[Federal Register Volume 84, Number 81 (Friday, April 26, 2019)]
[Notices]
[Pages 17843-17851]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-08414]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Office of Urban Indian Health Programs; 4-in-1 Grant Programs
Announcement Type: New and Competing Continuation.
Funding Announcement Number: HHS-2019-IHS-UIHP2-0002.
Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
Number: 93.193.
Key Dates
Application Deadline Date: May 30, 2019.
Earliest Anticipated Start Date: July 1, 2019.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS) Office of Urban Indian Health
Programs (OUIHP) is accepting applications for competitive grants for
the Fiscal Year (FY) 2019 4-in-1 for Urban Indian Organizations. This
program is authorized under the Snyder Act, 25 U.S.C. 13, Public Law
(Pub. L.) 67-85, and Title V of the Indian Health Care Improvement Act
(IHCIA), Public Law 94-437, as amended, specifically the provisions
codified at 25 U.S.C. 1653(c)-(e) (authorizing grants for health
promotion and disease prevention services, immunization services and
mental health services), and Sec. 1660a (authorizing grants for
alcohol and substance abuse related services). This program is
described in the Catalog of Federal Domestic Assistance (CFDA) under
93.193.
Background
In the late 1960s, Urban Indian community leaders began advocating
at the local, State and Federal levels to address the unmet health care
needs of Urban Indians, and requested health care services and
programs. These efforts resulted in an increase of preventative,
medical, and behavioral health services, but there was growing
recognition of challenges preventing Urban Indians in seeking health
care services. To address these barriers, advocacy focused on the
development of culturally appropriate activities that were unique to
the social, cultural and spiritual needs of American Indians and Alaska
Natives residing in urban settings. Programs developed at that time
were staffed by volunteers in storefront settings with limited budgets
offering primary care and outreach and referral-type services.
In response to efforts of the Urban Indian community leaders,
Congress appropriated funds in 1966, through the IHS, for a pilot urban
clinic in Rapid City, South Dakota. In 1973, Congress appropriated
funds to study unmet Urban Indian health needs in Minneapolis,
Minnesota. The findings of this study documented cultural, economic,
and access barriers to health care and led to congressional
appropriations under the Snyder Act to support emerging Urban Indian
clinics in several Bureau of Indian Affairs relocation cities, e.g.,
Seattle, San Francisco, Tulsa, and Dallas. In 1976, Congress passed the
IHCIA, Public Law 94-437, establishing the Urban Indian health program
under Title V. Congress reauthorized the IHCIA in 2010 under Public Law
111-148 (2010). This law is considered health care reform legislation
to improve the health and well-being of all American Indians and Alaska
Natives, including Urban Indians. Title V-specific funding is
authorized for the development of programs for Urban Indians residing
in urban areas. These areas include health promotion and disease
prevention (HP/DP) services, immunization services, alcohol and
substance abuse related services, and mental health services, hereafter
referred to as ``4-in-1,'' health programs or services.
Purpose
The purpose of this IHS grant announcement is to award funding to
Urban Indian Organizations to ensure the highest possible health status
for Urban Indians. Funding will be used to support the 4-in-1 health
program objectives. Specifically, the four health programs are: (1) HP/
DP services, (2) immunization services, (3) alcohol and substance abuse
related services, and (4) mental health services. These programs are
integral components of the IHS health care delivery system. Funds from
this effort will ensure that comprehensive, culturally acceptable
personal and public health services are available and accessible to
Urban Indians.
II. Award Information
Type of Awards
Grants.
Estimated Funds Available
The total amount of funding identified for FY 2019 is approximately
$980,000. Total funding available for competitive new and competing
continuation awards issued under this announcement is 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.
New applicants are eligible to apply for funding, up to $200,000
per budget year, under this funding announcement. Current 4-in-1
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 4-in-1 grant in order to receive
funding under this announcement. Current 4-in-1 grantees may request
annual funds up to the total cost amount approved in the last
noncompeting award.
Anticipated Number of Awards
Approximately 9 grants will be issued under this program
announcement.
Project Period
The project period is for three years.
III. Eligibility Information
1. Eligibility
To be eligible for this New and Competing Continuation Funding
Opportunity, applicants must be an Urban Indian Organization (UIO)
administering a contract or grant under 25 U.S.C. 1653. Urban Indian
Organizations are defined by 25 U.S.C. 1603(29) as a nonprofit
corporate body situated in an urban center, governed by an Urban Indian
controlled board of directors, and providing for the maximum
participation of all interested Indian groups and individuals, which
body is capable of legally cooperating with other public and private
entities for the purpose of performing the activities described in 25
U.S.C. 1653(a). Applicants must provide proof of nonprofit status with
the application such as 501(c)(3) Certificate.
Current 4-in-1 grantees awarded in FY 2019 under announcement HHS-
2019-IHS-UIHP2-0001 are not eligible to apply for this New and
Competing Continuation Funding Opportunity.
Note: Please refer to Section IV (Application and Submission
Information/Subsection 2, Content and Form of Application
Submission) for additional proof of applicant status documents
required, such as, 501(c)(3) Certificate, copy of current Negotiated
Indirect Cost Rate agreement, etc.
