82_FR_21338 82 FR 21252 - Notice of Final Issuance Adopting Administration for Native Americans (ANA) Program Policies and Procedures

82 FR 21252 - Notice of Final Issuance Adopting Administration for Native Americans (ANA) Program Policies and Procedures

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 82, Issue 86 (May 5, 2017)

Page Range21252-21253
FR Document2017-09148

The Administration for Native Americans (ANA) is issuing final interpretive rules, general statements of policy, and rules of agency organization, procedure, or practice relating to the following seven Funding Opportunity Announcements (FOAs): Environmental Regulatory Enhancement (HHS-2017-ACF-ANA-NR-1221); Sustainable Employment and Economic Development Strategies (HHS-2017-ACF-ANA-NE-1225); Native American Language Preservation and Maintenance--Esther Martinez Immersion (HHS-2017-ACF-ANA-NB-1226); Native American Language Preservation and Maintenance (HHS-2017-ACF-ANA-NL-1235); Social and Economic Development Strategies (HHS-2017-ACF-ANA-NA-1236); Social and Economic Development Strategies--Alaska (HHS-2015-ACF-ANA-NK- 0960); and Native Youth Initiative for Leadership, Empowerment, and Development (HHS-2017-ACF-ANA-NC-1263).

Federal Register, Volume 82 Issue 86 (Friday, May 5, 2017)
[Federal Register Volume 82, Number 86 (Friday, May 5, 2017)]
[Notices]
[Pages 21252-21253]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-09148]



[[Page 21252]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

[CFDA numbers: 93.581, 93.587, 93.612]


Notice of Final Issuance Adopting Administration for Native 
Americans (ANA) Program Policies and Procedures

AGENCY: ANA, ACF, HHS.

ACTION: Issuance of Final Policies.

-----------------------------------------------------------------------

SUMMARY: The Administration for Native Americans (ANA) is issuing final 
interpretive rules, general statements of policy, and rules of agency 
organization, procedure, or practice relating to the following seven 
Funding Opportunity Announcements (FOAs): Environmental Regulatory 
Enhancement (HHS-2017-ACF-ANA-NR-1221); Sustainable Employment and 
Economic Development Strategies (HHS-2017-ACF-ANA-NE-1225); Native 
American Language Preservation and Maintenance--Esther Martinez 
Immersion (HHS-2017-ACF-ANA-NB-1226); Native American Language 
Preservation and Maintenance (HHS-2017-ACF-ANA-NL-1235); Social and 
Economic Development Strategies (HHS-2017-ACF-ANA-NA-1236); Social and 
Economic Development Strategies--Alaska (HHS-2015-ACF-ANA-NK- 0960); 
and Native Youth Initiative for Leadership, Empowerment, and 
Development (HHS-2017-ACF-ANA-NC-1263).

DATES: The policies described in the Notice for Public Comment (NOPC) 
are effective immediately upon publication.

FOR FURTHER INFORMATION CONTACT: Carmelia Strickland, Director, 
Division of Program Operations and Administration for Native Americans, 
(877) 922-9262.

SUPPLEMENTARY INFORMATION: Section 814 of the Native American Programs 
Act of 1974 (NAPA), as amended, requires ANA to provide notice and 
allow for comment on its proposed interpretive rules and general 
statements of policy. This Notice responds to comments to ANA's January 
23, 2017, NOPC, provides notice of the cancellation of the Fiscal Year 
(FY) 2017 Sustainable Employment and Economic Development Strategies 
(SEEDS) FOA, and provides information on where to find the FY 2017 
FOAs.

