[Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)]
[Notices]
[Pages 46287-46307]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-19088]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

[Funding Announcement Number: HHS-2016-IHS-SDPI-0001; Catalog of 
Federal Domestic Assistance Number: 93.237]


Special Diabetes Program for Indians; Community-Directed Grant 
Program; Announcement Type: New and Competing Continuation

Key Dates

    Application Deadline Date: October 7, 2015.

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    Review Date: October 19-November 6, 2015.
    Earliest Anticipated Start Date: January 1, 2016.
    Signed Tribal Resolution(s) Due Date: October 16, 2015.
    Proof of Non-Profit Status Due Date: October 7, 2015.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) Special Diabetes Program for 
Indians (SDPI) is accepting new and competing continuation cooperative 
agreement applications for the Community-Directed Grant Program. This 
program is authorized by Section 330C of the Public Health Service Act, 
codified at 42 U.S.C. 254c-3, as amended, and by the Snyder Act, 25 
U.S.C. 13. This program is described in the Catalog of Federal Domestic 
Assistance (CFDA) under 93.237.

Background

    Diabetes is a complex and costly chronic disease that requires 
tremendous long-term efforts to prevent and treat. Although diabetes is 
a nationwide public health problem, American Indian/Alaska Native (AI/
AN) people are disproportionately affected. In 2012, 15.9% of AI/AN 
people aged 20 years or older had diagnosed diabetes, compared to 7.6% 
of non-Hispanic white people [CDC, 2014 (http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf)]. In addition, AI/
AN people have higher rates of diabetes-related morbidity and mortality 
than the general U.S. population [O'Connell, 2012 (http://care.diabetesjournals.org/content/33/7/1463.full?sid=f3c75e2c-5b22-479b-ac82-6e96b5f7576c); Cho, 2014 (http://ajph.aphapublications.org/doi/full/10.2105/AJPH.2014.301968)]. Strategies to address the 
prevention and treatment of diabetes in AI/AN communities are urgently 
needed.
    In response to the burgeoning diabetes epidemic among AI/AN people, 
Congress established the SDPI through the Balanced Budget Act of 1997. 
SDPI is a $150 million per year program that provides grants for 
diabetes treatment and prevention services. SDPI is administered by 
IHS, with programmatic oversight provided by the IHS Division of 
Diabetes Treatment and Prevention (Division of Diabetes).
    Over 330 programs have received SDPI Community-Directed grants 
annually since 1998. A Congressional re-authorization in 2015 extended 
SDPI through FY 2017.

Purpose

    The purpose of this IHS cooperative agreement is to provide 
diabetes treatment and/or prevention activities and/or services (also 
referred to as ``activities/services'') for AI/AN communities. Grantees 
will implement one SDPI Diabetes Best Practice (also referred to as 
``Best Practice'') and report data on its Required Key Measure. 
Grantees may also implement other activities/services based on 
diabetes-related community needs and develop an evaluation plan. 
Activities/services will be aimed at reducing the risk of diabetes in 
at-risk individuals, providing high quality care to those with 
diagnosed diabetes, and/or reducing the complications of diabetes.

II. Award Information

Type of Award

    Cooperative Agreement.

Estimated Funds Available

    The total amount of funding identified for fiscal year (FY) 2016 is 
approximately $130.2 million. Individual award amounts are anticipated 
to be between $12,500 and $6.5 million with an average award amount of 
approximately $300,000.
    The funding formula which determines the funds available to each 
IHS area has been determined through Tribal consultation. Within each 
area, grantee Tribes provide input on the formula which determines the 
amount of funding available for each successful applicant.
     Current SDPI Community-Directed grantees should budget for 
the same amount as they received in FY 2015. However, funding amounts 
may change. See the paragraph below for additional information.
     New SDPI Community-Directed grant applicants should apply 
for a $12,500 base amount.
    The amount of funding available for competing and continuation 
awards issued under this announcement are subject to the availability 
of appropriations and budgetary priorities of the Agency. The IHS is 
under no obligation to make awards that are selected for funding under 
this announcement.

Anticipated Number of Awards

    Approximately 325-450 awards will be issued under this program 
announcement.

Project Period

    January 1, 2016 to December 31, 2020.

Cooperative Agreement

    Cooperative agreements awarded by the Department of Health and 
Human Services (HHS) are administered under the same policies as a 
grant. The funding agency (IHS) is required to have substantial 
programmatic involvement in the project during the entire award 
segment. Below is a detailed description of the level of involvement 
required for both IHS and the grantee. IHS will be responsible for 
activities listed under section A and the grantee will be responsible 
for activities listed under section B as stated:

Substantial Involvement Description for Cooperative Agreement

A. IHS Involvement
    1. IHS Division of Diabetes Treatment and Prevention (Division of 
Diabetes): The Division of Diabetes will provide general programmatic 
oversight, coordination, leadership, and resources. Detailed 
responsibilities include:
    a. Communication and technical assistance
    i. Maintain a Community-Directed grantee email list and provide 
updates and announcements via email.
    ii. Maintain and update the Division of Diabetes Web site: 
www.diabetes.ihs.gov
    iii. Maintain and update SDPI Community-Directed Grant Program Web 
pages (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=sdpi_hub), which provide information and resources 
regarding the cooperative agreement, including:
    (1) Information sessions--Recorded webinars available to view on 
demand and provide a review of the programmatic Terms and Conditions 
and overview of application or report-specific resources.
    (2) Frequently Asked Questions (FAQs)--Updated annually, this Web 
page provides answers to common questions about SDPI Community-Directed 
grants.
    (3) Additional resources--Documents and links from the Division of 
Diabetes and the Division of Grants Management (DGM).
    (4) New to SDPI--Provides information for new grantees and/or 
staff.
    b. Provide Question and Answer (Q&A) Sessions: The Division of 
Diabetes will hold regular Q&A sessions regarding application and 
report processes via live webinars. Sessions will be held regularly one 
month before the due date for each application and report. These 
sessions will provide the following:

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    i. Review of programmatic Terms and Conditions.
    ii. Overview of report or application instructions, templates and 
resources.
    iii. Opportunity for attendees to ask questions.
    c. Create and provide instructions and templates for the Semi-
Annual and Annual Progress Reports.
    d. Create and provide instructions and Project Narrative 
template(s) for continuation applications.
    e. Maintain and update the SDPI Diabetes Best Practices.
    f. Provide resources, tools, support, and training for facilities 
to conduct IHS Diabetes Care and Outcomes Audits.
    g. Create and provide support for the SDPI Outcomes System (SOS) 
which grantees will use to track and report on Required Key Measure 
(RKM) data.
    h. Establish SDPI grantee training requirements.
    i. Provide or coordinate SDPI grantee training sessions and record 
them.
    2. Area Diabetes Consultant (ADC): Diabetes expert located in each 
IHS area with the following responsibilities:
    a. Serves as the project officer for the SDPI Community-Directed 
Grant Programs in their IHS area. The project officer is a federal 
program staff person who is responsible for managing and monitoring the 
progress of grantees.
    b. Serves as a liaison between the SDPI grant programs, Division of 
Diabetes, and DGM.
    c. Helps coordinate an extensive Indian health system diabetes 
network to facilitate information flow between local and national 
levels.
    d. Provides diabetes training and resources to health care and 
wellness professionals and paraprofessionals in the Indian health 
system.
    e. Works with the Division of Diabetes to translate and disseminate 
the latest scientific findings on diabetes treatment and prevention to 
AI/AN communities.
    3. IHS Division of Grants Management: Official grants management 
office. Provides complete monitoring and oversight for all financial 
business management and administration for the life cycle of the grant 
award. First contact for all financial grants operations and policy 
requirements for compliance of the grant award terms and conditions. 
Contact office for the Grants Management Specialist (GMS), Grants 
Management Officer, Chief Grants Management Officer and Acting Director 
of Grants Management Operations and Policy. Works on a daily basis with 
all grants award recipients to provide guidance on all grants 
management questions and concerns.
B. Grantee Cooperative Agreement Award Activities
    All awardees (grantees) will need to meet the following 
requirements. All requirements, including these programmatic 
requirements, will also be provided as an attachment in the Notice of 
Award.
    1. Diabetes Treatment and Prevention Activities and Services: 
Grantees must provide activities/services that:
    a. Meet the purpose of this FOA (see section I above) which is to 
provide diabetes treatment and/or prevention services and activities/
services for AI/AN communities.
    b. Are targeted at reducing risk factors for diabetes and related 
conditions.
    c. Address diabetes-related issues as identified in the grantee's 
needs assessment.
    d. Implement a selected Best Practice and its RKM (see item 2 
directly below).
    e. Utilize SDPI funds as outlined in the grantee's Budget 
Narrative.
    2. SDPI Diabetes Best Practices (Best Practices): The Best 
Practices (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedApp) were updated for FY 
2016 to include the latest scientific findings and recommendations. 
Grantees must select one Best Practice and implement activities/
services aimed at improving the RKM from their selected Best Practice. 
Grantees will report on RKM data via the SDPI Outcomes System.
    3. SDPI Outcomes System (SOS): Data for the RKM will be reported 
using the new SOS. Grantees will enter results for the RKM for their 
selected Best Practice into this system at the start and end of the 
budget period, with the option to enter more frequently. The system 
will generate reports of these results to meet the SDPI outcomes 
reporting requirements. These results will be stored in the system and 
accessible to program staff as needed. Grantees will need to appoint at 
least one person in their program to get access to and add RKM data 
into the SOS.
    4. IHS Diabetes Care and Outcomes Audit (Diabetes Audit): SDPI 
Community-Directed grantees are required to participate in the Annual 
Diabetes Audit (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=resourcesAudit). Grantees must review the results and 
submit a copy of the Annual Diabetes Audit Report with their 
continuation applications. Non-clinical or community-based grantees 
that are not able to directly participate in the Diabetes Audit will 
need to acquire a copy of the Annual Diabetes Audit Report from their 
local facility or ADC.
    5. Collaboration: Grantee must agree to:
    a. Consult with and accept guidance from the Division of Diabetes, 
the DGM, and their ADC/Federal project officer(s) and/or designated 
assignee(s). In addition, sub-grantees must agree to consult with and 
accept guidance from their primary grantee.
    b. Respond promptly to requests for information.
    c. Attend required meetings and trainings.
    d. Provide short presentations on their processes and successes, as 
requested.
    e. Keep the above entities (see item a. above) informed of emerging 
issues, developments, and challenges that may affect the grantee's 
ability to comply with the grant Terms and Conditions and/or any 
requirements.
    6. Program Coordinator: Grantees must have an officially approved 
(by the IHS project officer) program coordinator with the following 
qualifications:
    a. Relevant health or wellness education and/or experience.
    b. Experience with grant program management, including skills in 
program coordination, budgeting, reporting, and supervision of staff.
    c. Working knowledge of diabetes.
    The program coordinator will also be the primary email contact to 
entities listed in item B.5. above under ``Collaboration.'' All SDPI 
grant program staff should be routinely updated by the program 
coordinator with information and requirements related to their 
program's activities/services.
    7. Hardware/software requirements: The hardware and software items 
listed below are required in order for grantees to access application 
and report materials, Web sites, and training forums relevant to this 
grant:
    a. Desktop or laptop computer (recommended: Purchased in 2010 or 
later).
    b. Internet access (recommended: High speed).
    c. Internet browser software (recommended: Microsoft[supreg] 
Internet Explorer, version 10.0 or higher).
    d. Adobe software compatibility for using Grants.gov. For more 
information: http://www.grants.gov/web/grants/applicants/adobe-software-compatibility.html
    e. Adobe Connect webinar capability. For more information: https://na1cps.adobeconnect.com/common/help/en/support/meeting_test.htm
    In addition to the requirements above, it is recommended that 
grantees have Microsoft Office software, version 2010 or higher.
    8. Semi-Annual Progress Report: Grantees must adhere to reporting

