Injury Prevention Program Announcement Type: New, 19765-19772 [05-7459]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 70, Number 71 (Thursday, April 14, 2005)]
[Notices]
[Pages 19765-19772]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-7459]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Injury Prevention Program Announcement Type: New

    Funding Opportunity Number: HHS-2005-IHS-IPP-0001.
    CFDA Number: 93.284.
    Key Dates:
    Application Deadline: May 20, 2005.
    Application Review: June 27-28, 2005.
    Anticipated Award Start Date: September 1, 2005.
    Application Notification: September 30, 2005.

I. Funding Opportunity Description

Legislative Authority

    The Indian Health Service (IHS) announces competitive cooperative 
agreement applications for Injury Prevention Program for American 
Indians and Alaska Natives (AI/AN):
    (A) Part I Basic Five-year projects (minimum population required 
2,500)
    (B) Part I Advanced Five-year projects (minimum population required 
2,500)
    Part I Advanced applicants include Tribes and organizations who are 
current recipients of the 2000-2005 IHS Injury Prevention Cooperative 
Agreements (applies only to 2000-2005 Tribal Injury Prevention 
Cooperative Agreement recipients).
    (C) Part II Intervention Three-year projects (no population 
requirement)
    These cooperative agreements are established under the authority of 
section 301(a), Public Health Service Act, as amended. This program is 
described at 93.284 in the Catalog of Federal Domestic Assistance, the 
Indian Health Care Improvement Act, U.S.C. 1602 (b)(17); and Urbans (25 
U.S.C. 1652).

II. Award Information

Type of Instrument: Cooperative Agreement (CA)

    A cooperative agreement will have substantial oversight to ensure 
best practices and high quality performance in sustaining capacity of 
the Injury Prevention projects. The estimated amount of funds available 
is $1.475 million for Fiscal Year 2005 to fund up to approximately 33 
awards.
    Types of Cooperative Agreement (CA) covered under this 
announcement:
    Part I--Basic: Approximately 47% of funds are available to fund up 
to 14 new awards for the Basic Injury Prevention Program. Individual 
awards will range from $25,000 up to $50,000.
    Part I--Advanced: Approximately 46% of funds are available to fund 
up to 9 Injury Prevention Program considered ``experienced'' in Injury 
Prevention. Part I Advanced applicants are Tribes and organizations who 
are current recipients of the 2000-2005 IHS Injury Prevention 
Cooperative Agreements (applies only to 2000-2005 Tribal Injury 
Prevention Cooperative Agreement recipients). Individual awards will 
range from $25,000 up to $75,000.
    Part II--Intervention: Approximately 7% of funds are available to 
fund up to 10 awards to implement proven or promising injury 
intervention projects that are based on addressing local injury 
problems. Individual awards will be $10,000. Injury Prevention 
applicants may apply for new funding under Part I Basic or Part I 
Advanced or Part II--Intervention, but only one award will be funded to 
each applicant. A separate application is required for each type of 
project.
    Project Period: The Cooperative Agreement (CA) will be a 12-month 
budget period within a project year:
     Part I--Basic--5 years beginning on or about Sept 1, 2005.
     Part I--Advanced--5 years beginning on or about Sept 1, 
2005.
     Part II--Intervention--3 years beginning on or about Sept 
1, 2005.
    Future continuation awards within the project period will be based 
on satisfactory performance, availability of funding, and continuing 
needs of the Indian Health Service.
    Estimated Range of Awards: $10,000 to $75,000.

Substantial Involvement Description for Cooperative Agreement 
Activities for Part I

    The cooperative agreement Part I awardee (Tribe or Tribal/urban/
non-profit Indian organization) will be responsible for activities 
listed under A. IHS will be responsible for activities listed under B. 
A contractor will be hired to assist in the oversight in the Part I CA 
projects. Oversight includes assurances to promote best practices and 
high quality performance in

[[Page 19766]]

