[Federal Register Volume 88, Number 32 (Thursday, February 16, 2023)]
[Notices]
[Pages 10127-10135]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-03281]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Zero Suicide Initiative Coordinating Center

    Announcement Type: New.
    Funding Announcement Number: HHS-2023-IHS-ZSICC-0001.
    Assistance Listing (Catalog of Federal Domestic Assistance or CFDA) 
Number: 93.654.

Key Dates

    Application Deadline Date: April 17, 2023.
    Earliest Anticipated Start Date: May 17, 2023.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting applications for 
cooperative agreement for the IHS Zero Suicide Initiative Coordinating 
Center (ZSICC). This program is authorized under the Snyder Act, 25 
U.S.C. 13; the Transfer Act, 42 U.S.C. 2001(a); the Indian Health Care 
Improvement Act, 25 U.S.C. 1665a; the Consolidated Appropriations Act, 
2022, Public Law 117-103, 136 Stat. 49, 398 (2022), and subsequent 
appropriation acts. This program is described in the Assistance 
Listings located at https://sam.gov/content/home (formerly known as the 
CFDA) under 93.654.

Background

    Since 1999, suicide rates within the United States (U.S.) have been 
steadily increasing.\1\ On March 2, 2018, the Centers for Disease 
Control and Prevention's Morbidity and Mortality Weekly report released 
a data report, ``Suicides Among American Indian/Alaska Natives National 
Violent Death Reporting System, 18 States, 2003 to 2014,'' which 
highlights American Indian and Alaska Native (AI/AN) people having the 
highest rates of suicide of any racial/ethnic group in the U.S. Suicide 
rates for AI/AN adolescents and young adult ages 15 to 34 (19.1/
100,000) were 1.3 times that of the national average for that age group 
(14/100,000).\2\ In June 2019, the National Center for Health 
Statistics, Health E-Stat reported in ``Suicide Rates for Females and 
Males by Race and Ethnicity: United States, 1999 and 2017,'' that 
suicide rates increased for all race and ethnicity groups but the 
largest increase occurred for AI/AN females (139 percent from 4.6 to 
11.0 per 100,000). Suicide is the eighth leading cause of death among 
all AI/AN people across all ages and may be underestimated.
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    \1\ Curtin SC, Hedegaard H. Suicide rates for females and males 
by race and ethnicity: United States, 1999 and 2017. NCHS Health E-
Stat. 2019.
    \2\ Leavitt RA, Ertle AE, Sheats K, Petrosky E, Ivey-Stephenson 
A, Fowler KA (2018) Suicides Among American Indian/Alaska Natives--
National Violent Death Reporting System, 18 States, 2003 to 2014. 
MMWR Morb Mortal Wkly Rep 2018;67: 37-240.
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    The Zero Suicide Initiative (ZSI) is a key concept of the National 
Strategy for Suicide Prevention and is a priority of the National 
Action Alliance for Suicide Prevention (https://theactionalliance.org/
). In fiscal year (FY) 2022, the IHS awarded eight grants to Tribes, 
Tribal organizations, and Urban Indian organizations to combat the 
suicide public health crisis in Indian Country. This program aims to 
improve the system of care for those at risk for suicide by 
implementing a comprehensive, culturally informed, multi-setting 
approach to suicide prevention in Indian health systems. Applicants are 
encouraged to view the list of funded sites https://www.ihs.gov/sites/zerosuicide/themes/responsive2017/display_objects/documents/ZSIAwards20222027.pdf and are encouraged to visit https://www.hhs.gov/surgeongeneral/reports-and-publications/suicide-prevention/index.html 
to access a copy of the 2012 National Strategy.
    In FY 2023, the IHS intends to fund ten health care facilities and 
systems sites operated by the IHS that will solely focus on the 
implementation of only one out of the seven Zero Suicide model 
elements. The element entitled ``Improve'' focuses on applying a data-
driven, quality improvement approach to inform system changes that will 
lead to improved patient outcomes and better care for those at risk. 
Health care facilities and systems, operated by the IHS, that provide 
direct care services to AI/AN patients to raise awareness of suicide, 
establish an integrated system of care, and improve outcomes for such 
individuals in FY 2023 to FY 2028.

Purpose

    The purpose of this cooperative agreement is to build capacity of 
ZSI projects to improve the system of care for those at risk for 
suicide by implementing a comprehensive, culturally informed, multi-
setting approach to suicide prevention in Indian health systems. The 
ZSICC will provide technical assistance in the areas of data 
collection, reporting, training, resources, and implementation of the 
Zero Suicide approach in Indian Country. The ZSICC technical assistance 
will be framed to promote the core Seven Elements of the Zero Suicide 
model that was developed by the Suicide Prevention Resource Center 
(SPRC) at https://zerosuicide.edc.org/toolkit/zero-suicide-toolkit.
    1. Lead--Create and sustain a leadership-driven, safety-oriented 
culture committed to dramatically reducing suicide among people under 
care. Include survivors of suicide attempts and suicide loss in 
leadership and planning roles.
    2. Train--Develop a competent, confident, and caring workforce.
    3. Identify--Systematically identify and assess suicide risk among 
people receiving care.
    4. Engage--Ensure every individual has a pathway to care that is 
both timely and adequate to meet his or her needs.