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requirements as specified by grants policy. See section VI.4 for 
details. In addition, a programmatic Semi-Annual Progress Report will 
be required in the middle of the grantee's budget period. Details, 
instructions, and a report template will be made available on the 
following Web page: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedMidReportingReq
    9. Required Trainings: Grantees must participate in SDPI required 
trainings offered by the Division of Diabetes. Training sessions will 
be primarily live webinars that will be recorded for those not able to 
attend the live sessions. Grantees will be expected to:
    a. Participate in interactive discussion or chats during conference 
calls or webinars.
    b. Share activities, tools, and results.
    c. Share problems encountered and how barriers are overcome.
    d. Keep track of participation whether live or recorded.
    The SDPI grantee training requirements will be provided on the 
following Division of Diabetes Web page: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedTraining
    10. Grantees that propose sub-grantees: A sub-grantee is an entity 
that has an arrangement between a primary grantee institution and one 
or more participating institutions in support of a project. Primary 
grantee responsibilities include:
    a. Providing oversight and coordination to ensure sub-grantees 
adhere to the grant requirements as listed in this cooperative 
agreement.
    b. Serving as a liaison between the sub-grantees and the entities 
provided in item 5.a. above.
I. Eligibility Information
1. Eligibility
    To be eligible for this ``New/Competing Continuation Announcement'' 
under this cooperative agreement announcement, applicants must be one 
of the following:
    i. A Federally-recognized Indian Tribe as defined by 25 U.S.C. 
1603(14), operating an Indian health program operated pursuant to a 
contract, grant, cooperative agreement, or compact with IHS pursuant to 
the Indian Self-Determination and Education Assistance Act (ISDEAA), 
(Pub. L. 93-638).
    ii. A Tribal organization as defined by 25 U.S.C. 1603(26), 
operating an Indian health program operated pursuant to a contract, 
grant, cooperative agreement, or compact with the IHS pursuant to the 
ISDEAA, (Pub. L. 93-638).
    iii. An urban Indian organization, as defined by 25 U.S.C. 
1603(29), operating a Title V urban Indian health program that 
currently has a grant or contract with the IHS under Title V of the 
Indian Health Care Improvement Act, (Pub. L. 93-437). Applicants must 
provide proof of non-profit status with the application, e.g. 
501(c)(3).
    iv. Indian Health Service facilities: Under this announcement, only 
one SDPI Community-Directed diabetes grant will be awarded per entity. 
If a Tribe submits an application, their local IHS facility cannot 
apply; if the Tribe does not submit an application, the IHS facility 
can apply. Tribes that are awarded grant funds may sub-contract with 
local IHS facilities to provide specific clinical services. In this 
case, the Tribe would be the primary SDPI grantee and the Federal 
entity would have a sub-contract within the Tribe's SDPI grant.
    Current SDPI Community-Directed grantees are eligible to apply for 
competing continuation funding under this announcement and must 
demonstrate that they have complied with previous terms and conditions 
of the SDPI grant in order to receive funding under this announcement.
    Note: Please refer to section IV.2 (Application and Submission 
Information/Subsection 2, Content and Form of Application Submission) 
for additional proof of applicant status documents required such as 
Tribal resolutions, proof of non-profit status, etc.
2. Cost Sharing or Matching
    The IHS does not require matching funds or cost sharing for grants 
or cooperative agreements.
3. Other Requirements
    If application budgets exceed the highest dollar amount outlined 
under the ``Estimated Funds Available'' section within this funding 
announcement, the application will be considered ineligible and will 
not be reviewed for further consideration. If deemed ineligible, IHS 
will not return the application. The applicant will be notified by 
email by the DGM of this decision.
Documentation of Support
Tribes and Tribal organizations
    These entities must submit documentation of support from each of 
the Indian Tribes served by the project. This documentation of support 
must be either of the following for each Tribe served:
    1. Tribal Resolution: Tribes and Tribal organizations should submit 
an official signed Tribal resolution from each of the Indian Tribes 
served by the project. Applications by Tribal organizations will not 
require a specific Tribal resolution if the current Tribal 
resolution(s) under which they operate would encompass the proposed 
grant activities/services.
    Official signed Tribal resolution(s) should be submitted along with 
the electronic application submission by the Application Deadline Date 
(see Key Dates). If an official signed Tribal resolution is not 
available by the Application Deadline Date, a draft Tribal 
resolution(s) should be submitted along with the electronic application 
submission by the Application Deadline Date. Then, the official signed 
Tribal resolution(s) must be received by the Signed Tribal 
Resolution(s) Due Date (see Key Dates); otherwise, the application will 
be considered incomplete and ineligible.
    2. Letter of Support: If it is not possible to obtain a signed 
official Tribal resolution by the Signed Tribal Resolution(s) Due Date 
for a Tribe served by the project, then a letter of support signed by a 
senior Tribal official may be submitted instead of a Tribal resolution 
for that Tribe. Letter(s) of support must be submitted along with the 
electronic application submission by the Application Deadline Date (see 
Key Dates).
Title V Urban Indian Health Programs
    These entities must submit a letter of support from their 
organization's board of directors.
IHS Hospitals and Clinics
    These entities must submit a letter of support from their chief 
executive officer. In addition, letter(s) of support from Tribe(s) 
served by the IHS SDPI program are highly recommended but not required.
    Documentation of support as required above must be submitted with 
the electronic application.
    It is highly recommended that all application materials not 
submitted via grants.gov be sent by a delivery method that includes 
confirmation of receipt. Materials should be mailed to 801 Thompson 
Avenue, TMP Suite 360, Rockville, MD 20852 (attention to the assigned 
GMS, see section VII). Please contact the assigned GMS by telephone 
prior to the Review Date (see Key Dates) regarding material submission 
questions.

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Proof of Non-Profit Status
    Organizations claiming non-profit status must also submit proof. A 
copy of the 501(c)(3) Certificate must be received with the application 
submission by the Application Deadline Date listed under the Key Dates 
section on the cover page of this announcement.
IHS Diabetes Care and Outcomes Audit
    The IHS Diabetes Care and Outcomes Audit is a process to assess 
care and health outcomes for AI/AN people with diagnosed diabetes. IHS, 
Tribal, and urban Indian health care facilities nationwide participate 
in this process each year by auditing medical records for their 
patients with diabetes. Applicants that are able to must submit copies 
of their local facility's 2014 and 2015 Annual Diabetes Audit Reports.
    1. Most applicants can obtain their 2014 and 2015 Annual Diabetes 
Audit Reports in one of following ways:
    a. Via the WebAudit: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=resourcesAudit.
    b. By requesting these Reports from their local facility.
    c. By requesting these Reports from their ADC: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=peopleADCDirectory.
    2. If the applicant is unable to obtain their local facility's 2014 
and 2015 Annual Diabetes Audit Reports, they must provide an 
explanation in the Project Narrative (Part B).

IV. Application and Submission Information

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement can be found at http://www.Grants.gov or https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_funding.
    Questions regarding the electronic application process may be 
directed to Mr. Paul Gettys at (301) 443-2114 or (301) 443-5204.

2. Content and Form Application Submission

    The applicant must include the Project Narrative as an attachment 
to the application package. Mandatory documents for all applicants 
include:

