants 1. 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/asfr/ogapa/acquisition/policies/promoting-efficient-conference-spending-policy-12-16-2013.html. 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) Audio Visual, (5) Speakers Fees, (6) Non- Federal Attendee Travel, (7) Registration Fees, (8) Other (explain in detail and cost breakdown). For additional questions please contact Ms. Michelle EagleHawk on (301) 443-1104 or email her at [email protected]. 2. Line Item 128 Health Education and Outreach funding is utilized for outreach, health education, and support to Tribes--approximately $300,000 per fiscal year funding is available totaling $900,000. The awardee is expected to fulfill the following: Meeting Responsibilities ANNUAL (Required) Estimated Costs: The estimated costs for this activity shall not exceed $100,000 per fiscal year. The awardee shall work with IHS/Office of Direct Service and Contracting Tribes (ODSCT) closely on this item. As the sponsoring agency, IHS meeting attendees will not incur registration fees. a. Host an annual conference to disseminate changes and updates on health care information relative to AI/AN. Meeting Responsibilities MID-YEAR (Required) Estimated Costs: The estimated costs for this activity shall not exceed $100,000 per fiscal year. The awardee shall work with IHS/ODSCT closely on this item. As the sponsoring agency, IHS meeting attendees will not incur registration fees. a. Host a mid-year consumer conference(s) as appropriate to disseminate changes and updates on health care information relative to AI/AN. Coordination, Dissemination, and Technical Assistance Responsibilities (Required) Estimated Costs: The estimated costs for this activity shall not exceed $100,000 per fiscal year. The awardee shall work with IHS/ODSCT closely on this item. a. Conduct regional and national meeting coordination as appropriate. b. Conduct health care information dissemination as appropriate. c. Coordinate planning and technical assistance needs on behalf of Tribes/Tribal organizations (T/TO) with IHS. d. Convey health care recommendations on behalf of T/TO to IHS. 3. Health Care Policy Analysis and Review. This funding component requires the awardee to provide IHS with research and analysis of the impact of Centers for Medicare and Medicaid Services (CMS) programs on AI/AN beneficiaries and the health care delivery system that serves these beneficiaries. $200,000 funding is available per fiscal year totaling $600,000 for analysis of CMS programs that affect AI/AN beneficiaries. The awardee will produce measurable outcomes to include: a. Analytical reports, policy review and recommendation documents-- The products will be in the form of written (hard copy and/or electronic files) documents that contain analysis of relevant health care issues to be reported on a monthly or quarterly basis and face-to- face meetings with hard copies submitted to the Director, IHS/Office of Resource, Access and Partnerships (ORAP). b. Qualitative and quantitative analysis of the overall impact of the Affordable Care Act (ACA) implementation, including the regulations and policies, on the Indian health care system, in terms of whether or not it is working as intended. That is, whether Tribes and AI/AN consumers are receiving the benefits of the special provisions for Indians, and whether all of the necessary stakeholders including Indian Health Service/Tribes/Urbans (I/T/Us), qualified health plans, providers, and consumers have the information and capacity to ensure successful outcomes and are working cooperatively and effectively to that end. c. Policy recommendations, based on the analysis, that include in particular, direct service Tribes' perspectives incorporating real-time information on how the structure of the Federal system should support the I/T/U healthcare delivery system. If deficiencies are found, provide recommendations on improvement and solutions. Issues of analysis may include improving access to care, obtaining affordable coverage, network contracting and enforcement of Section 206 of the Indian Health Care Improvement Act (IHCIA). d. Educational and informational materials to be disseminated by the awardee and communicated to IHS and Tribal health program staff during monthly and quarterly conferences, the annual consumer conference, meetings and training sessions. This can be in the form of PowerPoint presentations, informational brochures, and/or handout materials. The IHS will provide guidance and assistance as needed. Copies of all deliverables shall be submitted to the IHS/ODSCT and IHS/ORAP. 4. Tribal Budget Consultation--Budget Formulation. The awardee will provide assistance and technical support to IHS, Tribes, and the Budget Formulation Workgroup with the National Budget Formulation work session, the HHS Tribal Consultation meeting, and the Budget Formulation Evaluation and Planning meeting. The awardee will develop the National Tribal Budget Recommendation document, briefing documents, and Tribal Leaders presentation and talking points, by performing the activities described below in coordination with and support of the IHS Tribal Budget Consultation process. $75,000 is available per fiscal year for Budget Formulation. Budget consultation is required by the Indian Self-Determination and Education Assistance Act, 25 U.S.C. 450j-1(i). NATIONAL BUDGET FORMULATION WORK SESSION--January 2017-2019 Meeting Responsibilities (Required) Estimated Costs: The estimated costs for this activity shall not exceed $10,000 per fiscal year. The awardee shall work with IHS/Office of Finance and Accounting (OFA)/Division of Budget Formulation (DBF) closely on this item. a. Registration of National Budget Formulation Work Session attendees. The Awardee shall assist with the registration of all attendees as they enter the Budget Formulation Work Session. b. The awardee shall distribute prepared budget formulation packages to all attendees. Recordation of Meeting--The awardee shall take minutes during the work session. a. Minutes should be recorded in a clear and concise manner and identify all speakers including presenters and any individuals contributing comments or motions. [[Page 46092]] b. Minutes will be recorded in an objective manner. c. Minutes shall include a record of any comments, votes, or recommendations made, as well as notation of any handouts and other materials referenced by speakers, documented by the speaker's name and affiliation. d. Minutes shall document any written materials that were distributed at the meeting. These materials will be included with the submission of the transcription and the summary page outlining all key topics. e. Minutes will include information regarding the next meeting, including the date, time and location and a list of topics to be addressed. f. The minutes must be submitted to IHS/OFA in final draft within five working days after the conclusion of the work session. Further Instructions The awardee shall: a. Package and distribute results of the work session to IHS/OFA within five working days, which includes minutes and the final set of agreed upon national budget priorities; and b. Provide final documents needed for the IHS budget formulation Web site. HHS Tribal Consultation--March 2017-2019 Preparation and Meeting Responsibilities Estimated Costs: The estimated costs for this activity shall not exceed $55,000 per fiscal year. The awardee shall work with IHS/OFA/DBF closely on this item. The Tribal testimony is a combined effort that is written and presented by the National Tribal Budget Formulation Workgroup. The testimony is presented to the Secretary of HHS and related staff as part of the Annual National U.S. Department of Health and Human Services