82_FR_14062 82 FR 14012 - Community Based Model of PHN Case Management Services (Behavioral Health)

82 FR 14012 - Community Based Model of PHN Case Management Services (Behavioral Health)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service

Federal Register Volume 82, Issue 50 (March 16, 2017)

Page Range14012-14019
FR Document2017-05248

Federal Register, Volume 82 Issue 50 (Thursday, March 16, 2017)
[Federal Register Volume 82, Number 50 (Thursday, March 16, 2017)]
[Notices]
[Pages 14012-14019]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-05248]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

[Funding Announcement Number: HHS-2017-IHS-PHN-0001: Catalog of Federal 
Domestic Assistance Number: 93.933]


Community Based Model of PHN Case Management Services (Behavioral 
Health)

AGENCY: Division of Nursing, Public Health Nursing, Indian Health 
Service, HHS.

Key Dates

Application Deadline Date: May 15, 2017
Review Date: May 26-June 5, 2017
Earliest Anticipated Start Date: June 15, 2017
Proof of Non-Profit Due Date: May 15, 2017

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) Office of Clinical and Preventive 
Services (OCPS), Division of Nursing Services/Public Health Nursing 
(PHN), is accepting applications for grant awards for the Community 
Based Model of PHN Case Management Services (Behavioral Health). This 
program is authorized under the Snyder Act, 25 U.S.C. 13; the Transfer 
Act, 42 U.S.C. 2011; the Public Health Service Act, as amended, 42 
U.S.C. 241; and the Indian Health Care Improvement Act, as amended, 
(IHCIA), 25 U.S.C. 1653(c). This program is described in the Catalog

[[Page 14013]]

of Federal Domestic Assistance (CFDA) under 93.933.

Background

    The IHS OCPS PHN Program serves as the primary source for national 
advocacy, policy development, budget development, and allocation for 
the PHN programs for the IHS. The IHS PHN Program is a community health 
nursing program that focuses on the goals of promoting health and 
quality of life, and preventing disease and disability. The PHN program 
provides quality, culturally sensitive health promotion and disease 
prevention nursing services through primary, secondary and tertiary 
prevention services to individuals, families, and community groups. The 
PHN Program supports population-focused services to promote healthier 
communities through community based nursing services, community 
development, and health promotion and/or disease prevention activities. 
The PHN Program promotes the establishment of program plans based on 
community assessments and evaluations to prevent disease, promote 
health, and implement community based programs. There is an emphasis on 
screening, home visits, immunizations, maternal-child health care, 
elder care, chronic disease, school services, health promotion and 
disease prevention, case management, population based services and 
community disease surveillance. The PHN Program is available to support 
transitions of care from the clinical setting into the community with 
an emphasis on the clinical, preventive, and public health needs of 
American Indian/Alaska Native (AI/AN) communities and developing, 
managing, and administering such program.

Purpose

    The purpose of this IHS grant announcement is to improve specific 
behavioral health outcomes of an identified high risk group of patients 
through a case management model that utilizes the PHN as a case 
manager. The emphasis is on reducing the prevalence and incidence of 
behavioral health diseases and conditions and to support the efforts of 
AI/AN communities toward achieving excellence in holistic behavioral 
health treatment, rehabilitation, and prevention services for 
individuals and their families. Case management involves the client, 
family, and other members of the health care team. Quality of care, 
continuity, and assurance of appropriate and timely interventions are 
also crucial. In addition to reducing the cost of health care, case 
management has proven its worth in terms of improving rehabilitation, 
improving quality of life, increasing client satisfaction and 
compliance by promoting client self-determination. The PHN model of 
community based case management utilizes roles and functions of PHN 
services of assessment, planning, coordinating services, communication 
and monitoring. The goals and outcomes of the PHN case management model 
are early detection, diagnosis, treatment and evaluation that will 
improve health outcomes in a cost effective manner. This model utilizes 
all prevention components of primary, secondary and tertiary prevention 
in the home and community with patient and family. The community based 
case management model addresses the PHN scope of practice of working 
with individuals and families in a population-based practice to provide 
nursing care services. This project will focus on a PHN community based 
case management model. The project will be conducted in a phased 
approach, using the nursing process--assessment, planning, 
implementation, and evaluation.
    First Phase: Assessment--Complete a generic community assessment 
(most PHN programs have this readily available as a part of their 
annual program plans). Include, if available, pertinent data from local 
community assessments and behavioral health statistical data in the 
assessment; include the local behavioral health staff as subject matter 
experts and any data available. In addition, obtain input from key 
stake-holders such as community members, Tribal leaders, healthcare 
administration and community health groups to determine the health care 
priorities. Obtain approval for the establishment of the PHN case 
management program from the healthcare administration, governing boards 
and medical executive committees as needed.
    Second Phase: Planning--Based on the community assessment, the high 
risk behavioral health population is identified and the planning of the 
case management project begins. Develop case management services 
addressing the behavioral health priority health issues identified from 
the community assessment. Collaborate with the local behavioral health 
programs on planning in this phase. Plan specific guidelines for the 
case management services of the high risk group of patients such as 
admission criteria, caseload size, policies and procedures, and an 
evaluation plan to include data tracking for outcomes generated. 
Identify if there is a best practice case management model available to 
replicate to target the identified high risk behavioral health 
population (such as the Pine Ridge PHN Case Management community 
suicide prevention program or the Resources to Enhance All Caregiver's 
Health, REACH, into Indian Country). Obtain additional staff training 
needed for the community based nurse case management model such as 
evidence based practices, motivational interviewing, nurse competencies 
and any other training that would be applicable to the behavioral 
health issues identified. Identify or develop patient education 
materials and community education materials for the program. Develop 
plans for project sustainability.
    Third Phase: Implementation--The case management program includes 
admission criteria of the high risk behavioral health population, 
caseload size, and appropriate health care standards. Establish patient 
caseload. Monitor progress and make adjustments as needed. Track 
patient data outcomes. Continue to plan ongoing sustainability of the 
program after the award period ends.
    Fourth Phase: Patient Satisfaction--In order to evaluate program 
services; initiate a patient satisfaction program, such as one that 
provides patients with an opportunity to provide feedback on their 
experiences to assess the satisfaction of the services. Analyze 
findings so a concentrated effort is made to relate the customer 
satisfaction results to internal process metrics, and examine trends 
over time in order to take action on a timely basis. Evaluate and 
revise the case management program if needed, review policies and 
procedures, education materials and staff competencies semi-annually. 
To the extent permitted by law, report back to key stake-holders 
progress of the project, especially to inform clients about changes 
brought about as a direct result of listening to their needs. Each site 
will share program material with IHS Headquarters PHN program. This 
information will be shared IHS-wide for replication of the project 
across IHS with credit given to the organization that developed the 
material. Poster presentation or oral presentation will be given at the 
national meetings and/or webinars.

II. Award Information

Type of Award

    Grant.

Estimated Funds Available

    The total amount of funding identified for the current fiscal year 
(FY) 2017 is approximately $1,500,000.

[[Page 14014]]

Individual award amounts are anticipated to be between $124,000 and 
$150,000. The amount of funding available for competing and 
continuation awards issued under this announcement are subject to the 
availability of appropriations and budgetary priorities of the Agency. 
The IHS is under no obligation to make awards that are selected for 
funding under this announcement.

Anticipated Number of Awards

    Approximately ten awards will be issued under this program 
announcement.

Project Period

    The project period is for five years and will run consecutively 
from June 1, 2017 to May 31, 2022.

III. Eligibility Information

I.

1. Eligibility

    To be eligible under this ``New Announcement'', applicants must be 
one of the following as defined by 25 U.S.C. 1603:
     A Federally-recognized Indian Tribe 25 U.S.C. 1603(14); 
operating an Indian health program operated pursuant to a contract, 
grant, cooperative agreement, or compact with IHS pursuant to the 
Indian Self-Determination and Education Assistance Act (ISDEAA), (Pub. 
L. 93-638).
     A Tribal organization 25 U.S.C. 1603(26); operating an 
Indian health program operated pursuant to as contract, grant, 
cooperative agreement, or compact with the IHS pursuant to the ISDEAA, 
(Pub. L. 93-638).
     An Urban Indian organization as defined by 25 U.S.C. 
1603(29). Operating a Title V Urban Indian health program that 
currently has a grant or contract with the IHS under Title V of the 
Indian Health Care Improvement Act, (Pub. L. 93-437). Applicants must 
provide proof of non-profit status with the application, e.g. 
501(c)(3).

    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.

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 5 pages).
     Project Narrative (must be single-spaced and not exceed 
ten pages).
    [cir] Background information on the organization.
    [cir] Proposed scope of work, objectives, and activities that 
provide a description of what will be accomplished, including a one-
page Timeframe Chart.
     501(c)(3) Certificate (if applicable).
     Biographical sketches for all Key Personnel.
     Contractor/Consultant resumes or qualifications and scope 
of work.
     Disclosure of Lobbying Activities (SF-LLL).
     Certification Regarding Lobbying (GG-Lobbying Form).
     Copy of current Negotiated Indirect Cost rate (IDC) 
agreement (required in order to receive IDC).
     Organizational Chart (optional).
     Documentation of current Office of Management and Budget 
(OMB) Financial Audit (if applicable).
    Acceptable forms of documentation include:
    [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: https://harvester.census.gov/facdissem/Main.aspx.
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 and must: Be single-spaced, 
type written, have consecutively numbered pages, use black type not 
smaller than 12 points, and be printed on one side only of standard 
size 8\1/2\'' x 11'' paper.
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation criteria in this 
announcement) and place all responses and required information in the 
correct section (noted below), or they will 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 possible grant award. If the narrative 
exceeds the page limit, only the first 10 pages will be reviewed. The 
10-page limit for the narrative does not include the work plan, 
standard forms, Tribal resolutions, table of contents, budget, budget 
justifications, narratives, and/or other appendix items.
    There are three parts to the narrative: Part A--Program 
Information; Part B--Program Planning and Evaluation; and Part C--
Program Report. See below for additional details about what must be 
included in the narrative.
    The page limitations below are for each narrative and budget 
submitted.
Part A: Program Information (3 Pages)
Section 1: Needs. Describe how the applicant has determined it has the 
administrative infrastructure to support the activities to implement a 
PHN (Behavioral Health) Case Management Program and evaluate and 
sustain it. Explain the previous planning activities the applicant has 
completed relevant to this or similar goals. Describe any internal 
relationships or collaborative relationships with behavioral health 
subject matter experts to support this activity.

[[Page 14015]]

Part B: Program Planning and Evaluation (5 Pages)
Section 1: Program Plans. Describe fully and clearly the direction the 
applicant plans to take in the PHN Case Management Program, including 
plans to demonstrate improved behavioral health outcomes of the 
identified high risk group of patients and services to the community it 
serves. Include proposed timelines.