 Table of contents.
 Abstract (one page) summarizing the project.
 Application forms:
    [cir] SF-424, Application for Federal Assistance.
    [cir] SF-424A, Budget Information--Non-Construction Programs.
    [cir] SF-424B, Assurances--Non-Construction Programs.
 Budget Justification and Narrative (must be single spaced and 
not exceed five pages). See section IV.2.B for details.
 Project Narrative--a PDF-fillable template will be provided. 
See section [section IV.2.A] for details and a link to the template.
 2014 and 2015 Annual Diabetes Audit Reports or an explanation 
as to why these reports cannot be submitted. See section III.3 for 
details.
 Tribal Resolution(s) (Tribes and/or Tribal organizations). See 
section III.3 for details.
 Letter(s) of Support (See section III.3) from one of the 
following:
    [cir] Board of Directors (Title V urban Indian health programs).
    [cir] Chief Executive Officer (IHS facilities).
    [cir] Tribes served (highly recommended for IHS facilities)
 501(c)(3) Certificate (if applicable).
 Biographical sketches for all Key Personnel.
 Key contacts form for diabetes program coordinator.
 Contractor/Consultant resumes or qualifications and scope of 
work (if applicable).
 Disclosure of Lobbying Activities (SF-LLL).
 Certification Regarding Lobbying (GG-Lobbying Form).
 Copy of current Negotiated Indirect Cost rate (IDC) agreement 
(not applicable to IHS facilities).
 Organizational chart or written information that shows where 
the SDPI Program fits into the larger organization.
 Documentation of current Office of Management and Budget (OMB) 
A-133 required Financial Audit or other required audit for FY 2014 (not 
applicable to IHS facilities).
    Acceptable forms of documentation include:
    [cir] Email confirmation from Federal Audit Clearinghouse (FAC) 
that audits were submitted; or
    [cir] Face sheets from audit reports. These can be found on the FAC 
Web site: http://harvester.census.gov/sac/dissem/accessoptions.html?submit=Go+To+Database.
Mandatory Documents for Programs That Propose Sub-Grantees
    A sub-grantee is an entity that has an arrangement between a 
grantee institution and one or more participating institutions in 
support of a project.
    A complete application package including all mandatory documents 
listed above must be completed, signed, and submitted to the primary 
grantee to be included in their application in response to this 
announcement. Sub-grantees cannot submit applications directly to 
Grants.gov.
    The primary grantee's application must reflect the total budget for 
the entire cost of the project. Total budget for the sub-grantees 
should be accounted for under the contractual/consultant category.
Mandatory Documents for Programs That Propose Sub-Contracts With Local 
IHS Facilities
    A sub-contract is between two entities to provide services or 
supplies. Programs that propose sub-contracts with IHS facilities to 
provide clinical services must submit a separate budget for the sub-
contract, but the grantee's application must reflect the total budget 
for the entire cost of the project.
    While not required for this grant application, it is highly 
recommended that the grantee obtain a Memorandum of Agreement that is 
signed by the grantee, the IHS facility, the IHS area director, and the 
Tribal chairperson.
Public Policy Requirements
    All Federal-wide public policies apply to organizations that 
receive IHS grants and cooperative agreements with exception of the 
Discrimination policy: http://www.hhs.gov/grants/grants/grants-policies-regulations/index.html.
Requirements for Project and Budget Narratives
    A. Project Narrative: This narrative will be provided using a PDF 
fillable template that will be available on the SDPI Community-Directed 
Application Web page at http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedApp.
    Be sure to answer succinctly all applicable questions in the 
Project Narrative, being mindful of the evaluation criteria (see 
section V.1). The Project Narrative will provide reviewers with 
critical information about the applicant's resources, capabilities, and 
proposed activities/services.
    There are seven parts to the Project Narrative:

1. Part A--Program Identifiers
2. Part B--Needs Assessment
3. Part C--Program Support
4. Part D--SDPI Diabetes Best Practice
5. Part E--Activities/Services not related to selected Best Practice 
(Optional)
6. Part F--Additional Information

    B. Budget Narrative: The Budget Narrative provides additional 
explanation to support the information provided on the SF-424A (Budget

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Information for Non-Construction Programs). The Budget Narrative 
consists of two parts:
    (1) Budget Line Items.
    (2) Budget Justification that provides a brief justification for 
each budget item, including why it is necessary and relevant to the 
proposed project and how it supports project activities/services.
    The Budget Narrative must include a line item budget with a 
justification for all expenditures identifying reasonable and allowable 
costs necessary to accomplish the goals and objectives as outlined in 
the Project Narrative. Budget should match the scope of work described 
in the Project Narrative. The page limitation should not exceed five 
pages.
    The list of budget categories and items below is provided for ideas 
about what might be included in the budget. The applicant does not need 
to include all the categories and items below and may include others 
not listed. The budget is specific to the applicant's program, 
objectives, and activities/services. A sample Budget Narrative is also 
provided in Appendix 2.
A. Personnel
    For each position to be funded by the grant, including program 
coordinator and others, provide the information below. Include ``in-
kind'' positions if applicable.
 Position name.
 Individual's name or enter ``To be named.''
 Brief description of role and/or responsibilities.
 Percentage of annual salary that will be paid for by SDPI 
funds OR hourly rate and hours worked per year that will be paid for by 
SDPI funds.
B. Fringe Benefits
    List the fringe rate for each position separately. DO NOT list a 
lump sum fringe benefit amount for all personnel combined.
C. Travel and Training
 Staff travel necessary to provide project activities/services.
 Staff travel to meetings planned during budget period.
 Staff travel for training as needed to provide services 
related to goals and objectives of the grant, such as continuing 
clinical education courses, IHS SDPI Meetings, etc.
D. Equipment
 Capital Equipment--Tangible property having a useful life of 
more than one year and acquisition cost which equals or exceeds $5,000 
per item.
E. Supplies
 General office supplies.
 Computers.
 Software purchases or upgrades and other computer supplies.
 Supplies needed for activities/services related to the 
project.
 File/storage cabinets.
F. Contractual/Consultant
    May include partners, collaborators, and/or technical assistance 
consultants procured to help with project activities/services. Include 
direct costs and indirect costs for any subcontracts.
G. Alterations and Renovations (A&R)
    Major A&R exceeding $150,000 is not allowable under this project 
without prior approval from the program office.
H. Other
 Participant incentives--list all types of incentives and 
specify amount per item. See the IHS Grant Programs Incentive Policy at 
http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_circ_mainˆ=ihm_circ_0506 for more 
information including restrictions.
 Marketing, advertising, and promotional items.
 Internet access.
 Medications and lab tests--be specific; list all medications 
and lab tests.
 Miscellaneous services: rent, telephone, conference calls, 
computer support, shipping, copying, printing, and equipment 
maintenance.
I. Indirect Costs
    Line item consists of facilities and administrative cost (include 
IDC agreement computation)

3. Submission Dates and Times

    Applications must be submitted electronically through Grants.gov by 
11:59 p.m. Eastern Daylight Time (EDT) on the application deadline date 
listed in the Key Dates section on page one of this announcement. Any 
application received after the application deadline will not be 
accepted for processing, nor will it be given further consideration for 
funding. Grants.gov will notify the applicant via email if the 
application is rejected.
    If technical challenges arise and assistance is required with the 
electronic application process, contact Grants.gov Customer Support via 
email to [email protected] or at (800) 518-4726. Customer Support is 
available to address questions 24 hours a day, 7 days a week (except on 
Federal holidays). If problems persist, contact Mr. Paul Gettys 
([email protected]), DGM Grant Systems Coordinator, by telephone at 
(301) 443-2114 or (301) 443-5204. Please be sure to contact Mr. Gettys 
at least ten days prior to the application deadline. Please do not 
contact the DGM until you have received a Grants.gov tracking number. 
In the event you are not able to obtain a tracking number, call the DGM 
as soon as possible.
    If the applicant needs to submit a paper application instead of 
submitting electronically through Grants.gov, a waiver must be 
requested. Prior approval must be requested and obtained from Ms. Tammy 
Bagley, Acting Director of DGM, (see Section IV.6 below for additional 
information). The waiver must: (1) Be documented in writing (emails are 
acceptable), before submitting a paper application, and (2) include 
clear justification for the need to deviate from the required 
electronic grants submission process. A written waiver request must be 
sent to [email protected] with a copy to [email protected]. Once 
the waiver request has been approved, the applicant will receive a 
confirmation of approval email containing submission instructions and 
the mailing address to submit the application. A copy of the written 
approval must be submitted along with the hardcopy of the application 
that is mailed to DGM. Paper applications that are submitted without a 
copy of the signed waiver from the Acting Director of the DGM will not 
be reviewed or considered for funding. The applicant will be notified 
via email of this decision by the Grants Management Officer of the DGM. 
Paper applications must be received by the DGM no later than 5:00 p.m., 
EDT, on the application deadline date listed in the Key Dates section 
on page one of this announcement. Late applications will not be 
accepted for processing or considered for funding.