sustaining the Injury Prevention programs. The contractor will be 
responsible in reporting to the IHS Injury Prevention Manager on the 
progress and issues of the cooperative agreement awardee.
A. Cooperative Agreement Awardee Activities for Part I Projects
    (1) When possible, to locate the Injury Prevention Program in the 
recipient's urban organization, Tribal health department or community-
based program to enhance opportunities for the injury prevention 
program to collaborate with other Tribal public health or community 
programs.
    (2) Provide a full-time Injury Prevention coordinator who has the 
authority, responsibility, and expertise to conduct and manage the 
Tribal-level, multi-Tribal, urban, or non-profit injury prevention 
program. Coordinator must be solely dedicated to injury prevention. 
Positions can not be part-time or split duties.
    (3) Review secondary injury and health data (i.e., Trends in Indian 
Health 2000-2001, etc.) to assist to define the magnitude of the injury 
problem within the target American Indian/Alaska Native population, 
including those at greatest risk and the specific causes of injury.
    (4) Develop an action plan based on data and prioritized for the 
prevention and control of injuries. This would include specific process 
and impact objectives and action steps to accomplish each.
    (5) Implement community-based projects to reduce injuries and gain 
visibility and acceptance in the communities for the injury control 
program.
    (6) Evaluate the effect of these projects.
    (7) The program coordinator or director will budget for and attend 
a start-up orientation meeting with other new Injury Prevention program 
coordinators, IHS Injury Prevention Program staff, and IHS consultants. 
An annual regional project coordinator/IHS project officer meeting will 
be held for each subsequent year of the project cycle, and should be 
budgeted.
    (8) The injury prevention program coordinator director will 
collaborate with the IHS Injury Prevention Specialists (Area and/or 
District).
B. Indian Health Service's Cooperative Agreement Activities for Part I 
Projects
    (1) An identified IHS Injury Prevention Specialist (Area or 
District) will serve as project officer for the injury prevention 
project and will be responsible at the local level in providing 
technical assistance and consultation to the recipient on program 
planning, injury data collection (i.e., safety belt use surveys, etc.) 
and analysis to assist in evaluation of program interventions. 
Technical assistance also includes assistance in program 
implementation, marketing, reporting, and evaluation.
    (2) IHS contractor will be responsible for technical assistance 
oversight, monitoring reporting of projects, conference calls, a 
newsletter, and site visits. The IHS contractor serves as a liaison to 
the IHS Injury Prevention Manager and the Injury Prevention Cooperative 
Agreement Awardee.
    (3) IHS and the Contractor will coordinate an annual training 
workshop for the Injury Prevention project coordinators and their IHS 
project officers to share lessons learned, successes, and new state-of-
the-art strategies to reducing injuries in Indian communities.

Substantial Involvement for Activities for Cooperative Agreement for 
Part II

    Part II Intervention--The Part II Intervention projects funds are 
to develop, implement, and evaluate proven or promising injury 
prevention intervention programs. These types of interventions are 
those that have been tested and accepted widely to prevent injury 
morbidity and mortality. Projects include, but are not limited to, 
programs designed to reduce alcohol-related injuries, i.e., supporting 
initiatives to reduce drinking and driving, etc. Other projects include 
seat belt promotion campaigns, pedestrian safety, child passenger 
safety, smoke alarm distribution programs, domestic violence programs, 
suicide prevention, youth violence prevention, elder fall prevention, 
home safety, drowning prevention and Emergency Medical Services for 
Children (EMSC) projects. Police salaries, police weapon supplies, 
uniforms, safety-bulletproofed vests are unallowable costs for this 
funding. Purchases must be aligned with the completion of the goals and 
objectives of the project (Equipment to support DWI initiatives are 
acceptable purchase, i.e., breath analyzer testing equipment, etc.). 
Purchases will be scrutinized on how they relate to project's 
objectives.
    Part II Intervention--Cooperative Agreement Activities--In 
conducting activities to achieve the purpose of this program under Part 
II, the recipient will be responsible for the activities listed under 
A, and the IHS will be responsible for activities listed under B.
A. Part II Intervention--Cooperative Agreement Awardee Activities
    Provide the Injury Prevention awardee with the authority, 
responsibility, and expertise to conduct and manage the injury 
intervention project. The Injury Prevention Intervention awardee must 
collaborate with the Tribe(s), IHS Area and/or District Injury 
Prevention Specialists in planning and designing the intervention 
project. Develop a plan based on local data and utilizes proven or 
promising intervention strategies to reduce injuries. Implement and 
evaluate the injury prevention intervention project that promotes 
visibility and acceptance by the community.
B. Indian Health Service's Cooperative Agreement Activities for Part II 
Intervention Projects
    IHS Area or District Injury Prevention Specialists will provide 
technical assistance and consultation to the recipient on program 
planning, data collection (i.e., safety belt surveys, child safety seat 
surveys, etc.) and analysis to effectively evaluate interventions 
initiatives. Technical assistance also includes program implementation 
and reports. This goal is to promote high quality performance and 
success in completing the project. Contact will be through conference 
calls and site visits.

III. Eligibility Information

1. Eligible Applicants
    The AI/AN applicant must be one of the following:

A. A federally recognized Indian Tribe; or
B. A Tribally sanctioned non-profit Tribal organization; or
C. A non-profit national or area Indian health board; or
D. Consortium of two or more of those Tribes, Tribal organizations, or 
health boards
E. Urban Indian Organizations (Urbans--25 U.S.C. 1652)
F. Non-profit Tribal organizations on or near a Federally-recognized 
Indian Tribe community

    Part I Basic and Part I Advanced Injury Prevention Cooperative 
Agreement applicants must serve a minimum population size of 2,500 
American Indian/Alaska Native people. IHS user population data is the 
only acceptable population source for this cooperative agreement 
application. There is no requirement for minimum population size for 
Part II--Intervention applicants.
2. Cost Sharing or Matching
    Not applicable.