Section 2: Program Evaluation. Describe fully and clearly the 
improvements that will be made by the applicant to manage the PHN Case 
Management Program and identify the anticipated or expected benefits 
for the Tribe and AI/AN people served.
Part C: Program Report (2 Pages)
Section 1: Describe major accomplishments over the last 24 months. 
Identify and describe significant program achievements associated with 
the delivery of quality health care services or outreach services in 
the past 24 months as a part of implementing previous grant awards, 
cooperative agreements or other related activities. Provide a 
comparison of the actual accomplishments to the goals established for 
the project period, or if applicable, provide justification for the 
lack of progress.

Section 2: Describe major activities over the last 24 months. Please 
identify and summarize recent major health related project activities 
and the work done during the project period.
B. Budget Narrative: (5 Pages)
    This narrative must include a line item budget with a narrative 
justification for all expenditures identifying reasonable allowable, 
allocable costs necessary to accomplish the goals and objectives as 
outlined in the project narrative. Budget should match the scope of 
work described in the project narrative.

3. Submission Dates and Times

    Applications must be submitted electronically through Grants.gov by 
11:59 p.m. Eastern Daylight Time (EDT) on the Application Deadline Date 
listed in the Key Dates section on page one of this announcement. Any 
application received after the application deadline will not be 
accepted for processing, nor will it be given further consideration for 
funding. Grants.gov will notify the applicant via email if the 
application is rejected.
    If technical challenges arise and assistance is required with the 
electronic application process, contact Grants.gov Customer Support via 
email to [email protected] or at (800) 518-4726. Customer Support is 
available to address questions 24 hours a day, 7 days a week (except on 
Federal holidays). If problems persist, contact Mr. 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.

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 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). A written waiver request must be sent to 
[email protected] with a copy to [email protected]. 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.
    Once the waiver request has been approved, the applicant will 
receive a confirmation of approval email containing submission 
instructions and the mailing address to submit the application. A copy 
of the written approval must be submitted along with the hardcopy of 
the application that is mailed to DGM. Paper applications that are 
submitted without a copy of the signed waiver from the Director of the 
DGM will not be reviewed or considered for funding. The applicant will 
be notified via email of this decision by the Grants Management Officer 
of the DGM. Paper applications must be received by the DGM no later 
than 5:00 p.m., EDT, on the Application Deadline Date listed in the Key 
Dates section on page one of this announcement. Late applications will 
not be accepted for processing or considered for funding. 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.
     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 Division of 
Nursing/Public Health Nursing will

[[Page 14016]]

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, you may access it through http://fedgov.dnb.com/webform, or to expedite the process, call (866) 705-
5711.
    All HHS recipients are required by the Federal Funding 
Accountability and Transparency Act of 2006, as amended (``Transparency 
Act''), to report information on sub-awards. Accordingly, all IHS 
grantees must notify potential first-tier sub-recipients that no entity 
may receive a first-tier sub-award unless the entity has provided its 
DUNS number to the prime grantee organization. This requirement ensures 
the use of a universal identifier to enhance the quality of information 
available to the public pursuant to the Transparency Act.
System for Award Management (SAM)
    Organizations that were not registered with Central Contractor 
Registration and have not registered with SAM will need to obtain a 
DUNS number first and then access the SAM online registration through 
the SAM home page at https://www.sam.gov (U.S. organizations will also 
need to provide an Employer Identification Number from the Internal 
Revenue Service that may take an 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 should include only the first year of 
activities; information for multi-year projects should be included as 
an appendix. See ``Multi-year Project Requirements'' at the end of this 
section for more information. The narrative section should be written 
in a manner that is clear to outside reviewers unfamiliar with prior 
related activities of the applicant. It should be well organized, 
succinct, and contain all information necessary for reviewers to 
understand the project fully. Points will be assigned to each 
evaluation criteria adding up to a total of 100 points. A minimum score 
of 70 points is required for funding. Points are assigned as follows:

1. Criteria

A. Introduction and Need for Assistance (5 Points)
    (1) Provide demographic information, prevalence rates of behavioral 
health disease, and baseline health data to substantiate the case 
management for the high risk group of patients.
    (2) Describe how data collection will support the stated project 
objectives and how it will support the project evaluation in order to 
determine the impact of the project. Address how the proposed project 
will result in behavioral health improvements.
B. Project Objective(s), Work Plan and Approach (35 Points)
(1) Goals and Objectives (15 Points)
    i. Establish two to three measurable objectives within a plan that 
will provide outcome. Goals/Objectives should be specific with 
measurable outcome and a realistic timeline.
(2) Methodology/Activities (20 Points)
    i. Describe the activities that will be implemented in a work plan 
to meet the objectives. The work plan should be directly related to the 
objectives.
    ii. Describe how you will monitor the objectives (chart reviews, 
patient comments/feedback, data collection tools, etc.).
    iii. Describe any collaborative efforts with any programs outside 
of PHN or your local behavioral health program.
C. Program Evaluation (20 Points)
    Describe the methods for evaluating the project activities. Each 
proposed project objective should have an evaluation component and the 
evaluation activities should appear on the work plan. At a minimum, 
projects should describe plans to collect or summarize evaluation 
information about all project activities. Please address the following 
for each of the proposed objectives:
    (1) Describe the community assessment results and what data will be 
selected to evaluate the success of the objective(s).
    (2) Describe how the data and patient satisfaction information will 
be collected to assess the programs objective(s) (e.g., methods used 
such as, but not limited to, providing mechanisms for patients to 
provide feedback on their experiences).
    (3) Identify when the data will be collected and the data analysis 
completed.
    (4) Describe the extent to which there are specific data sets, data 
bases or registries already in place to measure/monitor meeting 
objective.
    (5) Describe who will collect the data and any cost of the 
evaluation (whether internal or external)?
    (6) Describe where, when and to whom the data will be presented 
(only to the extent permitted by law, the data to be reported back to 
key stakeholders on the progress of the project, especially to inform 
clients about changes brought about as a direct result of listening to 
their needs).
    (7) Address anticipated obstacles to the success of the proposal 
such as underlying causes and the nature of their influence on 
accomplishing the objectives.
    (8) Describe how the community assessment will be used to identify 
high risk group of patient(s).
    (9) Describe the process that will be used to follow-up on the PHN 
Case Management Project findings/conclusions.
D. Organizational Capabilities, Key Personnel and Qualifications (25 
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 project 
outlined in the work plan.
    (1) Describe the organizational structure.
    (2) Describe what equipment and facility space (i.e., office space) 
will be available for use during the proposed project. Include 
information about any equipment not currently available that will be 
purchased throughout the agreement.
    (3) List key personnel who will work on the project.

[[Page 14017]]

    i. Identify staffing plan, existing personnel and new program staff 
to be hired.
    ii. In the appendix, include position descriptions and resumes for 
all key personnel. Position descriptions should clearly describe each 
position and duties indicating desired qualifications, experience, and 
requirements related to the proposed project and how they will be 
supervised. Resumes must indicate that the proposed staff member is 
qualified to carry out the proposed project activities and who will 
determine if the work of a contractor is acceptable.
    iii. If the project requires additional personnel beyond those 
covered by the grant award, (i.e., Information Technology support, 
volunteers, interviewers, etc.), note these and address how these 
positions will be filled and, if funds are required, the source of 
these funds.
    iv. If personnel are to be only partially funded by this grant, 
indicate the percentage of time to be allocated to this project and 
identify the resources used to fund the remainder of the individual's 
salary.
    (4) Capability
    i. Briefly describe the facility and user population.
    ii. Describe the organization's ability to conduct this initiative 
through linkages to community resources: partnerships established to 
refer out for additional services as needed for specialized treatment, 
care, and counseling services.
D. Categorical Budget and Budget Justification (15 Points)
    Provide a clear estimate of the project program costs and 
justification for expenses for the entire grant period. The budget and 
budget justification should be consistent with the tasks identified in 
the work plan. The budget focus should be on developing and sustaining 
PHN case management services as well as supporting retention into care.
    (1) A categorical budget (Form SF 424A, Budget Information Non- 
Construction Programs) completing each of the budget periods is 
requested.
    (2) Budget narrative that serves as justification for all costs, 
explaining why each line item is necessary or relevant to the proposed 
project. Include sufficient details to facilitate the determination of 
allowable costs.
    (3) Provide a succinct description of specific roles and activities 
of each person involved in the proposed project and their ability to 
perform in that capacity.
    (4) Budget justifications should include a brief narrative for the 
second year.
    (5) 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.
Multi-Year Project Requirements
    Projects requiring a second, third, fourth, and/or fifth year must 
include a brief project narrative and budget (one additional page per 
year) addressing the developmental plans for each additional year of 
the project.
Additional Documents Can Be Uploaded as Appendix Items in Grants.gov
     Work plan, logic model and/or time line for proposed 
objectives.
     Position descriptions for key staff.
     Resumes of key staff that reflect current duties.
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Current Indirect Cost Agreement.
     Organizational chart.
     Map of area identifying project location(s).
     Additional documents to support narrative (i.e. data 
tables, key news articles, etc.).

2. Review and Selection

    Each application will be prescreened by the DGM staff for 
eligibility and completeness as outlined in the funding announcement. 
Applications that meet the eligibility criteria shall be reviewed for 
merit by the ORC based on evaluation criteria in this funding 
announcement. The ORC could be composed of both Tribal and Federal 
reviewers appointed by the IHS program to review and make 
recommendations on these applications. The technical review process 
ensures selection of quality projects in a national competition for 
limited funding. Incomplete applications and applications that are non-
responsive to the eligibility criteria will not be referred to the ORC. 
The applicant will be notified via email of this decision by the Grants 
Management Officer of the DGM. Applicants will be notified by DGM, via 
email, to outline minor missing components (i.e., budget narratives, 
audit documentation, key contact form) needed for an otherwise complete 
application. All missing documents must be sent to DGM on or before the 
due date listed in the email of notification of missing documents 
required.
    To obtain a minimum score for funding by the ORC, applicants must 
address all program requirements and provide all required 
documentation.

VI. Award Administration Information

1. Award Notices

    The Notice of Award (NoA) is a legally binding document signed by 
the Grants Management Officer and serves as the official notification 
of the grant award. The NoA will be initiated by the DGM in our grant 
system, GrantSolutions (https://www.grantsolutions.gov). Each entity 
that is approved for funding under this announcement will need to 
request or have a user account in GrantSolutions in order to retrieve 
their NoA. The NoA is the authorizing document for which funds are 
dispersed to the approved entities and reflects the amount of Federal 
funds awarded, the purpose of the grant, the terms and conditions of 
the award, the effective date of the award, and the budget/project 
period.
Disapproved Applicants
    Applicants who received a score less than the recommended funding 
level for approval, 70, and were deemed to be disapproved by the ORC, 
will receive an Executive Summary Statement from the IHS program office 
within 30 days of the conclusion of the ORC outlining the strengths and 
weaknesses of their application submitted. The summary statement will 
be sent to the Authorized Organizational Representative that is 
identified on the face page (SF-424) of the application. 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 2017, 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.


