[Federal Register Volume 68, Number 85 (Friday, May 2, 2003)]
[Notices]
[Pages 23468-23473]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-10884]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Mental Health and Community Safety Initiative for American Indian 
and Alaska Native Children, Youth, and Families

AGENCY: Indian Health Service, HHS.

[[Page 23469]]


ACTION: Notice of Funding Availability for Competitive Cooperative 
Agreements for the Mental Health and Community Safety Initiative for 
American Indian and Alaska Native (AI/AN) Children, Youth, and 
Families.

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SUMMARY: The Indian Health Service (IHS) has developed the Mental 
Health and Community Safety Initiative (MHCSI) for American Indian/
Alaska Native (AI/AN) Children, Youth, and Families. The IHS announces 
the availability of Fiscal Year (FY) 2003 funds for cooperative 
agreements to develop innovative strategies that focus on the mental 
health, behavioral, substance abuse, and community safety needs of AI/
AN young people and their families who are involved or at risk of 
involvement with the juvenile justice system. This effort was first 
initiated through the White House Domestic Policy Council to provide 
federally recognized Tribes and eligible Tribal organizations with 
assistance to plan, design, and assess the feasibility of implementing 
a culturally appropriate system of care for AI/ANs. The MHCSI planning 
phase cooperative agreement program will not fund actual services. An 
important focus will be to integrate traditional healing methods 
indigenous to the communities with conventional treatment 
methodologies. These cooperative agreements are established under the 
authority of 25 U.S.C. 1621h(m). There will be only one funding cycle 
during Fiscal Year (FY) 2003. This program is described at 93.230 in 
the Catalog of Federal Domestic Assistance. These cooperative 
agreements will be awarded and administered in accordance with:
    (a) This announcement;
    (b) IHS regulations governing P.L. 94-437 grants and cooperative 
agreements at 42 CFR 36.101, et seq. and 25 U.S.C. 1621h(m);
    (c) 45 CFR Part 92, ``Department of Health and Human Services, 
Uniform Administrative Requirements for Grants and Cooperative 
Agreements to State and Local Governments,'' or 45 CFR Part 74, 
``Administration of Grants to Non-profit Recipients'';
    (d) The Public Health Service (PHS) Grants Policy Statement; and
    (e) Applicable Office of Management and Budget (OMB) Circulars. 
Executive Order 12372 requiring inter-governmental review is not 
applicable to this program.
    The PHS urges applicants submitting strategic health plans to 
address specific objectives of Healthy People 2010. Potential 
applicants may obtain a printed copy of Healthy People 2010 (Summary 
Report 017-001-00473-1) or CD-ROM, Stock No. 107-001-00549-5 through 
the Superintendent of Documents, Government Printing Office, P.O. Box 
371954, Pittsburgh, PA 15250-7945, (202) 512-1800 or you may access 
this information at the following Web site: www.healthypeople.gov.

Smoke Free Workplace

    The PHS strongly encourages all cooperative agreement recipients to 
provide a smoke-free workplace and promote the non-use of all tobacco 
products. This is consistent with the PHS mission to protect and 
advance the physical and mental health of the AI/AN people.

Fund Availability of and Period of Support

    Approximately $400,000 is available in Fiscal Year 2003. 
Approximately 3-4 new awards will be granted. Applicants are not 
required to match or share in project costs if an award is made. The 
anticipated start date is September 1, 2003.

Planning Phase

    Awards may be requested for up to three years. This announcement is 
a planning cooperative agreement and will not fund actual services. In 
the third year of the planning phase, the planning phase cooperative 
agreement recipients must submit an implementation phase application. 
Implementation phase funding will be awarded based on a limited 
competition among the eligible planning phase recipients. Awardees who 
demonstrate successful planning will be eligible for the five-year 
implementation cooperative agreement. Annual non-competitive 
continuation awards depend on the availability of funds and progress 
achieved.