A. Comments and Responses to the 2017 NOPC

    ANA published a NOPC in the Federal Register on January 23, 2017 
(82 FR 7834), with proposed policy and program clarifications, 
modifications, and activities for the FY 2017 FOAs. The NOPCs provided 
proposed clarifications, modifications, and new text for seven FY 2017 
FOAs: Environmental Regulatory Enhancement (HHS-2017-ACF-ANA-NR-1221); 
Sustainable Employment and Economic Development Strategies (HHS-2017-
ACF-ANA-NE-1225); Native American Language Preservation and 
Maintenance--Esther Martinez Immersion (HHS-2017-ACF-ANA-NB-1226); 
Native American Language Preservation and Maintenance (HHS- 2017-ACF-
ANA-NL-1235); Social and Economic Development Strategies (HHS-2017-ACF-
ANA-NA-1236); Social and Economic Development Strategies--Alaska (HHS-
2015-ACF-ANA-NK-0960); and Native Youth Initiative for Leadership, 
Empowerment, and Development (HHS-2017-ACF-ANA-NC-1263). The public 
comment period was open for 30 days.
    ANA received feedback from the Cherokee Nation. ANA considered the 
comments and determined none of them required changes to any of the 
FOAs. Many of the comments expressed agreement with ANA's changes to 
the FOAs. We appreciate the comments and they require no response or 
changes. A few comments expressed concerns or made suggestions about 
some of the changes. We respond to those below:
    Comment: Regarding access in all FOAs to ANA's Application Toolkit, 
commenter commended the addition of the Toolkit and recommended 
introductory webinars to roll out the Toolkit.
    Response: ANA will make no changes to the FOAs in response to this 
comment. ANA will be providing information about the new Application 
Toolkit in a variety of ways, including webinars and ANA's pre-
application trainings.
    Comment: With respect to the modification of application due dates 
under the Native Youth Initiative for Leadership, Empowerment, and 
Development FOA to align with ANA's other FOAs, the commenter noted 
this change would help streamline ANA's grant processes and that such 
change was not unexpected. The commenter did express concern about 
lower quality proposals being submitted if tribes submitted multiple 
ANA applications in the same application period.
    Response: ANA will make no changes to the FOAs in response to this 
comment. In response to the concern about multiple ANA applications 
being due at the same time, ANA is considering how to alleviate some of 
that burden by looking at ways to make the application process less 
burdensome for applicants interested in submitting applications under 
more than one FOA.
    Comment: The commenter suggested that ANA broaden the scope of pre-
application training to include examples of successful applications and 
separate webinars for each of ANA's FOAs rather than pre-application 
trainings that address all of ANA's FOAs.
    Response: ANA will make no changes to the FOAs in response to this 
comment. With respect to provision of successful applications, as 
stated in the NOPC, ACF policy requires that no additional information 
that is not already provided in the FOA can be disseminated after FOAs 
have been published. In addition, ANA's pre-application trainings will 
continue to address all six of ANA's FOAs to allow potential applicants 
to benefit from being able to travel to one place to learn, in detail, 
about all of ANA's FOAs and how they may address community needs.

B. Cancellation of 2017 Sustainable Employment and Economic Development 
Strategies (SEEDS) FOA

    ANA forecasted the issuance of SEEDS FOA (HHS-ACF-ANA-NE-1225) for 
FY 2017 and included it in the NOPC in the Federal Register (82 FR 
7834) on January 23, 2017. Since the forecast and publication of the 
NOPC, ANA has determined that it will not publish the SEEDS FOA in 2017 
due to limited funding for new awards. Currently funded SEEDS projects 
will continue to receive funding. Applicants interested in economic 
development projects in FY 2017 should consider the SEDS program, HHS-
ACF-ANA-NA-1236.
    ANA is not seeking comments on this cancellation of the SEEDS FOA. 
Section 814(b) of NAPA requires that ANA follow the notice and comment 
procedures in the Administrative Procedure Act at 5 U.S.C. 553 for 
interpretive rules and statements of policy but, like in 5 U.S.C. 553, 
creates an exception when the agency for good cause finds that notice 
and public procedure are ``impracticable, unnecessary, or contrary to 
the public interest.'' Seeking comments on the cancellation is 
impracticable because ANA has made this decision due to a lack of 
funding and any comments cannot change ANA's funding for FY 2017.