[[Page 14018]]



2. Administrative Requirements

    Grants are administered in accordance with the following 
regulations and policies:
    A. The criteria as outlined in this program announcement.
    B. Administrative Regulations for Grants:
     Uniform Administrative Requirements for HHS Awards, 
located at 45 CFR part 75.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' located at 45 CFR part 75, subpart E.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' located at 45 CFR part 75, subpart F.

3. Indirect Costs

    This section applies to all grant recipients that request 
reimbursement of indirect costs (IDC) in their grant application. In 
accordance with HHS Grants Policy Statement, Part II-27, IHS requires 
applicants to obtain a current IDC rate agreement prior to award. The 
rate agreement must be prepared in accordance with the applicable cost 
principles and guidance as provided by the cognizant agency or office. 
A current rate covers the applicable grant activities under the current 
award's budget period. If the current rate is not on file with the DGM 
at the time of award, the IDC portion of the budget will be restricted. 
The restrictions remain in place until the current rate is provided to 
the DGM.
    Generally, IDC rates for IHS grantees are negotiated with the 
Division of Cost Allocation (DCA) https://rates.psc.gov/ and the 
Department of Interior (Interior Business Center) https://www.doi.gov/ibc/services/finance/indirect-Cost-Services/indian-tribes. For 
questions regarding the indirect cost policy, please call the Grants 
Management Specialist listed under ``Agency Contacts'' or the main DGM 
office at (301) 443-5204.

4. Reporting Requirements

    The grantee must submit required reports consistent with the 
applicable deadlines. Failure to submit required reports within the 
time allowed may result in suspension or termination of an active 
grant, withholding of additional awards for the project, or other 
enforcement actions such as withholding of payments or converting to 
the reimbursement method of payment. Continued failure to submit 
required reports may result in one or both of the following: (1) The 
imposition of special award provisions; and (2) the non-funding or non-
award of other eligible projects or activities. This requirement 
applies whether the delinquency is attributable to the failure of the 
grantee organization or the individual responsible for preparation of 
the reports. Per DGM policy, all reports are required to be submitted 
electronically by attaching them as a ``Grant Note'' in GrantSolutions. 
Personnel responsible for submitting reports will be required to obtain 
a login and password for GrantSolutions. Please see the Agency Contacts 
list in section VII for the systems contact information.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required semi-annually, within 30 days 
after the budget period ends. These reports must include a brief 
comparison of actual accomplishments to the goals established for the 
period, a summary of progress to date or, if applicable, provide sound 
justification for the lack of progress, and other pertinent information 
as required. A final report must be submitted within 90 days of 
expiration of the budget/project period.
B. Financial Reports
    Federal Financial Report FFR (SF-425), Cash Transaction Reports are 
due 30 days after the close of every calendar quarter to the Payment 
Management Services, HHS at http://www.dpm.psc.gov. It is recommended 
that the applicant also send a copy of the FFR (SF-425) report to the 
Grants Management Specialist. Failure to submit timely reports may 
cause a disruption in timely payments to the organization.
    Grantees are responsible and accountable for accurate information 
being reported on all required reports: the Progress Reports and 
Federal Financial Report.
C. Federal Sub-Award Reporting System (FSRS)
    This award may be subject to the Transparency Act sub-award and 
executive compensation reporting requirements of 2 CFR part 170.
    The Transparency Act requires the OMB to establish a single 
searchable database, accessible to the public, with information on 
financial assistance awards made by Federal agencies. The Transparency 
Act also includes a requirement for recipients of Federal grants to 
report information about first-tier sub-awards and executive 
compensation under Federal assistance awards.
    IHS has implemented a Term of Award into all IHS Standard Terms and 
Conditions, NoAs and funding announcements regarding the FSRS reporting 
requirement. This IHS Term of Award is applicable to all IHS grant and 
cooperative agreements issued on or after October 1, 2010, with a 
$25,000 sub-award obligation dollar threshold met for any specific 
reporting period. Additionally, all new (discretionary) IHS awards 
(where the project period is made up of more than one budget period) 
and where: (1) The project period start date was October 1, 2010 or 
after and (2) the primary awardee will have a $25,000 sub-award 
obligation dollar threshold during any specific reporting period will 
be required to address the FSRS reporting.
    For the full IHS award term implementing this requirement and 
additional award applicability information, visit the DGM Grants Policy 
Web site at: http://www.ihs.gov/dgm/policytopics/.
D. 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

[[Page 14019]]

information about obligations and prohibitions under Federal civil 
rights laws at http://www.hhs.gov/ocr/about-us/contact-us/headquarters-and-regional-addresses/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.
E. 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 gratuity violations potentially affecting the Federal 
award.
    Submission is required for all applicants and recipients, in 
writing, to the IHS and to the HHS Office of Inspector General all 
information related to violations of Federal criminal law involving 
fraud, bribery, or gratuity violations potentially affecting the 
Federal award. 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, Mail Stop: 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/report-fraud/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 & 376 and 31 
U.S.C. 3321).

VII. Agency Contacts

    1. Questions on the programmatic issues may be directed to: Ms. 
Tina Tah, RN/BSN/MBA, Project Official/Indian Health Service, 5600 
Fishers Lane, Rockville, MD 20857, Phone: (301) 443-0038, Fax: (301) 
594-6213, E-Mail: [email protected].
    2. Questions on grants management and fiscal matters may be 
directed to:Vanietta Armstrong, Grants Management Specialist, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 443-
4792, Fax: (301) 594-0899, E-Mail: [email protected].
    3. Questions on systems matters may be directed to: Paul Gettys, 
Grant Systems Coordinator, 5600 Fishers Lane, Mail Stop: 09E70, 
Rockville, MD 20857, Phone: (301) 443-2114; or the DGM main line (301) 
443-5204, Fax: (301) 594-0899, E-Mail: [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, Pub. L. 103-
227, the Pro-Children Act of 1994, prohibits smoking in certain 
facilities (or in some cases, any portion of the facility) in which 
regular or routine education, library, day care, health care, or early 
childhood development services are provided to children. This is 
consistent with the HHS mission to protect and advance the physical and 
mental health of the American people.

    Dated: March 6, 2017.
Chris Buchanan,
Assistant Surgeon General, USPHS, Acting Director, Indian Health 
Service.
[FR Doc. 2017-05248 Filed 3-15-17; 8:45 am]
BILLING CODE 4165-16-P



                                                  14012                        Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices

                                                     Pursuant to 45 CFR 80.3(d), an                       the IHS and to the HHS Office of                      VIII. Other Information
                                                  individual shall not be deemed                          Inspector General all information                       The Public Health Service strongly
                                                  subjected to discrimination by reason of                related to violations of Federal criminal             encourages all cooperative agreement
                                                  his/her exclusion from benefits limited                 law involving fraud, bribery, or gratuity             and contract recipients to provide a
                                                  by Federal law to individuals eligible                  violations potentially affecting the                  smoke-free workplace and promote the
                                                  for benefits and services from the IHS.                 Federal award. 45 CFR 75.113.                         non-use of all tobacco products. In
                                                     Recipients will be required to sign the                Disclosures must be sent in writing to:             addition, Public Law 103–227, the Pro-
                                                  HHS–690 Assurance of Compliance
                                                                                                          U.S. Department of Health and Human                   Children Act of 1994, prohibits smoking
                                                  form which can be obtained from the
                                                                                                            Services, Indian Health Service,                    in certain facilities (or in some cases,
                                                  following Web site: http://www.hhs.gov/
                                                  sites/default/files/forms/hhs-690.pdf,                    Division of Grants Management,                      any portion of the facility) in which
                                                  and send it directly to the: U.S.                         ATTN: Robert Tarwater, Director,                    regular or routine education, library,
                                                  Department of Health and Human                            5600 Fishers Lane, Mail Stop: 09E70,                day care, health care, or early childhood
                                                  Services, Office of Civil Rights, 200                     Rockville, Maryland 20857 (Include                  development services are provided to
                                                  Independence Ave. SW., Washington,                        ‘‘Mandatory Grant Disclosures’’ in                  children. This is consistent with the
                                                  DC 20201.                                                 subject line) Ofc: (301) 443–5204, Fax:             HHS mission to protect and advance the
                                                                                                            (301) 594–0899, Email:                              physical and mental health of the
                                                  F. Federal Awardee Performance and                        Robert.Tarwater@ihs.gov.                            American people.
                                                  Integrity Information System (FAPIIS)                                                                           Dated: March 6, 2017.
                                                                                                          AND
                                                     The IHS is required to review and                                                                          RADM Chris Buchanan,
                                                  consider any information about the                      U.S. Department of Health and Human
                                                                                                                                                                Assistant Surgeon General, USPHS, Acting
                                                  applicant that is in the Federal Awardee                  Services, Office of Inspector General,              Director, Indian Health Service.
                                                  Performance and Integrity Information                     ATTN: Mandatory Grant Disclosures,
                                                                                                                                                                [FR Doc. 2017–05243 Filed 3–15–17; 8:45 am]
                                                  System (FAPIIS) before making any                         Intake Coordinator, 330 Independence
                                                                                                                                                                BILLING CODE 4165–16–P
                                                  award in excess of the simplified                         Avenue SW., Cohen Building, Room
                                                  acquisition threshold (currently                          5527, Washington, DC 20201, URL:
                                                  $150,000) over the period of                              http://oig.hhs.gov/fraud/report-fraud/
                                                                                                                                                                DEPARTMENT OF HEALTH AND
                                                  performance. An applicant may review                      index.asp (Include ‘‘Mandatory Grant
                                                                                                                                                                HUMAN SERVICES
                                                  and comment on any information about                      Disclosures’’ in subject line) Fax:
                                                  itself that a Federal awarding agency                     (202) 205–0604 (Include ‘‘Mandatory                 Indian Health Service
                                                  previously entered. IHS will consider                     Grant Disclosures’’ in subject line) or
                                                  any comments by the applicant, in                         Email:                                              [Funding Announcement Number: HHS–
                                                  addition to other information in FAPIIS                   MandatoryGranteeDisclosures@                        2017–IHS–PHN–0001: Catalog of Federal
                                                  in making a judgment about the                            oig.hhs.gov.                                        Domestic Assistance Number: 93.933]
                                                  applicant’s integrity, business ethics,                   Failure to make required disclosures
                                                  and record of performance under                         can result in any of the remedies                     Community Based Model of PHN Case
                                                  Federal awards when completing the                      described in 45 CFR 75.371 Remedies                   Management Services (Behavioral
                                                  review of risk posed by applicants as                   for noncompliance, including                          Health)
                                                  described in 45 CFR 75.205.                             suspension or debarment (See 2 CFR                    AGENCY: Division of Nursing, Public
                                                     As required by 45 CFR part 75                        parts 180 & 376 and 31 U.S.C. 3321).                  Health Nursing, Indian Health Service,
                                                  Appendix XII of the Uniform Guidance,                                                                         HHS.
                                                  non-federal entities (NFEs) are required                VII. Agency Contacts
                                                  to disclose in FAPIIS any information                      1. Questions on the programmatic                   Key Dates
                                                  about criminal, civil, and administrative               issues may be directed to: Ms. Carmen                 Application Deadline Date: May 15,
                                                  proceedings, and/or affirm that there is                Licavoli Hardin, Deputy Director,                       2017
                                                  no new information to provide. This                     Division of Diabetes Treatment and                    Review Date: May 26–June 5, 2017
                                                  applies to NFEs that receive Federal                    Prevention, Indian Health Service (HQ),               Earliest Anticipated Start Date: June 15,
                                                  awards (currently active grants,                        5600 Fishers Lane, Mail Stop: 08N34                     2017
                                                  cooperative agreements, and                             A&B, Rockville, MD 20857, Telephone:                  Proof of Non-Profit Due Date: May 15,
                                                  procurement contracts) greater than                     1–844–IHS–DDTP (1–844–447–3387),                        2017
                                                  $10,000,000 for any period of time                      Fax: 301–594–6213, Email address:
                                                  during the period of performance of an                                                                        I. Funding Opportunity Description
                                                                                                          diabetesprogram@ihs.gov.
                                                  award/project.                                                                                                Statutory Authority
                                                                                                             2. Questions on grants management
                                                  Mandatory Disclosure Requirements                       and fiscal matters may be directed to:                   The Indian Health Service (IHS)
                                                    As required by 2 CFR part 200 of the                  Donald Gooding, Senior Grants                         Office of Clinical and Preventive
                                                  Uniform Guidance, and the HHS                           Management Specialist, 5600 Fishers                   Services (OCPS), Division of Nursing
                                                  implementing regulations at 45 CFR part                 Lane, Mail Stop: 09E70, Rockville, MD                 Services/Public Health Nursing (PHN),
                                                  75, effective January 1, 2016, the IHS                  20857, Telephone: 301–443–2298, Fax:                  is accepting applications for grant
                                                  must require a non-federal entity or an                 301–594–0899, Email address:                          awards for the Community Based Model
                                                  applicant for a Federal award to                        Donald.Gooding@ihs.gov.                               of PHN Case Management Services
                                                  disclose, in a timely manner, in writing                   3. Questions on systems matters may                (Behavioral Health). This program is
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                                                  to the IHS or pass-through entity all                   be directed to: Paul Gettys, Grant                    authorized under the Snyder Act, 25
                                                  violations of Federal criminal law                      Systems Coordinator, 5600 Fishers                     U.S.C. 13; the Transfer Act, 42 U.S.C.
                                                  involving fraud, bribery, or gratuity                   Lane, Mail Stop: 09E70, Rockville, MD                 2011; the Public Health Service Act, as
                                                  violations potentially affecting the                    20857, Phone: 301–443–2114; or the                    amended, 42 U.S.C. 241; and the Indian
                                                  Federal award.                                          DGM main line 301–443–5204, Fax:                      Health Care Improvement Act, as
                                                    Submission is required for all                        301–594–0899, Email: Paul.Gettys@                     amended, (IHCIA), 25 U.S.C. 1653(c).
                                                  applicants and recipients, in writing, to               ihs.gov.                                              This program is described in the Catalog


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                                                                               Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices                                             14013

                                                  of Federal Domestic Assistance (CFDA)                   worth in terms of improving                           model available to replicate to target the
                                                  under 93.933.                                           rehabilitation, improving quality of life,            identified high risk behavioral health
                                                                                                          increasing client satisfaction and                    population (such as the Pine Ridge PHN
                                                  Background
                                                                                                          compliance by promoting client self-                  Case Management community suicide
                                                     The IHS OCPS PHN Program serves as                   determination. The PHN model of                       prevention program or the Resources to
                                                  the primary source for national                         community based case management                       Enhance All Caregiver’s Health, REACH,
                                                  advocacy, policy development, budget                    utilizes roles and functions of PHN                   into Indian Country). Obtain additional
                                                  development, and allocation for the                     services of assessment, planning,                     staff training needed for the community
                                                  PHN programs for the IHS. The IHS                       coordinating services, communication                  based nurse case management model
                                                  PHN Program is a community health                       and monitoring. The goals and                         such as evidence based practices,
                                                  nursing program that focuses on the                     outcomes of the PHN case management                   motivational interviewing, nurse
                                                  goals of promoting health and quality of                model are early detection, diagnosis,                 competencies and any other training
                                                  life, and preventing disease and                        treatment and evaluation that will                    that would be applicable to the
                                                  disability. The PHN program provides                    improve health outcomes in a cost                     behavioral health issues identified.
                                                  quality, culturally sensitive health                    effective manner. This model utilizes all             Identify or develop patient education
                                                  promotion and disease prevention                        prevention components of primary,                     materials and community education
                                                  nursing services through primary,                       secondary and tertiary prevention in the              materials for the program. Develop
                                                  secondary and tertiary prevention                       home and community with patient and                   plans for project sustainability.
                                                  services to individuals, families, and                  family. The community based case                         Third Phase: Implementation—The
                                                  community groups. The PHN Program                       management model addresses the PHN                    case management program includes
                                                  supports population-focused services to                 scope of practice of working with                     admission criteria of the high risk
                                                  promote healthier communities through                   individuals and families in a                         behavioral health population, caseload
                                                  community based nursing services,                       population-based practice to provide                  size, and appropriate health care
                                                  community development, and health                       nursing care services. This project will              standards. Establish patient caseload.
                                                  promotion and/or disease prevention                     focus on a PHN community based case                   Monitor progress and make adjustments
                                                  activities. The PHN Program promotes                    management model. The project will be                 as needed. Track patient data outcomes.
                                                  the establishment of program plans                      conducted in a phased approach, using                 Continue to plan ongoing sustainability
                                                  based on community assessments and                      the nursing process—assessment,                       of the program after the award period
                                                  evaluations to prevent disease, promote                 planning, implementation, and                         ends.
                                                  health, and implement community                         evaluation.                                              Fourth Phase: Patient Satisfaction—In
                                                  based programs. There is an emphasis                       First Phase: Assessment—Complete a                 order to evaluate program services;
                                                  on screening, home visits,                              generic community assessment (most                    initiate a patient satisfaction program,
                                                  immunizations, maternal-child health                    PHN programs have this readily                        such as one that provides patients with
                                                  care, elder care, chronic disease, school               available as a part of their annual                   an opportunity to provide feedback on
                                                  services, health promotion and disease                  program plans). Include, if available,                their experiences to assess the
                                                  prevention, case management,                            pertinent data from local community                   satisfaction of the services. Analyze
                                                  population based services and                           assessments and behavioral health                     findings so a concentrated effort is made
                                                  community disease surveillance. The                     statistical data in the assessment;                   to relate the customer satisfaction
                                                  PHN Program is available to support                     include the local behavioral health staff             results to internal process metrics, and
                                                  transitions of care from the clinical                   as subject matter experts and any data                examine trends over time in order to
                                                  setting into the community with an                      available. In addition, obtain input from             take action on a timely basis. Evaluate
                                                  emphasis on the clinical, preventive,                   key stake-holders such as community                   and revise the case management
                                                  and public health needs of American                     members, Tribal leaders, healthcare                   program if needed, review policies and
                                                  Indian/Alaska Native (AI/AN)                            administration and community health                   procedures, education materials and
                                                  communities and developing, managing,                   groups to determine the health care                   staff competencies semi-annually. To
                                                  and administering such program.                         priorities. Obtain approval for the
                                                                                                                                                                the extent permitted by law, report back
                                                  Purpose                                                 establishment of the PHN case
                                                                                                                                                                to key stake-holders progress of the
                                                                                                          management program from the
                                                    The purpose of this IHS grant                                                                               project, especially to inform clients
                                                                                                          healthcare administration, governing
                                                  announcement is to improve specific                                                                           about changes brought about as a direct
                                                                                                          boards and medical executive
                                                  behavioral health outcomes of an                                                                              result of listening to their needs. Each
                                                                                                          committees as needed.
                                                  identified high risk group of patients                     Second Phase: Planning—Based on                    site will share program material with
                                                  through a case management model that                    the community assessment, the high                    IHS Headquarters PHN program. This
                                                  utilizes the PHN as a case manager. The                 risk behavioral health population is                  information will be shared IHS-wide for
                                                  emphasis is on reducing the prevalence                  identified and the planning of the case               replication of the project across IHS
                                                  and incidence of behavioral health                      management project begins. Develop                    with credit given to the organization
                                                  diseases and conditions and to support                  case management services addressing                   that developed the material. Poster
                                                  the efforts of AI/AN communities                        the behavioral health priority health                 presentation or oral presentation will be
                                                  toward achieving excellence in holistic                 issues identified from the community                  given at the national meetings and/or
                                                  behavioral health treatment,                            assessment. Collaborate with the local                webinars.
                                                  rehabilitation, and prevention services                 behavioral health programs on planning                II. Award Information
                                                  for individuals and their families. Case                in this phase. Plan specific guidelines
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                                                  management involves the client, family,                 for the case management services of the               Type of Award
                                                  and other members of the health care                    high risk group of patients such as                     Grant.
                                                  team. Quality of care, continuity, and                  admission criteria, caseload size,
                                                  assurance of appropriate and timely                     policies and procedures, and an                       Estimated Funds Available
                                                  interventions are also crucial. In                      evaluation plan to include data tracking                The total amount of funding
                                                  addition to reducing the cost of health                 for outcomes generated. Identify if there             identified for the current fiscal year (FY)
                                                  care, case management has proven its                    is a best practice case management                    2017 is approximately $1,500,000.