[[Page 10128]]

Include collaborative safety planning and restriction of lethal means.
    5. Treat--Use effective, evidence-based treatments that directly 
target suicidal thoughts and behaviors.
    6. Transition--Provide continuous contact and support, especially 
after acute care.
    7. Improve--Apply a data-driven quality improvement approach to 
inform system changes that will lead to improved patient outcomes and 
better care for those at risk.

Required Activities

    The ZSICC award funds must be used primarily to provide training 
and technical assistance to all ZSI projects in the implementation of 
the ZSI model and support projects in meeting data collection, program 
evaluation and reporting requirements. The awardee will be required to:
    1. Establish staffing with expertise to implement and complete 
required activities.
    2. Review all ZSI projects applications and proposed work plans for 
implementing the ZSI model and provide a brief project summary report.
    3. All training materials produced should be 508 compliant and 
culturally informed in the prevention of suicide in Indian health 
systems.
    4. Coordinate all the logistics including securing a web platform, 
development of materials, agenda, meeting summaries, and PowerPoints 
for teleconferences and trainings.
    5. Provide an accessible web portal for all ZSI projects to access 
the ZSICC's materials.
    6. Provide a web portal to share information and resources in 
compliance with Information Technology (IT) policies and prepare all 
materials to be transferred back to the IHS at the end of the period of 
performance.
    7. Coordinate logistics as mentioned above and identify Subject 
Matter Experts for seven webinars focused on each of the seven ZSI 
model elements using the IHS Tele-Behavioral Health Center of 
Excellence (TBHCE) web platform.
    8. Coordinate logistics as mentioned above and participate in 
virtual or face-to-face site visits with ZSI Projects (not exceed three 
per period of performance) with program official. After each site 
visit, a report will be generated by the ZSICC.
    9. Coordinate logistics as mentioned above and participate in web 
conferences with the program official to report on the status of 
technical assistance activities.
    10. Communicate four times each budget year with key stakeholders 
such as the Substance Abuse and Mental Health Services Administration's 
(SAMHSA) SPRC and other identified organizations to best meet the 
suicide prevention needs of Tribal communities with a focus on policy 
and resource development and on issues related to suicide prevention in 
AI/AN communities.
    11. Submit one annual summary report of technical assistance 
activities provided to ZSI projects completed each budget period. This 
will be submitted directly to the assigned program official as a Grant 
Note in GrantSolutions. The ZSICC should submit a draft template for 
approval at least 30 days prior to submission. The template is subject 
to change at the request of the program official.
    12. Ensure the technical assistance strategies address the needs of 
AI/AN people at risk for suicide, older adults, veterans, the LGBTQIA+ 
community, and individuals with serious mental illness.
    13. Execute succession planning and transfer all deliverables to 
IHS program official at the end of the period of performance.
    14. Develop a National Evaluation Plan for the ZSI projects within 
60 days of receiving funding:
    i. Coordinate a cross-site evaluation with the ZSI projects to 
cover their existing activities and data;
    ii. Provide a Health Insurance Portability and Accountability Act 
compliant, online data collection instrument to collect and organize a 
quantitative and qualitative data set for each ZSI project that 
combines the data entered into one database at the end of each budget 
year. Data elements will be developed in consultation with the National 
Data Coordinator of the Division of Behavioral Health, IHS. At a 
minimum, the data elements will include the clinical pathway (series of 
actions) taken by the staff in order to prepare for and respond to a 
patient at risk for suicidal ideation, suicide attempt, or death by 
suicide and the outcomes of those actions. Awardee will complete the 
following, within 60 days of receiving the complete data set outlined 
in the Data Collection and Reporting section of this announcement;
    iii. Complete an Evaluation Report within 30 days of the end of 
each budget year; and
    iv. Create standard tables, slides, and talking points from the 
Evaluation Report within 30 days of the end of each budget year.

Pre-Conference Grant Requirements

    The awardee is required to comply with the ``HHS Policy on 
Promoting Efficient Spending: Use of Appropriated Funds for Conferences 
and Meeting Space, Food, Promotional Items, and Printing and 
Publications,'' dated January 23, 2015 (Policy), as applicable to 
conferences funded by grants and cooperative agreements. The Policy is 
available at https://www.hhs.gov/grants/contracts/contract-policies-regulations/efficient-spending/index.html?language=es.
    The awardee is required to:
    Provide a separate detailed budget justification and narrative for 
each conference anticipated. The cost categories to be addressed are as 
follows: (1) Contract/Planner, (2) Meeting Space/Venue, (3) 
Registration website, (4) Audio Visual, (5) Speakers Fees, (6) Non-
Federal Attendee Travel, (7) Registration Fees, and (8) Other (explain 
in detail and cost breakdown). For additional questions please contact 
Pamela End of Horn by phone at (301) 443-8028 or by email at 
[email protected].

II. Award Information

Funding Instrument--Cooperative Agreement

Estimated Funds Available
    The total funding identified for FY 2023 is approximately $850,000. 
The award amount for the first year is anticipated to be up to 
$850,000. The funding available for competing and subsequent 
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.
Anticipated Number of Awards
    One award will be issued under this program announcement.