C. Funding Opportunity Announcements

    For information on the types of projects funded by ANA, please 
refer to

[[Page 21253]]

ANA's Web site for information on our program areas and funding 
opportunity announcements: http://www.acf.hhs.gov/programs/ana. Pre-
publication information on ANA's FOAs is available at https://www.grants.gov/web/grants/search-grants.html by clicking on 
`Forecasted' under Opportunity Status and `Administration for Children 
and Families--ANA [HHS-ACF-ANA]' on the left side of the page. ANA's 
2017 FOAs can be accessed at: http://www.acf.hhs.gov/grants/open/foa/office/ana or http://www.acf.hhs.gov/grants/open/foa/. Synopses and 
application forms will be available on www.Grants.gov.

    Dated: April 28, 2017.
Stacey Ecoffey,
Acting Commissioner, Administration for Native American.
[FR Doc. 2017-09148 Filed 5-4-17; 8:45 am]
 BILLING CODE 4184-01-P



                                                21252                             Federal Register / Vol. 82, No. 86 / Friday, May 5, 2017 / Notices

                                                DEPARTMENT OF HEALTH AND                                (82 FR 7834), with proposed policy and                that burden by looking at ways to make
                                                HUMAN SERVICES                                          program clarifications, modifications,                the application process less burdensome
                                                                                                        and activities for the FY 2017 FOAs.                  for applicants interested in submitting
                                                Administration for Children and                         The NOPCs provided proposed                           applications under more than one FOA.
                                                Families                                                clarifications, modifications, and new                  Comment: The commenter suggested
                                                                                                        text for seven FY 2017 FOAs:                          that ANA broaden the scope of pre-
                                                [CFDA numbers: 93.581, 93.587, 93.612]
                                                                                                        Environmental Regulatory Enhancement                  application training to include examples
                                                Notice of Final Issuance Adopting                       (HHS–2017–ACF–ANA–NR–1221);                           of successful applications and separate
                                                Administration for Native Americans                     Sustainable Employment and Economic                   webinars for each of ANA’s FOAs rather
                                                (ANA) Program Policies and                              Development Strategies (HHS–2017–                     than pre-application trainings that
                                                Procedures                                              ACF–ANA–NE–1225); Native American                     address all of ANA’s FOAs.
                                                                                                        Language Preservation and                               Response: ANA will make no changes
                                                AGENCY:    ANA, ACF, HHS.                               Maintenance—Esther Martinez                           to the FOAs in response to this
                                                ACTION:   Issuance of Final Policies.                   Immersion (HHS–2017–ACF–ANA–NB–                       comment. With respect to provision of
                                                                                                        1226); Native American Language                       successful applications, as stated in the
                                                SUMMARY:    The Administration for                      Preservation and Maintenance (HHS–                    NOPC, ACF policy requires that no
                                                Native Americans (ANA) is issuing final                 2017–ACF–ANA–NL–1235); Social and                     additional information that is not
                                                interpretive rules, general statements of               Economic Development Strategies                       already provided in the FOA can be
                                                policy, and rules of agency organization,               (HHS–2017–ACF–ANA–NA–1236);                           disseminated after FOAs have been
                                                procedure, or practice relating to the                  Social and Economic Development                       published. In addition, ANA’s pre-
                                                following seven Funding Opportunity                     Strategies—Alaska (HHS–2015–ACF–                      application trainings will continue to
                                                Announcements (FOAs): Environmental                     ANA–NK–0960); and Native Youth                        address all six of ANA’s FOAs to allow
                                                Regulatory Enhancement (HHS–2017–                       Initiative for Leadership, Empowerment,               potential applicants to benefit from
                                                ACF–ANA–NR–1221); Sustainable                           and Development (HHS–2017–ACF–                        being able to travel to one place to learn,
                                                Employment and Economic                                 ANA–NC–1263). The public comment                      in detail, about all of ANA’s FOAs and
                                                Development Strategies (HHS–2017–                       period was open for 30 days.                          how they may address community
                                                ACF–ANA–NE–1225); Native American                          ANA received feedback from the                     needs.
                                                Language Preservation and                               Cherokee Nation. ANA considered the
                                                                                                                                                              B. Cancellation of 2017 Sustainable
                                                Maintenance—Esther Martinez                             comments and determined none of them
                                                                                                                                                              Employment and Economic
                                                Immersion (HHS–2017–ACF–ANA–NB–                         required changes to any of the FOAs.
                                                                                                                                                              Development Strategies (SEEDS) FOA
                                                1226); Native American Language                         Many of the comments expressed