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                                                  14014                        Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices

                                                  Individual award amounts are                            the ‘‘Estimated Funds Available’’                        Æ Email confirmation from Federal
                                                  anticipated to be between $124,000 and                  section within this funding                           Audit Clearinghouse (FAC) that audits
                                                  $150,000. The amount of funding                         announcement, the application will be                 were submitted; or
                                                  available for competing and                             considered ineligible and will not be                    Æ Face sheets from audit reports.
                                                  continuation awards issued under this                   reviewed for further consideration. If                These can be found on the FAC Web
                                                  announcement are subject to the                         deemed ineligible, IHS will not return                site: https://harvester.census.gov/
                                                  availability of appropriations and                      the application. The applicant will be                facdissem/Main.aspx.
                                                  budgetary priorities of the Agency. The                 notified by email by the Division of
                                                  IHS is under no obligation to make                      Grants Management (DGM) of this                       Public Policy Requirements
                                                  awards that are selected for funding                    decision.                                               All Federal-wide public policies
                                                  under this announcement.                                                                                      apply to IHS grants and cooperative
                                                                                                          IV. Application and Submission
                                                  Anticipated Number of Awards                            Information                                           agreements with exception of the
                                                     Approximately ten awards will be                                                                           discrimination policy.
                                                                                                          1. Obtaining Application Materials
                                                  issued under this program                                                                                     Requirements for Project and Budget
                                                  announcement.                                             The application package and detailed                Narratives
                                                                                                          instructions for this announcement can
                                                  Project Period                                          be found at http://www.Grants.gov or                     A. Project Narrative: This narrative
                                                    The project period is for five years                  http://www.ihs.gov/dgm/funding/.                      should be a separate Word document
                                                  and will run consecutively from June 1,                   Questions regarding the electronic                  that is no longer than ten pages and
                                                  2017 to May 31, 2022.                                   application process may be directed to                must: Be single-spaced, type written,
                                                                                                          Mr. Paul Gettys at (301) 443–2114 or                  have consecutively numbered pages, use
                                                  III. Eligibility Information                            (301) 443–5204.                                       black type not smaller than 12 points,
                                                  I.                                                                                                            and be printed on one side only of
                                                                                                          2. Content and Form Application
                                                  1. Eligibility                                          Submission                                            standard size 81⁄2″ x 11″ paper.
                                                     To be eligible under this ‘‘New                                                                               Be sure to succinctly answer all
                                                                                                            The applicant must include the                      questions listed under the evaluation
                                                  Announcement’’, applicants must be                      project narrative as an attachment to the
                                                  one of the following as defined by 25                                                                         criteria (refer to Section V.1, Evaluation
                                                                                                          application package. Mandatory                        criteria in this announcement) and place
                                                  U.S.C. 1603:                                            documents for all applicants include:
                                                     • A Federally-recognized Indian                                                                            all responses and required information
                                                                                                            • Table of contents.                                in the correct section (noted below), or
                                                  Tribe 25 U.S.C. 1603(14); operating an                    • Abstract (one page) summarizing
                                                  Indian health program operated                                                                                they will not be considered or scored.
                                                                                                          the project.                                          These narratives will assist the
                                                  pursuant to a contract, grant,                            • Application forms:
                                                  cooperative agreement, or compact with                                                                        Objective Review Committee (ORC) in
                                                                                                            Æ SF–424, Application for Federal                   becoming familiar with the applicant’s
                                                  IHS pursuant to the Indian Self-                        Assistance.
                                                  Determination and Education                                                                                   activities and accomplishments prior to
                                                                                                            Æ SF–424A, Budget Information—
                                                  Assistance Act (ISDEAA), (Pub. L. 93–                                                                         this possible grant award. If the
                                                                                                          Non-Construction Programs.
                                                  638).                                                                                                         narrative exceeds the page limit, only
                                                                                                            Æ SF–424B, Assurances—Non-
                                                     • A Tribal organization 25 U.S.C.                    Construction Programs.
                                                                                                                                                                the first 10 pages will be reviewed. The
                                                  1603(26); operating an Indian health                                                                          10-page limit for the narrative does not
                                                                                                            • Budget Justification and Narrative
                                                  program operated pursuant to as                                                                               include the work plan, standard forms,
                                                                                                          (must be single-spaced and not exceed
                                                  contract, grant, cooperative agreement,                                                                       Tribal resolutions, table of contents,
                                                                                                          5 pages).
                                                  or compact with the IHS pursuant to the                                                                       budget, budget justifications, narratives,
                                                                                                            • Project Narrative (must be single-
                                                  ISDEAA, (Pub. L. 93–638).                                                                                     and/or other appendix items.
                                                                                                          spaced and not exceed ten pages).
                                                     • An Urban Indian organization as                                                                             There are three parts to the narrative:
                                                                                                            Æ Background information on the
                                                  defined by 25 U.S.C. 1603(29).                                                                                Part A—Program Information; Part B—
                                                                                                          organization.
                                                  Operating a Title V Urban Indian health                                                                       Program Planning and Evaluation; and
                                                                                                            Æ Proposed scope of work, objectives,
                                                  program that currently has a grant or                                                                         Part C—Program Report. See below for
                                                                                                          and activities that provide a description
                                                  contract with the IHS under Title V of                                                                        additional details about what must be
                                                                                                          of what will be accomplished, including
                                                  the Indian Health Care Improvement                                                                            included in the narrative.
                                                                                                          a one-page Timeframe Chart.
                                                  Act, (Pub. L. 93–437). Applicants must
                                                                                                            • 501(c)(3) Certificate (if applicable).               The page limitations below are for
                                                  provide proof of non-profit status with
                                                  the application, e.g. 501(c)(3).                          • Biographical sketches for all Key                 each narrative and budget submitted.
                                                                                                          Personnel.                                            Part A: Program Information (3 Pages)
                                                    Note: Please refer to Section IV.2                      • Contractor/Consultant resumes or
                                                  (Application and Submission Information/                qualifications and scope of work.                     Section 1: Needs. Describe how the
                                                  Subsection 2, Content and Form of
                                                  Application Submission) for additional proof              • Disclosure of Lobbying Activities                   applicant has determined it has the
                                                  of applicant status documents required, such            (SF–LLL).                                               administrative infrastructure to
                                                  as Tribal resolutions, proof of non-profit                • Certification Regarding Lobbying                    support the activities to implement a
                                                  status, etc.                                            (GG-Lobbying Form).                                     PHN (Behavioral Health) Case
                                                                                                            • Copy of current Negotiated Indirect                 Management Program and evaluate
                                                  2. Cost Sharing or Matching                             Cost rate (IDC) agreement (required in                  and sustain it. Explain the previous
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                                                     The IHS does not require matching                    order to receive IDC).                                  planning activities the applicant has
                                                  funds or cost sharing for grants or                       • Organizational Chart (optional).                    completed relevant to this or similar
                                                  cooperative agreements.                                   • Documentation of current Office of                  goals. Describe any internal
                                                                                                          Management and Budget (OMB)                             relationships or collaborative
                                                  3. Other Requirements                                   Financial Audit (if applicable).                        relationships with behavioral health
                                                     If application budgets exceed the                      Acceptable forms of documentation                     subject matter experts to support this
                                                  highest dollar amount outlined under                    include:                                                activity.


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                                                                               Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices                                             14015

                                                  Part B: Program Planning and                            Grants.gov Customer Support via email                 application. A copy of the written
                                                  Evaluation (5 Pages)                                    to support@grants.gov or at (800) 518–                approval must be submitted along with
                                                  Section 1: Program Plans. Describe fully                4726. Customer Support is available to                the hardcopy of the application that is
                                                    and clearly the direction the applicant               address questions 24 hours a day, 7 days              mailed to DGM. Paper applications that
                                                    plans to take in the PHN Case                         a week (except on Federal holidays). If               are submitted without a copy of the
                                                    Management Program, including                         problems persist, contact Mr. Gettys                  signed waiver from the Director of the
                                                    plans to demonstrate improved                         (Paul.Gettys@ihs.gov), DGM Grant                      DGM will not be reviewed or considered
                                                    behavioral health outcomes of the                     Systems Coordinator, by telephone at                  for funding. The applicant will be
                                                    identified high risk group of patients                (301) 443–2114 or (301) 443–5204.                     notified via email of this decision by the
                                                                                                          Please be sure to contact Mr. Gettys at               Grants Management Officer of the DGM.
                                                    and services to the community it
                                                                                                          least ten days prior to the application               Paper applications must be received by
                                                    serves. Include proposed timelines.
                                                                                                          deadline. Please do not contact the DGM               the DGM no later than 5:00 p.m., EDT,
                                                  Section 2: Program Evaluation. Describe                                                                       on the Application Deadline Date listed
                                                                                                          until you have received a Grants.gov
                                                    fully and clearly the improvements                                                                          in the Key Dates section on page one of
                                                                                                          tracking number. In the event you are
                                                    that will be made by the applicant to                                                                       this announcement. Late applications
                                                                                                          not able to obtain a tracking number,
                                                    manage the PHN Case Management                                                                              will not be accepted for processing or
                                                                                                          call the DGM as soon as possible.
                                                    Program and identify the anticipated                                                                        considered for funding. Applicants that
                                                    or expected benefits for the Tribe and                4. Intergovernmental Review                           do not adhere to the timelines for
                                                    AI/AN people served.                                     Executive Order 12372 requiring                    System for Award Management (SAM)
                                                  Part C: Program Report (2 Pages)                        intergovernmental review is not                       and/or http://www.Grants.gov
                                                                                                          applicable to this program.                           registration or that fail to request timely
                                                  Section 1: Describe major
                                                                                                                                                                assistance with technical issues will not
                                                    accomplishments over the last 24                      5. Funding Restrictions
                                                                                                                                                                be considered for a waiver to submit a
                                                    months. Identify and describe                            • Pre-award costs are not allowable.               paper application.
                                                    significant program achievements                         • The available funds are inclusive of                Please be aware of the following:
                                                    associated with the delivery of quality               direct and appropriate indirect costs.                   • Please search for the application
                                                    health care services or outreach                         • Only one grant/cooperative                       package in http://www.Grants.gov by
                                                    services in the past 24 months as a                   agreement will be awarded per                         entering the CFDA number or the
                                                    part of implementing previous grant                   applicant.                                            Funding Opportunity Number. Both
                                                    awards, cooperative agreements or                        • IHS will not acknowledge receipt of              numbers are located in the header of
                                                    other related activities. Provide a                   applications.                                         this announcement.
                                                    comparison of the actual
                                                                                                          6. Electronic Submission Requirements                    • If you experience technical
                                                    accomplishments to the goals                                                                                challenges while submitting your
                                                    established for the project period, or                   All applications must be submitted                 application electronically, please
                                                    if applicable, provide justification for              electronically. Please use the http://                contact Grants.gov Support directly at:
                                                    the lack of progress.                                 www.Grants.gov Web site to submit an                  support@grants.gov or (800) 518–4726.
                                                  Section 2: Describe major activities over               application electronically and select the             Customer Support is available to
                                                    the last 24 months. Please identify                   ‘‘Find Grant Opportunities’’ link on the              address questions 24 hours a day, 7 days
                                                    and summarize recent major health                     homepage. Download a copy of the                      a week (except on Federal holidays).
                                                    related project activities and the work               application package, complete it offline,                • Upon contacting Grants.gov, obtain
                                                    done during the project period.                       and then upload and submit the                        a tracking number as proof of contact.
                                                                                                          completed application via the http://                 The tracking number is helpful if there
                                                  B. Budget Narrative: (5 Pages)                          www.Grants.gov Web site. Electronic                   are technical issues that cannot be
                                                     This narrative must include a line                   copies of the application may not be                  resolved and a waiver from the agency
                                                  item budget with a narrative                            submitted as attachments to email                     must be obtained.
                                                  justification for all expenditures                      messages addressed to IHS employees or                   • Applicants are strongly encouraged
                                                  identifying reasonable allowable,                       offices.                                              not to wait until the deadline date to
                                                  allocable costs necessary to accomplish                    If the applicant needs to submit a                 begin the application process through
                                                  the goals and objectives as outlined in                 paper application instead of submitting               Grants.gov as the registration process for
                                                  the project narrative. Budget should                    electronically through Grants.gov, a                  SAM and Grants.gov could take up to
                                                  match the scope of work described in                    waiver must be requested. Prior                       fifteen working days.
                                                  the project narrative.                                  approval must be requested and                           • Please use the optional attachment
                                                                                                          obtained from Mr. Robert Tarwater,                    feature in Grants.gov to attach
                                                  3. Submission Dates and Times                           Director, DGM, (see Section IV.6 below                additional documentation that may be
                                                    Applications must be submitted                        for additional information). A written                requested by the DGM.
                                                  electronically through Grants.gov by                    waiver request must be sent to                           • All applicants must comply with
                                                  11:59 p.m. Eastern Daylight Time (EDT)                  GrantsPolicy@ihs.gov with a copy to                   any page limitation requirements
                                                  on the Application Deadline Date listed                 Robert.Tarwater@ihs.gov. The waiver                   described in this funding
                                                  in the Key Dates section on page one of                 must (1) be documented in writing                     announcement.
                                                  this announcement. Any application                      (emails are acceptable), before                          • After electronically submitting the
                                                  received after the application deadline                 submitting a paper application, and (2)               application, the applicant will receive
                                                  will not be accepted for processing, nor                include clear justification for the need              an automatic acknowledgment from
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                                                  will it be given further consideration for              to deviate from the required electronic               Grants.gov that contains a Grants.gov
                                                  funding. Grants.gov will notify the                     grants submission process.                            tracking number. The DGM will
                                                  applicant via email if the application is                  Once the waiver request has been                   download the application from
                                                  rejected.                                               approved, the applicant will receive a                Grants.gov and provide necessary copies
                                                    If technical challenges arise and                     confirmation of approval email                        to the appropriate agency officials.
                                                  assistance is required with the                         containing submission instructions and                Neither the DGM nor the Division of
                                                  electronic application process, contact                 the mailing address to submit the                     Nursing/Public Health Nursing will