[[Page 19767]]

IV. Application and Submission Information

1. Address to Request Application Package
    Division of Grants Operation, Indian Health Service, 801 Thompson 
Ave, Suite 100, Rockville, Maryland 20852. (301) 443-5204.
    The entire application kit is available at: www.ihs.gov/
MedicalPrograms/InjuryPrevention/index.cfm.
2. Content and Form for paper Application Submission
     An original and two copies of the completed application
     Be doubled-spaced
     Be typewritten
     Have consecutively numbered pages
     Use black type not smaller than 12 characters per one inch
     Have one-inch border margins
     Printed on one side only of standard size 8\1/
2\ x 11 paper that can be photocopied
     Not be tabbed, glued, or placed in a plastic holder

    The application narrative (not including the abstract, workplan, 
Tribal resolutions, letters of support, standard forms, table of 
contents, budget, budget justification, multi-year budget, multi-year 
budget justification, appendix items) must not exceed 15 typed pages.

A. Abstract
B. Background, Need for Assistance, Capacity Building
C. Goals & Objectives
D. Methods and Staffing
E. Evaluation
F. Collaboration
G. Budget and Accompanying Justification
H. Appendix

    For paper application submission, the following documents in the 
order presented.
    Application Receipt Record, Checklist, General Information Page, 
Standard Forms Certifications, and Disclosure of Lobbying Activities 
documents will be available in the appendix of application kit.

 Application Receipt Record, IHS-815 A (Rev.2/04)
 Narrative
 Tribal Resolution (final signed or draft unsigned)
 Standard Form 424, Application for Federal Assistance
 Standard Form 424A, Budget Information-Non-Construction 
Programs (pages 1-2)
 Standard Form 424B, Assurances--Non-Construction Programs 
(front and back). The application shall contain assurances to the 
Secretary that the applicant will comply with program regulations, 42 
CFR Part 136 Subpart H.
 Certifications (pages 25-26)
 PHS 5161 checklist (pages 25-26)
 Disclosure of Lobbying Activities
 Table of Contents with corresponding numbered pages
 Categorical Budget and Budget Justification
 Multi-year Objectives and work plans with multi-year 
Categorical Budgets and Multi-year Budget justifications. (Not part of 
the 15 page narrative)
 Appendix items
3. Submission Dates and Times
    Applications are due by close of business May 20, 2005, 5 PM 
Eastern Time. Applications shall be considered as meeting the deadline 
if they are either: (1) Received on or before the deadline with hand-
carried applications received by close of business 5 p.m. or postmarked 
on or before the deadline date at: Indian Health Service, Division of 
Grants Operation, Attention Lois Hodge, 801 Thompson Avenue, Suite 120, 
Rockville, MD 20852. A legibly dated receipt from a commercial carrier 
or the U.S. Postal Service will be accepted in lieu of a postmark. 
Private metered postmarks will not be accepted as proof of timely 
mailing. Applicants are cautioned that express/overnight mail services 
do not always deliver as agreed. IHS cannot accommodate transmission of 
applications by fax or e-mail.
    Applications which do not meet the criteria above will be 
considered late. Late applications will be returned to the applicant 
and will not be considered for funding. Extension of deadlines: IHS may 
extend application deadlines when circumstances such as acts of God 
(floods, hurricanes, etc.) occur, or when there are widespread 
disruptions of mail service, or in other rare cases. Determination to 
extend or waive deadline requirements rests with the Chief Grants 
Management Officer.
    Acknowledgment of Receipt: Acknowledgment of receipt of 
applications will be via the Application Receipt Card, IHS 815-1A (Rev, 
2/04).
    Electronic Transmission--You may submit your application to us in 
either electronic or paper format. To submit an application 
electronically, please use the https://www.Grants.gov apply site. If you 
use Grants.gov, you will be able to download a copy of the application 
package, complete it offline and then upload and submit the application 
via the Grants.gov site. You may not e-mail an electronic copy of a 
grant application to us.
    Please note the following if you plan to submit your application 
electronically via Grants.gov:
     Electronic submission is voluntary.
     When you enter the Grants.gov site, you will find 
information about submitting an application electronically through the 
site, as well as the hours of operation. We strongly recommend that you 
do not wait until the deadline date to begin the application process 
through Grants.gov.
     To use Grants.gov, you, as the applicant, must have a DUNS 
Number and register in the Central Contractor Registry (CCR). You 
should allow a minimum of five days to complete CCR registration. See 
Section 6 on how to apply.
     You will not receive additional point value because you 
submit a grant application in electronic format, nor will we penalize 
you if you submit an application in paper format.
     You may submit all documents electronically, including all 
information typically included on the SF 424 and all necessary 
assurances and certifications.
     Your application must comply with any page limitation 
requirements described in the program announcement.
     After you electronically submit your application, you will 
receive an automatic acknowledgment from Grants.gov that contains a 
Grants.gov tracking number. The Indian Health Service will retrieve 
your application from Grants.gov.
     You may access the electronic application for this program 
on https://www.Grants.gov.
     You must search for the downloadable application package 
by CFDA number. Email applications will not be accepted under this 
announcement.
4. Intergovernmental Review--Executive Order 12372 Requiring 
Intergovernmental Review is not Applicable to This Program
5. Funding Restrictions