Period of Performance

    The period of performance is for 5 years.
Cooperative Agreement
    Cooperative agreements awarded by the Department of Health and 
Human Services (HHS) are administered under the same policies as 
grants. However, the funding agency, IHS, is anticipated to have 
substantial programmatic involvement in the project during the entire 
period of performance. Below is a detailed description of the level of 
involvement required of the IHS.

[[Page 10129]]

Substantial Agency Involvement Description for Cooperative Agreement
    A. Liaise with ZSI projects to ensure the ZSICC is able to provide 
timely and appropriate technical assistance.
    B. Facilitate linkages to other IHS/Federal government resources 
and promote collaboration with other IHS and Federal health and 
behavioral health initiatives, including the SAMHSA, the National 
Action Alliance for Suicide Prevention, the National Suicide Prevention 
Lifeline, the SPRC, and the Zero Suicide Institute.
    C. Provide input and monitor the technical assistance being 
administered by the ZSICC. Ensure that the ZSICC receives ZSI project 
data according to IHS polices.
    D. Provide written feedback, suggested revisions, or comments for 
all materials developed as deemed necessary by Program officials.

III. Eligibility Information

1. Eligibility

    To be eligible for this funding opportunity applicant must be one 
of the following:
     A federally recognized Indian Tribe as defined by 25 
U.S.C. 1603(14). The term ``Indian Tribe'' means any Indian Tribe, 
band, nation, or other organized group or community, including any 
Alaska Native village or group, or regional or village corporation, as 
defined in or established pursuant to the Alaska Native Claims 
Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is 
recognized as eligible for the special programs and services provided 
by the U.S. to Indians because of their status as Indians.
     A Tribal organization as defined by 25 U.S.C. 1603(26). 
The term ``Tribal organization'' has the meaning given the term in 
section 4 of the Indian Self-Determination and Education Assistance Act 
(25 U.S.C. 5304(l)): ``Tribal organization'' means the recognized 
governing body of any Indian Tribe; any legally established 
organization of Indians which is controlled, sanctioned, or chartered 
by such governing body or which is democratically elected by the adult 
members of the Indian community to be served by such organization and 
which includes the maximum participation of Indians in all phases of 
its activities: provided that, in any case where a contract is let or 
grant made to an organization to perform services benefiting more than 
one Indian Tribe, the approval of each such Indian Tribe shall be a 
prerequisite to the letting or making of such contract or grant. 
Applicant shall submit letters of support and/or Tribal Resolutions 
from the Tribes to be served.
     An Urban Indian organization, as defined by 25 U.S.C. 
1603(29), that is currently administering a contract or receiving a 
grant pursuant to 25 U.S.C. 1653. The term ``Urban Indian 
organization'' means 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, e.g., 501(c)(3).
     Domestic public and private non-profit entities. 
Applicants must provide proof of nonprofit status with the application, 
e.g., 501(c)(3).
     Domestic for-profit entities.
     Domestic Public and state controlled institutions of 
higher education.
     Private institutions of higher education.
Debarment, Suspension, Ineligibility, and Voluntary Exclusion 
Certification
     You certify on behalf of the applicant organization, by 
submission of your proposal, that neither you nor your principals are 
presently debarred, suspended, proposed for debarment, declared 
ineligible, or voluntarily excluded from participation in this 
transaction by any Federal department or agency.
     Failure to make required disclosures can result in any of 
the remedies described in 45 CFR 75.371, including suspension or 
debarment. (See also 2 CFR parts 180 and 376, and 31 U.S.C. 3354).
     If you are unable to attest to the statements in this 
certification, you must include an explanation in your application. 
Upload this in the Other Documents section in the Grants.gov Workspace.
    The Division of Grants Management (DGM) will notify any applicants 
deemed ineligible.

    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 nonprofit 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

    Applications with budget requests that exceed the highest dollar 
amount outlined under Section II Award Information, Estimated Funds 
Available, or exceed the period of performance outlined under Section 
II Award Information, Period of Performance, are considered not 
responsive and will not be reviewed. The DGM will notify the applicant.
Additional Required Documentation
Tribal Resolution
    The DGM must receive an official, signed Tribal Resolution prior to 
issuing a Notice of Award (NoA) to any Tribe or Tribal organization 
selected for funding. An applicant that is proposing a project 
affecting another Indian Tribe must include resolutions from all 
affected Tribes to be served. However, if an official signed Tribal 
Resolution cannot be submitted with the application prior to the 
application deadline date, a draft Tribal Resolution must be submitted 
with the application by the deadline date in order for the application 
to be considered complete and eligible for review. The draft Tribal 
Resolution is not in lieu of the required signed resolution but is 
acceptable until a signed resolution is received. If an application 
without a signed Tribal Resolution is selected for funding, the 
applicant will be contacted by the Grants Management Specialist (GMS) 
listed in this funding announcement and given 90 days to submit an 
official signed Tribal Resolution to the GMS. If the signed Tribal 
Resolution is not received within 90 days, the award will be forfeited.
    Applicants organized with a governing structure other than a Tribal 
council may submit an equivalent document commensurate with their 
governing organization. Note that this requirement does not require a 
Tribe or Tribal organization applicant to obtain resolutions from all 
current ZSI grantees.
Proof of Nonprofit Status
    Organizations claiming nonprofit status must submit a current copy 
of the 501(c)(3) Certificate with the application.