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                                                  14016                        Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices

                                                  notify the applicant that the application               evaluation criteria for reviewing and                 should describe plans to collect or
                                                  has been received.                                      scoring the application. Weights                      summarize evaluation information
                                                    • Email applications will not be                      assigned to each section are noted in                 about all project activities. Please
                                                  accepted under this announcement.                       parentheses. The ten page narrative                   address the following for each of the
                                                  Dun and Bradstreet (D&B) Data                           should include only the first year of                 proposed objectives:
                                                  Universal Numbering System (DUNS)                       activities; information for multi-year                   (1) Describe the community
                                                                                                          projects should be included as an                     assessment results and what data will be
                                                     All IHS applicants and grantee                       appendix. See ‘‘Multi-year Project                    selected to evaluate the success of the
                                                  organizations are required to obtain a                  Requirements’’ at the end of this section             objective(s).
                                                  DUNS number and maintain an active                      for more information. The narrative                      (2) Describe how the data and patient
                                                  registration in the SAM database. The                   section should be written in a manner                 satisfaction information will be
                                                  DUNS number is a unique 9-digit                         that is clear to outside reviewers                    collected to assess the programs
                                                  identification number provided by D&B                   unfamiliar with prior related activities              objective(s) (e.g., methods used such as,
                                                  which uniquely identifies each entity.                  of the applicant. It should be well                   but not limited to, providing
                                                  The DUNS number is site specific;                       organized, succinct, and contain all                  mechanisms for patients to provide
                                                  therefore, each distinct performance site               information necessary for reviewers to                feedback on their experiences).
                                                  may be assigned a DUNS number.                          understand the project fully. Points will                (3) Identify when the data will be
                                                  Obtaining a DUNS number is easy, and                    be assigned to each evaluation criteria               collected and the data analysis
                                                  there is no charge. To obtain a DUNS                    adding up to a total of 100 points. A                 completed.
                                                  number, you may access it through                       minimum score of 70 points is required                   (4) Describe the extent to which there
                                                  http://fedgov.dnb.com/webform, or to                    for funding. Points are assigned as                   are specific data sets, data bases or
                                                  expedite the process, call (866) 705–                   follows:                                              registries already in place to measure/
                                                  5711.                                                                                                         monitor meeting objective.
                                                     All HHS recipients are required by the               1. Criteria
                                                                                                                                                                   (5) Describe who will collect the data
                                                  Federal Funding Accountability and                      A. Introduction and Need for Assistance               and any cost of the evaluation (whether
                                                  Transparency Act of 2006, as amended                    (5 Points)                                            internal or external)?
                                                  (‘‘Transparency Act’’), to report
                                                                                                            (1) Provide demographic information,                   (6) Describe where, when and to
                                                  information on sub-awards.
                                                                                                          prevalence rates of behavioral health                 whom the data will be presented (only
                                                  Accordingly, all IHS grantees must
                                                                                                          disease, and baseline health data to                  to the extent permitted by law, the data
                                                  notify potential first-tier sub-recipients
                                                                                                          substantiate the case management for                  to be reported back to key stakeholders
                                                  that no entity may receive a first-tier
                                                                                                          the high risk group of patients.                      on the progress of the project, especially
                                                  sub-award unless the entity has
                                                                                                            (2) Describe how data collection will               to inform clients about changes brought
                                                  provided its DUNS number to the prime
                                                                                                          support the stated project objectives and             about as a direct result of listening to
                                                  grantee organization. This requirement
                                                                                                          how it will support the project                       their needs).
                                                  ensures the use of a universal identifier
                                                                                                          evaluation in order to determine the                     (7) Address anticipated obstacles to
                                                  to enhance the quality of information
                                                                                                          impact of the project. Address how the                the success of the proposal such as
                                                  available to the public pursuant to the
                                                                                                          proposed project will result in                       underlying causes and the nature of
                                                  Transparency Act.
                                                                                                          behavioral health improvements.                       their influence on accomplishing the
                                                  System for Award Management (SAM)                                                                             objectives.
                                                                                                          B. Project Objective(s), Work Plan and                   (8) Describe how the community
                                                     Organizations that were not registered               Approach (35 Points)
                                                  with Central Contractor Registration and                                                                      assessment will be used to identify high
                                                  have not registered with SAM will need                  (1) Goals and Objectives (15 Points)                  risk group of patient(s).
                                                  to obtain a DUNS number first and then                    i. Establish two to three measurable                   (9) Describe the process that will be
                                                  access the SAM online registration                      objectives within a plan that will                    used to follow-up on the PHN Case
                                                  through the SAM home page at https://                   provide outcome. Goals/Objectives                     Management Project findings/
                                                  www.sam.gov (U.S. organizations will                    should be specific with measurable                    conclusions.
                                                  also need to provide an Employer                        outcome and a realistic timeline.                     D. Organizational Capabilities, Key
                                                  Identification Number from the Internal                                                                       Personnel and Qualifications (25 Points)
                                                  Revenue Service that may take an                        (2) Methodology/Activities (20 Points)
                                                  additional 2–5 weeks to become active).                   i. Describe the activities that will be                This section outlines the broader
                                                  Completing and submitting the                           implemented in a work plan to meet the                capacity of the organization to complete
                                                  registration takes approximately one                    objectives. The work plan should be                   the project outlined in the work plan. It
                                                  hour to complete and SAM registration                   directly related to the objectives.                   includes the identification of personnel
                                                  will take 3–5 business days to process.                   ii. Describe how you will monitor the               responsible for completing tasks and the
                                                  Registration with the SAM is free of                    objectives (chart reviews, patient                    chain of responsibility for successful
                                                  charge. Applicants may register online                  comments/feedback, data collection                    completion of the project outlined in the
                                                  at https://www.sam.gov.                                 tools, etc.).                                         work plan.
                                                     Additional information on                              iii. Describe any collaborative efforts                (1) Describe the organizational
                                                  implementing the Transparency Act,                      with any programs outside of PHN or                   structure.
                                                  including the specific requirements for                 your local behavioral health program.                    (2) Describe what equipment and
                                                                                                                                                                facility space (i.e., office space) will be
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                                                  DUNS and SAM, can be found on the
                                                                                                          C. Program Evaluation (20 Points)                     available for use during the proposed
                                                  IHS Grants Management, Grants Policy
                                                  Web site: http://www.ihs.gov/dgm/                         Describe the methods for evaluating                 project. Include information about any
                                                  policytopics/.                                          the project activities. Each proposed                 equipment not currently available that
                                                                                                          project objective should have an                      will be purchased throughout the
                                                  V. Application Review Information                       evaluation component and the                          agreement.
                                                    The instructions for preparing the                    evaluation activities should appear on                   (3) List key personnel who will work
                                                  application narrative also constitute the               the work plan. At a minimum, projects                 on the project.