Tribal Budget and Policy Consultation. The awardee will assist the National Tribal Budget Formulation Workgroup to prepare for the HHS Consultation meeting by: a. Arranging a workgroup meeting; b. Preparing testimony and a PowerPoint presentation with talking points, with the content of both based on input from the workgroup and technical team and with the awardee responsible for formatting and design of the products; c. Submitting testimony and the draft PowerPoint presentation to IHS for review and clearance ten working days prior to the presentation to HHS; d. Packaging and distributing final materials, once clearance from IHS is obtained; and e. Delivering the final testimony to the IHS/OFA/DBF five working days prior to the presentation. The awardee will arrange working space for the workgroup to provide final input to the presentation and finalize the presentation, if needed--not to exceed two days. In addition, the awardee will assist presenters, as needed, with rehearsal of the final presentation. Budget Formulation Evaluation and Planning Meeting--May 2017-2019 Meeting Responsibilities (Required) Estimated Costs: The estimated costs for this activity shall not exceed $10,000 per fiscal year. The awardee shall work with IHS/OFA/DBF closely on this item. Recordation of Meeting--The awardee shall take minutes during the work session. a. Minutes should be recorded in a clear and concise manner and identify all speakers including presenters and any individuals contributing comments or motions. b. Minutes will be recorded in an objective manner. c. Minutes shall include a record of any comments, votes, or recommendations made, as well as notation of any handouts and other materials referenced by speakers, documented by the speaker's name and affiliation. d. Minutes shall document any written materials that were distributed at the meeting. These materials will be included with the submission of the transcription and the summary page outlining all key topics. e. Minutes will include information regarding the next meeting, including the date, time and location and a list of topics to be addressed. f. The minutes must be submitted to IHS/OFA in final draft within five working days after the conclusion of the meeting. Further Instructions The awardee shall package and distribute results of the meeting in final: a. To OFA within five working days; and b. The documents needed for IHS budget formulation Web site. Additionally, for all specified meeting and activities: All expenses will be itemized. If costs are projected to exceed the estimated cost for any part of this Scope of Work, approval from IHS/OFA must be granted before any release of funds. Preapproval from IHS is required before any subcontract may be awarded at a price above the estimated cost. 5. Provide Support for TLDC Meetings and Provide Education, Outreach and Communications Support. A total of $250,000 per fiscal year totaling $750,000 is available for tasks associated with providing meeting support for the TLDC and providing education, outreach and communications support on the activities of the TLDC, the SDPI grant program and related diabetes/ chronic disease issues. TLDC Meetings Meeting Responsibilities (Required) Estimated Costs: The estimated costs for this activity shall not exceed $184,000 per year or $46,000 per face-to-face meeting. The awardee shall work with the Division of Diabetes Treatment and Prevention (DDTP) closely on this item. a. Provide logistical support for TLDC meetings and workgroup sessions. i. Face-to-Face TLDC meetings (up to quarterly). 1. Location to be determined by TLDC members and the IHS Principal Deputy Director or designee. Every effort will be made to utilize Federal meeting space for TLDC meetings where appropriate. 2. In consultation with DDTP, provide timely pre-meeting logistical support for TLDC meetings, including reserving TLDC meeting space, establishing hotel sleeping room block(s) at government per diem rate for all meeting attendees, setting up transportation for attendees if sleeping rooms are at a location separate from the meeting site, and other support services as needed to ensure the smooth and timely organization of TLDC meetings. (a) Note that, for the purpose of this cooperative agreement, TLDC meeting attendees include TLDC members/alternates, TLDC advisors, federal participants (e.g., IHS leadership, DDTP staff, Area Diabetes Consultants, non-IHS federal professionals), invited meeting speakers, and others who might reasonably be expected to participate in a TLDC meeting or who are otherwise invited to attend. 3. Provide on-site logistical support for TLDC meetings, including coordination of meeting activities; provision of appropriate audiovisual equipment, including sufficient number and type of microphones (i.e. podium, tabletop, lavalier), laptop computer with internet connection, projector/screen; room set-up; registration services; and materials (e.g., badges, name tents, paper flip charts, and agendas and other meeting documents). [[Page 46093]] ii. TLDC Workgroups 1. When requested by DDTP, schedule conference calls and/or webinars for four TLDC workgroups. 2. Record and provide minutes of TLDC workgroup sessions. Minutes will be completed as follows: (a) Minutes will be recorded in a clear and concise manner and identify all speakers including presenters and any individuals contributing comments or motions. (b) Minutes will be recorded in an objective manner. (c) Minutes shall include a record of any comments or recommendations made, as well as notation of any handouts and other materials referenced by speakers, documented by the speaker's name and affiliation. (d) Minutes shall document any written materials that were distributed at the meeting. (e) Minutes will include information regarding the next meeting, including the date, time and location, and a list of topics to be addressed. (f) The minutes must be submitted to DDTP for review and approval within five working days after each TLDC workgroup meeting. (g) Provide final minutes and pertinent documents to DDTP within five working days of receiving DDTP's edits on the draft versions. b. Coordinate travel planning and travel/per diem reimbursement in accordance with the approved TLDC charter for 12 TLDC members (or their assigned alternate) and five technical advisors to attend up to four quarterly TLDC meetings per year. Additionally, coordinate travel planning and travel/per diem reimbursement for up to two IHS-approved non-Federal speakers per TLDC in-person meeting. i. Travel planning and reimbursement process will include: 1. Direct communication with TLDC members (and alternates, as necessary), technical advisors, and speakers to assist in travel arrangements. 2. Provide logistical information to TLDC members, advisors, and speakers for meeting location and lodging. 3. Prepare and distribute reimbursement forms with clear instructions in advance of the meeting and serve as the point of contact for communicating any additional travel information that is required. 4. Collect reimbursement forms and provide timely reimbursement of approved participants' expenses within 30 days of the receipt of the claim forms. 5. Provide a detailed travel reimbursement report to DDTP within 60 days of the TLDC meeting. 6. Maintain an active TLDC email directory in order to assist DDTP and TLDC with disseminating related meeting, travel and reimbursement information and soliciting related feedback. 