[Federal Register Volume 72, Number 80 (Thursday, April 26, 2007)]
[Notices]
[Pages 20851-20856]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-2051]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Maternal and Child Health Program

    Announcement Type: New Limited Competition.
    Funding Announcement Number: HHS-2007-IHS-MHCEP-0001.
    Catalog of Federal Domestic Assistance Numbers: 93.231.

DATES: Key Dates:
    Application Deadline Date: May 15, 2007.
    Review Date: May 17, 2007.
    Earliest Anticipated Start Date: May 30, 2007.

Funding Opportunity Description

    The Indian Health Service (IHS) Maternal and Child Health Program 
(MCH) announces a limited competition for cooperative agreements for 
applications responding to the Secretaries' Initiative on Closing the 
Health Disparities Gap for Sudden Infant Death Syndrome (SIDS) and 
Infant Mortality (IM). This program is authorized under Snyder Act, 25 
U.S.C. 13, 25 U.S.C. 1621(m), 25 U.S.C.

[[Page 20852]]

 1653(c), and Indian Health Care Improvement Act Public Law 94-437, as 
amended by Public Law 102-573. This program is described at 93.231 in 
the Catalog of Federal Domestic Assistance (CFDA).
    This limited competition seeks to improve American Indian and 
Alaska Native (AI/AN) maternal and infant outcomes in key populations 
through surveillance and outreach projects conducted by existing Tribal 
and urban Indian epidemiology centers. Enhancement of MCH epidemiology 
activities currently underway in select disparate populations is 
necessary to reduce IM.
    The purpose of this announcement is to respond to the Department of 
Health and Human Services Closing the Health Disparities Gap on SIDS 
and IM in AI/AN populations. Urban and Tribal Epidemiology Centers 
provide surveillance, monitoring, conduct studies and apply 
interventions to reduce risk of IM in defined regions. Enhancement of 
AI/AN MCH surveillance will build Tribal public health infrastructure 
and complement outreach projects. Existing expertise in MCH 
epidemiology and a history of regional MCH support is required to 
address risk factors of SIDS and IM. This limited competition will 
augment existing expertise in MCH epidemiology to address risk factors 
of SIDS and IM. This announcement is specifically geared toward all 
eligible MCH programs who lack resources to serve targeted AI/AN 
populations under this initiative. Eligible Epi Centers under this 
announcement are geographically located in Arizona, Iowa, Nebraska, 
Nevada, North Dakota, South Dakota, Utah, and/or with urban Indian 
organizations. The nature of these projects will require collaboration 
with the IHS MCH Program to: (1) Coordinate activities, (2) participate 
in projects, investigations, or studies of national scope, and (3) 
share surveillance and other data collected, in compliance with the 
Federal Privacy Act, HIPAA, or similar Tribal laws. The IHS will, 
therefore, have substantial programmatic involvement in these projects 
(see II. B. IHS Activities below).

II. Award Information

    Type of Awards: Cooperative Agreement.
    Estimated Funds Available: The total amount identified for fiscal 
year (FY) 2007 is $375,000. The awards are for twelve months in 
duration and the average award is approximately $125,000. Awards under 
this announcement are subject to the availability of funds.
    Anticipated Number of Awards: An estimate of three awards will be 
made under this program announcement.
    Project Period: Twelve months.
    Award Amount: $125,000, per year.