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                                                                               Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices                                               14017

                                                     i. Identify staffing plan, existing                    (4) Budget justifications should                    address all program requirements and
                                                  personnel and new program staff to be                   include a brief narrative for the second              provide all required documentation.
                                                  hired.                                                  year.
                                                                                                            (5) If indirect costs are claimed,                  VI. Award Administration Information
                                                     ii. In the appendix, include position
                                                  descriptions and resumes for all key                    indicate and apply the current                        1. Award Notices
                                                  personnel. Position descriptions should                 negotiated rate to the budget. Include a
                                                  clearly describe each position and                      copy of the rate agreement in the                        The Notice of Award (NoA) is a
                                                  duties indicating desired qualifications,               appendix.                                             legally binding document signed by the
                                                  experience, and requirements related to                 Multi-Year Project Requirements                       Grants Management Officer and serves
                                                  the proposed project and how they will                                                                        as the official notification of the grant
                                                                                                            Projects requiring a second, third,                 award. The NoA will be initiated by the
                                                  be supervised. Resumes must indicate
                                                                                                          fourth, and/or fifth year must include a              DGM in our grant system,
                                                  that the proposed staff member is
                                                                                                          brief project narrative and budget (one               GrantSolutions (https://
                                                  qualified to carry out the proposed
                                                                                                          additional page per year) addressing the              www.grantsolutions.gov). Each entity
                                                  project activities and who will
                                                                                                          developmental plans for each additional               that is approved for funding under this
                                                  determine if the work of a contractor is
                                                                                                          year of the project.                                  announcement will need to request or
                                                  acceptable.
                                                     iii. If the project requires additional              Additional Documents Can Be                           have a user account in GrantSolutions
                                                  personnel beyond those covered by the                   Uploaded as Appendix Items in                         in order to retrieve their NoA. The NoA
                                                  grant award, (i.e., Information                         Grants.gov                                            is the authorizing document for which
                                                  Technology support, volunteers,                            • Work plan, logic model and/or time               funds are dispersed to the approved
                                                  interviewers, etc.), note these and                     line for proposed objectives.                         entities and reflects the amount of
                                                  address how these positions will be                        • Position descriptions for key staff.             Federal funds awarded, the purpose of
                                                  filled and, if funds are required, the                     • Resumes of key staff that reflect                the grant, the terms and conditions of
                                                  source of these funds.                                  current duties.                                       the award, the effective date of the
                                                     iv. If personnel are to be only partially               • Consultant or contractor proposed                award, and the budget/project period.
                                                  funded by this grant, indicate the                      scope of work and letter of commitment
                                                                                                                                                                Disapproved Applicants
                                                  percentage of time to be allocated to this              (if applicable).
                                                  project and identify the resources used                    • Current Indirect Cost Agreement.                    Applicants who received a score less
                                                  to fund the remainder of the                               • Organizational chart.                            than the recommended funding level for
                                                                                                             • Map of area identifying project
                                                  individual’s salary.                                                                                          approval, 70, and were deemed to be
                                                                                                          location(s).
                                                     (4) Capability                                          • Additional documents to support                  disapproved by the ORC, will receive an
                                                     i. Briefly describe the facility and user            narrative (i.e. data tables, key news                 Executive Summary Statement from the
                                                  population.                                             articles, etc.).                                      IHS program office within 30 days of the
                                                     ii. Describe the organization’s ability                                                                    conclusion of the ORC outlining the
                                                                                                          2. Review and Selection                               strengths and weaknesses of their
                                                  to conduct this initiative through
                                                  linkages to community resources:                           Each application will be prescreened               application submitted. The summary
                                                  partnerships established to refer out for               by the DGM staff for eligibility and                  statement will be sent to the Authorized
                                                  additional services as needed for                       completeness as outlined in the funding               Organizational Representative that is
                                                  specialized treatment, care, and                        announcement. Applications that meet                  identified on the face page (SF–424) of
                                                  counseling services.                                    the eligibility criteria shall be reviewed            the application. The IHS program office
                                                                                                          for merit by the ORC based on                         will also provide additional contact
                                                  D. Categorical Budget and Budget                        evaluation criteria in this funding                   information as needed to address
                                                  Justification (15 Points)                               announcement. The ORC could be                        questions and concerns as well as
                                                    Provide a clear estimate of the project               composed of both Tribal and Federal                   provide technical assistance if desired.
                                                  program costs and justification for                     reviewers appointed by the IHS program
                                                                                                          to review and make recommendations                    Approved But Unfunded Applicants
                                                  expenses for the entire grant period. The
                                                  budget and budget justification should                  on these applications. The technical                     Approved but unfunded applicants
                                                  be consistent with the tasks identified in              review process ensures selection of                   that met the minimum scoring range
                                                  the work plan. The budget focus should                  quality projects in a national                        and were deemed by the ORC to be
                                                  be on developing and sustaining PHN                     competition for limited funding.                      ‘‘Approved’’, but were not funded due
                                                  case management services as well as                     Incomplete applications and
                                                                                                                                                                to lack of funding, will have their
                                                  supporting retention into care.                         applications that are non-responsive to
                                                                                                                                                                applications held by DGM for a period
                                                                                                          the eligibility criteria will not be
                                                    (1) A categorical budget (Form SF                                                                           of one year. If additional funding
                                                                                                          referred to the ORC. The applicant will
                                                  424A, Budget Information Non-                                                                                 becomes available during the course of
                                                                                                          be notified via email of this decision by
                                                  Construction Programs) completing each                                                                        FY 2017, the approved but unfunded
                                                                                                          the Grants Management Officer of the
                                                  of the budget periods is requested.                     DGM. Applicants will be notified by                   application may be re-considered by the
                                                    (2) Budget narrative that serves as                   DGM, via email, to outline minor                      awarding program office for possible
                                                  justification for all costs, explaining                 missing components (i.e., budget                      funding. The applicant will also receive
                                                  why each line item is necessary or                      narratives, audit documentation, key                  an Executive Summary Statement from
                                                  relevant to the proposed project. Include                                                                     the IHS program office within 30 days
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                                                                                                          contact form) needed for an otherwise
                                                  sufficient details to facilitate the                    complete application. All missing                     of the conclusion of the ORC.
                                                  determination of allowable costs.                       documents must be sent to DGM on or                     Note: Any correspondence other than the
                                                    (3) Provide a succinct description of                 before the due date listed in the email               official NoA signed by an IHS Grants
                                                  specific roles and activities of each                   of notification of missing documents                  Management Official announcing to the
                                                  person involved in the proposed project                 required.                                             Project Director that an award has been made
                                                  and their ability to perform in that                       To obtain a minimum score for                      to their organization is not an authorization
                                                  capacity.                                               funding by the ORC, applicants must                   to implement their program on behalf of IHS.



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                                                  14018                        Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices

                                                  2. Administrative Requirements                          payment. Continued failure to submit                  tier sub-awards and executive
                                                     Grants are administered in accordance                required reports may result in one or                 compensation under Federal assistance
                                                  with the following regulations and                      both of the following: (1) The                        awards.
                                                                                                          imposition of special award provisions;                  IHS has implemented a Term of
                                                  policies:
                                                                                                          and (2) the non-funding or non-award of               Award into all IHS Standard Terms and
                                                     A. The criteria as outlined in this
                                                                                                          other eligible projects or activities. This           Conditions, NoAs and funding
                                                  program announcement.
                                                                                                          requirement applies whether the                       announcements regarding the FSRS
                                                     B. Administrative Regulations for
                                                                                                          delinquency is attributable to the failure            reporting requirement. This IHS Term of
                                                  Grants:                                                                                                       Award is applicable to all IHS grant and
                                                     • Uniform Administrative                             of the grantee organization or the
                                                                                                          individual responsible for preparation                cooperative agreements issued on or
                                                  Requirements for HHS Awards, located                                                                          after October 1, 2010, with a $25,000
                                                  at 45 CFR part 75.                                      of the reports. Per DGM policy, all
                                                                                                          reports are required to be submitted                  sub-award obligation dollar threshold
                                                     C. Grants Policy:                                                                                          met for any specific reporting period.
                                                     • HHS Grants Policy Statement,                       electronically by attaching them as a
                                                                                                          ‘‘Grant Note’’ in GrantSolutions.                     Additionally, all new (discretionary)
                                                  Revised 01/07.                                                                                                IHS awards (where the project period is
                                                     D. Cost Principles:                                  Personnel responsible for submitting
                                                                                                          reports will be required to obtain a login            made up of more than one budget
                                                     • Uniform Administrative                                                                                   period) and where: (1) The project
                                                  Requirements for HHS Awards, ‘‘Cost                     and password for GrantSolutions. Please
                                                                                                          see the Agency Contacts list in section               period start date was October 1, 2010 or
                                                  Principles,’’ located at 45 CFR part 75,                                                                      after and (2) the primary awardee will
                                                  subpart E.                                              VII for the systems contact information.
                                                                                                             The reporting requirements for this                have a $25,000 sub-award obligation
                                                     E. Audit Requirements:                                                                                     dollar threshold during any specific
                                                                                                          program are noted below.
                                                     • Uniform Administrative                                                                                   reporting period will be required to
                                                  Requirements for HHS Awards, ‘‘Audit                    A. Progress Reports                                   address the FSRS reporting.
                                                  Requirements,’’ located at 45 CFR part                    Program progress reports are required                  For the full IHS award term
                                                  75, subpart F.                                          semi-annually, within 30 days after the               implementing this requirement and
                                                  3. Indirect Costs                                       budget period ends. These reports must                additional award applicability
                                                                                                          include a brief comparison of actual                  information, visit the DGM Grants
                                                     This section applies to all grant                    accomplishments to the goals                          Policy Web site at: http://www.ihs.gov/
                                                  recipients that request reimbursement of                established for the period, a summary of              dgm/policytopics/.
                                                  indirect costs (IDC) in their grant                     progress to date or, if applicable,
                                                  application. In accordance with HHS                                                                           D. Compliance With Executive Order
                                                                                                          provide sound justification for the lack              13166 Implementation of Services
                                                  Grants Policy Statement, Part II–27, IHS                of progress, and other pertinent
                                                  requires applicants to obtain a current                                                                       Accessibility Provisions for All Grant
                                                                                                          information as required. A final report               Application Packages and Funding
                                                  IDC rate agreement prior to award. The                  must be submitted within 90 days of
                                                  rate agreement must be prepared in                                                                            Opportunity Announcements
                                                                                                          expiration of the budget/project period.
                                                  accordance with the applicable cost                                                                              Recipients of Federal financial
                                                  principles and guidance as provided by                  B. Financial Reports                                  assistance (FFA) from HHS must
                                                  the cognizant agency or office. A current                 Federal Financial Report FFR (SF–                   administer their programs in
                                                  rate covers the applicable grant                        425), Cash Transaction Reports are due                compliance with Federal civil rights
                                                  activities under the current award’s                    30 days after the close of every calendar             law. This means that recipients of HHS
                                                  budget period. If the current rate is not               quarter to the Payment Management                     funds must ensure equal access to their
                                                  on file with the DGM at the time of                     Services, HHS at http://                              programs without regard to a person’s
                                                  award, the IDC portion of the budget                    www.dpm.psc.gov. It is recommended                    race, color, national origin, disability,
                                                  will be restricted. The restrictions                    that the applicant also send a copy of                age and, in some circumstances, sex and
                                                  remain in place until the current rate is               the FFR (SF–425) report to the Grants                 religion. This includes ensuring your
                                                  provided to the DGM.                                    Management Specialist. Failure to                     programs are accessible to persons with
                                                     Generally, IDC rates for IHS grantees                submit timely reports may cause a                     limited English proficiency. HHS
                                                  are negotiated with the Division of Cost                disruption in timely payments to the                  provides guidance to recipients of FFA
                                                  Allocation (DCA) https://rates.psc.gov/                 organization.                                         on meeting their legal obligation to take
                                                  and the Department of Interior (Interior                  Grantees are responsible and                        reasonable steps to provide meaningful
                                                  Business Center) https://www.doi.gov/                   accountable for accurate information                  access to their programs by persons with
                                                  ibc/services/finance/indirect-Cost-                     being reported on all required reports:               limited English proficiency. Please see
                                                  Services/indian-tribes. For questions                   the Progress Reports and Federal                      http://www.hhs.gov/civil-rights/for-
                                                  regarding the indirect cost policy, please              Financial Report.                                     individuals/special-topics/limited-
                                                  call the Grants Management Specialist                                                                         english-proficiency/guidance-federal-
                                                  listed under ‘‘Agency Contacts’’ or the                 C. Federal Sub-Award Reporting System                 financial-assistance-recipients-title-VI/.
                                                  main DGM office at (301) 443–5204.                      (FSRS)                                                   The HHS Office for Civil Rights (OCR)
                                                                                                            This award may be subject to the                    also provides guidance on complying
                                                  4. Reporting Requirements                                                                                     with civil rights laws enforced by HHS.
                                                                                                          Transparency Act sub-award and
                                                    The grantee must submit required                      executive compensation reporting                      Please see http://www.hhs.gov/civil-
                                                  reports consistent with the applicable                  requirements of 2 CFR part 170.                       rights/for-individuals/section-1557/
                                                  deadlines. Failure to submit required                     The Transparency Act requires the                   index.html; and http://www.hhs.gov/
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                                                  reports within the time allowed may                     OMB to establish a single searchable                  civil-rights/index.html. Recipients of
                                                  result in suspension or termination of                  database, accessible to the public, with              FFA also have specific legal obligations
                                                  an active grant, withholding of                         information on financial assistance                   for serving qualified individuals with
                                                  additional awards for the project, or                   awards made by Federal agencies. The                  disabilities. Please see http://
                                                  other enforcement actions such as                       Transparency Act also includes a                      www.hhs.gov/civil-rights/for-
                                                  withholding of payments or converting                   requirement for recipients of Federal                 individuals/disability/index.html.
                                                  to the reimbursement method of                          grants to report information about first-             Please contact the HHS OCR for more