    Note: Successful completion of Phase 1 (the planning phase) is 
required to be considered for an implementation award.

    Awards are to be used to develop or strengthen local 
infrastructures, capabilities, and collaborations that can lead to 
improved mental health and family service facilities and/or programs.
    In this initial phase, MHSCI cooperative agreement applicants are 
required to address how they plan to:
    (a) Support the development of wrap-around process program, or 
systems of care models that are designed by AI/AN community members to 
achieve their selected emotional, behavioral, educational, vocational, 
and spiritual outcomes for their children;
    (b) Pub Tribes as well as eligible urban Indian organizations in a 
good position to secure funding to implement service systems, secure 
permanent sources of funding, and/or to enhance self-governance 
efforts;
    (c) Develop a logic model for the system of care that will serve as 
the basis for developing the strategic plan for the project. The logic 
model should be least describe the context in which the system of care 
will be developed, the resources available for the systems of care, the 
activities that will support the development of the system of care, and 
the individual services and system outcomes expected from the system of 
care;
    (d) Develop a strategic plan for implementation of the system of 
care throughout the three year federal funding period. The strategic 
plan should include a technical assistance plan that shows how training 
and technical assistance activities will be targeted to areas requiring 
further development within the systems of care;
    (e) Hire key planning phase personnel;
    (f) Establish the administrative team;
    (g) Organize the governance body;
    (h) Develop the approach for services integration and coordination 
that is appropriate for the target population; and
    (i) Create the format for the individualized service plan that 
incorporates a full array of mental health and support services.

Due Dates

    All applicants must submit one signed original and two complete 
copies of the final proposal with all required documentation. Mark the 
original application with a cover sheet that states, ``Original 
Cooperative Agreement Application.'' Mail the application to the 
Division of Acquisitions and Grants Management, Grants Management 
Branch, Indian Health Service, Twinbrook Metro Plaza, Suite 100, 12300 
Twinbrook Parkway, Rockville, Maryland 20852, by 5 p.m., Eastern 
Standard Time, on July 11, 2003. Submissions must be made in hard copy 
format. Applicants are responsible for determining whether an 
application has been received by the Grants Management Branch. 
Applications are not available electronically.
    Applications will be considered as meeting the deadline if they are 
either:
    (1) Received on or before the deadline, with hand carried 
applications received by close of business 5 p.m.; or (2) Postmarked on 
or before the deadline and all materials received in time to be 
reviewed along with all other timely applications. A legibly dated 
receipt from a commercial

[[Page 23470]]

carrier or the U.S. Postal Service will be accepted in lieu of a 
postmark. Private metered postmarks will not be accepted as proof of 
timely mailing. Late applications not accepted for processing will be 
returned to the applicant and will not be considered for funding.
    Hand Delivered Proposals--Hand delivered proposals will be accepted 
daily between the hours of 8 a.m. to 5 p.m. Eastern Standard Time, 
Monday through Friday. Proposals will not be accepted after 5 p.m. on 
July 11, 2003.

Additional Dates

    (a) Application Review Date: July 28, 2003.
    (b) Applicants Notified of Result: On or about August 15, 2003 
(approved, recommended for approval but not funded, ineligible, or 
disapproved).
    (c) Anticipated Start Date: On or about September 1, 2003.

Contacts for Assistance

    If you have questions after reviewing the contents of all the 
documents, you may contact Crystal Ferguson, Grants Management Officer, 
Grants Management Branch, Division of Acquisitions and Grants 
Management, Indian Health Service, Twinbrook Parkway, Suite 100, 
Rockville, Maryland 20852, at (301) 443-5204, regarding business 
management technical questions or to obtain additional application 
kits. For programmatic technical assistance for the MHCSI program, 
contact Jamie Davis Hueston, Ph.D., Office of Public Health, Office of 
Clinical and Preventive Services, Division of Behavioral Health, 12300 
Twinbrook Parkway, Suite 605; Rockville, MD 20852, at (301) 443-2038, 
Internet address: [email protected]. The telephone numbers are not toll-
free.