A. Requirements of Recipient Activities

    Submit a proposal including all of the following:
    1. Maintain a MCH Program Manager to support MCH activities within 
the Urban Indian or Tribal Epidemiology Center (TEC) or regional TEC.
    2. Enhance an existing workplan to conduct MCH Regional 
Surveillance that complements state and national activities. Assist AI/
AN communities, Tribal organizations, and urban Indian organizations in 
MCH surveillance systems and identifying their highest priority MCH 
health status objectives based on epidemiologic data.
    3. Elaborate on Perinatal data systems to be used and integrate 
into current epi activities i.e. Sexually Transmitted Diseases', 
injuries, tobacco, issues affecting women during the child bearing 
years, infants and children. Include clinical data, vital statistics, 
epidemiologic data, and monitoring of local Tribal or community SIDS 
initiatives. States with the Centers for Disease Control/Prevention 
(CDC) Pregnancy Risk Assessment Monitoring Surveillance system provide 
an ongoing and ready source of data on maternal health and birth 
outcomes.
    4. Annotate how staff will maintain knowledge of the scientific 
literature related to MCH epidemiology, statistics, surveillance, 
Healthy People 2010 Objectives, and other disease control activities.
    5. Monitor 2010 goals, MCH Chapter 16 objectives and sub-objectives 
for AI/ AN populations.
    6. Assist Tribal clinics, urban and direct care perinatal programs 
in their evidence-based interventions around SIDS Risk Reduction and 
``Closing the Health Gap in Infant Mortality,'' where applicable (i.e., 
Aberdeen, Billings and Navajo Areas).
    7. Participate in the sharing, improving, and disseminating 
aggregate perinatal and MCH health data at local, regional, national 
meetings and with other IHS Programs for purposes of advocacy for AI/AN 
communities.
    8. Develop and implement MCH epidemiologic studies that have 
practical application in improving the health status of constituent 
communities. Studies may require Institutional Review Board approval if 
human subjects are involved.
    9. Develop and implement MCH Epidemiology and prevention programs 
in cooperation with other public health entities.
    10. Ensure the coordination of services and program activities with 
other similar programs.
    11. Establish (if not existing) a broad-based council with 
representative regional membership from the MCH community involved with 
AI/AN communities. These consortia will advise and support the program. 
Such an advisory council would consist of technical experts in MCH 
epidemiology; Title V (HRSA funded sites such as Healthy Starts), Fetal 
Infant Mortality Review teams, Perinatal Infant Mortality Review Teams, 
or Child Death Review Teams, perinatal clinical care networks and 
providers. These may include regional neonatal intensive care units, 
feto-maternal medicine units, State infant morality reduction 
initiatives, maternal tobacco or alcohol and drug exposure activities. 
Tribal and public health departments, community health representatives, 
public health nurse, health care providers, and others who could 
provide overall program direction and guidance should be involved. This 
consortium should be involved in recommendations for targeting of MCH 
public health needed by constituents.
    12. Provide annual, semiannual reports on activities to National 
MCH Epidemiology Project Manager.
    13. Provide letters of support for supplemental funding for the 
above outlined MCH activities by collaborating agencies, Tribal 
governments, etc.
    14. Include a line item budget, a budget justification and 
narrative for Program activities which must include planned travel to 
three national meetings/trainings as well as all local travel outlined 
in the workplan.

Requirements of IHS Program Activities

    1. The IHS MCH Program will provide oversight and coordination of 
MCH activities at the Epicenters. A working relationship with Area and 
National Statistics Program will be maintained.
    2. Provide funded TEC with ongoing consultation and technical 
assistance in each of the above Recipient Activities components.
    3. Interpret current scientific literature related to epidemiology, 
statistics, surveillance, Healthy People 2010 Objectives, and evidence-
based practices.
    4. Assist in the implementation of each workplan component: needs 
assessment, surveillance, epidemiologic analysis, outbreak 
investigation, development of epidemiologic studies, development of 
disease control programs, and coordination of activities.

[[Page 20853]]

    5. Convene in conjunction with the annual CDC MCH Epidemiology 
meeting a workshop of funded organizations every year for information-
sharing and problem-solving.
    6. Conduct site visits to assess program progress and mutually 
resolve problems, as needed, and/or coordinate reverse site visits. 
Provide linkages to other IHS programs on an as needed basis i.e. 
Injury Prevention, Emergency Medical Services for Children, Behavioral 
Health, and Statistics Program.
    7. Coordinate all MCH epidemiologic activities, reporting documents 
on a national basis. Review, make recommendations and approve 
semiannual and annual reports. Forward such reports to Agency and 
Closing the Health Disparities Gap Initiative leads. Disseminate 
findings and recommendations.
    8. Apprise National Programs in Albuquerque on updates on the 
Closing the Health Disparities GAP SIDS and Infant Mortality, and
    9. Oversee development, implementation and participate in the 
annual Epicenter MCH meetings and trainings.