                                                Preservation and Maintenance (HHS–                      agreement with ANA’s changes to the                     ANA forecasted the issuance of
                                                2017–ACF–ANA–NL–1235); Social and                       FOAs. We appreciate the comments and                  SEEDS FOA (HHS–ACF–ANA–NE–
                                                Economic Development Strategies                         they require no response or changes. A                1225) for FY 2017 and included it in the
                                                (HHS–2017–ACF–ANA–NA–1236);                             few comments expressed concerns or                    NOPC in the Federal Register (82 FR
                                                Social and Economic Development                         made suggestions about some of the                    7834) on January 23, 2017. Since the
                                                Strategies—Alaska (HHS–2015–ACF–                        changes. We respond to those below:                   forecast and publication of the NOPC,
                                                ANA–NK– 0960); and Native Youth                            Comment: Regarding access in all                   ANA has determined that it will not
                                                Initiative for Leadership, Empowerment,                 FOAs to ANA’s Application Toolkit,                    publish the SEEDS FOA in 2017 due to
                                                and Development (HHS–2017–ACF–                          commenter commended the addition of                   limited funding for new awards.
                                                ANA–NC–1263).                                           the Toolkit and recommended                           Currently funded SEEDS projects will
                                                                                                        introductory webinars to roll out the                 continue to receive funding. Applicants
                                                DATES: The policies described in the
                                                                                                        Toolkit.                                              interested in economic development
                                                Notice for Public Comment (NOPC) are
                                                                                                           Response: ANA will make no changes                 projects in FY 2017 should consider the
                                                effective immediately upon publication.
                                                                                                        to the FOAs in response to this                       SEDS program, HHS–ACF–ANA–NA–
                                                FOR FURTHER INFORMATION CONTACT:                        comment. ANA will be providing                        1236.
                                                Carmelia Strickland, Director, Division                 information about the new Application                   ANA is not seeking comments on this
                                                of Program Operations and                               Toolkit in a variety of ways, including               cancellation of the SEEDS FOA. Section
                                                Administration for Native Americans,                    webinars and ANA’s pre-application                    814(b) of NAPA requires that ANA
                                                (877) 922–9262.                                         trainings.                                            follow the notice and comment
                                                SUPPLEMENTARY INFORMATION: Section                         Comment: With respect to the                       procedures in the Administrative
                                                814 of the Native American Programs                     modification of application due dates                 Procedure Act at 5 U.S.C. 553 for
                                                Act of 1974 (NAPA), as amended,                         under the Native Youth Initiative for                 interpretive rules and statements of
                                                requires ANA to provide notice and                      Leadership, Empowerment, and                          policy but, like in 5 U.S.C. 553, creates
                                                allow for comment on its proposed                       Development FOA to align with ANA’s                   an exception when the agency for good
                                                interpretive rules and general                          other FOAs, the commenter noted this                  cause finds that notice and public
                                                statements of policy. This Notice                       change would help streamline ANA’s                    procedure are ‘‘impracticable,
                                                responds to comments to ANA’s January                   grant processes and that such change                  unnecessary, or contrary to the public
                                                23, 2017, NOPC, provides notice of the                  was not unexpected. The commenter                     interest.’’ Seeking comments on the
                                                cancellation of the Fiscal Year (FY) 2017               did express concern about lower quality               cancellation is impracticable because
                                                Sustainable Employment and Economic                     proposals being submitted if tribes                   ANA has made this decision due to a
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                                                Development Strategies (SEEDS) FOA,                     submitted multiple ANA applications in                lack of funding and any comments
                                                and provides information on where to                    the same application period.                          cannot change ANA’s funding for FY
                                                find the FY 2017 FOAs.                                     Response: ANA will make no changes                 2017.
                                                                                                        to the FOAs in response to this
                                                A. Comments and Responses to the                        comment. In response to the concern                   C. Funding Opportunity
                                                2017 NOPC                                               about multiple ANA applications being                 Announcements
                                                  ANA published a NOPC in the                           due at the same time, ANA is                            For information on the types of
                                                Federal Register on January 23, 2017                    considering how to alleviate some of                  projects funded by ANA, please refer to