General Program Information

(a) Background

    According to statistics provided by the IHS, of the 1.43 million 
Indians living on or near reservations, nearly 500,000 or 29% are under 
the age of 15. Homicide is the second leading cause of death among 
Indians from 1-14 years of age, and third for 1-24 year-olds. The 
suicide death rate for 15 to 24 year-old Indians is 2.4 times the 
corresponding rate for U.S., all races. A study by the National 
Household Survey on Drug Abuse indicated that the AI/AN population 
demonstrated the greatest illicit drug use of all racial/ethnic 
populations. According to the Federal Bureau of Prisons, although AI/
ANs only represent 8% of the general population, 61% of the juveniles 
were in confinement. More than 180 gangs have been identified in AI/AN 
communities. Jurisdictional differences for troubled youth within the 
Tribal communities. Forty-five percent of Indian mothers have their 
first child before age 20, compared to 24% for U.S., all races. 
Increasingly the number of AI/AN youth involved with the juvenile 
justice system are found to have serious mental illness. Similarly, 
Department of Justice statistics indicate that more than 50% of the AI/
AN children and youth involved in the juvenile justice system have been 
abused and/or neglected.

(b) Target Population

    For purposes of the MHCSI cooperative agreement program, the target 
population is federally recognized and eligible AI/AN communities with 
substantial Tribal youth mental health and community safety issues, 
including such indicators of youth issues such as:
    (1) Elevated rates of depression, behavorial problems, and suicide 
among the youth population;
    (2) Substance abuse problems among the Tribal youth population;
    (3) Low educational attainment and high drop-out rates;
    (4) High levels of child abuse and family violence in the 
community; and
    (5) High levels of juvenile crime, violence, and gang activity.
    Age: Children and adolescents under the age of 18 years and their 
families.
    Diagnosis: The child or adolescent at risk of or experiencing a 
serious emotional, behavorial, or mental disorder diagnosable under the 
Diagnostic and Statistical Manual IV (DSM IV).
    Disabilities: The child or adolescent is in some way limited to the 
degree or level of functioning. Inability to perform in the family, 
school, and/or community is the basic factor which determines the need 
for services.

(c) Program Purpose

    The MHCSI Program requires applicants to address and include 
specific information from one or both of the areas of focus: Child 
Abuse and Neglect (CAN) and/or Seriously Mentally Ill (SMI) as a part 
of their program description.
    Area of Focus 1: Child Abuse and Neglect (CAN): Identifies and 
develops systems of care for victims of child abuse and neglect who are 
involved and/or at risk of being involved with the juvenile justice 
system.
    Area of Focus 2: Seriously Mentally III (SMI): identifies and 
develops systems of care for children and youth with serious mental 
illness and are involved and/or at risk for being involved with the 
juvenile justice system.
    The purpose of the MHCSI cooperative agreement is to target AI/AN 
children and youth involved with or at risk for involvement with the 
juvenile justice system and their families. Applicants should also 
identify children and youth with serious mental illness. This type of 
cooperative agreement should plan for establishing innovative 
demonstration programs for child protective services, child abuse 
prevention (including family violence prevention) programs, and 
education programs that are community based and culturally relevant as 
well as provide a ``system of care'' for the identified children, youth 
and their families. Tribes are required to identify, evaluate, and 
refer children and youth who are suspected or know to be SMI and to 
develop a ``system of care.''

Cooperative Agreement Activities

    In conducting activities to achieve the purpose of this program the 
cooperative agreement recipient (Tribes or Tribal/urban Indian 
organization) will be responsible for the activities listed under A, 
and IHS will be responsible for activities listed under B.