4. Intergovernmental Review

    Executive Order 12372 requiring intergovernmental review is not 
applicable to this program.

5. Funding Restrictions

 Pre-award costs are not allowable.
 The available funds are inclusive of direct and appropriate 
indirect costs.
 Only one grant/cooperative agreement will be awarded per 
applicant.
 IHS will not acknowledge receipt of applications.

6. Electronic Submission Requirements

    All applications must be submitted electronically. Please use the 
http://www.Grants.gov Web site to submit an application electronically 
and select the

[[Page 46293]]

``Find Grant Opportunities'' link on the homepage. Download a copy of 
the application package, complete it offline, and then upload and 
submit the completed application via the http://www.Grants.gov Web 
site. Electronic copies of the application may not be submitted as 
attachments to email messages addressed to IHS employees or offices.
    If the applicant receives a waiver to submit paper application 
documents, they must follow the rules and timelines that are noted 
above. The applicant must seek assistance at least ten days prior to 
the application deadline date listed in the Key Dates section on page 
one of this announcement.
    Applicants that do not adhere to the timelines for System for Award 
Management (SAM) and/or http://www.Grants.gov registration or that fail 
to request timely assistance with technical issues will not be 
considered for a waiver to submit a paper application.
    Please be aware of the following:
 Please search for the application package in http://www.Grants.gov by entering the CFDA number or the Funding Opportunity 
Number. Both numbers are located in the header of this announcement.
 If you experience technical challenges while submitting your 
application electronically, please contact Grants.gov Support directly 
at: [email protected] or (800) 518-4726. Customer Support is available 
to address questions 24 hours a day, 7 days a week (except on Federal 
holidays).
 Upon contacting Grants.gov, note the tracking number provided 
as proof of contact. The tracking number is helpful if there are 
technical issues that cannot be resolved and a waiver to submit paper 
application documents from the agency must be obtained.
 If it is determined that a waiver is needed, the applicant 
must submit a request in writing (emails are acceptable) to 
[email protected] with a copy to [email protected]. Please 
include a clear justification for the need to deviate from the standard 
electronic submission process.
 If the waiver is approved, the application should be sent 
directly to the DGM by the application deadline date listed in the Key 
Dates section on page one of this announcement.
 Applicants are strongly encouraged not to wait until the 
deadline date to begin the application process through Grants.gov, as 
the registration process for SAM and Grants.gov could take up to 
fifteen working days.
 Please use the optional attachment feature in Grants.gov to 
attach additional documentation that may be requested by the DGM.
 All applicants must comply with any page limitation 
requirements described in this Funding Announcement.
 After electronically submitting the application, the applicant 
will receive an automatic acknowledgment from Grants.gov that contains 
a Grants.gov tracking number. DGM will download the application from 
Grants.gov and provide necessary copies to the appropriate agency 
officials. Neither DGM nor the Division of Diabetes will notify the 
applicant that the application has been received.
 Email applications will not be accepted under this 
announcement.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
    All IHS applicants and grantee organizations are required to obtain 
a DUNS number and maintain an active registration in the SAM database. 
The DUNS number is a unique 9-digit identification number provided by 
D&B which uniquely identifies each entity. The DUNS number is site 
specific; therefore, each distinct performance site may be assigned a 
DUNS number. Obtaining a DUNS number is easy, and there is no charge. 
To obtain a DUNS number, please access it through http://
fedgov.dnb.com/webform, or to expedite the process, call (866) 705-
5711.
    All HHS recipients are required by the Federal Funding 
Accountability and Transparency Act of 2006, as amended (``Transparency 
Act''), to report information on subawards. Accordingly, all IHS 
grantees must notify potential first-tier subrecipients that no entity 
may receive a first-tier subaward unless the entity has provided its 
DUNS number to the prime grantee organization. This requirement ensures 
the use of a universal identifier to enhance the quality of information 
available to the public pursuant to the Transparency Act.
System for Award Management (SAM)
    Organizations that were not registered with Central Contractor 
Registration and have not registered with SAM will need to obtain a 
DUNS number first and then access the SAM online registration through 
the SAM home page at https://www.sam.gov (U.S. organizations will also 
need to provide an Employer Identification Number from the Internal 
Revenue Service that may take an additional 2-5 weeks to become 
active). Completing and submitting the registration takes approximately 
one hour to complete and SAM registration will take 3-5 business days 
to process. Registration with the SAM is free of charge. Applicants may 
register online at https://www.sam.gov.
    Additional information on implementing the Transparency Act, 
including the specific requirements for DUNS and SAM, can be found on 
the IHS Grants Management, Grants Policy Web site: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.

V. Application Review Information

    The evaluation criteria for reviewing and scoring the application 
are provided below. Weights assigned to each section are noted in 
parentheses. Ensure that this Project Narrative and other submitted 
application documents provide a clear and complete, but succinct, 
overview of your program. Anticipate that reviewers know nothing about 
your program and little about IHS and Tribal systems. Points will be 
assigned to each evaluation criteria adding up to a total of 100 
points. A minimum score of 60 points is required for funding. Points 
are assigned as follows:

1. Criteria

A. Introduction and Need for Assistance (15 Points)
    (i) Program Identifiers (Project Narrative Part A)
    (1) Was the Project Narrative Template used?
    (2) Was program identifier information adequately completed?
    (3) Was an appropriate abstract provided?
(ii) Needs Assessment (Project Narrative Part B)
    (1) Did the applicant adequately describe the key diabetes-related 
health issues identified by their community/leadership?
    (2) Were numbers provided for applicant's local user population and 
people with diagnosed diabetes?
    (3) Was the 2014 Annual Diabetes Audit Report provided? If not, was 
an adequate statement included regarding why it was not provided?
    (4) Was the 2015 Annual Diabetes Audit Report provided? If not, was 
an adequate statement included regarding why it was not provided?
    (5) Did the applicant appropriately identify Diabetes Audit items 
(or diabetes-related issues if Audit Reports