7. Include identified DDTP staff on all email correspondence to TLDC members and technical advisors. Provide Education, Outreach, and Communications Support Responsibilities (Required) Estimated Costs: The estimated cost for these activities is $66,000 per fiscal year. The awardee shall work with DDTP closely on this item. a. Communicate with Tribal leaders and Indian organizations about the activities of the TLDC, the SDPI grant program, and related diabetes/chronic disease issues. i. Provide factual information, review and analysis of legislative and policy issues that are relevant to diabetes and related chronic conditions in AI/ANs and on related health care disparities in written and email format for the purpose of keeping TLDC membership up-to-date on such information and for sharing with other Tribal leadership, Indian organizations, and others. ii. Coordinate sharing DDTP-approved information with national non- profit organizations, such as the Juvenile Diabetes Research Foundation and the American Diabetes Association, for the purpose of strengthening outreach to Tribes and Tribal communities as well as education and outreach to non-Indian communities in the United States about AI/ANs living with diabetes and other chronic diseases. iii. Support registration, presentation, and exhibit costs for up to five DDTP staff and assignees to potentially include a plenary and up to four workshop presentations on diabetes, SDPI, and related chronic disease at meetings such as: 1. National Indian Health Board (NIHB) Public Health Summit and the NIHB Annual Consumer Conference; and 2. Other national Tribal health care conferences/meetings such as the National Congress of American Indians Annual Convention. iv. Support exhibit opportunity for SDPI grant programs to display programmatic information at the 2017-2020 NIHB Public Health Summits. III. Eligibility Information I. 1. Eligibility To be eligible for this ``New/Competing Continuation Announcement,'' an eligible applicant must be a 501(c)(3) national Indian organization that has demonstrated expertise as follows: Representing all Tribal governments and providing a variety of services to Tribes, area health boards, Tribal organizations, and Federal agencies, and playing a major role in focusing attention on Indian health care needs, resulting in improved health outcomes for Tribes. Promoting and supporting Indian education and coordinating efforts to inform AI/AN of Federal decisions that affect Tribal government interests including the improvement of Indian health care. Administering national health policy and health programs. Maintaining a national AI/AN constituency and clearly supporting critical services and activities within the IHS mission of improving the quality of health care for AI/AN people. Supporting improved healthcare in Indian Country. Applicants must provide proof of non-profit status with the application. The national Indian organization must have the infrastructure in place to accomplish the work under the proposed program. Note: Please refer to Section IV.2 (Application and Submission Information/Subsection 2, Content and Form of Application Submission) for additional proof of applicant status documents required such as Tribal resolutions, proof of non-profit status, etc. 2. Cost Sharing or Matching The IHS does not require matching funds or cost sharing for grants or cooperative agreements. 3. Other Requirements If application budgets exceed the highest dollar amount outlined under the ``Estimated Funds Available'' section within this funding announcement, the application will be considered ineligible and will not be reviewed for further consideration. If deemed ineligible, IHS will not return the application. The applicant will be notified by email by the Division of Grants Management (DGM) of this decision. The following documentation is required: 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 [[Page 46094]] 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 ten pages for each of the four components listed). [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 (if applicable). Position descriptions for key personnel. Resumes of key personnel. Contractor/Consultant resumes or qualifications and scope of work. Disclosure of Lobbying Activities (SF-LLL). Certification Regarding Lobbying (GG-Lobbying Form). Copy of current Negotiated Indirect Cost rate (IDC) agreement (required) in order to receive IDC. Organizational chart (optional). Documentation of current OMB A-133 or other required Financial Audit (if applicable). Acceptable forms of documentation include: [cir] Email confirmation from Federal Audit Clearinghouse (FAC) that audits were submitted; or [cir] Face sheets from audit reports. These can be found on the FAC Web site: http://harvester.census.gov/sac/dissem/accessoptions.html?submit=Go+To+Database. 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 ten pages per each component 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 each part of the narrative 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 grant award. If the narrative exceeds the page limit, only the first ten pages of each of the four components will be reviewed. The ten pages per component page limit for the narrative does not include the work plan, standard forms, table of contents, budget, budget narrative justifications, 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. See below for additional details about what must be included in the narrative. Part A: Program Information (2 page limitation) Section 1: Needs Describe how the national Indian organization has the expertise to provide outreach and education efforts on a continuing basis regarding the pertinent changes and updates in health care for each of the four components listed herein. Part B: Program Planning and Evaluation (6 page limitation) Section 1: Program Plans Describe fully and clearly how the national Indian organization plans to address the NIHOE1 requirements, including how the national Indian organization plans to demonstrate improved health education and outreach services to all 567 Federally-recognized Tribes for each of the four components described herein. Include proposed timelines as appropriate and applicable. Section 2: Program Evaluation Describe fully and clearly how the outreach and education efforts will impact changes in knowledge and awareness in Tribal communities. Identify anticipated or expected benefits for the Tribal constituency. Part C: Program Report (2 page limitation) Section 1: Describe major accomplishments over the last 24 months. Please identify and describe significant program achievements associated with the delivery of quality health outreach and education services for each of the four components. 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 24 months. Please identify and summarize recent major health related project activities of the work done regarding each of the four components during the project period. B. Budget Narrative: 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. The budget narrative 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. [[Page 46095]] 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 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 Senior Policy Analyst 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, the applicant 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 ODSCT 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 [[Page 46096]] access the SAM online registration through the SAM home page at https://www.sam.gov (U.S. organizations will also need to provide an Employer Identification Number from the Internal Revenue Service that may take an additional 2-5 weeks to become active). Completing and submitting the registration takes approximately one hour to complete and SAM registration will take 3-5 business days to process. Registration with the SAM is free of charge. Applicants may register online at https://www.sam.gov. Additional