(a) Cooperative Agreement Recipient Activities

    Additional efforts would include, but not be limited to the 
following activities:
Planning, designing, and assessing
    (1) Child abuse prevention (including family violence prevention 
programs);
    (2) Multi-disciplinary child abuse investigation and prevention 
programs;
    (3) Child protection codes and regulations;
    (4) Training programs that highlight and/or provide community 
education on child abuse for juvenile justice staff (e.g., detention 
staff, officers, and court staff, including judges, prosecutors, parole 
officers, etc.);
    (5) Innovative and culturally relevant programs, projects, and 
services for AI/AN children and youth who are either involved with or 
at risk for becoming involved with the juvenile justice system; and
    (6) Day services for AI/AN children and youth that improve case 
management as evidenced by a decrease in the number of psychiatric 
hospitalizations and an increase in the attainment of family and 
individual goals through participation in the treatment plan.

[[Page 23471]]

(b) IHS Activities

    (1) IHS MHCSI project officers, and/or IHS contractor, will provide 
technical assistance and consultation to the cooperative agreement 
recipient on program planning, assessing, and designing of 
comprehensive ``wraparound'' programs focused on addressing mental 
health community safety needs;
    (2) The IHS contractor will provide technical assistance oversight, 
regular conference calls, and annual site visits; and
    (3) Depending on funding and need, IHS and the contractor will 
coordinate an annual training workshop for awardees to share lesson 
learned, successes, and strategies to reducing mental health and 
community safety needs in AI/AN communities.

Eligible Applicants

    Any federally recognized Indian Tribe, Tribally sanctioned 
organization, or Indian population is eligible to apply for these 
cooperative agreements. For the purpose of this program, a Tribal 
organization can be a consortium or group of Tribes. Although there is 
no minimum population size required in order to apply, Tribes and 
Tribal organizations are encouraged to coordinated their applications 
with others to maximize the impact of cooperative agreement funding 
within AI/AN communities.
    In addition, the funds available under the program are to develop 
or strengthen local infrastructure and capabilities in communities that 
have had difficulty in securing previous federal mental health funding 
(i.e., grants, cooperative agreements) to develop mental health and 
community safety initiatives for children and families.

Documentation

    Tribal Resolution: A resolution of the Indian Tribe served by the 
project must accompany the application submission. Applications that 
propose projects affecting more than one Indian Tribe must include 
resolutions from each Tribe to be served.
    Applications from Tribal organizations will not require a specific 
Tribal resolution if the current Tribal resolution(s) under which they 
operate would encompass the proposed cooperative agreement activities. 
A copy of the current operational resolution must accompany the 
application.
    A draft resolution is acceptable in lieu of an official resolution 
for purposes of submitting an application. (If you send a draft, please 
provide an approximate date regarding when it will come up for a vote.) 
If a current resolution or a draft is not submitted by the time of 
review, the application will be considered incomplete and will be 
returned without consideration. If a draft resolution is submitted, an 
official resolution must be sent to the Grants Management Branch office 
when it is passed. A cooperative agreement award will not be made until 
a final resolution is submitted from each Tribe involved with the 
project.

Award of Funds and Period of Support

(a) Award of Funds

    Approximately 3-4 new awards will be made. Awards will range 
between $100,000 and $125,000, inclusive of direct and indirect costs 
depending on whether 3 or 4 cooperative agreements are awarded.

(b) Period of Support

    Projects will be funded for a project period of 3 years. 
Continuation of a cooperative agreement for the second and third year 
is contingent on satisfactory performance by the recipient, 
availability of funding for the project, and continuing need of the 
agency for the project.

Application Kit

    An application kit, including the required PHS 5161-1 (Rev. 7/00) 
(OMB Approval No. 0920-0428) and the U.S. Government Standard Forms 
(SF-424, SF-424A, and SF-424B), may be obtained by writing or calling 
the Division of Acquisitions and Grants Management, Grants Management 
Branch, IHS, Twinbrook Metro Plaza, Suite 100, 12300 Twinbrook Parkway, 
Rockville, MD 20852, at (301) 443-5204. (Note: this is not a toll free 
number.)