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2. Cost Sharing or Matching
The IHS does not require matching funds or cost sharing for grants
or cooperative agreements.
3. Other Requirements
Application budget requests that exceed the highest dollar amount
outlined under the ``Estimated Funds Available'' section will be
considered nonresponsive and will not be reviewed. The applicant will
be notified by the IHS Division of Grants Management (DGM).
Note: The highest dollar amount new applicants are eligible to
apply for funding is up to $200,000 per budget year. The highest
dollar amount current 4-in-1 grantees are eligible to apply for
funding is up to the total cost amount approved in the last
noncompeting award per budget period.
Each grantee shall provide health care services to eligible Urban
Indians living within the urban center in which the UIO is situated. An
``Urban Indian'' eligible for services, as codified at 25 U.S.C.
1603(13), (27), and (28), includes any individual who:
1. Resides in an urban center, which is any community that has a
sufficient Urban Indian population with unmet health needs to warrant
assistance under the IHCIA, as determined by the Secretary, HHS; and
who meets one or more of the following criteria:
a. Irrespective of whether he or she lives on or near a
reservation, is a member of a Tribe, band, or other organized group of
Indians, including:
i. Those Tribes, bands, or groups terminated since 1940, and
ii. those recognized now or in the future by the State in which
they reside, or
b. Is a descendant, in the first or second degree, of any such
member described in 1.a.; or
c. Is an Eskimo, or Aleut, or other Alaska Native; or
d. Is a California Indian; \1\ or
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\1\ Consistent with 25 U.S.C. 1603(3), (13), (28), and 1679,
eligibility of California Indians may be demonstrated by
documentation that the individual:
1. Is a descendant of an Indian who was residing in the State of
California on June 1, 1852;
2. Holds trust interests in public domain, national forest, or
Indian reservation allotments; or
3. Is listed on the plans for distribution of assets of
California Rancherias and reservations under the Act of August 18,
1958 (72 Stat. 619), or is the descendant of such an individual.
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e. Is considered by the Secretary of the Department of the Interior
to be an Indian for any purpose; or
f. Is determined to be an Indian under regulations pertaining to
Urban Indian health that are promulgated by the Secretary, HHS.
Each grantee is responsible for taking reasonable steps to confirm
that the individual is eligible for IHS services as an Urban Indian.
Documentation of Support
The UIO must submit a letter of support from their organization's
board of directors.
Proof of Non-Profit Status
The UIO claiming nonprofit status must submit proof. A copy of the
501(c)(3) Certificate must be submitted with the application by the
Application Deadline Date.
IV. Application and Submission Information
1. Obtaining Application Materials
The application package and detailed instructions for this
announcement are found online at http://www.Grants.gov or http://www.ihs.gov/dgm/funding/.
Please direct questions regarding the application process to Mr.
Paul Gettys at (301) 443-2114 or (301) 443-5204.
2. Content and Form of Application Submission
The application 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. Each
of the 4 health program objectives (HP/DP services, immunization
services, alcohol and substance abuse related services, and mental
health services), should be addressed in a separate Grant Program
Function or Activity row/column in the SF-424A.
[cir] SF-424B, Assurances--Non-Construction Programs.
Project Narrative (not to exceed 20 pages).
[cir] Includes the statement of need, proposed scope of work,
required objectives, activities that provide a description of what will
be accomplished, and evaluation and performance measurement plan.
Budget Justification and Narrative (not to exceed 5
pages).
501(c)(3) Certificate.
Letters of support from the UIO's board of directors.
Biographical sketches for all Key Personnel (not to exceed
one page each).
Contractor/Consultant proposed scope of work and letter of
commitment (not to exceed one page each, if applicable).
Disclosure of Lobbying Activities (SF-LLL).
Certification Regarding Lobbying (GG-Lobbying Form).
Copy of current Negotiated Indirect Cost (IDC) Rate
agreement (required in order to receive indirect costs).
Organizational chart or written information that shows
where the HP/DP services, immunization services, alcohol and substance
abuse related services, and mental health services fit into the larger
organization.
Documentation of current Office of Management and Budget
(OMB) Financial Audit (if applicable).
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
Website at https://harvester.census.gov/facdissem/Main.aspx.
Public Policy Requirements
All Federal-wide public policies apply to IHS grants, with
exception of the Discrimination policy.
Requirements for Project and Budget Narratives
The project narrative (Parts A through D listed below) should be a
separate document not to exceed 20 pages that must: (1) Have
consecutively numbered pages; (2) use black text no smaller than 12-
point font; (3) and be formatted to fit standard letter paper (8\1/2\ x
11 inches).
Be sure to succinctly answer all questions listed under the
evaluation criteria (refer to Section V.1, Evaluation criteria in this
announcement) and place all responses and required information in the
correct section. Applications not organized as noted below will not be
considered or scored. These narratives will assist the Objective Review
Committee (ORC) in becoming familiar with the applicant's activities.