IV. Application and Submission Information

    Grants.gov uses a Workspace model for accepting applications. The

[[Page 10130]]

Workspace consists of several online forms and three forms in which to 
upload documents--Project Narrative, Budget Narrative, and Other 
Documents. Give your files brief descriptive names. The filenames are 
key in finding specific documents during the objective review and in 
processing awards. Upload all requested and optional documents 
individually, rather than combining them into a package. Creating a 
package creates confusion when trying to find specific documents. Such 
confusion can contribute to delays in processing awards, and could lead 
to lower scores during the objective review.

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement are available at https://www.Grants.gov.
    Please direct questions regarding the application process to 
[email protected].

2. Content and Form Application Submission

    Mandatory documents for all applicants include:
     Application forms:
    1. SF-424, Application for Federal Assistance.
    2. SF-424A, Budget Information--Non-Construction Programs.
    3. SF-424B, Assurances--Non-Construction Programs.
    4. Project Abstract Summary form.
     Project Narrative (not to exceed 12 pages). See Section 
IV.2.A, Project Narrative for instructions.
     Budget Narrative (not to exceed 5 pages). See Section 
IV.2.B, Budget Narrative for instructions.
     One-page Timeframe Chart.
     Tribal Resolution(s) as described in Section III, 
Eligibility, if applicable.
     Letters of Support from organization's Board of Directors, 
if applicable. Letters of support must be dated and specifically 
indicate a commitment to the project/program (in-kind services, 
dollars, staff, space, equipment, etc.).
     501(c)(3) Certificate, if applicable.
     Biographical sketches for all Key Personnel.
     Contractor/Consultant resumes or qualifications and scope 
of work.
     Disclosure of Lobbying Activities (SF-LLL), if applicant 
conducts reportable lobbying.
     Certification Regarding Lobbying (GG-Lobbying Form).
     Copy of current Negotiated Indirect Cost (IDC) rate 
agreement (required in order to receive IDC).
     Organizational Chart.
     Documentation of current Office of Management and Budget 
(OMB) Financial Audit (if applicable).
    Acceptable forms of documentation include:
    1. Email confirmation from Federal Audit Clearinghouse (FAC) that 
audits were submitted; or
    2. Face sheets from audit reports. Applicants can find these on the 
FAC website at https://facdissem.census.gov/.
Public Policy Requirements
    All Federal public policies apply to IHS grants and cooperative 
agreements. Pursuant to 45 CFR 80.3(d), an individual shall not be 
deemed subjected to discrimination by reason of their exclusion from 
benefits limited by Federal law to individuals eligible for benefits 
and services from the IHS. See https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html.
Requirements for Project and Budget Narratives
    A. Project Narrative: This narrative should be a separate document 
that is no more than 12 pages and must: (1) have consecutively numbered 
pages; (2) use black font 12 points or larger (applicants may use 10 
point font for tables); (3) be single-spaced; and (4) be formatted to 
fit standard letter paper (8\1/2\ x 11 inches). Do not combine this 
document with any others.
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation Criteria) and 
place all responses and required information in the correct section 
noted below or they will not be considered or scored. If the narrative 
exceeds the overall page limit, the reviewers will be directed to 
ignore any content beyond the page limit. The 12-page limit for the 
project narrative does not include the work plan, standard forms, 
Tribal Resolutions, budget, budget narratives, and/or other items. Page 
limits for each section within the project narrative are guidelines, 
not hard limits.
    There are three parts to the project narrative: Part 1--Program 
Information; Part 2--Program Planning and Evaluation; and Part 3--
Program Report. See below for additional details about what must be 
included in the narrative.
    The page limits below are for each narrative and budget submitted.
Part 1: Program Information (Limit--5 pages)
    Section 1: Must include the applicant's background information, a 
description of technical assistance capacity in the areas of suicide 
prevention, Zero Suicide model, and program evaluation and history of 
support for such activities. Applicants need to include current public 
health technical assistance activities, what program services they 
currently provide, and interactions with other public health 
authorities in the region (state, local, or Tribal).
Section 2: Organizational Capabilities
    The applicant must describe staff capabilities or hiring plans for 
the key personnel with appropriate expertise in suicide prevention, 
Zero Suicide model, epidemiology, health sciences, and program 
management. The applicant must also demonstrate access to specialized 
expertise, such as a Masters level public health and/or a program 
evaluator. Applicants must include an organizational chart and provide 
position descriptions and biographical sketches of key personnel 
including consultants or contractors. The position description should 
clearly describe each position and its duties. Resumes should indicate 
that proposed staff is qualified to carry out the project activities.
Part 2: Program Planning and Evaluation (Limit--5 pages)
Section 1: Program Plans
    The applicant must include a work plan that describes program 
goals, objectives, activities, timeline, and responsible person for 
carrying out the objectives/activities.
    The work plan should only include the first year of the project 
period showing dates, key activities, and responsible staff for key 
requirements.
    Describe the proposed technical assistance recipients and the 
methods you will use to engage them. In your response, describe your 
expertise and experience in providing suicide prevention technical 
assistance to federally recognized Indian Tribes, Tribal organizations, 
Urban Indian organizations, domestic public/private entities, community 
organizations, or faith-based organizations.
    Discuss the service gaps, barriers, and other problems related to 
the need for technical assistance in the area of suicide prevention in 
Indian Country.
Section 2: Program Evaluation
    Applicant must define the criteria they will use to evaluate 
activities listed in the work plan under the Required Activities 
section. They must explain the methodology they will use to determine 
if the needs identified for the objectives are being met and if the 
outcomes identified are being achieved, and describe how evaluation 
findings will be disseminated to the IHS, co-funders, and the 
population served. The evaluation plan must include a logic model (not 
counted in the page limit)