(a) Cooperative Agreement Application Lay Out Instructions

    (1) Applications--All applications should be single-spaced and 
typewritten; using consecutively numbered pages; use black typeface not 
smaller than 12 characters per inch; one inch border margins; printed 
on only one side of standard size 8\1/2\'' x 11'' paper; have a 
narrative that does not exceed 10 typed] pages; and not be tabbed, 
glued, or placed in a plastic holder.
    Excluded form the 10-page limit are the Standard Forms, Tribal 
Resolution(s), Abstract, Table of Contents, Budget Justifications, 
Multi-year Narratives for budget periods, and/or the Appendix.
    (2) Include in the application the following documents, preferably 
in the order presented: Assistance Application Receipt Card, IHS-815-1A 
(Rev. 4/97).
    (a) FY 2003 MHCSI Application Checklist;
    (b) Standard Form 424, Application for Federal Assistance;
    (c) Standard Form 424A, Budget Information Non-Construction 
Programs (pages 1 and 2);
    (d) Standard Form 424B, Assurances Non-Construction Programs (front 
and back);
    (e) PHS-5161 Checklist (pages 25-26);
    (f) PHS-5161 Certifications (pages 17-19);
    (g) Disclosure of Lobbying Activities;
    (h) Current Tribal Resolution(s);
    (i) A Project Abstract (may not exceed one typewritten page) should 
present a summary view of ``who-what-when-where-how-cost'' to determine 
acceptability for review;
    (j) A Table of Contents to correspond with numbered pages;
    (k) Project Narrative (items A-G below; may not exceed 10 
typewritten pages);
    (1) Background, Need for Assistance, and Capacity
    (2) Project Goals and Objectives
    (3) Management Controls
    (4) Key Personnel
    (5) Budget
    (6) Evaluation
    (7) Previous Grant or Cooperative Agreement Awards
    (l) Categorical Budget Justification;
    (m) Multi-year Narratives and Budget Justifications; and
    (n) Appendix to include: Resumes of key staff, position 
descriptions for key staff, consultant proposed scope of work, current 
organizational chart, and current negotiated Indirect Cost Rate (if 
claimed).

Application Narrative Instructions, Evaluation Criteria, and Weights

    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.

    Note:
    There are Separate Instructions and Weights Assigned.

    Project Narrative: Describe the complete project in clear and 
concise language. Application reviewers may have little or no knowledge 
of the Tribe/Tribal organization. The Project Narrative should be 
organized as described in items A-G above and must address the 
following evaluation criteria:

(a) Background, Need for Assistance, and Capacity (25 points)

    The application will be evaluated based on the extent to which the 
applicant:

[[Page 23472]]

    (1) Describes and defines the target population at the project 
location (e.g., Tribal population, number of CAN and/or SMI cases 
reported, number of cases prosecuted, number of children/families 
currently receiving treatment, number of children/families determined 
to be at risk), and identifies the information sources;
    (2) Lists the number of CAN and/or SMI children and youth who are 
involved or at risk for becoming involved with the juvenile justice 
systems and specifies the source of information for all data that 
supports the need for program;
    (3) Describes the existing resources and available resources, 
including the availability of AI/AN healing resources that will provide 
services to the target population and their families;
    (4) Describes the needs of the target population and what efforts 
have been made in the past to meet the need, as applicable (e.g., 
number of treatment providers, collaborative efforts and agreements 
with other treatment programs, availability of program funding from 
other sources);
    (5) Summarizes the applicable standards, laws, regulations, and 
codes and
    (6) Shows Tribal or organizational support for the proposed 
program.