Applications with narratives exceeding the page limit may be deemed
nonresponsive. The 20-page limit for the project narrative does not
include the table of contents, abstract, standard forms, and/or other
appendix items.
A. Project Narrative:
There are four parts to the project narrative:
Part A--Statement of Need;
Part B--Program Information/Proposed Approach;
Part C--Organizational Capacity and Staffing/Administration; and,
Part D--Performance Measurement Plan and Evaluation.
[[Page 17845]]
See below for additional details about the content for inclusion in
the project narrative.
Part A: Statement of Need--Corresponds to Evaluation Criteria
(Section V. 1.A.).
The statement of need describes the history and urban center
currently served by the applicant. The statement of need provides the
facts and evidence that support the need for these projects (HP/DP
services, immunization services, alcohol and substance abuse related
services, and mental health services) and establishes that the UIO
understands the problems and can reasonably address them.
Describe the current service gaps, including disconnection
between available services and unmet needs of Urban Indians. This
should include services at the UIO and in communities where Urban
Indians reside.
Describe the need for an enhanced infrastructure to
increase the capacity to implement, sustain, and improve effective
health care services offered to Urban Indians and any other service
gaps and problems related to the need for infrastructure development
within the UIO.
Part B: Program Information/Proposed Approach--Corresponds to
Evaluation Criteria (Section V.1.B.).
State the purpose, goals, and objectives of your proposed projects.
Clearly state how proposed activities address the needs detailed in the
statement of need. Describe fully and clearly plans to meet these
projects (HP/DP services, immunization services, alcohol and substance
abuse related services, and mental health services) of this funding
announcement. Each objective should be addressed with a corresponding
time frame. Provide a work plan for year one budget period that details
expected key activities, accomplishments, and includes responsible
staff for each of these projects (HP/DP services, immunization
services, alcohol and substance abuse related services, and mental
health services).
Part C: Organizational Capacity and Staffing/Administration--
Corresponds to Evaluation Criteria (Section V.1.C.).
This section should describe your organizational capacity for each
of these projects (HP/DP services, immunization services, alcohol and
substance abuse related services, and mental health services). Current
staff and future positions for the four program components should also
be outlined.
Identify qualified professionals who will implement and
administer the proposed grant activities, including progress and
financial reports.
Identify contact person to maintain open and consistent
communication with the IHS program official on any financial or
programmatic barriers to meeting the requirements of the award.
Describe the organization's current system and ability to
develop partnerships with service providers and community programs,
including families and support systems of Urban Indians.
Describe potential project partners and community
resources in the urban center.
Part D: Performance Measurement Plan and Evaluation--Corresponds to
Evaluation Criteria (Section V.1.D.).
This section of the application should describe efforts to collect
and report project data that will support and demonstrate grant
activities for each of these projects (HP/DP services, immunization
services, alcohol and substance abuse related services, and mental
health services). Grantees will be required to participate in a
national evaluation of the 4-in-1 grant program. Grantees will also be
required to collect and report data pertaining to activities,
processes, and outcomes. Data collection activities should capture and
document actions conducted throughout awarded years, including
activities that will contribute to relevant project impact. This
section should also describe the applicant's plan to evaluate program
activities, including any evidence-based prevention or treatment
programs implemented. The evaluation plan should describe expected
results and any identified metrics to support program effectiveness.
Evaluation plans should incorporate questions related to outcomes and
processes, including documentation of lessons learned.
Describe in a brief narrative a plan to monitor activities
under each of these projects (HP/DP services, immunization services,
alcohol and substance abuse related services, and mental health
services) to demonstrate progress towards program outcomes and inform
future program decisions over the three-year project period.
Describe proposed evaluation methods, including
performance measures and other data relevant to evaluation outcomes,
including intended results (e.g., impact and outcomes). Include any
partners who will assist in evaluation efforts if separate from the
primary applicant.
B. Budget and Budget Narrative--Corresponds to Evaluation Criteria
(Section V.1.E.).
This narrative must include a line item budget for these projects
(HP/DP services, immunization services, alcohol and substance abuse
related services, and mental health services) with a narrative
justification for all expenditures identifying reasonable allowable,
allocable costs necessary to accomplish the goals and objectives as
outlined in the project narrative. The budget should match the scope of
work described in the project narrative. The budget and budget
narrative should be no longer than five pages. For subsequent budget
years, the narrative should highlight the changes from year one, or
clearly indicate that there are no substantive budget changes during
the period of performance. Do not use the budget narrative to expand
the project narrative.
This section must succinctly but completely address the items
listed under the Evaluation criteria in Section V.1.E. Budget and
Budget Narrative.
3. Submission Dates and Times
Applications must be submitted through Grants.gov by 11:59 p.m.,
Eastern Daylight Time (EDT) on the Application Deadline Date. Any
application received after the application deadline will not be
accepted for review. Grants.gov will notify the applicant via email if
the application is rejected.
If technical challenges arise and assistance is required with the
application process, contact Grants.gov Customer Support (see contact
information at https://www.grants.gov). If problems persist, contact
the Grant Systems Coordinator listed under Agency Contacts in Section
VII. Please contact at least 10 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.
The IHS will not acknowledge receipt of applications.
