[Federal Register Volume 73, Number 138 (Thursday, July 17, 2008)]
[Notices]
[Pages 41092-41096]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-16051]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Office of Urban Indian Health Programs

    Announcement Type: Competitive Targeted Solicitation.
    Funding Opportunity Number: HHS-2008-IHS-UIHP-0002.
    Catalog of Federal Domestic Assistance Number: 93.193.
    Key Dates: Application Deadline Date: August 8, 2008.
    Review Date: August 11, 2008.
    Earliest Anticipated Start Date: September 1, 2008.

I. Funding Opportunity Description

    The Indian Health Service (IHS), Office of Urban Indian Health 
Programs (OUIHP) announces an open competition for the 4-in-1 Title V 
grants responding to an Office of Minority Health, human 
immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) 
Initiative. This program is authorized under the authority of the 
Snyder Act and 25 U.S.C. 1652, 1653 of the Indian Health Care 
Improvement Act, Public Law 94-437, as amended. This program is 
described at 93.193 in the Catalog of Federal Domestic Assistance 
(CFDA).
    This open competition seeks to expand OUIHP's existing Title V 
grants to increase the number of American Indian/Alaska Natives (AI/AN) 
with awareness of his/her HIV status. This will provide routine and/or 
rapid HIV screening, prevention, pre and post test counseling (when 
appropriate), and data collection. Enhancement of urban Indian health 
program HIV/AIDS activities is necessary to reduce the incidence of 
HIV/AIDS in the urban Indian health communities.
    The purpose of the announcement is to respond to the fact that 
communities of color have been disproportionately affected by HIV and 
the need exists for access to early testing, diagnosis, treatment and 
prevention services. Over the past decade, the AI/AN community has 
developed and maintained a higher rate of HIV than Caucasians. It has 
also been demonstrated that AI/ANs have a decreased longevity once 
diagnosed compared to other races/ethnicities. These supplements will 
be used to enhance HIV testing, including rapid testing and/or standard 
HIV antibody testing and to provide a more focused effort to address 
HIV/AIDS prevention, targeting some of the largest urban Indian 
populations in the United States.
    The nature of these projects will require collaboration with the 
OUIHP to: (1) Coordinate activities; (2) participate in projects in 
other operating divisions of the Department of Health and Human 
Services (HHS) such as the Centers for Disease Control and Prevention, 
Substance Abuse and Mental Health Services Administration, Health 
Resource and Services Administration and the Office of HIV/AIDS Policy; 
and (3) submit and share data on HIV/AIDS testing, treatment and 
education.

II. Award Information

    Type of Award: Title V Grant Supplements.
    Estimated Funds Available: The total amount identified for Fiscal 
Year (FY) 2008 is fourteen awards totaling $350,000. The award is for 
one year in duration and the average award, per program is 
approximately $25,000. Awards under this announcement are subject to 
the availability of funds.
    Anticipated Number of Awards: Fourteen grant awards will be made 
under the Program.
    Project Period: September 1, 2008-August 31, 2009.
    Award Amount: $350,000.

A. Requirements of Recipient Activities

    In FY 2008 each grantee's attempted goal shall include screening as 
many individuals as possible; however, increasing screening 10% or to a 
minimum of 200 American Indians/Alaska Natives (AI/AN) tested per 
program funded adjusted due to variations in size of facility and user 
population may be required. This does not include counts of re-testing 
individuals in the same year. Each program shall also collect evidence, 
as part of the testing process, to potentially address utility and 
barriers of increased routine HIV screening within this population.

III. Eligibility Information

    1. Eligible Applicants: Urban Indian organizations, as defined by 
25 U.S.C. 1603(h), limited to urban Indian organizations which meet the 
following criteria:
    a. Received State certification to conduct HIV rapid testing;
    b. Health professionals and staff have been trained in the HIV/AIDS 
screening tools, education, prevention, counseling, and other 
interventions for AI/ANs;
    c. Attuned to the risk factors driving the HIV/AIDS epidemics among 
urban AI/ANs;
    d. Developed programs to address community and group support to 
sustain risk reduction skills;
    e. Implemented HIV/AIDS quality assurance and improvement programs; 
and
    f. Must provide proof of non-profit status with the application.
    2. Cost Sharing or Matching--This program does not require matching 
funds or cost sharing.
    3. If the application budget exceeds $25,000 it will not be 
considered for review.