information on implementing the Transparency Act, including the specific requirements for DUNS and SAM, can be found on the IHS Grants Management, Grants Policy Web site: 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 ten page narrative allowed per each of the four components 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 60 points is required for funding. Points are assigned as follows: 1. Criteria A. Introduction and Need for Assistance (15 points) (1) Describe the organization's current health, education and technical assistance operations as related to the broad spectrum of health needs of the AI/AN community. Include what programs and services are currently provided (i.e., Federally-funded, State-funded, etc.), any memorandums of agreement with other national, area or local Indian health board organizations. This could also include HHS agencies that rely on the applicant as the primary gateway organization to AI/AN communities that are capable of providing the dissemination of health information. Include information regarding technologies currently used (i.e., hardware, software, services, Web sites, etc.), and identify the source(s) of technical support for those technologies (i.e., in-house staff, contractors, vendors, etc.). Include information regarding how long the applicant has been operating and its length of association/ partnerships with area health boards, etc. [historical collaboration]. (2) Describe the organization's current technical assistance ability. Include what programs and services are currently provided, programs and services projected to be provided, memorandums of agreement with other national Indian organizations that deem the applicant as the primary source of health policy information for AI/AN, memorandums of agreement with other area Indian health boards, etc. (3) Describe the population to be served by the proposed projects. (4) Identify all previous IHS cooperative agreement awards received, dates of funding and summaries of the projects' accomplishments. State how previous cooperative agreement funds facilitated education, training and technical assistance nationwide for AI/ANs and relate the progression of health care information delivery and development relative to the current proposed projects. (Copies of reports will not be accepted.) (5) Describe collaborative and supportive efforts with national, area and local Indian health boards. (6) Explain the need/reason for your proposed projects by identifying specific gaps or weaknesses in services or infrastructure that will be addressed by the proposed projects. Explain how these gaps/weaknesses have been assessed. (7) If the proposed projects include information technology (i.e., hardware, software, etc.), provide further information regarding measures taken or to be taken that ensure the proposed projects will not create other gaps in services or infrastructure (i.e., negatively or adversely affect IHS interface capability, Government Performance Results Act reporting requirements, contract reporting requirements, information technology compatibility, etc.), if applicable. (8) Describe the effect of the proposed projects on current programs (i.e., Federally-funded, State-funded, etc.) and, if applicable, on current equipment (i.e., hardware, software, services, etc.). Include the effect of the proposed projects on planned/ anticipated programs and/or equipment. (9) Describe how the projects relate to the purpose of the cooperative agreement by addressing the following: Identify how the proposed projects will address outreach and education regarding each of the four components: Line Item 128 Health Education and Outreach funds, Health Care Policy Analysis and Review, Budget Formulation, and TLDC. B. Project Objective(s), Work Plan and Approach (40 points) (1) Identify the proposed objective(s) for each of the four projects, as applicable. Objectives should be: Measurable and (if applicable) quantifiable. Results oriented. Time-limited. Example: Issue four quarterly newsletters, provide alerts and quantify number of contacts with Tribes. Goals must be clear and concise. Objectives must be measurable, feasible and attainable for each of the selected projects. (2) Address how the proposed projects will result in change or improvement in program operations or processes for each proposed project objective for all of the projects. Also address what tangible products, if any, are expected from the projects, (i.e., policy analysis, annual conference, mid-year conferences, summits, etc.). (3) Address the extent to which the proposed projects will provide, improve, or expand services that address the need(s) of the target population. Include a current strategic plan and business plan that includes the expanded services. Include the plan(s) with the application submission. (4) Submit a work plan in the appendix which includes the following information: Provide the action steps on a timeline for accomplishing each of the projects' proposed objective(s). Identify who will perform the action steps. Identify who will supervise the action steps. Identify what tangible products will be produced during and at the end of the proposed projects' objective(s). Identify who will accept and/or approve work products during the duration of the proposed projects and at the end of the proposed projects. Include any training that will take place during the proposed projects and who will be attending the training. Include evaluation activities planned in the work plans. (5) If consultants or contractors will be used during the proposed project, please include the following information in their scope of work (or note if consultants/contractors will not be used): [[Page 46097]] Educational requirements. Desired qualifications and work experience. Expected work products to be delivered on a timeline. If a potential consultant/contractor has already been identified, please include a resume in the Appendix. (6) Describe what updates will be required for the continued success of the proposed projects. Include when these updates are anticipated and where funds will come from to conduct the update and/or maintenance. C. Program Evaluation (20 points) Each proposed objective requires an evaluation component to assess its progression and ensure its completion. Also, include the evaluation activities in the work plan. Describe the proposed plan to evaluate both outcomes and process. Outcome evaluation relates to the results identified in the objectives, and process evaluation relates to the work plan and activities of the project. (1) For outcome evaluation, describe: What will the criteria be for determining success of each objective? What data will be collected to determine whether the objective was met? At what intervals will data be collected? Who will collect the data and their qualifications? How will the data be analyzed? How will the results be used? (2) For process evaluation, describe: How will each project be monitored and assessed for potential problems and needed quality improvements? Who will be responsible for monitoring and managing each project's improvements based on results of ongoing process improvements and their qualifications? How will ongoing monitoring be used to improve the projects? Describe any products, such as manuals or policies, that might be developed and how they might lend themselves to replication by others. How will the organization document what is learned throughout each of the projects' periods? (3) Describe any evaluation efforts planned after the grant period has ended. (4) Describe the ultimate benefit to the AI/AN population that the applicant organization serves that will be derived from these projects. D. Organizational