(b) Program Goals and Objectives (30 points)

    The application will be evaluated on the extent to which the 
applicant:
    (1) Includes a clear description of the objectives and goals of the 
program and what is expected to be accomplished;
    (2) Describes how the accomplishment of the objectives will be 
measured, including whether or not the program is replicable;
    (3) Describes tasks and resources needed to implement and complete 
the project;
    (4) Provides milestones or a time chart that indicates the time 
that the project will begin to accept clients;
    (5) Defines the data collection mechanism for the project, how it 
will be obtained, analyzed, and maintained;
    (6) Includes information in the data system that reflects the 
number and types of people served, services provided, client outcomes, 
client satisfaction, and associated costs;
    (7) Describes how the data collection will support the stated 
objectives for the program and how it will support the evaluation of 
the program;
    (8) Describes the evaluation methodology and related activities, 
describes how the effectiveness of the employed interventions will be 
monitored as well as the acceptance of the program within the 
community; and
    (9) Develops a knowledge base of reliable and valid service system 
models that define the best outcomes for AI/AN children and their 
families, respecting the unique features of the culture of the target 
community (e.g. Northern Plains, Pueblo, Alaska Native village).
    Further evaluation will be made of how well the applicant:
    (1) Discusses the manner that allows the program services to 
continue after the cooperative agreement expires;
    (2) Expresses willingness to share models of success with other 
communities and programs;
    (3) Develops a cohesive and effective mental health service system 
that draws on Tribal, federal, State, local, and private resources, 
including traditional healers as determined by the community. The 
system of care must involve education, primary care, justice, child 
welfare, as well as behavioral health prevention and treatment; and
    (4) Describes how data derived from the program will be used for 
improving the service system, increasing the quality of service 
delivery, developing system of care policies in the local community, 
and sustaining the system of care beyond the eight-year period of 
federal funding.

(c) Management Controls (15 points)

    The application will be evaluated on the extent to which the 
applicant:
    (1) Describes the project location, facilities, and available 
equipment;
    (2) Describes the management controls of the recipient over the 
direction and acceptability of work to be performed;
    (3) Describes the personnel and financial mechanisms to be 
utilized;
    (4) Demonstrates that the organization has adequate systems and 
expertise to manage federal funds; and
    (5) Includes a letter from the accounting firm with the results of 
the most recent financial audit for the organization.

(d) Key Personnel (10 points)

    The application will be evaluated based on the extent to which the 
applicant:
    (1) Provides a resume, qualifications, and position description for 
the program director and key personnel as described on page 22 of the 
PHS 5161;
    (2) Identifies existing personnel and new program staff to be 
hired;
    (3) Lists the qualifications and experience of consultants or 
contractors where the use is anticipated; and
    (4) Identifies who will determine if the contracted work is 
acceptable and how the determination will be made.

(e) Budget (10 points)

    The application will be evaluated based on the extent to which the 
applicant:
    (1) Provides an itemized estimate of costs and a justification for 
the proposed program on SF 424A, Budget Information Non-Construction 
Programs;
    (2) Allows for a narrative justification that describes the 
expenditures and the justification for the expenditures;
    (3) Indicates special start-up costs;
    (4) Includes a brief program narrative and budget for each 
additional year of funding requested; and
    (5) Provides a statement that cooperative agreement funding may not 
be used to supplant existing public and private resources.

(f) Evaluation (10 points)

    The application will be critiqued to the extent to which the 
applicant implements an evaluation protocol. Collaboration and 
coordination with local Tribal colleges or universities is highly 
encouraged. The application will be evaluated on the extent to which, 
the applicant:
    (1) Describes the knowledge and experience of individuals with 
evaluation expertise available within the local community;
    (2) Specifies the degree to which these individuals have 
specialized knowledge and experience about:
    (i) Applied research and evaluation methods, as well as family and 
community study approaches;
    (ii) Children's mental health services; and
    (iii) Directing and supervising research and evaluation projects.