[[Page 10131]]

with at least one measurable outcome per required activity.
    Provide specific information about how you will collect the 
required data for this program and how you will use such data to 
manage, monitor, and enhance the program.
Part 3: Program Report (Limit--2 pages)
    Section 1: Describe major accomplishments over the last 24 months 
providing technical assistance, training, and in the area of suicide 
prevention and mental health.
B. Budget Narrative (Limit--5 pages)
    Provide a budget narrative that explains the amounts requested for 
each line item of the budget from the SF-424A (Budget Information for 
Non-Construction Programs) for the first year of the project. The 
applicant can submit with the budget narrative a more detailed 
spreadsheet than is provided by the SF-424A (the spreadsheet will not 
be considered part of the budget narrative). The budget narrative 
should specifically describe how each item would support the 
achievement of proposed objectives. Be very careful about showing how 
each item in the ``Other'' category is justified. Do NOT use the budget 
narrative to expand the project narrative.

3. Submission Dates and Times

    Applications must be submitted through Grants.gov by 11:59 p.m. 
Eastern Time 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 
Mr. Paul Gettys, Deputy Director, DGM, by telephone at (301) 443-2114 
or by email at [email protected]. Please be sure to contact Mr. Gettys 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

     Pre-award costs are not allowable.
     The available funds are inclusive of direct and indirect 
costs.
     Only one cooperative agreement may be awarded per 
applicant.
     The purchase of food (i.e., as supplies, for meetings or 
events, etc.) is not an allowable cost with this grant funding and 
should not be included in the budget/budget justification.

6. Electronic Submission Requirements

    All applications must be submitted via Grants.gov. Please use the 
https://www.Grants.gov website to submit an application. Find the 
application by selecting the ``Search Grants'' link on the homepage. 
Follow the instructions for submitting an application under the Package 
tab. No other method of application submission is acceptable.
    If you cannot submit an application through Grants.gov, you must 
request a waiver prior to the application due date. You must submit 
your waiver request by email to [email protected], with a copy to Mr. Gettys 
by email at [email protected]. Your waiver request must include clear 
justification for the need to deviate from the required application 
submission process. The IHS will not accept any applications submitted 
through any means outside of Grants.gov without an approved waiver.
    If the DGM approves your waiver request, you will receive a 
confirmation of approval email containing submission instructions. You 
must include a copy of the written approval with the application 
submitted to the DGM. Applications that do not include a copy of the 
signed waiver from the Deputy Director of the DGM will not be reviewed. 
The Grants Management Officer of the DGM will notify the applicant via 
email of this decision. Applications submitted under waiver must be 
received by the DGM no later than 5:00 p.m. Eastern Time on the 
Application Deadline Date. Late applications will not be accepted for 
processing. Applicants that do not register for 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 https://www.Grants.gov by entering the Assistance Listing (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 this funding 
announcement.
     Applicants must comply with any page limits described in 
this funding announcement.
     After submitting the application, you will receive an 
automatic acknowledgment from Grants.gov that contains a Grants.gov 
tracking number. The IHS will not notify you that the application has 
been received.
System for Award Management
    Organizations that are not registered with SAM must access the SAM 
online registration through the SAM home page at https://sam.gov. 
Organizations based in the U.S. 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://sam.gov.
Unique Entity Identifier
    Your SAM.gov registration now includes a Unique Entity Identifier 
(UEI), generated by SAM.gov, which replaces the DUNS number obtained 
from Dun and Bradstreet. SAM.gov registration no longer requires a DUNS 
number. Check your organization's SAM.gov registration as soon as you 
decide to apply for this program. If your SAM.gov registration is 
expired, you will not be able to submit an application. It can take 
several weeks to renew it or resolve any issues with your registration, 
so do not wait.
    Check your Grants.gov registration. Registration and role 
assignments in Grants.gov are self-serve functions. One user for your 
organization will have the authority to approve role assignments, and 
these must be approved for active users in order to ensure someone in 
your organization has the necessary access to submit an application.