Capabilities, Key Personnel and Qualifications (15 points) This section outlines the broader capacity of the organization to complete the project outlined in the work plan. It includes the identification of personnel responsible for completing tasks and the chain of responsibility for successful completion of the projects outlined in the work plan. (1) Describe the organizational structure of the organization beyond health care activities, if applicable. (2) Describe the ability of the organization to manage the proposed projects. Include information regarding similarly sized projects in scope and financial assistance, as well as other cooperative agreements/grants and projects successfully completed. (3) Describe what equipment (i.e., fax machine, phone, computer, etc.) and facility space (i.e., office space) will be available for use during the proposed projects. Include information about any equipment not currently available that will be purchased through the cooperative agreement/grant. (4) List key personnel who will work on the projects. Include title used in the work plans. In the appendix, include position descriptions and resumes for all key personnel. Position descriptions should clearly describe each position and duties, indicating desired qualifications and experience requirements related to the proposed projects. Resumes must indicate that the proposed staff member is qualified to carry out the proposed projects' activities. If a position is to be filled, indicate that information on the proposed position description. (5) If personnel are to be only partially funded by this cooperative agreement, indicate the percentage of time to be allocated to the projects and identify the resources used to fund the remainder of the individual's salary. E. Categorical Budget and Budget Justification (10 points) This section should provide a clear estimate of the projects' program costs and justification for expenses for the entire cooperative agreement period. The budgets and budget justifications should be consistent with the tasks identified in the work plans. (1) Provide a categorical budget for each of the 12-month budget periods requested for each of the four projects. (2) If indirect costs are claimed, indicate and apply the current negotiated rate to the budget. Include a copy of the rate agreement in the appendix. (3) Provide a narrative justification explaining why each line item is necessary/relevant to the proposed project. Include sufficient cost and other details to facilitate the determination of cost allowability (i.e., equipment specifications, etc.). Multi-Year Project Requirements (if applicable) Projects requiring a second and/or 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 Must 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. [[Page 46098]] VI. Award Administration Information 1. Award Notices The Notice of Award (NoA) is a legally binding document signed by the Grants Management Officer and serves as the official notification of the grant award. The NoA will be initiated by the DGM in 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, 60 points, 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, 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. 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 [[Page 46099]] 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/. D. 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 in excess of $20,000. Specifically: The total amount of funds provided in this grant/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. Final Post Conference Report should include all final expenditures on the cost categories as follows: (1) Contract/Planner, (2) Meeting Space/Venue, (3) Registration Web site, (4) Audio Visual, (5) Speakers Fees, (6) Federal Attendee Travel, (7) Non-Federal Attendee Travel, (8) Registration Fees, and (9) Other. Failure to submit your required ``Post Conference Report'' within 15 days after the completion of the conference could result in cost associated with your conference being disallowed. For additional questions please contact Ms. Michelle EagleHawk by telephone at (301) 443-1104 or email her at [email protected]. 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 federal award. Submission is required for all applicants and recipients, in writing, to the IHS and to the HHS Office of Inspector General all information related to violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. 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). Ofc: (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/ [[Page 46100]] 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 described in 45 CFR 75.371. Remedies for noncompliance, including suspension or debarment (See 2 CFR parts 180 and 376 and 31 U.S.C. 3321). VII. Agency Contacts 1. Questions on the programmatic issues may be directed to: Ms. Michelle EagleHawk, Deputy Director, ODSCT, Mail Stop: 8E17, 5600 Fishers Lane, Rockville, Maryland 20857, Telephone: (301) 443-1104, email: [email protected]. 2. Questions on grants management and fiscal matters may be directed to: Ms. Patience Musikikongo, Grants Management Specialist, Division of Grants Management, Mail Stop: 09E70, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 443-2059, Fax: (301) 594-0899, email: [email protected]. 3. Questions on systems matters may be directed to: Mr. Paul Gettys, Grant Systems Coordinator, Division of Grants Management, Mail Stop: 09E70, 5600 Fishers Lane, 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: July 7, 2016. Elizabeth A. Fowler, Deputy Director for Management Operations Indian Health Service. [FR Doc. 2016-16824 Filed 7-14-16; 8:45 am] BILLING CODE 4160-16-P
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A nomination package should include organized by function to show how agreement applications for the National
the following information for each contracted resources are distributed Indian Health Outreach and Education,
nominee: throughout the agency. The inventory Policy/Budget/Diabetes (NIHOE–I)
(1) A letter of nomination from an has been developed in accordance with limited competition cooperative
employer, a colleague, or a professional guidance issued on November 5, 2010 agreement program. This award
organization stating the name, and December 19, 2011 by the Office of includes the following four components,
affiliation, and contact information for Management and Budget’s Office of as described in this announcement:
the nominee, the basis for the Federal Procurement Policy (OFPP). ‘‘Line Item 128 Health Education and
nomination (i.e., what specific OFPP’s guidance is available at http:// Outreach funds,’’ ‘‘Health Care Policy
attributes, perspectives, and/or skills www.whitehouse.gov/sites/default/files/ Analysis and Review,’’ ‘‘Budget
does the individual possess that would omb/procurement/memo/service- Formulation,’’ and ‘‘Tribal Leaders
benefit the workings of the COGME, and contract-inventories-guidance- Diabetes Committee’’ (TLDC). This
the nominee’s field(s) of expertise); 11052010.pdf. HHS has posted its program is authorized under the Snyder
(2) A letter of self-interest stating the inventory and a summary of the Act, codified at 25 U.S.C. 13. The TLDC
reasons the nominee would like to serve inventory on the HHS homepage at the component is authorized by section
on COGME; following link: http://www.hhs.gov/ 330C of the Public Health Service Act,
(3) A biographical sketch of the grants/contracts/get-ready-to-do- codified at 42 U.S.C. 254c–3. This
nominee and a copy of his/her business/service-contract-inventory/ program is described in the Catalog of
curriculum vitae; and index.html. Federal Domestic Assistance under
(4) The name, address, daytime 93.933.