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                                                                                  Federal Register / Vol. 82, No. 86 / Friday, May 5, 2017 / Notices                                             21253

                                                ANA’s Web site for information on our                   SUPPLEMENTARY INFORMATION:     When                   analysis to support long-term
                                                program areas and funding opportunity                   submitting comments or requesting                     sustainability.
                                                announcements: http://                                  information, please include the                          The UDS data collection for 2018 will
                                                www.acf.hhs.gov/programs/ana. Pre-                      information request collection title for              be revised in three ways. To support
                                                publication information on ANA’s FOAs                   reference.                                            continued efforts to standardize data
                                                is available at https://www.grants.gov/                    Information Collection Request Title:              collection and reduce the burden per
                                                web/grants/search-grants.html by                        Bureau of Primary Health Care Uniform                 respondent of reporting for health
                                                clicking on ‘Forecasted’ under                          Data System, OMB No. 0915–0193—                       centers, the measures stated below will
                                                Opportunity Status and ‘Administration                  Revision.                                             be updated, where necessary, to align
                                                for Children and Families—ANA [HHS–                        Abstract: The Uniform Data System                  with Centers for Medicare & Medicaid
                                                ACF–ANA]’ on the left side of the page.                 (UDS) is the Bureau of Primary Health                 Services electronic clinical quality
                                                ANA’s 2017 FOAs can be accessed at:                     Care’s (BPHC) annual reporting system                 measures (CMS e-CQMs) designated for
                                                http://www.acf.hhs.gov/grants/open/                     for HRSA-supported health centers.                    the 2018 reporting period. Specifically:
                                                foa/office/ana or http://                               UDS includes reporting requirements                      • Poor glycemic control is defined as
                                                www.acf.hhs.gov/grants/open/foa/.                       for Health Center Program look-alikes                 HbA1c > 9% per the CMS Meaningful
                                                Synopses and application forms will be                  and grantees of the following:                        Use and e-specifications.’’ Therefore,
                                                available on www.Grants.gov.                            Community Health Center program,                      HRSA is removing this column to be
                                                  Dated: April 28, 2017.
                                                                                                        Migrant Health Center program, Health                 consistent with the Healthy People 2020
                                                                                                        Care for the Homeless program, and                    national benchmark and CMS and to
                                                Stacey Ecoffey,
                                                                                                        Public Housing Primary Care program.                  reduce reporting burden.
                                                Acting Commissioner, Administration for                 A subset of recipients of the Bureau of                  • Patient Centered Medical Home
                                                Native American.
                                                                                                        Health Workforce’s (BHW) Nurse                        (PCMH) recognition assesses a health
                                                [FR Doc. 2017–09148 Filed 5–4–17; 8:45 am]                                                                    center’s approach to patient-centered
                                                                                                        Education, Practice, Quality and
                                                BILLING CODE 4184–01–P                                  Retention (NEPQR) program,                            care. HRSA collects PCMH data on a
                                                                                                        specifically those recipients that are                quarterly basis outside of UDS.
                                                                                                        funded under the practice priority areas              Therefore, HRSA is removing this
                                                DEPARTMENT OF HEALTH AND                                listed under Public Health Service Act                question to reduce reporting burden.
                                                HUMAN SERVICES                                          (PHSA) Section 831(b), are also required                 • Telehealth is increasingly used as a
                                                                                                        to complete UDS annual reporting.                     method of health care delivery for the
                                                Health Resources and Services
                                                                                                           Need and Proposed Use of the                       health center patient population,
                                                Administration
                                                                                                        Information: HRSA collects UDS data                   especially those hard-to-reach patients
                                                Agency Information Collection                           annually to ensure compliance with                    living in geographically isolated
                                                Activities: Proposed Collection: Public                 legislative and regulatory requirements,              communities. Collecting information on
                                                Comment Request; Bureau of Primary                      improve health center performance and                 telehealth capacity and use of telehealth
                                                Health Care Uniform Data System,                        operations, and report overall program                is essential for (1) the delivery of
                                                OMB No. 0915–0193—Revision                              accomplishments. The data help to                     technical assistance for health centers
                                                                                                        identify trends, enabling HRSA to                     and (2) improving the health of the