[[Page 10132]]

    The Federal Funding Accountability and Transparency Act of 2006, as 
amended (``Transparency Act''), requires all HHS awardees to report 
information on sub-awards. Accordingly, all IHS awardees must notify 
potential first-tier sub-awardees that no entity may receive a first-
tier sub-award unless the entity has provided its UEI number to the 
prime awardee 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.
    Additional information on implementing the Transparency Act, 
including the specific requirements for SAM, are available on the DGM 
Grants Management, Policy Topics web page at https://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    Possible points assigned to each section are noted in parentheses. 
The project narrative and budget narrative should include only the 
first year of activities. The project narrative 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 fully understand the 
project. Attachments requested in the criteria do not count toward the 
page limit for the narratives. Points will be assigned to each 
evaluation criteria adding up to a total of 100 possible points. Points 
are assigned as follows:

1. Evaluation Criteria

A. Program Information (20 Points)
    Describe the applicant's current public health activities, 
including Technical Assistance services currently provided, 
interactions with other public health authorities in the regions 
(Federal, state, local, or Tribal) and how long it has been operating. 
Specifically, describe current technical assistance capacity and 
history of support for such activities.
    Describe staff capabilities or hiring plans for the key personnel 
with appropriate expertise in suicide prevention, Zero Suicide model, 
epidemiology, health sciences, and program management.
B. Project Objectives, Work Plan, and Approach (45 Points)
    1. Describe the goals and measure objectives of your proposed 
project and align them with the Statement of Need.
    2. Describe how you will implement the Required Activities. Also, 
describe how you will assess your activities, identify resources, and 
reassess recipient needs.
    3. Provide a work plan depicting a realistic timeline for the first 
year of the project period showing dates, key activities, and 
responsible staff. These key activities should include the 
requirements.
C. Program Evaluation (15 Points)
    Applicants need to clearly demonstrate the ability to collect and 
report on required data associated with this project and lead all 
aspects of the cross-site program evaluation. Provide specific 
information on the development of the annual data report for this 
program and how such data will be used to manage, monitor, and enhance 
the program.
    1. Define the criteria to be used to evaluate activities listed in 
the work plan under the Required Activities.
    2. Explain the methodology that will be used to determine if the 
needs identified for the objectives are being met and if the outcomes 
identified are being achieved. Be explicit about how the logic model 
relates to the objectives and activities.
    3. Explain how the applicant will lead the cross-recipient site 
organization evaluation activities.
D. Organizational Capabilities, Key Personnel, and Qualifications (15 
Points)
    1. Explain both the management and administrative structure of the 
organization, including documentation of current certified financial 
management systems from the Bureau of Indian Affairs, IHS, or a 
Certified Public Accountant, and an updated organizational chart.
    2. Describe the ability of the organization to manage a program of 
the proposed scope.
    3. Provide position descriptions and biographical sketches of key 
personnel, including those of consultants or contractors. Position 
descriptions should very clearly describe each position and its duties, 
indicating desired qualification and experience requirements related to 
the project. Resumes should indicate that the proposed staff is 
qualified to carry out the project activities. Applicants must include 
an organizational chart.
    4. The applicant must also demonstrate access to specialized 
expertise, such as a Masters level epidemiologist and/or a 
biostatistician. Applicants with expertise in epidemiology will receive 
priority.
E. Categorical Budget and Budget Justification (5 Points)
    1. Provide a justification by line item in the budget including 
sufficient cost and other details to facilitate the determination of 
cost allowance and relevance of these costs to the proposed project. 
The funds requested should be appropriate and necessary for the scope 
of the project.
    2. If use of consultants or contractors is proposed or anticipated, 
provide a detailed budget and scope of work that clearly defines the 
activities' outcomes anticipated.
    Additional documents (some of which are required) can be uploaded 
as Other Attachments in Grants.gov. These can include:
     Work plan, logic model, and/or timeline 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 Rate Agreement.
     Organizational chart.
     Map of area identifying project location(s).
     Additional documents to support narrative (i.e., data 
tables, key news articles, etc.).
     Other Relevant Documents.
    Include any other documents that are relevant to the application.

2. Review and Selection

    Each application will be prescreened for eligibility and 
completeness as outlined in the funding announcement. Applications that 
meet the eligibility criteria shall be reviewed for merit by the 
Objective Review Committee (ORC) based on the evaluation criteria. 
Incomplete applications and applications that are not responsive to the 
administrative thresholds (budget limit, period of performance limit) 
will not be referred to the ORC and will not be funded. The DGM will 
notify the applicant 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 Office of Clinical and Preventive Services 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.

[[Page 10133]]

A. Award Notices for Funded Applications
    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 award, the terms and conditions of the 
award, the effective date of the award, the budget period, and period 
of performance. 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

    Awards issued under this announcement are subject to, and are 
administered in accordance with, the following regulations and 
policies:
    A. The criteria as outlined in this program announcement.
    B. Administrative Regulations for Grants:
     Uniform Administrative Requirements, Cost Principles, and 
Audit Requirements for HHS Awards currently in effect or implemented 
during the period of award, other Department regulations and policies 
in effect at the time of award, and applicable statutory provisions. At 
the time of publication, this includes 45 CFR part 75, at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75.pdf.
     Please review all HHS regulatory provisions for 
Termination at 45 CFR 75.372, at the time of this publication located 
at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-sec75-372.pdf.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised January 2007, at 
https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' at 45 CFR part 75 subpart E, at the time of this 
publication located at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartE.pdf.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' at 45 CFR part 75 subpart F, at the time of 
this publication located at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartF.pdf.
    F. As of August 13, 2020, 2 CFR part 200 was updated to include a 
prohibition on certain telecommunications and video surveillance 
services or equipment. This prohibition is described in 2 CFR part 
200.216. This will also be described in the terms and conditions of 
every IHS grant and cooperative agreement awarded on or after August 
13, 2020.