IV. 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.
    Questions 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 25 typed pages 
that includes the other submission requirements below. The 25 page 
narrative does not include the work plan, standard forms, 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 the exception of Lobbying and Discrimination public 
policy.
    3. Submission Dates and Times:
    The application from each urban Indian organization must be 
submitted electronically through Grants.gov by 12 midnight Eastern 
Standard Time (EST).
    If technical challenges arise and the urban Indian organizations 
are unable to successfully complete the electronic application process, 
each organization must contact Michelle G. Bulls, Grants Policy Staff 
(GPS) fifteen days prior to the application deadline and advise of the 
difficulties that they are experiencing. Each organization must obtain 
prior approval, in writing (e-mails are acceptable), from Ms. Bulls 
allowing the paper submission. If submission of a paper application is 
requested and approved, the original and two copies may be sent to the 
appropriate grants contact that is listed in Section IV.1 above. 
Applications not submitted through Grants.gov, without an approved 
waiver, may be returned to the organizations without review or 
consideration.
    A late application will be returned to the organization without 
review or consideration.
    4. Intergovernmental Review: Executive Order 12372 requiring

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intergovernmental review is not applicable to this program.
    5. Funding Restrictions:
    A. 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 any of 
the urban Indian organizations do not receive an award or if the award 
to the recipient is less than anticipated.
    B. The available funds are inclusive of direct and appropriate 
indirect costs.
    C. Only one grant supplement will be awarded to each organization.
    D. IHS will acknowledge receipt of the application.
    6. Other Submission Requirements:
    Electronic Submission--Each urban Indian organization must submit 
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. Each organization 
must seek assistance at least fifteen days prior to the application 
deadline. If each organization doesn't adhere to the timelines for 
Central Contractor Registry (CCR), Grants.gov registration and request 
timely assistance with technical issues, paper application submission 
may not be granted.
    To submit an application electronically, please use the Grants.gov 
Web 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 any urban 
Indian organization has technical problems submitting the application 
on-line, please contact directly Grants.gov Customer Support at: http://www.grants.gov/CustomerSupport.
     Upon contacting Grants.gov, obtain a Grants.gov tracking 
number as proof of contact. The tracking number is helpful if there are 
technical issues that cannot be resolved and a waiver request from 
Grants Policy must be obtained. If any of the organizations are still 
unable to successfully submit the application on-line, please contact 
Michelle G. Bulls, GPS at (301) 443-6290 at least fifteen days prior to 
the application deadline to advise her of the difficulties you have 
experienced.
     If it is determined that a formal waiver is necessary, 
each organization must submit a request, in writing (e-mails are 
acceptable), to [email protected] providing 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 from Grants.gov, and sent directly to the Division of Grants 
Operations (DGO), 801 Thompson Avenue, TMP 360, Rockville, MD 20852 by 
August 8, 2008.
     Upon entering the Grants.gov Web site, there is 
information available that outlines the requirements to each urban 
Indian organization regarding electronic submission of application and 
hours of operation. We strongly encourage that each organization does 
not wait until the deadline date to begin the application process as 
the registration process for CCR and Grants.gov could take up to 
fifteen working days.
     To use Grants.gov, each urban Indian organization must 
have a Data Universal Numbering System (DUNS) Number and register in 
the CCR. Each organization should allow a minimum of ten working days 
to complete CCR registration. See below on how to apply.
     Each organization 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 attach additional documentation that may be requested by IHS.
     Each organization 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 DGO will retrieve your application from 
Grants.gov. The DGO will notify each organization that the application 
has been received.
     You may access the electronic application for this program 
on Grants.gov.
     You may search for the downloadable application package 
using either the CFDA number or the Funding Opportunity Number. Both 
numbers are identified in the heading of this announcement.
     To receive an application package, each urban Indian 
organization must provide the Funding Opportunity Number: HHS-2008-IHS-
UIHP-0002.
    E-mail applications will not be accepted under this announcement.

DUNS Number

    Applicants are required to have a 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.ccr.gov.
    More detailed information regarding these registration processes 
can be found at Grants.gov.

V. Application Review Information

1. Criteria
    The instructions for preparing the application narrative also 
constitute the evaluation criteria for reviewing and scoring the 
application. Weights assigned to each section are noted in parentheses. 
The narrative should include the first year of activities; information 
for multi-year projects should be included as an appendix (see E. 
``Categorical Budget and Budget Justification'') at the end of this 
section for more information. The narrative should be written in a 
manner that is clear to outside reviewers unfamiliar with prior related 
activities of the urban Indian organization. It should be well 
organized, succinct, and contain all information necessary for 
reviewers to understand the project fully.