4. Intergovernmental Review
Executive Order 12372 requiring intergovernmental review is not
applicable to this program.
5. Funding Restrictions
The available funds are inclusive of direct and indirect
costs.
Only one grant will be awarded per applicant.
6. Application Submission Requirements
All applications must be submitted via the Grants.gov website at
http://www.Grants.gov. Find the application by selecting the ``Search
Grants'' link on the homepage. Application submission instructions can
be found under the
[[Page 17846]]
Package Tab. No other method of application submission is acceptable.
If the applicant cannot submit an application through Grants.gov, a
waiver must be requested. Prior approval must be requested and obtained
from Mr. Robert Tarwater, Director, DGM, IHS, (see Section IV.6
described above for additional information). A written waiver request
must be sent to [email protected] with a copy to
[email protected]. The waiver must: (1) Be documented in writing
(emails are acceptable) before submitting an application by some other
method, and (2) include clear justification for the need to deviate
from the required application submission process.
If the waiver request is approved, the applicant will receive a
confirmation of approval by email containing submission instructions. A
copy of the written approval must be included with the application that
is submitted to the DGM. Applications that are submitted without a copy
of the signed waiver from Mr. Robert Tarwater, Director of the DGM will
not be reviewed. The applicant will be notified via email of this
decision by the DGM. Applications submitted under waiver must be
received by the DGM no later than 5:00 p.m., EDT, on the Application
Deadline. Late applications will not be accepted for processing.
Applicants that do not register with both the System for Award
Management (SAM) and Grants.gov and/or fail to request timely
assistance with technical issues will not be considered for a waiver to
submit an application via alternative method.
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, please contact Grants.gov Customer Support (see
contact information at https://www.grants.gov).
Upon contacting Grants.gov, obtain a tracking number as
proof of contact. The tracking number is helpful if there are technical
issues that cannot be resolved and a waiver from the agency must be
obtained.
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 20
working days.
Please follow the instructions on Grants.gov to include
additional documentation that may be requested by the funding
announcement.
Applicants must comply with any applicable page limits
described in this funding announcement.
After submitting the application, the applicant will
receive an automatic acknowledgement from Grants.gov that contains a
Grants.gov tracking number. The IHS will not notify the applicant
whether the application has been received.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
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
that 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 the Government Customer support
center request service through http://fedgov.dnb.com/webform, or call
toll-free (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 sub-awards. Accordingly,
all IHS grantees must notify potential first-tier sub-recipients that
no entity may receive a first-tier sub-award 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 are 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.
Please see SAM.gov for details on the registration process and
timeline. Registration with the SAM is free of charge, but can take
several weeks to process. 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 DMG, Policy Topics website: http://www.ihs.gov/dgm/policytopics/.
V. Application Review Information
Weights assigned to each section are noted in parentheses. The 20-
page project narrative and 5-page budget and budget narrative should
include only the first year activities; information for multiyear
projects should be included as an appendix. See ``Multiyear Project
Requirements'' at the end of this section for more information. The
narrative section should be written in a manner that is clear to
outside reviewers unfamiliar with prior related activities of the
applicant. It should be well organized, succinct, and contain all
information necessary for reviewers to understand the project fully.
Points will be assigned to each evaluation criteria adding up to a
total of 100 points. Points are assigned as follows:
1. Evaluation Criteria
Applications will be reviewed and scored according to the quality
of responses to the required application components in Sections A-E
outlined below. In developing the required sections of this
application, use the instructions provided for each section, which have
been tailored to this program. The application must use the five
sections (Sections A-E) listed below in developing the narratives. The
applicant must place the required information in the correct section or
it will not be considered for review. The application will be scored
according to how well the applicant addresses the requirements for each
section listed below. The number of points after each section heading
is the maximum number of points the review committee may assign to that
section. Although scoring weights are not assigned to individual
bullets, each bullet is assessed deriving the overall section score.
A. Statement of Need (25 Points)
Applications will be evaluated based on following criteria:
1. Identify the proposed urban center and provide demographic
information on the population(s) to receive services. Describe the
stakeholders and resources in the urban center that can help implement
activities for these projects (HP/DP services, immunization services,
alcohol and substance abuse related services, and mental health
services).
2. Based on the information and/or data currently available,
document the need to implement, sustain, and improve health care
services offered to Urban Indians.
3. Based on available data, describe the service gaps and other
problems related to the needs of Urban Indians.
[[Page 17847]]
Identify the source of the data. Documentation of need may come from a
variety of qualitative and quantitative sources. Examples of data
sources for the quantitative data that could be used are local
epidemiologic data such as Tribal Epidemiology Centers or IHS Area
Offices, state data from state needs assessments, and/or national data
from the Substance Abuse and Mental Health Services Administration's
National Survey on Drug Use and Health or from the National Center for
Health Statistics/Centers for Disease Control, and census data. This
list is not exhaustive. Applicants may submit other valid data, as
appropriate for the applicant's programs.