2. Indirect Costs

    This section applies to all awardees that request reimbursement of 
IDC in their application budget. In accordance with HHS Grants Policy 
Statement, Part II-27, the IHS requires applicants to obtain a current 
IDC rate agreement and submit it to the DGM prior to the DGM issuing an 
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 agreement 
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.
    Per 45 CFR 75.414(f) Indirect (F&A) costs,

any non-Federal entity (NFE) [i.e., applicant] that has never 
received a negotiated indirect cost rate, . . . may elect to charge 
a de minimis rate of 10 percent of modified total direct costs which 
may be used indefinitely. As described in Section 75.403, costs must 
be consistently charged as either indirect or direct costs, but may 
not be double charged or inconsistently charged as both. If chosen, 
this methodology once elected must be used consistently for all 
Federal awards until such time as the NFE chooses to negotiate for a 
rate, which the NFE may apply to do at any time.

    Electing to charge a de minimis rate of 10 percent only applies to 
applicants that have never received an approved negotiated indirect 
cost rate from HHS or another cognizant Federal agency. Applicants 
awaiting approval of their indirect cost proposal may request the 10 
percent de minimis rate. When the applicant chooses this method, costs 
included in the indirect cost pool must not be charged as direct costs 
to the grant.
    Available funds are inclusive of direct and appropriate indirect 
costs. Approved indirect funds are awarded as part of the award amount, 
and no additional funds will be provided.
    Generally, IDC rates for IHS awardees are negotiated with the 
Division of Cost Allocation at https://rates.psc.gov/ or the Department 
of the Interior (Interior Business Center) at https://ibc.doi.gov/ICS/tribal. For questions regarding the indirect cost policy, please call 
the Grants Management Specialist listed under ``Agency Contacts'' or 
write to [email protected].

3. Reporting Requirements

    The awardee 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 
award, 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 the imposition of special award 
provisions and/or 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 awardee organization 
or the individual responsible for preparation of the reports. Per DGM 
policy, all reports must be submitted electronically by attaching them 
as a ``Grant Note'' in GrantSolutions. Personnel responsible for 
submitting reports will be required to obtain a login and password for 
GrantSolutions. Please use the form under the Recipient User section of 
https://www.grantsolutions.gov/home/getting-started-request-a-user-account/. Download the Recipient User Account Request Form, fill it out 
completely, and submit it as described on the web page and in the form.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required annually. The progress 
reports are due within 30 days after the reporting period ends 
(specific dates will be listed in the NoA Terms and Conditions). These 
reports must include a brief comparison of actual accomplishments to 
the goals established for the period, a summary of progress to date or, 
if applicable, provide sound justification for the lack

[[Page 10134]]

of progress, and other pertinent information as required. A final 
report must be submitted within 90 days of expiration of the period of 
performance.
B. Financial Reports
    Federal Financial Reports are due 90 days after the end of each 
budget period, and a final report is due 120 days after the end of the 
period of performance. Awardees are responsible and accountable for 
reporting accurate information on all required reports: the Progress 
Reports and the Federal Financial Report.
    Failure to submit timely reports may result in adverse award 
actions blocking access to funds.
C. Data Collection and Reporting
    Awardee will be required to collect and report data pertaining to 
activities, processes, and outcomes. The IHS will provide additional 
guidance on data collection and reporting for evaluation purposes. 
Programmatic reporting must be submitted within 30 days after the 
budget period ends for each project year (specific dates will be listed 
in the Notice of Award Terms and Conditions). All reporting items will 
be submitted via GrantSolutions. Technical assistance for web-based 
data entry will be timely and readily available to awardee by assigned 
DBH staff. Awardee is responsible and accountable for accurate 
information being submitted by required due dates for Data Collection 
and Reporting.
    The IHS will provide ZSI project data and any aggregate program 
statistics including associated community-level GPRA health care 
facility data available in the National Data Warehouse as needed.
    Awardee will collect data from ZSI projects and will be required to 
compile a cross-site evaluation that will include both qualitative and 
qualitative analysis. The project site data reports will include the 
following data points:
Treat
     Number of patient visits.
     Number of patients screened for suicide risk.
     Number of patients placed on suicide care pathway or 
registry.
     Number of patients hospitalized for suicide risk.
     Number of patients with safety plan.
     Number of patients counseled on access to lethal means.
     Number of approved ZSI Policies for Screening, Assessment, 
Safety-Planning, Means Restriction, Transfer, and Follow-up.
     Number of Protocol Guide of culturally informed practices 
and activities to be used with Evidence Based Practices (EBP).
     Number of Integrated Electronic Health Records (EHR).
Train
     Number of staff trained in EBP for Screening.
     Number of staff trained in EBP for Assessment.
     Number of staff trained in EBP for Treatment.
     Number of staff trained, number of trainings, type of 
trainings, and number of staff trained in each health care profession 
in evidence-based treatment of suicide risk.
     Number of staff that report feeling competent to deliver 
suicide care.
     Number of staff that report feeling confident to deliver 
suicide care.
     Number of patients who received a suicide screening during 
the reporting period.
     Number of staff using EBP to provide treatment of suicide 
risk.
     Number of staff incorporating culturally informed 
practices and activities with EBP.
     Number of culturally informed practices and activities 
used.
     Number of patients with a Safety Plan that receive follow-
up within 8 hours of missed appointment.
     Number of patients who receive follow-up within 24 hours 
of inpatient emergency department visit.
Improve
     Existence of multidisciplinary ZSI Leadership Succession 
Team.
     Existence of Approved ZSI Policies for screening, 
assessment, safety-planning, means restriction, prescription, and 
follow-up.
     Protocol Guide of culturally informed practices and 
activities to be used with EBP.
     Existence of Integrated EHR.
     Existence of data collection and surveillance processes in 
place.
     Results from Organizational Self-Study.
     Results from the Workforce Survey (WFS).
     Existence of trained, competent staff as evidenced by 
results of WFS.
     Existence of approved Implementation Work Plan.
D. Post Conference Grant Reporting
    The following requirements were enacted in Section 3003 of the 
Consolidated Continuing Appropriations Act, 2013, Public Law 113-6, 127 
Stat. 198, 435 (2013), and; Office of Management and Budget Memorandum 
M-17-08, Amending OMB Memorandum M-12-12: All HHS/IHS awards containing 
grants funds allocated for conferences will be required to complete a 
mandatory post award report for all conferences. Specifically: The 
total amount of funds provided in this award/cooperative agreement that 
were spent for ``Conference X'' must be reported in final detailed 
actual costs within 15 calendar days of the completion of the 
conference. Cost categories to address should be: (1) Contract/Planner, 
(2) Meeting Space/Venue, (3) Registration website, (4) Audio Visual, 
(5) Speakers Fees, (6) Non-Federal Attendee Travel, (7) Registration 
Fees, and (8) Other.
E. 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 awardees 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 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 threshold met for any specific 
reporting period.
    For the full IHS award term implementing this requirement and 
additional award applicability information, visit the DGM Grants 
Management website at https://www.ihs.gov/dgm/policytopics/.
F. Non-Discrimination Legal Requirements for Awardees of Federal 
Financial Assistance
    The awardee must administer the project in compliance with Federal 
civil rights laws that prohibit discrimination on the basis of race, 
color, national origin, disability, age, and comply with applicable 
conscience protections. The awardee must comply with applicable laws 
that prohibit discrimination on the basis of sex, which includes 
discrimination on the basis of gender identity, sexual orientation, and 
pregnancy. Compliance with these laws requires taking reasonable steps 
to provide meaningful access to persons with limited English 
proficiency and