[[Page 46294]]

were not provided) that need to be improved?
    (6) Did the applicant adequately describe how they will address the 
Diabetes Audit items or diabetes-related issues that need to be 
improved?
    (7) Did the applicant adequately describe challenges?
B. Project Objective(s), Work Plan and Approach (30 Points)
(iii) SDPI Diabetes Best Practice (Project Narrative Part D)
    (1) Did the applicant provide an adequate description of 
activities/services to improve the RKM?
    (2) Are the activities/services proposed appropriate for the 
selected Best Practice and Target Group?
    (3) Are the planned activities/services realistic given the 
constraints of timeframe, resources, and staff?
(iv) If Applicable: Activities/Services Not Related to Selected Best 
Practice (Project Narrative Part E)
    (1) Do activities/services address diabetes-related issues 
identified in the needs assessment in Part B?
    (2) Are activities/services aimed at reducing risk factors for 
diabetes and/or related conditions?
    (3) Are activities/services adequately described?
    (4) Are the planned activities/services realistic given the 
constraints of timeframe, resources, and staff?
C. Program Evaluation (15 Points)
(v) SDPI Diabetes Best Practice (Project Narrative Part D)
    (1) Was one Best Practice selected?
    (2) Was the number of patients/participants in the Target Group 
provided?
    (3) Was the Target Group adequately described?
    (4) Are the Target Group and number of patients/participants 
appropriate given the information the applicant provided in their needs 
assessment and program resources sections?
(vi) If Applicable: Activities/Services Not Related to Selected Best 
Practice (Project Narrative Part E)
    (1) Was an appropriate target group identified for each activity/
service?
    (2) Did the applicant specify how improvement and reduction in risk 
factors will be evaluated?
D. Organizational Capabilities, Key Personnel, and Qualifications (20 
Points)
(vii) Program Support (Project Narrative Part C)
    (1) Was a completed Key Contact form submitted for the program 
coordinator?
    (2) Were appropriate biographical sketches, resumes, or curricula 
vitae provided for all key personnel?
    (3) Was an appropriate organizational chart or description 
provided?
    (4) Were appropriate Tribal Resolution(s) and/or Letter(s) of 
Support provided?
    (5) Did the applicant identify at least one organization 
administrator or Tribal leader, other than the Program Coordinator, to 
support their SDPI program?
    (6) Did the applicant describe how this leader will be involved 
with the SDPI Community-Directed grant program?
    (7) Did the applicant provide appropriate and adequate information 
about key personnel in the Project Narrative?
    (8) Did the applicant provide appropriate and adequate information 
about partnerships and collaborations in the Project Narrative?
(viii) Additional Information (Project Narrative Part F)
    (1) Did the applicant adequately complete this part of the Project 
Narrative?
E. Categorical Budget and Budget Justification (20 Points)
    (i) Does the budget match the scope of work described in the 
Project Narrative?
    (ii) Was each line item adequately specified and justified?
    (iii) Was the Budget Narrative within the five-page limit?
    (iv) Do funding totals match between the SF-424A, budget line item, 
and justification?
    (v) Is the budget reasonable and realistic?
Additional Documents Can Be Uploaded as Appendix Items in Grants.gov
     Work plan, logic model and/or time line for proposed 
objectives.
     Position descriptions for key staff.
     Resumes of key staff that reflect current duties.
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Current Indirect Cost Agreement.
     Organizational chart.
     Map of area identifying project location(s).
     Additional documents to support narrative (i.e. data 
tables, key news articles, etc.).

2. Review and Selection

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

VI. Award Administration Information

1. Award Notices

    The Notice of Award (NoA) is a legally binding document signed by 
the grants management officer and serves as the official notification 
of the grant award. The NoA will be initiated by the DGM in the 
following grant system, GrantSolutions (https://www.grantsolutions.gov). Each entity that is approved for funding under 
this announcement will need to request or have a user account in 
GrantSolutions in order to retrieve their NoA. The NoA is the 
authorizing document for which funds are dispersed to the approved 
entities and reflects the amount of Federal funds awarded, the purpose 
of the grant, the terms and conditions of the award, the effective date 
of the award, and the budget/project period.
Disapproved Applicants
    Applicants who receive a score less than the recommended funding 
level for approval, (60 points), and are deemed to be disapproved by 
the ORC, will receive an Executive Summary Statement from the IHS 
program office within 30 days of the conclusion of the ORC outlining 
the strengths and weaknesses of the application submitted. The IHS 
program office will also provide additional contact information as 
needed to address questions and concerns.

[[Page 46295]]

Approved But Unfunded Applicants
    Approved but unfunded applicants that met the minimum scoring range 
and were deemed by the ORC to be ``Approved.'' but were not funded due 
to lack of funding, will have their applications held by DGM for a 
period of one year. If additional funding becomes available during the 
course of FY 2016, the approved but unfunded application may be re-
considered by the awarding program office for possible funding. The 
applicant will also receive an Executive Summary Statement from the IHS 
program office within 30 days of the conclusion of the ORC.
    Note: Any correspondence other than the official NoA signed by an 
IHS grants management official announcing to the project director that 
an award has been made to their organization is not an authorization to 
implement their program on behalf of IHS.

2. Administrative Requirements

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

3. Indirect Costs

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

4. Reporting Requirements

    The grantee must submit required reports consistent with the 
applicable deadlines. Failure to submit required reports within the 
time allowed may result in suspension or termination of an active 
grant, withholding of additional awards for the project, or other 
enforcement actions such as withholding of payments or converting to 
the reimbursement method of payment. Continued failure to submit 
required reports may result in one or both of the following: (1) The 
imposition of special award provisions; and (2) the non-funding or non-
award of other eligible projects or activities/services. This 
requirement applies whether the delinquency is attributable to the 
failure of the grantee organization or the individual responsible for 
preparation of the reports. Reports must be submitted electronically 
via GrantSolutions. Personnel responsible for submitting reports will 
be required to obtain a login and password for GrantSolutions. Please 
see the Agency Contacts list in section VII for the systems contact 
information.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required semi-annually, once during 
the budget period with a due date to be determined by the Division of 
Diabetes and once within 90 days after the budget period ends. These 
reports must include a brief summary of progress to date for the 
period, or, if applicable, provide sound justification for the lack of 
progress, and other pertinent information as required. A final annual 
report must be submitted within 90 days of expiration of the budget/
project period.
    For SDPI Community-Directed grant programs, the following 
programmatic reports will be required:
    i. Semi-Annual Progress Report: Instructions, templates, and other 
information will be posted on the Division of Diabetes Web site at 
http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedMidReportingReq. Report 
will be submitted by attaching as a ``Grant Note'' in GrantSolutions. 
The due date will be determined by the Division of Diabetes and will 
fall within the grant program's budget period.
    ii. Annual Progress Report: Instructions, template(s), and other 
information will be posted on the Division of Diabetes Web site at 
http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=programsSDPIcommunityDirectedReportingReq. Per DGM 
policy, the report will be submitted by attaching as a ``Grant Note'' 
in GrantSolutions within 90 days after the end of the grant program's 
budget period.
    Refer to the SDPI Community-Directed Grant Program Web page (http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=sdpi_hub) for 
the latest information on report templates, due dates, Q&A sessions and 
submission instructions.
B. Financial Reports
    Federal Financial Report FFR (SF-425), Cash Transaction Reports are 
due 30 days after the close of every calendar quarter to the Payment 
Management Services, HHS at: http://www.dpm.psc.gov. It is recommended 
that the applicant also send a copy of the FFR (SF-425) report to the 
GMS. Failure to submit timely reports may cause a disruption in timely 
payments to the organization.
    Grantees are responsible and accountable for accurate information 
being reported on all required reports: The Progress Reports and 
Federal Financial Report.
Federal Subaward Reporting System (FSRS)
    This award may be subject to the Transparency Act sub-award and 
executive compensation reporting requirements of 2 CFR part 170.
    The Transparency Act requires the OMB to establish a single 
searchable database, accessible to the public, with information on 
financial assistance awards made by Federal agencies. The Transparency 
Act also includes a requirement for recipients of Federal grants to 
report information about first-tier subawards and executive 
compensation under Federal assistance awards.
    IHS has implemented a Term of Award into all IHS Standard Terms and 
Conditions, NoAs and funding announcements regarding the FSRS reporting 
requirement. This IHS Term of Award is applicable to all IHS grant and 
cooperative agreements issued on or after October 1, 2010, with a 
$25,000