B. Program Information/Proposed Approach (30 Points)
Applications will be evaluated based on following criteria:
Describe the purpose of the proposed project, including a
clear statement of goals and objectives. The proposed project narrative
is required to address all four projects of the 4-in-1 grant program,
including: (1) HP/DP services, (2) immunization services, (3) alcohol
and substance abuse related services, and (4) mental health.
[cir] HP/DP: Applicants are encouraged to use evidence-based and
promising strategies which can be found at the IHS best practice
database http://www.ihs.gov/hpdp/, the National Registry for Effective
Programs at http://www.nrepp.samhsa.gov/, and the Guide to Community
Preventive Services at http://www.thecommunityguide.org/about/conclusionreport.html. Applicants are encouraged to work
collaboratively with their assigned Area HP/DP Coordinator.
[cir] Immunization: Applicants are encouraged to participate in the
Vaccines for Children program (if applicable). Applicants are
encouraged to research capability with State/regional immunization
registry (where applicable). For sites using the IHS Resource and
Patient Measurement System (RPMS), provide training sessions to
providers and data entry clerks on the RPMS Immunization package.
Establish a process for immunization data entry into RPMS (e.g., point
of service or through standard data entry). Utilize RPMS Immunization
package to identify 3- to 27-month-old children whose immunization
records are not up to date that generates reminder/recall letters.
Applicants are encouraged to work collaboratively with their assigned
Area Immunization Coordinator.
[cir] Alcohol and Substance Abuse: Describe services to be
provided, e.g., residential, detox, halfway house, counseling, outreach
and referral, etc. Describe substance abuse prevention and education
efforts to increase access to services, outreach, education,
prevention, and treatment of substance abuse-related issues. Applicants
are encouraged to work collaboratively with their assigned Area
Behavioral Health Consultant.
[cir] Mental Health: Identify services to be provided, e.g.,
community outreach and referral, prevention, training sessions,
evaluations, schools, domestic violence programs, child abuse programs,
etc. Describe mental health prevention and education program efforts to
increase access to services, outreach, referral, education, prevention,
and treatment of mental health related issues. Applicants are
encouraged to work collaboratively with their assigned Area Behavioral
Health Consultant.
Describe how project activities will increase the capacity
of the UIO to improve access to and quality of care for Urban Indians.
Describe anticipated barriers and how these barriers will
be addressed.
Describe how the proposed project will address issues of
diversity for Urban Indians, including race/ethnicity, gender, culture/
cultural identity, language, sexual orientation, disability, and
literacy.
Describe how Urban Indians may receive services in these
projects (HP/DP services, immunization services, alcohol and substance
abuse related services, and mental health services) and how they will
be involved in the planning and implementation of the grant.
Describe how the efforts of the proposed project will be
coordinated with any other related Federal grants, including IHS,
SAMHSA, or Health Resources and Services Administration, etc. (if
applicable).
Provide a work plan for year one project period that
details expected key activities, accomplishments, and includes
responsible staff for each of these projects (HP/DP services,
immunization services, alcohol and substance abuse services, and mental
health services).
C. Organizational Capacity and Staffing/Administration (15 Points)
Applications will be evaluated based on following criteria:
Describe the management capability of the UIO and other
participating organizations in administering similar projects.
Identify staff to maintain open and consistent
communication with the IHS program official on any financial or
programmatic barriers to meeting the requirements of the award.
Identify the department(s) and/or division(s) that will
administer these projects (HP/DP services, immunization services,
alcohol and substance abuse related services, and mental health
services). Include a description of these department(s) and/or
division(s), their functions, and their placement within the UIO and
their direct link to management.
Discuss the UIO's experience and capacity to provide
culturally appropriate and competent services to the community and
specific populations of focus.
Describe the resources available for the proposed project
(e.g., facilities, equipment, information technology systems, and
financial management systems).
Identify other organization(s) that will participate in
the proposed project. Describe their roles and responsibilities and
demonstrate their commitment to these projects (HP/DP services,
immunization services, alcohol and substance abuse related services,
and mental health services).
Describe how project continuity will be maintained if
there is a change in the operational environment (e.g., staff turnover,
change in project leadership, etc.) to ensure project stability over
the life of the grant.
Provide a list of staff positions for the project and
other key personnel, showing the role of each and their level of effort
and qualifications for these projects (HP/DP services, immunization
services, alcohol and substance abuse related services, and mental
health services). Key personnel include the Chief Executive Officer or
Executive Director, Chief Financial Officer, Medical Director, and
Information Officer.
Demonstrate successful project implementation for the
level of effort budgeted for the project staff and other key staff.
Include position descriptions as attachments to the
application for all key personnel. Position descriptions should not
exceed one page each. Reviewers will not consider information past one
page. Note: Attachments will not count against the 20-page maximum.
For individuals who are currently on staff, include a
biographical sketch with their name (do not include personally
identifiable information such as social security number or date and
place of birth) for each individual that will be listed as the project
staff and other key positions. Describe the experience of identified
staff in these
[[Page 17848]]
projects (HP/DP services, immunization services, alcohol and substance
abuse related services, and mental health services). Include each
biographical sketch as attachments to the project proposal/application.