     Maximum Award is $50,000 for Part I Basic per year (5 
years)
     Maximum Award is $75,000 for Part I Advanced per year (5 
years)

     Maximum Award is $10,000 for Part II Intervention per year 
(3 years) Ineligible Project Activities

     Federal Housing Projects that are requesting funds for 
repairs or construction (Repairs or construction items are the 
responsibility of the local housing authority)
     Bureau of Indian Affairs' school playground equipment
     Bureau of Indian Affairs' Law Enforcement supplies 
involving

[[Page 19768]]

purchase of uniforms, weapons or construction and repairs of detention 
centers
     Projects related to water, sanitation and waste management
     Projects that include design and planning of construction 
of facilities

Other Limitations
    An applicant may not be awarded a Part I Basic or Part I Advanced 
CA for any of the following reasons:
    1. Current awardee is not progressing in a satisfactory manner; or
    2. Did not comply with program progress and financial reporting 
requirements.
    Delinquent Federal Debts. No Award shall be made to an applicant 
who has an outstanding delinquent Federal debt until either:
    1. The delinquent account is paid in full, or
    2. A negotiated repayment schedule is established and at least one 
payment is received.
    A Tribe, Tribal organization, urban Indian, or nonprofit 
organization is eligible to apply for one or both of those types of 
awards, but only one Cooperative Agreement will be funded. If an 
applicant chooses to submit dual proposals, the cover letter should 
rank the proposals in the order that the applicant would like them to 
be funded. For example, if an applicant submits a Part I Basic and Part 
II Intervention (and all scored well during the review process), IHS 
will need to know how to determine which application to fund.
    Pre-award costs are not allowable charges under this program grant.
6. Other Submission Requirements
    Beginning October 1, 2003, applicants are required to have a DUN 
and Bradstreet (DUNS) number to apply for a cooperative agreement from 
the Federal Government. The DUNS number will be required whether an 
applicant is submitting a paper application or using the government-
wide electronic portal (www.grants.gov). A DUNS number will be required 
for every application for a new or renewal/continuation of an award 
submitted on or after October 1, 2003. Please ensure that your 
organization has a DUNS number. The DUNS number is a nine-digit 
identification number which uniquely identifies business entities. 
Obtaining a DUNS number is easy and there is no charge.
    To obtain a DUNS number, access www.dunandbradstreet.com at https://
www.dunandbradstreet.com or call 1-866-705-5711. Internet application 
for a DUNS number can take up to 30 days to process. Interested parties 
may wish to obtain one by phone to expedite the process. The following 
information is needed when requesting a DUNS number:

 Organization name
 Organization address
 Organization telephone number
 Name of CEO, Executive, President, etc.
 Legal structure of the organization
 Year organization started
 Primary business (activity) line
 Total number of employees
    Electronic Submission: The IHS will accept complete applications in 
electronic format submitted through the www.grants.gov Web site only.
    An interim electronic website is available for those who want to 
submit electronically at www.grants.gov. E-mail applications will not 
be accepted under announcement. Evidence of Tribal/Urban/Tribal 
organizations and Non-profit organizations must submit:
    1. Copies of their 501( C ) (3) Certificate (required).
    2. A signed and dated resolution from the Tribal/Urban/Tribal 
organization's governing Board of Directors of the non-profit 
organization (required).
    3. Letters of support from the AI/AN community served (required).
    4. Letter of support from IHS Area and/or District Injury 
Prevention Specialist (required).
    5. Letters of support from the Tribal chairperson/president, the 
Tribal council, or the Tribal health director in support of the 
application (required).
    Evidence of Proof of non-profit status of Tribal organization on or 
near a Federally recognized Tribe:
    (a) A reference to the applicant organization's listing in the 
Internal Revenue Service's (IRS) most recent list of the tax-exempt 
organization described in the IRS Code.
    (b) A copy of a currently valid IRS tax exemption certificate.
    (c) A statement from a State or Tribal taxing body, State attorney 
general, or other appropriate State or Tribal Official certifying that 
the applicant organization has a non-profit status and that none of the 
net earnings accrue to any private shareholders or individuals.
    (d) A certified copy of the organization's certificate of 
incorporation or similar document that clearly establishes non-profit 
status.
    (e) Any of the items in the subparagraphs immediately above for a 
State, Tribe or national parent organization and a statement signed by 
the parent organization that the applicant organization is a local non-
profit affiliate.
Evidence of (Urban) Support
    A signed and dated resolution from the governing Board of Directors 
for the Injury Prevention program and a letter from the Chairman of the 
Board (Required).
    1. A letter of commitment showing in-kind (dollar) participation, 
if applicable.
    2. If applicant is unable to obtain a signed letter in time to meet 
the deadline, they should submit a draft of the letter in the appendix. 
A final signed letter from the board will be required prior to award if 
applicant is selected for a cooperative agreement.
    3. Letters of support from within the community served.
Evidence of (Tribal) Support:
    Examples of Tribal support include but are not limited to 
resolutions. Signed and dated resolution(s) for the Tribal Injury 
Prevention Program from the Indian Tribe or Tribes served by the 
project (Required). If applicant is unable to obtain a signed 
resolution in time to meet the deadline, they should submit a final 
draft of the resolution and state the date the proposed final 
resolution will be obtained. A signed resolution from the Tribe will be 
required prior to award if the Tribe is selected for a cooperative 
agreement. For the Navajo Nation, a signed Tribal resolution (by the 
Tribal council) is required unless a local governing body, such as 
incorporated 501(1) (3) Chapter House or township will be acceptable 
for the intent to participate. A final signed resolution from the 
Navajo Nation council or official governing body of the 501(1) (3) 
Chapter House or township will be required prior to award if selected 
for a Cooperative Agreement. Applications that propose projects 
affecting more than one Indian Tribe: Applications involving more than 
one Tribe must include a resolution from all affected Tribes to be 
served. A statement of proof or a copy of the current operational 
resolution must accompany the application. If a resolution or a 
statement is not submitted, the application will be considered 
incomplete and will be returned without consideration. Other supporting 
documents:
     A description of Tribal in-kind contributions for the 
injury prevention program (office space, administrative support, 
telephone service, employee fringe benefits, etc., or any other 
contribution to the proposed program).
     Letters of Support/Collaboration from potential project 
collaborators or partners. Support from potential partners such as the 
police department, Tribal health department, health boards,