[[Page 46296]]

sub-award obligation dollar threshold met for any specific reporting 
period. Additionally, all new (discretionary) IHS awards (where the 
project period is made up of more than one budget period) and where: 
(1) The project period start date was October 1, 2010 or after and (2) 
the primary awardee will have a $25,000 sub-award obligation dollar 
threshold during any specific reporting period will be required to 
address the FSRS reporting. For the full IHS award term implementing 
this requirement and additional award applicability information, visit 
the DGM Grants Policy Web site at: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.
    Telecommunication for the hearing impaired is available at: TTY 
(301) 443-6394.

VII. Agency Contacts

    1. Questions on the programmatic issues may be directed to:
     Applicant's Area Diabetes Consultant: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=peopleADCDirectory.
     IHS Division of Diabetes Treatment and Prevention, 801 
Thompson Avenue, Suite 300, Rockville, MD 20852, Phone: 1-844-IHS-DDTP 
(1-844-447-3387), Fax: 301-594-6213, Email: 
[email protected], Division of Diabetes Web site: 
www.diabetes.ihs.gov.
    2. Questions on grants management and fiscal matters may be 
directed to DGM:
    For IHS Areas: Albuquerque, Nashville, Navajo, Phoenix, and Tucson 
GMS: John Hoffman.
    Email: [email protected], phone: 301-443-2116.
    For IHS Areas: California, Great Plains, Oklahoma City, and 
Portland GMS: Cherron Smith.
    Email: [email protected], phone: 301-443-2192.
    For IHS Areas: Alaska, Bemidji, and Billings GMS: Patience 
Musikikongo.
    Email: [email protected], phone: 301-443-2059.
    For urban programs:
    GMS: Pallop Chareonvootitam.
    Email: [email protected], phone: 301-443-2195, 801 
Thompson Avenue, TMP 360, Rockville, MD 20852, Phone: 301-443-5204, 
Fax: 301-443-9602.
    3. Questions on systems matters may be directed to: Paul Gettys, 
Grant Systems Coordinator, 801 Thompson Avenue, TMP Suite 360, 
Rockville, MD 20852, Phone: 301-443-2114; or the DGM main line 301-443-
5204, Fax: 301-443-9602, Email: [email protected].

VIII. Other Information

    The Public Health Service strongly encourages all cooperative 
agreement and contract recipients to provide a smoke-free workplace and 
promote the non-use of all tobacco products. In addition, Pub. L. 103-
227, the Pro-Children Act of 1994, prohibits smoking in certain 
facilities (or in some cases, any portion of the facility) in which 
regular or routine education, library, day care, health care, or early 
childhood development services are provided to children. This is 
consistent with the HHS mission to protect and advance the physical and 
mental health of the American people.

    Date: July 28, 2015.
Robert G. McSwain,
Deputy Director, Indian Health Service.

VIII. Appendix 1: Commonly Used Abbreviations

ADC = Area Diabetes Consultant
AI/AN = American Indian/Alaska Native
DGM = Division of Grants Management
FOA = Funding Opportunity Announcement
FY = Fiscal Year
GMS = Grants Management Specialist
HHS = Health and Human Services
IHS = Indian Health Service
NOA/NGA = Notice of (Grant) Award
ORC = Objective Review Committee
PDF = Portable Document Format (Access using Adobe Acrobat Reader or 
Pro)
RKM = Required Key Measure (Pertains to Best Practice requirement)
SDPI = Special Diabetes Program for Indians
SOS = SDPI Outcomes System

IX. Appendix 2: Sample Budget Narrative

    Note: This information is included for sample purposes only. 
Each program's Budget Narrative must include only their budget items 
and a justification that is relevant to the program's activities/
services.

Line Item Budget--SAMPLE

A. Personnel:
  Program Coordinator........................................     40,000
  Administrative Assistant...................................      6,373
  CNA/Transporter............................................      6,552
  Mental Health Counselor....................................      5,769
                                                              ----------
    Total Personnel..........................................     58,694
B. Benefits:
  Program Coordinator........................................     14,000
  Administrative Assistant\..................................      2,231
  CNA/Transporter............................................      2,293
  Mental Health Counselor\...................................      2,019
                                                              ----------
    Total Fringe Benefits....................................     20,543
C. Supplies:
  Desk Top Computers and Software (2)........................      3,000
  Exercise Equipment.........................................      3,300
  Laptop Computer............................................      1,500
  LCD Projector..............................................      1,200
  Educational/Outreach.......................................      3,000
  Office Supplies............................................      1,200
  Food Supplies for Wellness Luncheons.......................      2,400
  Medical Supplies (Clinic)..................................      3,000
                                                              ----------
    Total Supplies...........................................     18,600
D. Training and Travel:
  Local Mileage..............................................      1,350
  Staff Training & Travel--Out of State......................      2,400
                                                              ----------
    Total Travel.............................................      3,750
 E. Contractual:
  Fiscal Officer.............................................     16,640
  Consulting Medical Doctor..................................     14,440
  Registered Dietitian/Diabetes Educator.....................     18,720
  Exercise Therapist.........................................     33,250
                                                              ----------
    Total Contractual........................................     83,050
F. Equipment:
  Heavy Duty Printer/Scanner/Copier..........................      9,000
                                                              ----------
    Total Equipment..........................................      9,000
G. Other Direct Costs:
  Rent.......................................................     20,805
  Utility....................................................      4,000
  Postage....................................................        500
  Telephone..................................................      2,611
  Audit Fees.................................................      2,500
  Professional Fees..........................................      2,400
  Insurance Liability........................................      1,593
  Office Cleaning............................................      1,680
  Storage Fees...............................................        240
  Biohazard Disposal.........................................        154
  Marketing/Advertising......................................      2,010
                                                              ----------
    Total Other Direct Costs.................................     38,493
H. Indirect Costs (15%)                                          $34,819
  TOTAL DIRECT COSTS.........................................   $232,130
  TOTAL DIRECT COST AND INDIRECT COSTS.......................   $266,949
 

Budget Justification--SAMPLE

A. Personnel: $58,694.00

Program Coordinator: George Smith

    A full-time employee responsible for the implementation of the 
program goals as well as overseeing financial and grant application 
aspects of the agency.