Biographical sketches should not exceed one page per staff member.
Reviewers will not consider information past one page. Note: The
attachment will not count as part of the 20-page limit. Do not include
any of the following:
[cir] Personally Identifiable Information (social security number
and date and place or birth);
[cir] Resumes; or
[cir] Curriculum Vitae.
D. Performance Measurement Plan and Evaluation (20 Points)
Describe plans to monitor activities under each of these projects
(HP/DP services, immunization services, alcohol and substance abuse
related services, and mental health services), demonstrate progress
towards program outcomes, and inform future program decisions over the
3-year project period. Applications will be evaluated based on
following criteria and should address the following points:
Describe proposed data collection efforts (performance
measures and associated data) and how you will use the data to answer
evaluation questions. This should include (data collection method, data
source, data measurement tool, identified staff for data management,
and data collection timeline).
Identify key program partners and describe how they will
participate in the implementation of the evaluation plan (e.g., Tribal
Epidemiology Centers, universities, etc.).
Describe data collection and evaluation of any proposed
evidence-based care programs implemented throughout awarded years.
Describe how evaluating findings will be used at the
applicant level. Discuss how data collected (e.g., performance
measurement data) will be used and shared by the key program partners.
Discuss any barriers or challenges expected for
implementing the plan, collecting data (e.g., responding to performance
measures), and reporting on evaluation results. Describe how these
potential barriers would be overcome. In addition, applicants may also
describe other measures to be developed or additional data sources and
data collection methods that applicants will use.
E. Budget and Budget Narrative (10 Points)
Applications will be evaluated based on following criteria:
Include a line item budget for each of these projects (HP/
DP services, immunization services, alcohol and substance abuse related
services, and mental health services) for all expenditures identifying
reasonable and allowable costs necessary to accomplish the goals and
objectives as outlined in the project narrative for Budget year one
only.
Provide a categorized budget for each of these projects
(HP/DP services, immunization services, alcohol and substance abuse
related services, and mental health services).
Applicants should ensure that the budget and budget
narrative are aligned with the project narrative. The budget and budget
narrative the applicant provides will be considered by reviewers in
assessing the applicant's submission, along with the material in the
project narrative. Questions to address include: What resources are
needed to successfully carry out and manage the project? What other
resources are available from the organization? Will new staff be
recruited? Will outside consultants be required?
For any outside consultants, include the total cost broken
down by activity.
If indirect costs are claimed, indicate and apply the
current negotiated rate to the budget. Include a copy of the current
negotiated IDC rate agreement in the appendix.
Multi-Year Project Requirements
Applications must include a brief project narrative and budget (one
additional page per year) addressing the developmental plans for each
additional year of the project. The attachment will not count as part
of the 20-page project narrative and 5-page budget and budget
narrative.
Additional Documents Can Be Uploaded as Appendix Items in Grant.gov
Work Plan, logic model, and/or time line for proposed
objectives.
Position descriptions for key staff (not to exceed one
page each).
Biographical sketches for key staff (not to exceed one
page each).
Consultant or contractor proposed scope of work and letter
of commitment (if applicable).
Current Negotiated Indirect Cost Rate Agreement.
Organizational chart.
Additional documents to support narrative (data tables,
key news articles, etc.).
2. Review and Selection
Each application will be screened 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
the evaluation criteria. Incomplete applications and applications that
are nonresponsive to not just administrative thresholds will not be
referred to the ORC and will not be funded. The applicant will be
notified of this determination.
Applicants must address all program requirements and provide all
required documentation.
3. Notifications of Disposition
All applicants will receive an Executive Summary Statement from the
IHS OUIHP within 30 days of the conclusion of the ORC outlining the
strengths and weaknesses of their application. The summary statement
will be sent to the Authorizing Official identified on the face page
(SF-424) of the application.
A. Award Notices for Funded Applications
The Notice of Award (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 and project period. Each entity approved for funding must have a
user account in GrantSolutions in order to retrieve the NoA. Please see
the Agency Contacts list in Section VII for the systems contact
information.
B. Approved but Unfunded Applications
Approved applications not funded due to lack of available funds
will be held for 1 year. If funding becomes available during the course
of the year, the application may be reconsidered.
Note: Any correspondence other than the official NoA executed
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 the IHS.
VI. Award Administration Information
1. Administrative Requirements
Grants are administered in accordance with the following
regulations and policies:
[[Page 17849]]
A. The criteria as outlined in this program announcement.
B. Administrative Regulations for Grants:
Uniform Administrative Requirements for 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.
2. Indirect Costs
This section applies to all recipients requesting reimbursement of
indirect costs (IDC) in their application budget. In accordance with
HHS Grants Policy Statement, Part II-27, the IHS requires applicants to
obtain a current negotiated 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 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 agreement is
provided to the DGM.
Generally, IDC rates for grantees are negotiated with the Division
of Cost Allocation (DCA) https://rates.psc.gov/. For questions
regarding the indirect cost policy, please call the Grants Management
Specialist listed under Agency Contacts in Section VII or the main DGM
office at (301) 443-5204.