Eligibility Information

    1. Eligible Applicant: Urban Indian Organizations, as defined by 25 
U.S.C. 1603(h), Tribal Organizations, and federally recognized Tribes 
that currently operate IHS EpiCenters.
    IHS Epicenters serving AI/AN populations in Arizona, Iowa, 
Nebraska, Nevada, North Dakota, South Dakota, Utah, and/or with urban 
Indian organizations are eligible to submit proposals for this limited 
competition. Epicenters working in these states and metropolitan areas 
must require base funding to address IM in order to receive support. 
AI/AN Tribes, Tribal organizations, and eligible inter-Tribal consortia 
or Indian organizations representing a population of at least 60,000 
AI/AN will be considered to be eligible. A letter of support and 
collaboration should be included in the application.
    The following documentation is required to support the status of 
the organization:
    A. An official and signed Tribal Resolution(s).
    B. Nonprofit organizations must submit a copy of the 501 (c)(3) 
Certificate.
    2. Cost Sharing or Matching--The MCH Program does not require 
matching funds or cost sharing.
    3. Other Requirements--If the application budget exceeds $125,000 
it will not be considered for review.

Application and Submission Information

    1. Applicant package may be found in Grants.gov (www.grants.gov) or 
at: http://www.ihs.gov/NonMedicalPrograms/gogp/gogp_funding.asp. 
Information regarding the electronic application process may be 
directed to Michelle G. Bulls, at (301) 443-6290.
    2. Content and Form of Application Submission:
     Be single spaced.
     Be typewritten.
     Have consecutively numbered pages.
     Use black type not smaller than 12 characters per one 
inch.
     Contain a narrative that does not exceed 12 typed pages 
that includes the other submission requirements below. The 12 page 
narrative does not include the work plan, standard forms, Tribal 
resolutions or letters of support (if necessary), table of contents, 
budget, budget justifications, narratives, and/or other appendix items.
    Public Policy Requirements: All Federal-wide public policies apply 
to IHS grants with exception of Lobbying and Discrimination.
    3. Submission Dates and Times: Applications must be submitted 
electronically through Grants.gov by 12 midnight Eastern Standard Time 
(EST). If technical challenges arise and the applicant is unable to 
successfully complete the electronic application process, the applicant 
must contact Michelle G. Bulls, Grants Policy Staff fifteen days prior 
to the application deadline and advise of the difficulties that your 
organization is experiencing. The grantee must obtain prior approval, 
in writing (e-mails are acceptable) allowing for paper submission. 
Otherwise, applications not submitted through Grants.gov will be 
returned to the applicant without review or consideration. The paper 
application (original and 1 copy) must be mailed to the Division of 
Grants Operations (DGO), 801 Thompson Avenue, TMP 360, Rockville, MD 
20852 by May 15, 2007. Applicants should request a legibly dated U.S. 
Postal Service postmark or obtain a legibly dated receipt from a 
commercial carrier or U.S. Postal Service. Private metered postmarks 
will not be acceptable as proof of timely mailing. Late applications 
will not be considered for review and will be returned to the applicant 
without further consideration.
    4. Intergovernmental Review: Executive Order 12372 requiring 
intergovernmental review is not applicable to this program.
    5. Funding Restrictions:
     Pre-award costs are allowable pending prior approval from 
the awarding agency. However, in accordance with 45 CFR part 74 all 
pre-award costs are incurred at the recipient's risk. The awarding 
office is under no obligation to reimburse such costs if for any reason 
the applicant does not receive an award or if the award to the 
recipient is less than anticipated.
     The available funds are inclusive of direct and 
appropriate indirect costs.
     Only one cooperative agreement will be awarded per 
applicant.
     IHS will not acknowledge receipt of applications.
    6. Other Submission Requirements:
    Electronic Submission--The preferred method for receipt of 
applications is electronic submission through Grants.gov. However, 
should any technical challenges arise regarding the submission, please 
contact Grants.gov Customer Support at 1-800-518-4726 or 
[email protected]. The Contact Center hours of operation are Monday--
Friday from 7 a.m. to 9 p.m. EST. If you require additional assistance 
please call (301) 443-6290 and identify the need for assistance 
regarding your Grants.gov application. Your call will be transferred to 
the appropriate grants staff member. The applicant must seek assistance 
at least fifteen days prior to the application deadline. Applicants 
that don't adhere to the timelines for Central Contractor Registry 
(CCR) and/or Grants.gov registration and/or requesting timely 
assistance with technical issues will not be a candidate for paper 
applications.
    To submit an application electronically, please use the http://www.Grants.gov apply site. Download a copy of the application package, 
on the Grants.gov Web site, complete it offline and then upload and 
submit the application via the Grants.gov site. You may not e-mail an 
electronic copy of a grant application to IHS.
    Please be reminded of the following:
     Under the new IHS application submission requirements, 
paper applications are not the preferred method. However, if you have 
technical problems submitting your application on-line, please directly 
contact Grants.gov Customer Support at: http://www.grants.gov/CustomerSupport
     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