A. Understanding of the Need and Necessary Capacity (30 Points)

    1. Understanding of the Problem
    a. Define the project target population, identify their unique 
characteristics, and describe the impact of HIV on the population.

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    b. Describe the gaps/barriers in HIV testing for the population.
    c. Describe the unique cultural or sociological barriers of the 
target population to adequate access for the described services.
2. Facility Capability
    a. Briefly describe your clinic programs and services and how this 
initiative complements and/or expands existing efforts.
    b. Describe your clinic's ability to conduct this initiative 
through:
     Your clinic's own resources.
     Collaboration with other providers.
     Partnerships established to accept referrals for 
counseling, testing, and referral and confirmatory blood tests and/or 
social services for individuals who test HIV positive.
     Partnerships established to refer out of your clinic for 
specialized treatment, care, confirmatory testing (if applicable) and 
counseling services.

B. Work Plan (40 Points)

1. Project Goal and Objectives
    Address all of the following program goals and objectives of the 
project. The objectives must be specific as well as quantitatively and 
qualitatively measurable to ensure achievement of goal(s).
     President's Initiative for HIV/AIDS
    Explain how the continuation program addresses the President's 
Initiative for HIV/AIDS objective requiring testing of those who do not 
know their status. For a more direct and relevant program initiative, 
this proposal will be enumerated in the development of the new IHS HIV/
AIDS Strategic Plan.
     HHS Strategic Plan Support
    Describe how implementing, expanding and making routine HIV/AIDS 
direct service opportunities in your clinic ensures an innovative 
approach towards achievement of two of the most critical HHS Strategic 
Plan Objectives relative to the health status of AI/AN:
    Objective 3.4--Eliminate racial and ethnic health disparities.
    Objective 3.6--Increase access to health services for AI/AN.
     Office of the Secretary Minority AIDS Initiative
    Address how the Minority AIDS Initiative Goals/Objectives will be 
supported. If a goal/objective is not applicable to your program, 
explain why it is not applicable. Provide quantitative and qualitative 
objectives for each of the following.
1. Expand Services
    a. Increase the number of clients receiving services;
    b. Increase the number of clients that receive an HIV test and are 
provided results and know their status; and
    c. Increase the number of clients treated and/or referred into the 
system for medical care.
2. Build Capacity
    a. Identify the number of providers that have expanded their:
     Knowledge of HIV screening methods;
     Knowledge of streamlining procedures; and
     Collaboration with outside entities such as CDC, HRSA, 
and/or State health departments.
3. Best Practices Models
    a. Identify best practice models of implementation of expanded 
services.
    4. Enumerate lessons observed and address barriers to care.
     IHS Strategic Plan Support
    Describe how this project integrates with the IRS Strategic Plan 
which includes concepts surrounding:
    1. Building and sustaining healthy communities;
    2. Providing accessible, quality health care; and
    3. Fostering collaboration and innovation across the Indian health 
network.
     IHS HIV/AIDS Administrative Work Plan Goals
    Describe how the IHS HIV/AIDS Administrative work plan goals will 
be supported. If a goal is not applicable to your program, explain why 
it is not applicable.
    1. Assist AI/AN in becoming aware of serostatus;
    2. Reduce the transmission of HIV through behavior change, 
prevention education and open discussion;
    3. Ensure access (and linkages) to services for those living with 
HIV/AIDS and those at risk;
    4. Provide routine HIV/AIDS services and ensure quality HIV/AIDS 
care is delivered within the Indian health system;
    5. Reduce stigma and discrimination surrounding HIV/AIDS; and
    6. Form sustainable collaborations and integrative approaches (i.e. 
Sexually Transmitted Diseases and HIV integration) to build capacity 
and maximize resources for surveillance, prevention, treatment and 
mitigation.
 Implementation Plan
    1. Identify the proposed program activities and explain how these 
activities will meet the needs of the target population.
    2. Describe any anticipated outcomes that may be achieved from this 
project plan.
    3. Provide a timeline for implementation.
    4. Certify that the program identified and agreed to follows the 
State regulations for HIV testing in their State.
    5. Describe how individuals will be selected for testing to 
identify selection criteria and which group(s)--if any--will you be 
able, via State regulations to offer testing in an opt-out format.
    6. Describe how the program will ensure that clients receive their 
test results, particularly clients who test positive.
    7. Describe how the program will ensure that individuals with 
initial HIV-positive test results will receive confirmatory tests. If 
you do not provide confirmatory HIV testing, you must provide a letter 
of intent or Memorandum of Understanding with an external laboratory 
documenting the process through which initial HIV-positive test results 
will be confirmed.
    8. Describe the program strategies to linking potential 
seropositive patients to care.
    9. Describe the program quality assurance strategies.
    10. Describe how the program will train, support and retain staff 
providing counseling and testing.
    11. Describe how the program will ensure client confidentiality.
    12. Describe how the program will ensure that your services are 
culturally sensitive and relevant.
    13. Describe how the program will attempt to streamline procedures 
so as to reduce the overall cost per test administered.
 Staffing Plan
    Describe the existing or proposed positions to be funded and 
provide names and roles of the key position(s) carrying out this 
project, their qualifications and how they relate to the organization, 
with regard to supervision and quality control.