[[Page 19769]]

Tribal council, local schools, community groups, the Indian Health 
Service, State agencies, and others are important for a program to be 
successful.

V. Application Review Information

    The instructions for preparing the application narrative also 
constitute the evaluation criteria for reviewing and scoring the 
application (Part I Basic, Part I Advanced, Part II Intervention). 
Total weights are assigned to each major section noted in parentheses. 
Weights are further identified per item under each specific criteria. 
Total possible points per application is 100.
1. Criteria
    Application narrative instructions, and application standards 
(evaluation criteria) and weights in parentheses.
    Multi-Year Program Requirement--Part I Basic is a five-year 
project. Applicants must include a detailed program narrative, itemized 
categorical budget, and a detailed budget justification for the first 
year activities. An outline of program objectives, time line, and a 
budget summary should be included for each subsequent year (Year 2-Year 
5).
    Part I Basic: Part I Basic awards are for new applicants seeking to 
build their local capacity to establish an injury prevention program.
    Abstract--A one page summary of the five-year proposed program 
request. Include information on applicant, purpose of request, problem 
or need to be met, objectives to be achieved through the funding, 
proposed activities and total amount of request of program.
Program Narrative--Introduction, Need and Capacity (Total 30 Points)
    1. A statement of the injury problem. Describe the extent of the 
injury problem in the community or target area. (3)
    2. A description of the geographic location of the proposed 
program. (2)
    3. A description of organizational structure (chart) and staff 
(resumes and position descriptions) who will be managing of the injury 
prevention program. (10)
    4. A description of the Tribe's or Tribal organization's support 
for the proposed injury prevention program. (5)
    5. A description of the population to be served by the proposed 
program. Provide documentation that the target population is at least 
2,500 people. (IHS User population is the ONLY acceptable source). (5)
    6. A description of how the proposed program will build capacity to 
plan, develop, implement and evaluate an injury prevention program. (5)
Program Goals and Objectives (Total 10 Points)
    1. Goals and objectives that are clear and concise.(4)
    2. Feasible and attainable to accomplish during the 5 year project 
period (3)
    3. Are specific, time-framed, measurable and realistic. (3)
Methods and Staffing (Total 30 Points)
    The application will be evaluated on the extent to which the 
applicant provides:
    1. A detailed description of proposed activities that are likely to 
achieve each objective and overall program goals, and which includes 
designation of responsibility for each action undertaken. (10)
    2. A reasonable and complete time line for implementing all 
objectives and activities with the responsible person listed for each 
task. (2)
    3. A description of the roles of the Tribal involvement, 
organization, or agency and evidence of coordination, supervision, and 
degree of commitment (e.g., time in-kind, financial) of staff, 
organizations, and agencies involved in activities. (4)
    4. The extent to which proposed interventions are either proven or 
promising to be effective and based on a documented need in the target 
communities. (2)
    5. Resumes of existing staff, detailed position descriptions and 
duties included for projected staff. (2)
    6. Job description of proposed Injury Prevention Coordinator. Job 
description to include work experience in injury prevention, or 
training in injury prevention and working with partners or coalitions 
in the local community. (10)
Evaluation (Total 10 Points)
    1. Describe type of evaluation methods that will be utilized to 
evaluate the goals and objectives. This includes but is not limited to 
how the progress of the proposed program objective(s) will be tracked 
(i.e., reports, training, car seat distributions, seat belt surveys, 
etc.). (4)
    2. Describe how program will be evaluated to show process, 
effectiveness, and impact. This includes but is not limited to what 
data will be collected to evaluate the success of the proposed project 
objectives. (4)
    3. Document staff availability, expertise, experience, and capacity 
to perform the evaluation. (2)
Collaboration (Total 10 Points)
    Describe the extent to which relationships between the program, the 
Tribe or urban community, the Indian Health Service and other 
organizations will relate to the program or conduct related activities. 
This includes the scope to which an advisory committee or partners' 
roles are clear and appropriate.
Categorical Budget and Budget Justification (Total 10 Points)
    Provide a detailed and justification of budget for the first 12-
month budget periods. A budget summary should be included for each 
subsequent year (Year 2--Year 5).
    1. If indirect costs are claimed, indicate and apply the current 
negotiated rate to the budget. Include a copy of the current rate 
agreement in the appendix. (2)
    2. Provide a narrative justification explaining why each line item 
is necessary/relevant to the proposed project. Include sufficient cost 
and other details to facilitate the determination of cost allowability 
(i.e., equipment specifications, etc.). (6)
    3. Include travel expenses for annual workshop (required 
participation) at a major city location to be determined by IHS 
(Washington DC, Albuquerque, Denver, etc.). Include airfare, per diem, 
mileage, etc. (2)
Appendix Items