3. 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. This requirement
applies whether the delinquency is attributable to the failure of the
grantee organization or the individual responsible for preparation of
the reports. Per DGM policy, all reports are required to be submitted
electronically by attaching them as a ``Grant Note'' in GrantSolutions
at https://home.grantsolutions.gov/home/. 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
The grantee shall, consistent with 25 U.S.C. 1655 and 1657, submit
quarterly reports demonstrating compliance with the grant, including an
explanation of activities conducted pursuant to the grant, information
gathered, a brief comparison of actual accomplishments to the goals
established for the period, a summary of progress to date,
justification for the lack of progress (if applicable), and an
accounting for the amounts and purposes for which Federal funds were
expended, and such other information as the Government may request. The
quarters are based on the start of the budget period. Quarterly reports
are due 30 days after the end of each quarter. A final report must be
submitted within 90 days of expiration of each budget period.
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 https://pms.psc.gov. The applicant
is also requested to upload a copy of the FFR SF-425 report into the
grants management system, GrantSolutions. Failure to submit timely
reports may result in adverse award actions blocking access to funds.
Grantees are responsible and accountable for accurate information
being reported on all required reports: The Progress Reports and
Federal Financial Report.
C. Government Performance and Results Act and Uniform Data System
Reporting
Government Performance and Results Act (GPRA) data shall be
submitted electronically to the National Data Warehouse (NDW). All GPRA
data submitted shall be verifiable and based upon criteria set forth
for each GPRA performance standard. The GPRA data period shall be the
Federal fiscal year of October 1 through September 30. Monthly
registration and workload data shall be exported to the NDW. All data
shall be exported by the cutoff date for that fiscal year. A GPRA
Developmental Report shall be run at the end of the second and fourth
quarters and sent to the National GPRA Support Team at [email protected]
by the required due dates.
Uniform Data System (UDS) reporting period shall be by calendar
year. The UDS reports shall be due in January for the previous calendar
year.
D. Quarterly Immunization Report
Quarterly Immunization Reports are required and submitted to the
online National Immunization Reporting System (NIRS). Grantees are
required to submit immunization coverage reports on children 3 to 27-
month-old, 2-year-old, Adolescent, and Adult and Influenza on a
quarterly basis. For sites not using the IHS RPMS, visit the Division
of Epidemiology and Disease Prevention (DEDP), Vaccine--Preventable
Diseases Reports website to access non-RPMS quarterly reporting forms.
An EXCEL spreadsheet with the required data elements can be found under
the ``Non-RPMS Quarterly Reporting Forms'' section at: https://www.ihs.gov/epi/vaccine/reports/.
E. Quarterly Unmet Needs Report
The grantee shall, consistent with 25 U.S.C. 1653(a), 1655, and
1657(a), submit an unmet needs report quarterly. The report includes
information gathered by the grantee to: (1) Identify gaps between unmet
health needs of Urban Indians and the resources available to meet such
needs; and (2) make recommendations to the Secretary and Federal,
State, local, and other resource agencies on methods of improving
health services to meet the needs of Urban Indians. The grantee shall
upload the unmet needs report 30 days after the end of the quarter into
GrantSolutions at https://home.grantsolutions.gov/home/.
F. Federal Sub-Award 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 sub-awards and executive
compensation under Federal assistance awards.
The IHS has implemented a Term of Award into all IHS Standard Terms
and
[[Page 17850]]
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 sub-award obligation dollar threshold met for any
specific reporting period. Additionally, all new (discretionary) IHS
awards (where the period of performance is made up of more than one
budget period) and where: (1) The period of performance 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, Policy
Topics web page at http://www.ihs.gov/dgm/policytopics/.
G. Compliance With Executive Order 13166 Implementation of Services
Accessibility Provisions for All Grant Application Packages and Funding
Opportunity Announcements
Recipients of federal financial assistance (FFA) from HHS must
administer their programs in compliance with federal civil rights law.
This means that recipients of HHS funds must ensure equal access to
their programs without regard to a person's race, color, national
origin, disability, age and, in some circumstances, sex and religion.
This includes ensuring your programs are accessible to persons with
limited English proficiency. The HHS provides guidance to recipients of
FFA on meeting their legal obligation to take reasonable steps to
provide meaningful access to their programs by persons with limited
English proficiency. Please see http://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/guidance-federal-financial-assistance-recipients-title-VI/.
The HHS Office for Civil Rights (OCR) also provides guidance on
complying with civil rights laws enforced by HHS. Please see http://www.hhs.gov/civil-rights/for-individuals/section-1557/index.html; and
http://www.hhs.gov/civil-rights/index.html. Recipients of FFA also have
specific legal obligations for serving qualified individuals with
disabilities. Please see http://www.hhs.gov/civil-rights/for-individuals/disability/index.html. Please contact the HHS OCR for more
information about obligations and prohibitions under federal civil
rights laws at https://www.hhs.gov/ocr/about-us/contact-us/index.html
or call (800) 368-1019 or TDD (800) 537-7697. Also note it is an HHS
Departmental goal to ensure access to quality, culturally competent
care, including long-term services and supports, for vulnerable
populations. For further guidance on providing culturally and
linguistically appropriate services, recipients should review the
National Standards for Culturally and Linguistically Appropriate
Services in Health and Health Care at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
Pursuant to 45 CFR 80.3(d), an individual shall not be deemed
subjected to discrimination by reason of his/her exclusion from
benefits limited by federal law to individuals eligible for benefits
and services from the IHS.