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                                                                               Federal Register / Vol. 82, No. 50 / Thursday, March 16, 2017 / Notices                                                  14019

                                                  information about obligations and                       $10,000,000 for any period of time                    to:Vanietta Armstrong, Grants
                                                  prohibitions under Federal civil rights                 during the period of performance of an                Management Specialist, 5600 Fishers
                                                  laws at http://www.hhs.gov/ocr/about-                   award/project.                                        Lane, Mail Stop: 09E70, Rockville, MD
                                                  us/contact-us/headquarters-and-                                                                               20857, Phone: (301) 443–4792, Fax:
                                                                                                          Mandatory Disclosure Requirements
                                                  regional-addresses/index.html or call 1–                                                                      (301) 594–0899, E-Mail:
                                                  800–368–1019 or TDD 1–800–537–7697.                       As required by 2 CFR part 200 of the                Vanietta.Armstrong@ihs.gov.
                                                  Also note it is an HHS Departmental                     Uniform Guidance, and the HHS                           3. Questions on systems matters may
                                                  goal to ensure access to quality,                       implementing regulations at 45 CFR part               be directed to: Paul Gettys, Grant
                                                  culturally competent care, including                    75, effective January 1, 2016, the IHS                Systems Coordinator, 5600 Fishers
                                                  long-term services and supports, for                    must require a non-federal entity or an               Lane, Mail Stop: 09E70, Rockville, MD
                                                  vulnerable populations. For further                     applicant for a Federal award to                      20857, Phone: (301) 443–2114; or the
                                                  guidance on providing culturally and                    disclose, in a timely manner, in writing              DGM main line (301) 443–5204, Fax:
                                                  linguistically appropriate services,                    to the IHS or pass-through entity all                 (301) 594–0899, E-Mail: Paul.Gettys@
                                                  recipients should review the National                   violations of Federal criminal law                    ihs.gov.
                                                  Standards for Culturally and                            involving fraud, bribery, or gratuity
                                                  Linguistically Appropriate Services in                  violations potentially affecting the                  VIII. Other Information
                                                  Health and Health Care at http://                       Federal award.                                          The Public Health Service strongly
                                                  minorityhealth.hhs.gov/omh/                               Submission is required for all                      encourages all cooperative agreement
                                                  browse.aspx?lvl=2&lvlid=53.                             applicants and recipients, in writing, to             and contract recipients to provide a
                                                     Pursuant to 45 CFR 80.3(d), an                       the IHS and to the HHS Office of                      smoke-free workplace and promote the
                                                  individual shall not be deemed                          Inspector General all information                     non-use of all tobacco products. In
                                                  subjected to discrimination by reason of                related to violations of Federal criminal             addition, Pub. L. 103–227, the Pro-
                                                  his/her exclusion from benefits limited                 law involving fraud, bribery, or gratuity             Children Act of 1994, prohibits smoking
                                                  by Federal law to individuals eligible                  violations potentially affecting the                  in certain facilities (or in some cases,
                                                  for benefits and services from the IHS.                 Federal award. 45 CFR 75.113.                         any portion of the facility) in which
                                                     Recipients will be required to sign the                Disclosures must be sent in writing to:             regular or routine education, library,
                                                  HHS–690 Assurance of Compliance                         U.S. Department of Health and Human                   day care, health care, or early childhood
                                                  form which can be obtained from the                       Services, Indian Health Service,                    development services are provided to
                                                  following Web site: http://www.hhs.gov/                   Division of Grants Management,                      children. This is consistent with the
                                                  sites/default/files/forms/hhs-690.pdf,                    ATTN: Robert Tarwater, Director,                    HHS mission to protect and advance the
                                                  and send it directly to the: U.S.                         5600 Fishers Lane, Mail Stop: 09E70,                physical and mental health of the
                                                  Department of Health and Human                            Rockville, Maryland 20857, (Include                 American people.
                                                  Services, Office of Civil Rights, 200                     ‘‘Mandatory Grant Disclosures’’ in                    Dated: March 6, 2017.
                                                  Independence Ave. SW., Washington,                        subject line), Ofc: (301) 443–5204,                 Chris Buchanan,
                                                  DC 20201.                                                 Fax: (301) 594–0899, Email:                         Assistant Surgeon General, USPHS, Acting
                                                  E. Federal Awardee Performance and                        Robert.Tarwater@ihs.gov.                            Director, Indian Health Service.
                                                  Integrity Information System (FAPIIS)                   AND                                                   [FR Doc. 2017–05248 Filed 3–15–17; 8:45 am]
                                                     The IHS is required to review and                    U.S. Department of Health and Human                   BILLING CODE 4165–16–P
                                                  consider any information about the                        Services, Office of Inspector General,
                                                  applicant that is in the Federal Awardee                  ATTN: Mandatory Grant Disclosures,
                                                  Performance and Integrity Information                     Intake Coordinator, 330 Independence                DEPARTMENT OF HEALTH AND
                                                  System (FAPIIS) before making any                         Avenue SW., Cohen Building, Room                    HUMAN SERVICES
                                                  award in excess of the simplified                         5527, Washington, DC 20201, URL:
                                                  acquisition threshold (currently                          http://oig.hhs.gov/fraud/report-fraud/              National Institutes of Health
                                                  $150,000) over the period of                              index.asp, (Include ‘‘Mandatory Grant
                                                                                                                                                                National Institute of Allergy and
                                                  performance. An applicant may review                      Disclosures’’ in subject line), Fax:
                                                                                                                                                                Infectious Diseases; Notice of Closed
                                                  and comment on any information about                      (202) 205–0604 (Include ‘‘Mandatory
                                                                                                                                                                Meeting
                                                  itself that a Federal awarding agency                     Grant Disclosures’’ in subject line) or
                                                  previously entered. IHS will consider                     Email:                                                Pursuant to section 10(d) of the
                                                  any comments by the applicant, in                         MandatoryGranteeDisclosures@                        Federal Advisory Committee Act, as
                                                  addition to other information in FAPIIS                   oig.hhs.gov.                                        amended (5 U.S.C. App.), notice is
                                                  in making a judgment about the                            Failure to make required disclosures                hereby given of the following meeting.
                                                  applicant’s integrity, business ethics,                 can result in any of the remedies                       The meeting will be closed to the
                                                  and record of performance under                         described in 45 CFR 75.371 Remedies                   public in accordance with the
                                                  Federal awards when completing the                      for noncompliance, including                          provisions set forth in sections
                                                  review of risk posed by applicants as                   suspension or debarment (See 2 CFR                    552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
                                                  described in 45 CFR 75.205.                             parts 180 & 376 and 31 U.S.C. 3321).                  as amended. The grant applications and
                                                     As required by 45 CFR part 75                                                                              the discussions could disclose
                                                  Appendix XII of the Uniform Guidance,                   VII. Agency Contacts                                  confidential trade secrets or commercial
                                                  non-federal entities (NFEs) are required                   1. Questions on the programmatic                   property such as patentable material,
                                                  to disclose in FAPIIS any information                   issues may be directed to: Ms. Tina Tah,              and personal information concerning
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                                                  about criminal, civil, and administrative               RN/BSN/MBA, Project Official/Indian                   individuals associated with the grant
                                                  proceedings, and/or affirm that there is                Health Service, 5600 Fishers Lane,                    applications, the disclosure of which
                                                  no new information to provide. This                     Rockville, MD 20857, Phone: (301) 443–                would constitute a clearly unwarranted
                                                  applies to NFEs that receive Federal                    0038, Fax: (301) 594–6213, E-Mail:                    invasion of personal privacy.
                                                  awards (currently active grants,                        Tina.tah@ihs.gov.                                       Name of Committee: National Institute of
                                                  cooperative agreements, and                                2. Questions on grants management                  Allergy and Infectious Diseases Special
                                                  procurement contracts) greater than                     and fiscal matters may be directed                    Emphasis Panel; NIAID Peer Review Meeting.



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Document Created: 2017-03-16 02:18:33
Document Modified: 2017-03-16 02:18:33
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
DatesMay 15, 2017 Review Date: May 26-June 5, 2017 Earliest Anticipated Start Date: June 15, 2017 Proof of Non-Profit Due Date: May 15, 2017
FR Citation82 FR 14012 

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