                                                AGENCY: Health Resources and Services                   establish or expand targeted programs                 nation’s underserved communities and
                                                Administration (HRSA), Department of                    and identify effective services and                   vulnerable populations by assuring
                                                Health and Human Services.                              interventions to improve the health of                access to comprehensive, culturally
                                                ACTION: Notice.                                         medically underserved communities                     competent, quality primary health care
                                                                                                        and vulnerable populations. UDS data                  services. Based on the uniqueness of
                                                SUMMARY:    In compliance with the                                                                            telehealth data and its introduction into
                                                                                                        are compared with national health-
                                                requirement for opportunity for public
                                                                                                        related data, including the National                  the UDS system, HRSA is proposing
                                                comment on proposed data collection
                                                                                                        Health Interview Survey and National                  more robust questions to better capture
                                                projects of the Paperwork Reduction Act
                                                                                                        Health and Nutrition Examination                      this data.
                                                of 1995, HRSA announces plans to                                                                                 Likely Respondents: Respondents are
                                                                                                        Survey, to explore potential differences
                                                submit an Information Collection                                                                              HRSA BPHC Health Center Program
                                                                                                        between health center patient
                                                Request (ICR), described below, to the                                                                        grantees, look-alikes, and BHW NEPQR
                                                                                                        populations and the U.S. population at
                                                Office of Management and Budget                                                                               Program recipients.
                                                                                                        large, and those individuals and
                                                (OMB). Prior to submitting the ICR to                   families who rely on the health care                     Burden Statement: Burden includes
                                                OMB, HRSA seeks comments from the                       safety net for primary care. UDS data                 the time expended by persons to
                                                public regarding the burden estimate,                   also inform Health Center Program                     generate, maintain, retain, disclose, or
                                                below, or any other aspect of the ICR.                  partners and communities regarding the                provide the information requested. This
                                                DATES: Comments on this ICR must be                     patients served by health centers. BHW                includes the time needed to review
                                                received no later than July 5, 2017.                    uses the patient and provider-level data              instructions; to develop, acquire, install,
                                                ADDRESSES: Submit statements and                        to determine the impact of health care                and utilize technology and systems for
                                                comments to paperwork@hrsa.gov or by                    services on patient outcomes. The data                the purpose of collecting, validating and
                                                mail to the HRSA Information                            also enables BHW to establish or expand               verifying information, processing and
                                                Collection Clearance Officer, 5600                      targeted programs and identify effective              maintaining information, and disclosing
                                                Fishers Lane, Room 10–29, 14N39                         services and interventions to improve                 and providing information; to train
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                                                Rockville, MD 20857.                                    the health of underserved communities                 personnel and to be able to respond to
                                                FOR FURTHER INFORMATION CONTACT: To                     and vulnerable populations. In addition,              a collection of information; to search
                                                request more information on the                         the UDS data are useful to a subset of                data sources; to complete and review
                                                proposed project or to obtain a copy of                 BHW recipients of the NEPQR program                   the collection of information; and to
                                                the data collection plans and draft                     for performance and operations                        transmit or otherwise disclose the
                                                instruments, email paperwork@hrsa.gov                   improvement, patient forecasts,                       information. While the overall burden
                                                or call the HRSA Information Collection                 identification of trends/patterns,                    estimate is increasing due to an increase
                                                Clearance Officer at (301) 443–1984.                    implication of access barriers, and cost              in the number of respondents, the


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Document Created: 2018-11-08 08:39:24
Document Modified: 2018-11-08 08:39:24
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
ActionIssuance of Final Policies.
DatesThe policies described in the Notice for Public Comment (NOPC) are effective immediately upon publication.
ContactCarmelia Strickland, Director, Division of Program Operations and Administration for Native Americans, (877) 922-9262.
FR Citation82 FR 21252 

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