C. Project Evaluation (10 Points)

1. Evaluation Plan
    The grantee shall provide a plan for monitoring and evaluating the 
HIV rapid test and/or standard HIV antibody test.
2. Reporting Requirements
    The following quantitative and qualitative measures shall be 
addressed:
 Indicators (Quantitative)
    1. Number of tests offered and number of test refusals.

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    2. Number of clients who refused due to prior knowledge of status.
    3. Number of individuals tested with breakdown of rapid versus 
standard antibody test.
    4. Number of negative results.
    5. Number of false negatives and/or false positives after 
confirmatory testing.
    6. Number of reactive tests and confirmed seropositive (actual and 
proportion).
    7. Number of individuals receiving their confirmatory test results.
    8. Number of clients learning of their serostatus for the first 
time via this testing initiative.
    9. Number of clients linked to care/treatment or referrals for 
prevention counseling.
    10. Number of post-test counseling sessions.
    11. Number of pre-test counseling sessions (brief).
    12. Number of prevention counseling sessions (more depth) due to 
higher risk populations.
    13. Number of missed follow up after rapid test is reactive.
    14. Transmission category (if known).
    15. Measures in place to protect confidentiality.
 Qualitative Information
1. Identify Testing Methodology
    a. Will testing be rapid or standard?
    b. Opt-out format should be utilized. Unless otherwise determined 
by State regulations--please explain.
    c. Is your methodology based on risk-based screening? Based on what 
risk criteria? Are you offering more routine screening? What are the 
criteria for offering tests if any?
2. Identify barriers of implementation
     Plan for obtaining knowledge, attitudes, and behavior 
data.

D. Organizational Capabilities and Qualifications (10 Points)

    This section outlines the broader capacity of the organization to 
complete the project outlined in the work plan. It includes the 
identification of personnel responsible for completing tasks and the 
chain of responsibility for successful completion of the project 
outlined in the work plan.
    1. Describe the organizational structure.
    2. Describe the ability of the organization to manage the proposed 
project. Include information regarding similarly sized projects in 
scope and financial assistance as well as other grants and projects 
successfully completed.
    3. Describe what equipment (i.e., phone, Web sites, etc.) and 
facility space (i.e., office space) will be available for use during 
the proposed project. Include information about any equipment not 
currently available that will be purchased throughout the agreement.
    4. List key personnel who will work on the project.
     Identify existing personnel and new program staff to be 
hired.
     In the appendix, include position descriptions and resumes 
for all key personnel. Position descriptions should clearly describe 
each position and duties indicating desired qualifications, experience, 
and requirements related to the proposed project and how they will be 
supervised. Resumes must indicate that the proposed staff member is 
qualified to carry out the proposed project activities and who will 
determine if the work of a contractor is acceptable.
     Note who will be writing the progress reports.
     If a position is to be filled, indicate that information 
on the proposed position description.
     If the project requires additional personnel beyond those 
covered by the supplemental grant (i.e., IT support, volunteers, 
interviewers, etc.), note these and address how these positions will be 
filled and, if funds are required, and the source of these funds.
     If personnel are to be only partially funded by this 
supplemental grant, indicate the percentage of time to be allocated to 
this project and identify the resources used to fund the remainder of 
the individual's salary.