[[Page 20854]]

resolved and a waiver request from Grants Policy must be obtained.
     If it is determined that a formal waiver is necessary, the 
applicant must submit a request, in writing (e-mails are acceptable), 
to [email protected] that includes a justification for the need to 
deviate from the standard electronic submission process. Upon receipt 
of approval, a hard-copy application package must be downloaded by the 
applicant from Grants.gov, and sent directly to the Division of Grants 
Operations, 801 Thompson Avenue, TMP 360, and Rockville, MD 20852 by 
the due date, May 15, 2007.
     Upon entering the Grants.gov site, there is information 
available that outlines the requirements to the applicant regarding 
electronic submission of an application through Grants.gov, as well as 
the hours of operation. We strongly encourage all applicants not to 
wait until the deadline date to begin the application process through 
Grants.gov as the registration process for CCR and Grants.gov could 
take up to fifteen working days.
     To use Grants.gov, you, as the applicant, must have a DUNS 
Number and register in the CCR. You should allow a minimum of ten days 
working days to complete CCR registration. See below on how to apply.
     You must submit all documents electronically, including 
all information typically included on the SF-424 and all necessary 
assurances and certifications.
     Please use the optional attachment feature in Grants.gov 
to attached additional documentation that may be requested by IHS.
     If Tribal resolutions or letters of support are required, 
please fax it to the Grants Management Specialist identified in this 
announcement.
     Your application must comply with any page limitation 
requirements described in the program announcement.
     After you electronically submit your application, you will 
receive an automatic acknowledgment from Grants.gov that contains a 
Grants.gov tracking number. The IHS, DGO will retrieve your 13 
application from Grants.gov. DGO will not notify applicants that the 
application has been received.
     You may access the electronic application for this program 
on http://www.Grants.gov.
     You must search for the downloadable application package 
CFDA number 93.231.
    E-mail applications will not be accepted under this announcement.

DUNS Number

    Applicants are required to have a Dun and Bradstreet (DUNS) number 
to apply for a grant or cooperative agreement from the Federal 
Government. The DUNS number is a nine-digit identification number, 
which uniquely identifies business entities. Obtaining a DUNS number is 
easy and there is no charge. To obtain a DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-5711. Interested parties may 
wish to obtain their DUNS number by phone to expedite the process.
    Applications submitted electronically must also be registered with 
the CCR. A DUNS number is required before CCR registration can be 
completed. Many organizations may already have a DUNS number. Please 
use the number listed above to investigate whether or not your 
organization has a DUNS number.
    Registration with the CCR is free of charge.
    Applicants may register by calling 1-888-227-2423. Please review 
and complete the CCR Registration Worksheet located on http://www.grants.gov/CCRRegister.
    More detailed information regarding these registration processes 
can be found at http://www.grants.gov.

Application Review Information

    The MCH Program has as its goal the reduction of IM and its 
underlying causes to a rate of 4.5 infant deaths per 1,000 live births 
by the year 2010.