     Work plan for proposed 5-year objectives and activities in 
a time line format with persons responsible
     Position descriptions for key staff
     Resumes of IP Coordinator and key staff
     Current Indirect Cost Agreement
     Organizational chart
     Resolutions
     Letters of support
     Injury Prevention training certificate verification (see 
page 33)
     Documentation specifically related to injury prevention
     Application Receipt Card, IHS 815-1A (Rev. 2/04)

    Part I Advanced: Part I Advanced applicants are Tribes and 
organizations who are current recipients of the 2000-2005 IHS Injury 
Prevention Cooperative Agreements (applies only to 2000-2005 Tribal 
Injury Prevention Cooperative Agreement recipients).
    Abstract--A one page summary of the five-year proposed project 
request. Include information on applicant, purpose of request, problem 
or need to be met, objectives to be achieved through the funding, 
proposed activities and total amount of request of project.

[[Page 19770]]

Program Narrative--Introduction, Need and Capacity (Total 40 Points)
    1. Describe the need for the existing injury prevention program in 
the community. (2)
    2. Describe your accomplishments as a recipient of the 2000-2005 
Indian Health Service Injury Prevention Cooperative Agreement. 
Accomplishments must show documentation of meeting program goals and 
objectives, compliance in reporting (quarterly progress and financial 
reporting), coalition building, training, Injury Prevention coordinator 
(FTE) continuity, sustaining Tribal capacity building and securing 
Tribal support. (20)
    3. Describe and show documentation of successes at reducing injury 
risk factors (such as increase child passenger safety restraints or 
seat belt use; smoke alarm installation, safe home interventions, etc.) 
or any positive changes in the target population. Provide supporting 
data to demonstrate process, impact or outcome. (5)
    4. Describe the applicant's partnership with Tribal, IHS, community 
groups, law enforcement, and others in implementing injury prevention 
policy or programs to reduce injuries. (3)
    5. Describe how the proposed program will build the local capacity 
to provide, improve, and expand services that address the injury 
problem of the target population. This includes but not limited to 
sustaining capacity in strategic planning, developing, implementing and 
evaluating an injury prevention program. (8)
    6. Describe and provide documentation of the target population 
(2,500 people to be served by the proposed program and geographic 
location of the proposed program. (IHS User population is the ONLY 
acceptable source). (2)
Program Goals and Objectives (Total 10 Points)
    1. Goals and objectives that are relevant to the purpose of the 
proposal. (4)
    2. Feasible to accomplish during the 5 year project period. (3)
    3. Are specific, time-framed, measurable and realistic. (3)
Methods and Staffing (Total 20 Points)
    The application will be evaluated on the extent to which the 
applicant provides:
    1. A detailed description of proposed activities that are likely to 
achieve each objective and overall program goals, and which includes 
designation of responsibility for each action undertaken. (7)
    2. A reasonable and complete time line for implementing all 
objectives and activities with the person(s) responsible listed for 
each activity. (2)
    3. A description of the roles of Tribal involvement, organization, 
or agency and evidence of coordination, supervision, and degree of 
commitment (e.g., time, in-kind, financial) of staff, organizations, 
and agencies involved in activities. (2)
    4. Description of how proposed interventions are either proven or 
promising to be effective and based on a documented need in the target 
communities. (2)
    5. The extent to which resumes are included for existing staff, and 
detailed position descriptions and duties are included for projected 
staff. (2)
    6. Description of the proposed staff's work or training experiences 
in injury prevention. (5)
Evaluation (Total 10 Points)
    Describe how it will be determined if the proposed project's 
objectives were achieved and how proposed evaluation measures will 
measure success in implementing injury prevention programs.
    1. Describe type of evaluation methods that will be utilized to 
evaluate the goals and objectives. This includes but is not limited to 
how the program's progress will be tracked (i.e., reports, training, 
number of car seat distributions, conducting seat belt surveys, etc.). 
(2)
    2. Describe how the program will be evaluated to show program 
process, effectiveness, and impact. This includes but is not limited to 
what data will be collected to evaluate the success of the proposed 
program objectives. (2)
    3. Describe the potential data sources for evaluation purposes and 
methods to evaluate the data sources. (2)
    4. Documents staff availability, expertise, experience, and 
capacity to perform the evaluation. (2)
    5. Includes a feasible plan for reporting evaluation results and 
using evaluation information for programmatic decisions. (2)
Collaboration (Total 10 Points)
    Describe the extent to which relationships between the programs, 
the Tribe or urban community, the Indian Health Service and other 
organizations will relate to the program or conduct related activities. 
This includes the scope to which an advisory committee or partners' 
roles are clear and appropriate. Letters of support should be provided 
in the Appendix.
Categorical Budget and Budget Justification (Total 10 Points)
    Provide a categorical budget for each of the 12-month budget 
periods requested. A budget summary should be included for each 
subsequent year (Year 2-Year 5).
    1. If indirect costs are claimed, indicate and apply the current 
negotiated rate to the budget. Include a copy of the current rate 
agreement in the appendix. (3)
    2. Provide a narrative justification explaining why each line item 
is necessary/relevant to the proposed project. Include sufficient cost 
and other details to facilitate the determination of cost allowability 
(i.e., equipment specifications, etc.). (5)
    3. Include travel expenses for annual workshop (required 
participation) at a major city location to be determined by IHS 
(Washington, DC, Albuquerque, Denver, etc.). Include airfare, per diem, 
mileage, etc. (2)
Appendix Items