telephone number, and email address at FOR FURTHER INFORMATION CONTACT:
which the nominator can be contacted. Questions regarding the service contract Background
Nominations will be considered as inventory should be directed to Dr. The NIHOE–I program carries out
vacancies occur on COGME. Angela Billups, Associate Deputy health program objectives in American
Nominations should be updated and Assistant Secretary for Acquisition, Indian and Alaska Native (AI/AN)
resubmitted every 3 years to continue to Senior Procurement Executive HHS/ communities in the interest of
be considered for committee vacancies. Office of the Secretary, Assistant improving Indian health care for all 567
HHS strives to ensure that the Secretary for Financial Resources at Federally-recognized Tribes, including
membership of HHS federal advisory 202–260–6187 or Angela.Billups@ Tribal governments operating their own
committees is balanced in terms of hhs.gov. health care delivery systems through
points of view represented and the Angela Billups, self-determination contracts with the
committee’s function. The Department Associate Deputy Assistant Secretary for IHS and Tribes that continue to receive
encourages nominations of qualified Acquisition, Senior Procurement Executive, health care directly from the IHS. This
candidates from all groups and Assistant Secretary for Financial Resources, program addresses health policy and
locations. Appointment to COGME shall Office of the Secretary. health program issues and disseminates
be made without discrimination on the [FR Doc. 2016–16802 Filed 7–14–16; 8:45 am] educational information to all AI/AN
basis of age, race, ethnicity, gender, BILLING CODE 4150–24–P Tribes and villages. This program
sexual orientation, disability, and requires that public forums be held at
cultural, religious, or socioeconomic Tribal educational consumer
status. DEPARTMENT OF HEALTH AND conferences to disseminate changes and
HUMAN SERVICES updates in the latest health care
Jason E. Bennett,
information. This program also requires
Director, Division of the Executive Secretariat. Indian Health Service that regional and national meetings be
[FR Doc. 2016–16751 Filed 7–14–16; 8:45 am] coordinated for information
BILLING CODE 4165–15–P Office of Direct Service and dissemination as well as the inclusion
Contracting Tribes; National Indian of planning and technical assistance and
Health Outreach and Education, Policy/ health care recommendations on behalf
DEPARTMENT OF HEALTH AND Budget/Diabetes of participating Tribes to ultimately
HUMAN SERVICES inform IHS based on Tribal input
Announcement Type: Limited New
Public Availability of the Department of and Competing Continuation. through a broad based consumer
Health and Human Services FY 2015 Funding Announcement Number: network.
Service Contract Inventory HHS–2016–IHS–NIHOE–1–PBD–0001. Purpose
Catalog of Federal Domestic
AGENCY: Department of Health and The purpose of this IHS cooperative
Assistance Number: 93.933.
Human Services. agreement is to further IHS’s mission
ACTION: Notice of public availability of Key Dates and goals related to providing quality
FY 2015 Service Contract Inventories. Application Deadline Date: August health care to the AI/AN community
15, 2016. through outreach and education efforts
SUMMARY: In accordance with Section with the sole outcome of improving
743 of Division C of the Consolidated Review Date: August 22, 2016.
Earliest Anticipated Start Date: Indian health care. This award includes
Appropriations Act of 2010 (Pub. L. the following four health services
111–117), Department of Health and September 15, 2016.
sradovich on DSK3GMQ082PROD with NOTICES
Proof of Non-Profit Status Due Date: components: Line Item 128 Health
Human Services (HHS) is publishing Education and Outreach funds, Health
this notice to advise the public of the August 15, 2016.
Care Policy Analysis and Review,
availability of its FY 2015 Service I. Funding Opportunity Description Budget Formulation, and TLDC.
Contract Inventory. This inventory
provides information on service contract Statutory Authority Limited Competition Justification
actions over $25,000 that was awarded The Indian Health Service (IHS) is Competition for the award included
in FY 2015. The information is accepting competitive cooperative in this announcement is limited to
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![46096 Federal Register / Vol. 81, No. 136 / Friday, July 15, 2016 / Notices
access the SAM online registration regarding technologies currently used Identify how the proposed projects will
through the SAM home page at https:// (i.e., hardware, software, services, Web address outreach and education
www.sam.gov (U.S. organizations will sites, etc.), and identify the source(s) of regarding each of the four components:
also need to provide an Employer technical support for those technologies Line Item 128 Health Education and
Identification Number from the Internal (i.e., in-house staff, contractors, vendors, Outreach funds, Health Care Policy
Revenue Service that may take an etc.). Include information regarding how Analysis and Review, Budget
additional 2–5 weeks to become active). long the applicant has been operating Formulation, and TLDC.