1. Criteria

A. Introduction, Current Capacity, and Need for Assistance (20 Points)
    1. Describe the applicant's current MCH epidemiology activities 
including whether the applicant has an adequate health department, how 
long it has been operating, what MCH programs or MCH surveillance is 
currently provided that would be augmented, and interactions with other 
MCH public health authorities in the regions (State, local, or Tribal).
    2. Provide a physical location of the TEC and area to be served by 
the proposed project including a map (include the map in the 
attachments).
    3. Describe the relationship between this program and other funded 
work relevant to MCH that is planned, anticipated, or underway.
Project Work Plan and Objectives (40 Points)
    1. State in measurable and realistic terms the objectives and 
appropriate activities to achieve the program goals as listed below.
    a. Enhance surveillance of perinatal disease conditions.
    b. Conduct epidemiologic analysis, interpretation, and 
dissemination of surveillance data.
    c. Investigate outbreaks or elevated rates.
    d. Develop and implement epidemiologic studies where appropriate.
    e. Develop and implement SIDS reduction and risk reduction programs 
and coordination of activities with other public health authorities in 
the region.
    2. Identify the expected results, benefits, and outcomes or 
products to be derived from each objective ofthe project.
    3. Include a work plan for each objective that indicates when the 
objectives and major activities will be accomplished and who will 
conduct the activities on a calendar time line.
    4. Specify the responsible person who will review and accept the 
work to be performed.
C. Project Evaluation (15 Points)
    1. State how project objectives will be achieved.
    2. Define the criteria to be used to evaluate results.
    3. Explain the methodology that will be used to determine if the 
needs identified for the project are being met and if the outcomes 
identified are being achieved.
Organization Capabilities and Qualifications (15 Points)
    1. Explain the management and administrative structure of the 
organization including documentation of current certified financial 
management systems from the Bureau of Indian Affairs, IHS, or a 
Certified Public Accountant and an updated organization chart (include 
chart in the attachments).
    2. Describe the ability of the organization to manage a project of 
the proposed scope.
    3. Provide position descriptions and resumes/biosketch of key 
personnel, including those of consultants or contractors in the 
Appendix. Position descriptions should very clearly describe each 
position and its duties, indicating desired qualification and 
experience requirements related to the project. Resumes should indicate 
that the proposed staff is qualified to carry out the project 
activities.
E. Categorical Budget and Budget Justification (10 Points)
    1. Provide a detailed budget by line item for each year.
    2. Provide a justification by line item in the budget including 
sufficient cost

[[Page 20855]]

and other details to facilitate the determination of cost allowability 
and relevance of these costs to the proposed project. The funds 
requested should be appropriate and necessary for the scope of the 
project.
    3. Describe where the TEC will be housed, i.e., facilities and 
equipment available.
    4. Provide a detailed scope of work that clearly defines the 
deliverables or outcomes for a consultant or contractor, if applicable.
    5. If applicant is requesting indirect cost rate (IDC), a current 
negotiated rate must be submitted as an attachment with the 
application.
    6. Attachments to include:
    a. Attached resumes/bio-sketch and job descriptions for the key 
staff.
    b. Current approved organizational chart.
    c. A map of the area to benefit from the project.
    d. Copy of the negotiated IDC rate agreement, if applicable.
    e. Letters of support/collaboration.

2. Review and Selection Process

    Applications submitted by the closing date and verified by 
electronic submission or the postmark under this program announcement 
will undergo a review to determine that:
    A. The applicant is eligible in accordance with the Eligibility 
Section of this application.
    B. Letters of support/collaboration are included.
    C. The application executive summary, forms and materials submitted 
are adequate to allow the review panel to undertake an in-depth 
evaluation.
    D. The application complies with this announcement; otherwise it 
will be returned without consideration.

3. Competitive Review of Eligible Application Review

    May 17, 2007.
    Applications meeting eligibility requirements that are complete, 
responsive, and conform to this program announcement will be reviewed 
for merit by assigned field readers appointed by the IHS to review and 
make recommendations on these applications. The reviews will be 
conducted in accordance with the IHS objectives review procedures. 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 list above.

VI. Award Administration Information

1. Award Notices

    The Notice of Award (NoA) will be initiated by the DGO and will be 
mailed via postal mail to each entity that is approved for funding 
under this announcement. The NoA will be signed by the Grants 
Management Officer and this is the authorizing document for which funds 
are dispersed to the approved entities. The NoA will serve as the 
official notification of the grant award and will reflect 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. The NoA is the legal binding document. 
Applicants who are approved but unfunded or disapproved based on their 
Objective Review score will receive a copy of the Executive Summary 
which identifies the weaknesses and strengths of the application 
submitted.