(100% Annual Salary = $40,000/year)

Administrative Assistant: Susan Brown

    A part-time employee responsible for providing assistance to the 
Program Coordinator.

(416 hours x $15.32/hour = $6,373.12)

CAN/Transporter/Homemaker: To Be Named

    A full-time employee working 8 hours per week on this grant 
providing transportation services and in-home health care to 
clients.

(416 hours x $15.75/hour = $6,552.00)

Mental Health Counselor: Lisa Green

    A part-time employee works 6 hours per week in the ADAPT/Mental 
Health Program providing counseling and workshops to clients.

(6 hours x 52 weeks x $18.49/hour = $5,768.88)

B. Fringe Benefits: $20,543.00

    Fringe benefits are calculated at 35% for both salaried and 
hourly employees. Fringe is composed of health, dental, life and 
vision insurance (20%), FICA/Medicare (7.65%), worker's compensation 
(1.10%), State

[[Page 46297]]

unemployment insurance (1.25%), and retirement (5%).
    Program Coordinator: $14,000.
    Administrative Assistant: $2,230.59.
    CAN/Transporter/Homemaker: $2293.20.
    Mental Health Coordinator: $2019.11.

C. Supplies: $18,600.00

Desk Top Computers and Software (2)

    Needed by our Diabetes Educator, Exercise Specialist, and 
Medical Director in order to access and update information on 
client's records. (2 x $1,500.00 = $3,000.00).

Exercise Equipment

    Elliptical cross trainer equipment (creates less impact on the 
knees), body fat analyzer, 8 dumbbell weights, 4 exercise balls, 4 
exercise mats, step stretch, adjustable bench, bow flex plates kit, 
2 dance pads, ball stacker set, and exercise video. Total for all 
exercise equipment is $3,300.00.

Laptop Computer

    This type of computer is needed to be used in conjunction with 
the LCD projector that will be used by the Diabetes Educator for 
presentations. Cost is $1,500.00.

LCD Projector

    This equipment will be used by the Diabetes Educator for 
presentations. Cost is $1,200.00.

Educational & Outreach Supplies

    Various printed literature, books, videos, pamphlets, pens, 
bottled water, little promotional items will be needed to hand out 
at various health fairs, events, and to various groups to educate 
and promote health. Funds allocated are $3,000.00.

Office Supplies

    General office supplies are essential in order to properly 
maintain client records, financial records, and all reporting 
requirements. General office supplies include file folders, labels, 
writing pads, pens, paper clips, toner, etc. $1,200.00 will be 
included in this budget.

Supplies for Monthly Wellness Meetings

    An allocation of $200.00 has been made towards teaching tools 
that will be used by the Diabetes Educator during the monthly 
wellness classes.

($200.00 x 12 months = $2,400.00)

Medical Supplies--Clinic

    An allocation has been made for purchasing medical supplies for 
our clinic such as alcohol wipes, strips for glucometers, paper 
sheets, gloves, gowns, etc., in the amount of $3,000.00.

D. Training and Travel: $3,750.00

    Local Mileage--Mileage for transportation of clients and 
outreach services. Estimated at 300 miles/month x 12 months x $0.375 
= $1,350.00.
    Staff Travel & Training--Expenses in this category are 
associated with attending conference and seminars associated with 
diabetes for 2 staff: The budget covers the cost of registration 
fees ($250 x 2 = $500.00), lodging ($175/night x 2 people x 2 days = 
$700.00), airfare ($450.00 x 2 people = $900.00), per diem allowance 
($50.00 x 2 days x 2 people = $200.00), and ground transportation 
($25.00 x 2 x 2 people = $100.00). A total of $2,400.00 for staff 
travel and training.

E. Contractual: $83,050.00

Fiscal Officer

    An independent contractor to perform payroll, accounts payable, 
financial and grant reporting, and budgetary duties.

(416 hours x $40.00 per hour = $16,640.00)

Consulting Medical Doctor

    A medical doctor is contracted to provide medical care to our 
clients with diabetes.

(12 hours per month x 12 mos. x $100.00 per hour = $14,400.00)

Registered Dietitian/Diabetes Educator

    A Registered Dietitian/diabetes educator is contracted to 
provide diabetes related meal planning and instruction and 
facilitate one-on-one consultation with clients.

(8 hours per week x 52 weeks x $45 per hour = $18,720.00)

Exercise Specialist

    An exercise specialist is contracted to conduct and monitor the 
exercise program necessary for each client.

(950 hours x $35 per hour = $33,250.00)

F. Equipment: $9,000.00

Heavy Duty Printer/Scanner/Copier

    High Performance, high volume printer/scanner/copier to produce 
materials for diabetes wellness classes. $9,000.00

G. Other Direct Costs: $38,493.00

Rent

    This program rents two office locations for a total cost of 
$83,220.00 per year. Special Diabetes grant program will cover 
$20,805.00 which is 25% of the rent cost.

Utility

    This program will cover 25% of the total utility cost of 
$16,000.00 per year.

($16,000.00 x 25% = $4,000.00)

Postage

    The Diabetes Program postage is estimated at $500.00.

Telephone

    This program currently has eight telephone lines at two separate 
offices as well as pager service and a toll-free number for clients. 
Diabetes Program will cover $2,611.00 of this expense which is 25% 
of the annual cost of $10,445.00.

Audit Fees

    An annual audit is conducted for this program's financial 
statements. Funding agencies require audit financial statements of 
grant funds. Diabetes will cover $2,500.00 of audit expenses which 
is 25% of the $10,000.00 proposal.

Professional Fees

    A computer consultant is needed to fix computer problems. 
$200.00 per month x 12 mos. = $2,400.00 will cover the expenses.

Insurance Liability

    General liability insurance is required to protect the 
organization against fire and property damage. Diabetes portion of 
this expense is $1,593.00.

Office Cleaning

    Office cleanings are required to keep the agency clean. Diabetes 
will cover 20% of the contract cost of $8,400.00 = $1,680.00.

Storage Fees

    This program stores its records in a storage facility. Diabetes 
grant will fund $240.00 of this cost.

Biohazard Disposal

    A special handling fee for biohazard disposal will cost $154.00 
for this program.

Marketing/Advertising

    Newspaper advertising will be used to promote Diabetes events. 
Three (3) ads x $670.00 = $2,010.00

I. Indirect Costs (15%): $34,819

    The most recent Indirect Rate Cost Agreement was approved by the 
Department of the Interior on June 16, 2014. A copy of this 
agreement is attached separately in the application. The Indirect 
Rate Cost Agreement for FY2015 will be negotiated after completion 
of the FY2014 Single Audit.

TOTAL DIRECT COSTS--$232,130.00

TOTAL DIRECT COST AND INDIRECT COSTS--$266,949.00

BILLING CODE 4165-16-P

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[FR Doc. 2015-19088 Filed 8-3-15; 8:45 am]
BILLING CODE 4165-16-C