     Work plan/time line for 5 year objectives
     Position descriptions for key staff
     Resume of IP Coordinator and key staff
     Current Indirect Cost Agreement
     Organizational chart
     Resolutions
     Letter of support
     IP training certificate verification (see page 33)
     Documentation specifically related to injury prevention
     Application Receipt Card, IHS 815-1A (Rev. 2/04)
    Part II--Intervention:
    Abstract--A one page summary of the three-year proposed project 
request. Include information on applicant, purpose of request, problem 
or need to be met, objectives to be achieved through the funding, 
proposed activities and total amount of request of project.
Criteria Rating
Program Narrative--Introduction, Need and Capacity (Total 30 Points)
    1. Describe the injury problem in the community or target area. (5)
    2. Describe geographic location of the proposed project. (5)
    3. Describe the Tribe's/Tribal organization's support for the 
proposed project. (5)
    4. Describe the population to be served by the proposed project (no 
minimum population requirement). (5)
    5. Describe how the proposed project will support capacity to plan, 
develop, implement and evaluate an injury prevention program. (10)

[[Page 19771]]

Goals and Objectives (Total 15 Points)
    1. Goals and objectives that are relevant to the purpose of the 
proposal. (5)
    2. Feasible to accomplish during the 3-year project period. (5)
    3. Are specific, time-framed, measurable and realistic. (5)
Methods (Total 25 Points)
    1. A detailed description of proposed activities that are likely to 
achieve each goal and objective, and which includes designation of 
responsibility for each action undertaken. (15)
    2. A reasonable and complete schedule for implementing all 
activities. (2)
    3. A description of the roles of Tribal involvement, organization, 
or agency and evidence of coordination, supervision, and degree of 
commitment (e.g., time, in-kind, financial) of staff, organizations, 
and agencies involved in activities. (3)
    4. The extent to which proposed interventions are either proven or 
promising to be effective and based on a documented need in the target 
communities. (5)
Evaluation (Total 10 Points)
    1. Describe type of evaluation methods that will be utilized to 
evaluate the goals and objectives. This includes but is not limited to 
how the progress of the proposed project objective (s) will be tracked 
(i.e., reports, training, car seat distributions, seat belt surveys, 
etc.). (5)
    2. Describe how project will be evaluated to show program process, 
effectiveness, and impact. This includes but is not limited to what 
data will be collected to evaluate the success of the proposed program 
objectives. (5)
Collaboration (Total 10 Points)
    Describe the extent to which relationships between the programs, 
the Tribe or urban community, the Indian Health Service and other 
organizations will relate to the project or conduct related activities. 
This includes the scope to which an advisory committee or partners' 
roles are clear and appropriate.
Categorical Budget and Budget Justification (Total 10 Points)
Multi-Year Project Requirement
    Three-year intervention projects must include a program narrative, 
categorical budget, and budget justification for each year of funding 
requested.
    1. Provide a categorical budget for each of the 12-month budget 
periods requested. (3)
    2. If indirect costs are claimed, indicate and apply the current 
negotiated rate to the budget. Include a copy of the current rate 
agreement in the appendix. (3)
    3. Provide a narrative justification consistent with stated 
objectives and planned project activities. Include cost and other 
details to facilitate the determination of cost allowability (i.e., 
equipment specifications, etc.). (4)
Appendix Items