E. Categorical Budget and Budget Justification (10 Points)

    This section should provide a clear estimate of the project program 
costs and justification for expenses for the entire grant period. The 
budget and budget justification should be consistent with the tasks 
identified in the work plan.
    1. Categorical budget (Form SF 424A, Budget Information Non-
Construction Programs) completing each of the budget periods requested.
    2. Narrative justification for all costs, explaining why each line 
item is necessary or relevant to the proposed project. Include 
sufficient details to facilitate the determination of cost 
allowability.
    3. Budget justification should include a brief program narrative 
for the second and third years.
    4. If indirect costs are claimed, indicate and apply the current 
negotiated rate to the budget. Include a copy of the rate agreement in 
the appendix.
2. Review and Selection Process
    In addition to the above criteria/requirements, the application 
will be considered according to the following:
    A. The submission deadline: August 8, 2008. The application 
submitted in advance of or by the deadline and verified by the postmark 
will undergo a preliminary review to determine that:
     The applicant is eligible in accordance with this grant 
announcement.
     The application is not a duplication of a previously 
funded project.
     The application narrative, forms, and materials submitted 
meet the requirements of the announcement allowing the review panel to 
undertake an in-depth evaluation; otherwise, it may be returned.
    B. The Objective Review date is August 11, 2008.
    The application requirements that are complete, responsive, and 
conform to this program announcement will be reviewed for merit by the 
Ad Hoc Objective Review Committee (ORC) appointed by the IHS to review 
and make recommendations on this application. Prior to ORC review, the 
application will be screened to determine that programs proposed are 
those which the IHS has the authority to provide, either directly or 
through funding agreement, and that those programs are designed for the 
benefit of IHS beneficiaries. If an urban Indian organization does not 
meet these requirements, the application will not be reviewed. The ORC 
review will be conducted in accordance with the IHS Objective Review 
Guidelines. The application will be evaluated and rated on the basis of 
the evaluation criteria listed in section V.1. The criteria are used to 
evaluate the quality of a proposed project and determine the likelihood 
of success.
3. Anticipated Announcement and Award Dates
    Anticipated announcement date is August 8, 2008 with an Award Date 
of September 1, 2008.

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 the urban Indian organization. The NoA will 
be signed by the Grants Management Officer and this is the authorizing 
document under which funds are dispersed. The NoA, is the legally 
binding document, will serve as the official notification of the grant 
award and will reflect the amount of Federal funds awarded for the 
purpose

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of the grant, the terms and conditions of the award, the effective date 
of the award, and the budget/project period.
2. Administrative Requirements
    Grants are administered in accordance with the following documents:
     This Program Announcement.
     45 CFR part 74, ``Uniform Administrative Requirements for 
Awards to Institutions of Higher Education, Hospitals, Other Non-Profit 
Organizations, and Commercial Organizations.''
     Grants Policy Guidance: HHS Grants Policy Statement, 
January 2007.
     ``Non-Profit Organizations'' (Title 2 part 230).
     Audit Requirements: OMB Circular A-133, ``Audits of 
States, Local Governments, and Non-Profit Organizations.''
    3. Indirect Costs: This section applies to indirect costs in 
accordance with HHS Grants Policy Statement, Part 11-27. The IHS 
requires applicants to have a current indirect cost 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 
cognizant 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 award shall include funds 
for reimbursement of indirect costs. However, the indirect costs 
portion will remain restricted until the current rate is provided to 
the DGO.
    If an urban Indian organization has questions regarding the 
indirect costs policy, please contact the DGO at (301) 443-5204.
4. Reporting
    A. Progress Report. Program progress reports are required semi-
annually. These reports will include a brief comparison of actual 
accomplishments to the goals 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 reports 
must be submitted within 30 days of the end of the half year. Final 
financial status reports are due within 90 days of expiration of the 
budget period. Standard Form 269 (long form) will be used for financial 
reporting.
    Failure to submit required reports within the time allowed may 
result in suspension or termination of an active agreement, 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 organization or the individual 
responsible for preparation of the reports.
    Telecommunication for the hearing impaired is available at: TTY 
301-443-6394.

VII. Agency Contacts

    For program-related and general information regarding this 
announcement: Danielle Steward, Health Systems Specialist, Office of 
Urban Indian Health Programs, 801 Thompson Avenue, Room 200, Rockville, 
MD 20852, (301) 443-4680 or [email protected].
    For specific grant-related and business management information: 
Denise Clark, Senior Grants Management Specialist, 801 Thompson Avenue, 
TMP 360, Rockville, MD 20852, 301-443-5204 or [email protected].

    Dated: July 8, 2008.
Robert G. McSwain,
Director, Indian Health Service.
[FR Doc. E8-16051 Filed 7-16-08; 8:45 am]
BILLING CODE 4165-16-M