[[Page 10135]]

providing programs that are accessible to and usable by persons with 
disabilities. The HHS Office for Civil Rights provides guidance on 
complying with civil rights laws enforced by HHS. See https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html 
and https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.
     Recipients of FFA must ensure that their programs are 
accessible to persons with limited English proficiency. For guidance on 
meeting your legal obligation to take reasonable steps to ensure 
meaningful access to your programs or activities by limited English 
proficiency individuals, see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/index.html and https://www.lep.gov.
     For information on your specific legal obligations for 
serving qualified individuals with disabilities, including reasonable 
modifications and making services accessible to them, see https://www.hhs.gov/civil-rights/for-individuals/disability/index.html.
     HHS funded health and education programs must be 
administered in an environment free of sexual harassment. See https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/index.html.
     For guidance on administering your program in compliance 
with applicable Federal religious nondiscrimination laws and applicable 
Federal conscience protection and associated anti-discrimination laws, 
see https://www.hhs.gov/conscience/conscience-protections/index.html 
and https://www.hhs.gov/conscience/religious-freedom/index.html.
G. 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 FAPIIS at https://www.fapiis.gov/fapiis/#/home before making any award in excess of the simplified acquisition 
threshold (currently $250,000) 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, 
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, the IHS must require an NFE 
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 gratuity violations 
potentially affecting the Federal award.
    All applicants and awardees must disclose in writing, in a timely 
manner, 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: Marsha Brookins, Director, 5600 
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857 (Include 
``Mandatory Grant Disclosures'' in subject line), Office: (301) 443-
4750, 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, URL: https://oig.hhs.gov/fraud/report-fraud/ (Include 
``Mandatory Grant Disclosures'' in 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 part 180 and 2 CFR part 
376).

VII. Agency Contacts

    1. Questions on program matters may be directed to: Pamela End of 
Horn, DSW, LICSW Public Health Advisor, Indian Health Service, Division 
of Behavioral Health, 5600 Fishers Lane, Mail Stop: 08N34-A, Rockville, 
MD 20857, Telephone: (301) 443-8028, Fax: (301) 594-6213, Email: 
[email protected].
    2. Questions on grants management and fiscal matters may be 
directed to: Sheila Miller, Grants Management Specialist, Indian Health 
Service, Division of Grants Management, 5600 Fishers Lane, Mail Stop: 
09E70, Rockville, MD 20857, Phone: (240) 535-9308, Email: 
[email protected].
    3. Questions on systems matters may be directed to: Paul Gettys, 
Deputy Director, Indian Health Service, Division of Grants Management, 
5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 
443-2114; or the DGM main line (301) 443-5204, E-Mail: 
[email protected].

VIII. Other Information

    The Public Health Service strongly encourages all grant, 
cooperative agreement, and contract awardees to provide a smoke-free 
workplace and promote the non-use of all tobacco products. In addition, 
Public Law 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.

Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-03281 Filed 2-15-23; 8:45 am]
BILLING CODE 4165-16-P