Application Consideration

    Applications submitted by the closing date and verified by the 
postmark will undergo a review to determine that the:
    (1) Applicant is eligible in accordance with the Eligibility and 
Documentation section of this announcement;
    (2) Application narrative, forms, and materials submitted meet the 
requirements of the announcement and allow the review panel to 
undertake an in-depth evaluation; otherwise, the application will be 
returned to the applicant and the application is not a duplication of a 
previously funded project and the application complies with this 
announcement; otherwise it will be returned.

Competitive Review of Accepted Applicants

    Applications meeting eligibility requirements that are complete, 
responsive, and conform to this program

[[Page 23473]]

announcement will be reviewed for merit by an Ad Hoc Objective Review 
Committee (ORC) appointed by the IHS to review and make recommendations 
on these applications. The review will be conducted in accordance with 
the PHS Objective Review Guidelines. The technical review process 
ensures selection of quality projects in a national competition for 
limited funding. Applications will be evaluated and rated on the basis 
of the five evaluation criteria listed above for the type of project 
submitted. These criteria are used to evaluate the quality of a 
proposed project, to assign a numerical score to each application, and 
to determine the likelihood of success. Applications scoring below 60 
points will be disapproved. The scoring of approved applications will 
assist the IHS in determining which proposals will be funded if the 
amount MHCSI funding is not sufficient to support all approved 
applications.

Reporting Requirements

(1) Progress Reports

    Program progress reports are required quarterly. A final progress 
and financial status report are also required at the end (within 90 
days) of the project period. Evaluation results must be included in 
each required quarterly and final report. IHS program staff will use 
this information to determine progress of the recipient toward meeting 
its goals.
    Suggested elements for required reports are:
    (a) Description of activities conducted;
    (b) Number of persons participating, what groups, organizations, 
etc., they represented;
    (c) Emerging issues and consensus;
    (d) Problems encountered, planned resolution or problems;
    (e) Government Performance and Results Act and local evaluation 
findings during the reporting period; and
    (f) Activities planned for the next quarter.
    The final report must summarize information from the quarterly 
reports and describe the accomplishments of the project and planned 
next steps for implementing plans developed during the cooperative 
agreement period.

(2) Financial Status Reports

    Semi-annual financial status reports must be submitted within 30 
days after the end of each 6-month period. Final financial status 
reports are due within 90 days after expiration of the budget/project 
period. Standard Form 269 (long form) will be used for financial 
reporting.

Cooperative Agreement Administration Requirements

    Cooperative agreements are administered in accordance with the 
following documents:
    (1) 45 CFR part 92, ``Department of Health and Human Service, 
Uniform Administrative Requirements for Grants and Cooperative 
Agreements to State and Local Governments Including Indian Tribes,'' or 
45 CFR part 74, ``Administration of Grants to Non-Profit Recipients.''
    (2) PHS Policy Statement.
    (3) Appropriate Cost Principles: OMB Circular A-87, ``State and 
Local Governments,'' or OMB Circular A-122, ``Non-profit 
Organizations.''
    (4) OMB Circular A-133, ``Audits of States, Local Governments, and 
Non-Profit Organizations.''

Results of the Review

    The recommendations of the objective review committee are forwarded 
to the Director, Office of Public Health, for a final review and 
approval. In addition to the objective review recommendations, the 
Director considers the program and business officials. After final 
decisions have been made on all applications, applicants will be 
notified of the results by August 15, 2003. Unsuccessful applicants 
will be notified in writing.
    Successful applicants are notified through the official Notice of 
Grant Award (NGA) document. The NGA will state the amount of Federal 
funds awarded, the project and budget period, the effective date of the 
award, and the terms and conditions of the cooperative agreement.

    Dated: April 21, 2003.
Charles W. Grim,
Assistant Surgeon General, Interim Director, Indian Health Service.
[FR Doc. 03-10884 Filed 5-1-03; 8:45 am]
BILLING CODE 4160-16-M