Completing and submitting the and its length of association/
partnerships with area health boards, B. Project Objective(s), Work Plan and
registration takes approximately one
etc. [historical collaboration]. Approach (40 points)
hour to complete and SAM registration
will take 3–5 business days to process. (2) Describe the organization’s current (1) Identify the proposed objective(s)
Registration with the SAM is free of technical assistance ability. Include for each of the four projects, as
charge. Applicants may register online what programs and services are applicable. Objectives should be:
at https://www.sam.gov. currently provided, programs and • Measurable and (if applicable)
Additional information on services projected to be provided, quantifiable.
implementing the Transparency Act, memorandums of agreement with other • Results oriented.
including the specific requirements for national Indian organizations that deem • Time-limited.
DUNS and SAM, can be found on the the applicant as the primary source of Example: Issue four quarterly
IHS Grants Management, Grants Policy health policy information for AI/AN, newsletters, provide alerts and quantify
Web site: http://www.ihs.gov/dgm/ memorandums of agreement with other number of contacts with Tribes.
policytopics/. area Indian health boards, etc. Goals must be clear and concise.
(3) Describe the population to be Objectives must be measurable, feasible
V. Application Review Information served by the proposed projects. and attainable for each of the selected
The instructions for preparing the (4) Identify all previous IHS projects.
application narrative also constitute the cooperative agreement awards received, (2) Address how the proposed
evaluation criteria for reviewing and dates of funding and summaries of the projects will result in change or
scoring the application. Weights projects’ accomplishments. State how improvement in program operations or
assigned to each section are noted in previous cooperative agreement funds processes for each proposed project
parentheses. The ten page narrative facilitated education, training and objective for all of the projects. Also
allowed per each of the four technical assistance nationwide for address what tangible products, if any,
components page narrative should AI/ANs and relate the progression of are expected from the projects, (i.e.,
include only the first year of activities; health care information delivery and policy analysis, annual conference, mid-
information for multi-year projects development relative to the current year conferences, summits, etc.).
should be included as an appendix. See proposed projects. (Copies of reports (3) Address the extent to which the
‘‘Multi-year Project Requirements’’ at will not be accepted.) proposed projects will provide,
the end of this section for more (5) Describe collaborative and improve, or expand services that
information. The narrative section supportive efforts with national, area address the need(s) of the target
should be written in a manner that is and local Indian health boards. population. Include a current strategic
clear to outside reviewers unfamiliar (6) Explain the need/reason for your plan and business plan that includes the
with prior related activities of the proposed projects by identifying expanded services. Include the plan(s)
applicant. It should be well organized, specific gaps or weaknesses in services with the application submission.
succinct, and contain all information or infrastructure that will be addressed (4) Submit a work plan in the
necessary for reviewers to understand by the proposed projects. Explain how appendix which includes the following
the project fully. Points will be assigned these gaps/weaknesses have been information:
to each evaluation criteria adding up to assessed. • Provide the action steps on a
(7) If the proposed projects include timeline for accomplishing each of the
a total of 100 points. A minimum score
information technology (i.e., hardware, projects’ proposed objective(s).
of 60 points is required for funding.
Points are assigned as follows:
software, etc.), provide further • Identify who will perform the
information regarding measures taken or action steps.
1. Criteria to be taken that ensure the proposed • Identify who will supervise the
projects will not create other gaps in action steps.
A. Introduction and Need for Assistance
services or infrastructure (i.e., • Identify what tangible products will
(15 points)
negatively or adversely affect IHS be produced during and at the end of
(1) Describe the organization’s current interface capability, Government the proposed projects’ objective(s).
health, education and technical Performance Results Act reporting • Identify who will accept and/or
assistance operations as related to the requirements, contract reporting approve work products during the
broad spectrum of health needs of the requirements, information technology duration of the proposed projects and at
AI/AN community. Include what compatibility, etc.), if applicable. the end of the proposed projects.
programs and services are currently (8) Describe the effect of the proposed • Include any training that will take
provided (i.e., Federally-funded, State- projects on current programs (i.e., place during the proposed projects and
funded, etc.), any memorandums of Federally-funded, State-funded, etc.) who will be attending the training.
agreement with other national, area or • Include evaluation activities
sradovich on DSK3GMQ082PROD with NOTICES
and, if applicable, on current equipment
local Indian health board organizations. (i.e., hardware, software, services, etc.). planned in the work plans.
This could also include HHS agencies Include the effect of the proposed (5) If consultants or contractors will
that rely on the applicant as the primary projects on planned/anticipated be used during the proposed project,
gateway organization to AI/AN programs and/or equipment. please include the following
communities that are capable of (9) Describe how the projects relate to information in their scope of work (or
providing the dissemination of health the purpose of the cooperative note if consultants/contractors will not
information. Include information agreement by addressing the following: be used):
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![46100 Federal Register / Vol. 81, No. 136 / Friday, July 15, 2016 / Notices
reportfraud/index.asp. (Include DEPARTMENT OF HEALTH AND the two awards separately and must
‘‘Mandatory Grant Disclosures’’ in HUMAN SERVICES provide two separate financial reports
subject line). Fax: (202) 205–0604. per year of funding (one for each
(Include ‘‘Mandatory Grant Disclosures’’ Indian Health Service award), as indicated below. This
in subject line) or email: program is described in the Catalog of
Office of Direct Service and Federal Domestic Assistance under
MandatoryGranteeDisclosures@
Contracting Tribes; National Indian 93.933.
oig.hhs.gov.