2. Administrative and National Policy Requirements

    Grants are administrated in accordance with the following 
documents:
     This Program Announcement.
     45 CFR part 92, ``Uniform Administrative Requirements for 
Grants and Cooperative Agreements to State, Local and Tribal 
Governments,'' or 45 CFR part 74, ``Uniform Administrative Requirements 
for Awards to Institutions of Higher Education, Hospitals, Other Non-
Profit Organizations, and Commercial Organizations, (Title 2 part 230).
     Grants Policy Guidance: HHS Grants Policy Statement, 
January 2007.
     Appropriate Cost Principles: OMB Circular A-87, ``State, 
Local, and Indian Tribal Governments,'' or OMB Circular A-122, ``Non-
profit Organizations.''
     OMB Circular A-133, ``Audits of States, Local Governments, 
and Non-profit Organizations.''
     Other applicable OMB circulars.
     Indirect Costs: This section applies to all grant 
recipients that request IDC in their application. In accordance with 
HHS Grants Policy Statement, Part II-27, IHS requires applicants to 
have a current IDC rate agreement in place prior to award. The rate 
agreement must be prepared in accordance with the applicable cost 
principles and guidance as provided by the agency or office. A current 
rate means the rate covering the applicable activities and the award 
budget period. If the current rate is not on file with the awarding 
office, the indirect cost portion will be restricted until the current 
rate is provided to DGO.
    Generally, IDC rates for IHS Tribal organization grantees are 
negotiated with the Division of Cost Allocation http://rates.psc.gov/ 
and IDC rates for Federal recognized Tribes are negotiation with the 
Department of Interior. If your organization has questions regarding 
the IDC policy, please contact the DGO at 301-443-5204.

3. Reporting

    A. Progress Report. Progress reports are required semi-annually. 
These reports will include a brief comparison of actual accomplishments 
to the goals and tasks established for the period, reasons for slippage 
(if applicable), and other pertinent information as required. A final 
report must be submitted within 90 days of expiration of the budget/
project period.
    B. Financial Status Report. Semi-annual financial status report 
must be submitted within 30 days of the end of the six month period. 
Final financial status report is due within 90 days after the 
expiration of the budget/project period. Standard Form 269 (long form) 
must be used for financial reporting report unless the grantee 
generates Program Income, and then the Standard From 269 (short form) 
must be used. Grantees are responsible and accountable for accurate 
reporting of the Progress Report and Financial Status Report which are 
generally due semi-annually. Financial Status Report (SF-269) is due 90 
days after each budget period and the final SF-269 must be verified 
from the grantee records on how the value was derived. Grantees must 
submit reports in a reasonable period of time.
    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 applies whether the delinquency is 
attributable to the failure of the grantee organization or the 
individual responsible for preparation of the reports.
    Telecommunication for the hearing impaired is available at: TTY 
301-443-6394.

VII. Agency Contact(s)

    1. For program-related information: Judith Thierry, D.O., M.P.H., 
Maternal

[[Page 20856]]

and Child Health Coordinator, Maternal and Child Health Program, Indian 
Health Service, 801 Thompson Avenue, Suite 300, Rm 313, Rockville, 
Maryland 20852, voice: 301-443-5070, fax: 301-594-6213 or 
[email protected].
    For general information regarding this announcement: Ms. Orie 
Platero, IHS Headquarters, Office of Clinical and Preventive Services, 
801 Thompson Avenue, Room 326, Rockville, MD 20852, (301) 443-2522 or 
[email protected].
    3. For specific grant-related and business management information: 
Martha Redhouse, Grants Management Specialist, 801 Thompson Avenue, TMP 
360, Rockville, MD 20852, 301-443-5204 or [email protected].

VIII. Other Information

    The IHS is focusing efforts on three health initiatives that linked 
together, have the potential to achieve positive improvements in the 
health of American Indian and Alaska Native (AI/AN) people. These three 
initiatives are Health Promotion/Disease Prevention, Management of 
Chronic Disease, and Behavioral Health. Further information is 
available at the Health Initiatives Web site: http://www.ihs.gov/nonMedical/Programs/DirInitiatives/index.cfm.
    This agreement supports the Department of Health and Human 
Services' objective in FY 2006 to transform the health care system as 
well as the FY 2007 objective to emphasize prevention and healthy 
living as well as to accelerate personalized health care.

    Dated: April 19, 2007.
Robert G. McSwain,
Deputy Director, Indian Health Service.
[FR Doc. 07-2051 Filed 4-25-07; 8:45 am]
BILLING CODE 4165-16-M