Recipients will be required to sign the HHS-690 Assurance of
Compliance form, which can be obtained from the following website:
http://www.hhs.gov/sites/default/files/forms/hhs-690.pdf, and send it
directly to the: U.S. Department of Health and Human Services, Office
of Civil Rights, 200 Independence Avenue SW, Washington, DC 20201.
H. Federal Awardee Performance and Integrity Information System
(FAPIIS)
The IHS is required to review and consider any information about
the applicant that is in the Federal Awardee Performance and Integrity
Information System (FAPIIS) at https://www.fapiis.gov, before making
any award in excess of the simplified acquisition threshold (currently
$150,000) over the period of performance. An applicant may review and
comment on any information about itself that a federal awarding agency
previously entered. The IHS will consider any comments by the
applicant, in addition to other information in FAPIIS in making a
judgment about the applicant's integrity, business ethics, and record
of performance under federal awards when completing the review of risk
posed by applicants as described in 45 CFR 75.205.
As required by 45 CFR part 75 Appendix XII of the Uniform Guidance,
non-federal entities (NFEs) are required to disclose in FAPIIS any
information about criminal, civil, and administrative proceedings, and/
or affirm that there is no new information to provide. This applies to
NFEs that receive federal awards (currently active grants, cooperative
agreements, and procurement contracts) greater than $10 million for any
period of time during the period of performance of an award/project.
Mandatory Disclosure Requirements
As required by 2 CFR part 200 of the Uniform Guidance and the HHS
implementing regulations at 45 CFR part 75, effective January 1, 2016,
the IHS must require a non-federal entity or an applicant for a Federal
award to disclose, in a timely manner, in writing to the IHS or pass-
through entity all violations of federal criminal law involving fraud,
bribery, or gratutity violations potentially affecting the federal
award.
Submission is required for all applicants and recipients, in
writing, to the IHS and to the HHS Office of Inspector General all
information related to violations of federal criminal law involving
fraud, bribery, or gratuity violations potentially affecting the
federal award. 45 CFR 75.113.
Disclosures must be sent in writing to: U.S. Department of Health
and Human Services, Indian Health Service, Division of Grants
Management, ATTN: Robert Tarwater, Director, 5600 Fishers Lane,
Mailstop: 09E70, Rockville, Maryland 20857. (Include ``Mandatory Grant
Disclosures'' in the subject line.)
Office: (301) 443-5204.
Fax: (301) 594-0899.
Email: [email protected].
and
U.S. Department of Health and Human Services, Office of Inspector
General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330
Independence Avenue SW, Cohen Building, Room 5527, Washington, DC
20201.
Website address: https://oig.hhs.gov/fraud/report-fraud/. (Include
``Mandatory Grant Disclosures'' in the subject line.)
Fax: (202) 205-0604 (Include ``Mandatory Grant Disclosures'' in
subject line) or
Email: [email protected].
Failure to make required disclosures can result in any of the
remedies described in 45 CFR 75.371, Remedies for noncompliance,
including suspension or debarment (See 2 CFR parts 180 & 376 and 31
U.S.C. 3321).
VII. Agency Contacts
1. Questions on programmatic issues may be directed to: Shannon
Beyale, Health Information Specialist, Office of Urban Indian Health
Programs, 5600 Fishers Lane, Mail Stop: 08E65D, Rockville, MD 20857,
Telephone: (301) 945-3657, Fax: (301) 443-4794, Email:
[email protected].
2. Questions on grants management and fiscal matters may be
directed to: Pallop Chareonvootitam, Grants
[[Page 17851]]
Management Specialist, 5600 Fishers Lane, Mail Stop: 09E70, Rockville,
MD 20857, Telephone: (301) 443-5204, Fax: (301) 594-0899, Email:
[email protected].
3. Questions on systems matters may be directed to: Paul Gettys,
Grant Systems Coordinator, 5600 Fishers Lane, Mail Stop: 09E70,
Rockville, MD 20857, Telephone: (301) 443-2114; or the DGM main line
(301) 443-5204, Fax: (301) 594-0899, Email: [email protected].
VIII. Other Information
The U.S. Public Health Service strongly encourages all grant,
cooperative agreement, and contract recipients to provide a smoke-free
workplace and promote the non-use of all tobacco products. In addition,
the Pro-Children Act of 1994, (Pub. L. 103-227), 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.
Michael D. Weahkee,
RADM, Assistant Surgeon General, U.S. Public Health Service, Principal
Deputy Director, Indian Health Service.
[FR Doc. 2019-08414 Filed 4-25-19; 8:45 am]
BILLING CODE 4165-16-P