Health Outreach and Education II
Failure to make required disclosures Background
can result in any of the remedies Announcement Type: New/
The NIHOE program carries out
described in 45 CFR 75.371. Remedies Competing Continuation.
health program objectives in the
Announcement Number: HHS–2016–
for noncompliance, including American Indian/Alaska Native (AI/AN)
IHS–NIHOE–2–BH–HIV/AIDS–0001.
suspension or debarment (See 2 CFR Catalog of Federal Domestic community in the interest of improving
parts 180 and 376 and 31 U.S.C. 3321). Indian health care for all 567 Federally-
Assistance Number: 93.933.
recognized Tribes including Tribal
VII. Agency Contacts Key Dates governments operating their own health
1. Questions on the programmatic Application Deadline Date: August care delivery systems through Indian
issues may be directed to: Ms. Michelle 15, 2016. Self-Determination and Education
Review Date: August 22, 2016. Assistance Act (ISDEAA) contracts and
EagleHawk, Deputy Director, ODSCT,
Earliest Anticipated Start Date: compacts with the IHS and Tribes that
Mail Stop: 8E17, 5600 Fishers Lane, continue to receive health care directly
Rockville, Maryland 20857, Telephone: September 15, 2016.
Proof of Non-Profit Status Due Date: from the IHS. This program addresses
(301) 443–1104, email: health policy and health programs
August 15, 2016.
Michelle.EagleHawk@ihs.gov. issues and disseminates educational
2. Questions on grants management I. Funding Opportunity Description information to all AI/AN Tribes and
and fiscal matters may be directed to: Statutory Authority villages. The NIHOE II BH and HIV/
Ms. Patience Musikikongo, Grants AIDS awards require that public forums
The Indian Health Service (IHS) is be held at Tribal educational consumer
Management Specialist, Division of
accepting competitive applications for conferences to disseminate changes and
Grants Management, Mail Stop: 09E70, two limited competition cooperative
5600 Fishers Lane, Rockville, MD updates in the latest health care
agreements under the National Indian information. These awards also require
20857, Telephone: (301) 443–2059, Fax: Health Outreach and Education
(301) 594–0899, email: that regional and national meetings be
(NIHOE–II) program: The Behavioral coordinated for information
Patience.Musikikongo@ihs.gov. Health (BH)—to include the Substance dissemination as well as for the
3. Questions on systems matters may Abuse and Suicide Prevention (SASP) inclusion of planning and technical
be directed to: Mr. Paul Gettys, Grant program, formerly known as the assistance and health care
Systems Coordinator, Division of Grants Methamphetamine and Suicide recommendations on behalf of
Management, Mail Stop: 09E70, 5600 Prevention Intervention, and the participating Tribes to ultimately inform
Fishers Lane, Rockville, MD 20857, Domestic Violence Prevention (DVP) IHS and the HHS based on Tribal input
Phone: (301) 443–2114; or the DGM program, formerly known as the through a broad based consumer
main line (301) 443–5204, Fax: (301) Domestic Violence Prevention network.
594–0899, email: Paul.Gettys@ihs.gov. Initiative—national awareness,
visibility, advocacy, outreach and Purpose
VIII. Other Information education award and the Human The purpose of these cooperative
Immunodeficiency Virus/Acquired agreements is to further IHS health
The Public Health Service strongly Immune Deficiency Syndrome (HIV/ program objectives in the AI/AN
encourages all cooperative agreement AIDS) outreach and education award. community with awareness, visibility,
and contract recipients to provide a The BH national awareness, visibility, advocacy, and education efforts for the
smoke-free workplace and promote the advocacy, and education award is BH and HIV/AIDS programs on a
non-use of all tobacco products. In funded by IHS and is authorized under national scale and in the interest of
addition, Public Law 103–227, the Pro- the Snyder Act, codified at 25 U.S.C. 13; improving Indian health care. This
Children Act of 1994, prohibits smoking the Transfer Act, codified at 42 U.S.C. announcement includes two separate
in certain facilities (or in some cases, 2001; the Consolidated Appropriations awards, each of which will be awarded
any portion of the facility) in which Act, 2016, Public Law 114–113. The as noted below. The purpose of the BH
regular or routine education, library, HIV/AIDS outreach and education award is to promote behavioral health as
day care, health care, or early childhood award is funded by the Office of the central to the health and well-being of
development services are provided to Secretary (OS), Department of Health AI/AN communities.
children. This is consistent with the and Human Services (HHS). Funding for The purpose of the HIV/AIDS award
HHS mission to protect and advance the the HIV/AIDS award will be provided is to further the goals of the national
physical and mental health of the by OS via an Intra-Departmental HIV/AIDS program. HIV and AIDS are a
American people. Delegation of Authority dated May 1st, critical and growing health issue within
2016 to IHS to permit obligation of the AI/AN population. The IHS National
sradovich on DSK3GMQ082PROD with NOTICES
Dated: July 7, 2016. funding appropriated by the HIV/AIDS Program seeks to avoid
Elizabeth A. Fowler, Consolidated Appropriations Act, 2016, complacency and to increase awareness
Deputy Director for Management Operations Public Law 114–113. Each award is of the impact of HIV/AIDS on AI/ANs.
Indian Health Service. funded through a separate funding All activities are part of the IHS’s
[FR Doc. 2016–16824 Filed 7–14–16; 8:45 am] stream by each respective Agency’s implementation plan to meet the three
BILLING CODE 4160–16–P appropriations. The awardee is goals of the President’s National HIV/
responsible for accounting for each of AIDS Strategy (NHAS) to reduce the
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Document Created: 2016-07-15 02:53:06
Document Modified: 2016-07-15 02:53:06
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Dates | August 15, 2016. | |
| FR Citation | 81 FR 46089 |
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