     Work plan for proposed objectives
     Indirect Cost Agreement
     Organizational chart
     Resolutions
     Letter of support
     Application Receipt Card, IHS 815-1A (Rev. 2/04)

2. Review and Selection Process
    Applications meeting eligibility requirements that are complete, 
responsive, and conform to this program announcement will be reviewed 
by an Objective Review Committee (ORC) in accordance with IHS Objective 
review procedures. The objective review process ensures a nationwide 
competition for limited funding. The ORC will be comprised of federal 
and non-federal individuals with appropriate expertise. The ORC will 
review each application against established criteria. Based on the 
evaluation criteria, the reviewer will assign a numerical score to each 
application, which will be used in making the final decision. Approved 
applications scoring less than 60 points will not be considered for 
funding.
3. Anticipated Announcement and Award Dates
    Successful applicants can expect notification no later that 
September 30, 2005. A notice of award signed by the Grants Management 
Officer will be mailed to the authorized representative. IHS will mail 
notification to the authorized representative of unsuccessful 
applicants.

VI. Award Administration Information

1. Award Notices
    Proposed Start Date: September 1, 2005. Grants Management will not 
award a grant without an approved application in conformance with 
regulatory and policy requirements which describes the purpose and 
scope of the project to be funded. When the application is approved for 
funding, the Grants Management Office will prepare a Notice of Grant 
Award (NGA) with special terms and conditions binding upon the award 
and refer to all general terms applicable to the award. The NGA will 
serve as the official notification of the grant award and will state 
the amount of Federal funds awarded.
2. Administrative and National Policy Requirements

 45 CFR Part 92, ``Department of Health and Human Services, 
Uniform Administrative Requirements for State and Local Governments 
Including Indian Tribes,'' or 45 CFR Part 74, ``Administrative 
Requirements for Non-Profit Recipients''
 Appropriate Cost Principles: OMB Circular A-87, ``State and 
Local Governments, `` or OMB Circular A-122, ``Non-Profit 
Organizations''
 OMB Circular A-133, ``Audits of States, Local Governments, and 
Non-Profit Organizations'''
3. Reporting Requirements
Part I Basic and Advanced
    Program Narrative Progress Reports and Financial Status Reports 
(FSR) are due 30 days after the end of each three-month period 
(quarter) of the project period. The final quarterly report for both 
are due 90 days after the expiration of the project period. Standard 
Form (SF) 269 Financial Status Report (Long Form) is recommended for 
use in financial reporting.
Part II Intervention
    Program Narrative Progress Reports and the Financial Status Reports 
(FSR) are due 30 days after the end of each six-month period (semi-
annual report) of the project period. The final semi-annual reports for 
both are due 90 days after the project period. Standard Form (SF) 269 
Financial Status Report (Long Form) is recommended for use in financial 
reporting.

VII. Agency Contacts

    For Grants administrative and business questions, contract Ms. 
Patricia Spotted Horse, Grants Management Specialist, Division of 
Grants Operation, Indian Health Service, 801 Thompson, Suite 120, 
Rockville, Maryland 20852, telephone (301) 443-5204. Programmatic 
technical assistance regarding the Injury Prevention Cooperative 
Agreement Program contact Ms. Nancy Bill, IHS, Injury Prevention 
Program Manager, telephone (301) 443-0105.

VIII. Other Background Information

    Indian Health Service Injury Prevention Program is the lead federal 
agency in the development and implementation of American Indian and 
Alaska Native injury prevention programs. IHS is directed to develop, 
implement, and evaluate injury prevention programs that would be

[[Page 19772]]

successful in reducing American Indian and Alaskan Native morbidity and 
mortality related to injuries. The purpose of the IHS Cooperative 
Agreement funding is to promote the capacity of Tribes and Tribal/
urban/non-profit Indian organizations to build and sustain their own 
community-based injury prevention programs.
Injury Prevention Training Opportunities
    The Indian Health Service offers three short courses in injury 
prevention training. The courses are designed specifically for 
community-based practitioners to learn the basics of preventing 
injuries specific to American Indian/Alaska Native communities. The 
three short courses are: (1) Introduction to Injury Prevention; (2) 
Intermediate Injury Prevention; and (3) Advanced Injury Prevention. 
Each of these courses are approximately one week in length.
    Indian Health Service Injury Prevention Program offers a one-year 
Fellowship training with two separate training tracks: (1) Epidemiology 
and (2) Program Development. For more information on the IHS Injury 
Prevention training courses, contact an IHS Area Injury Prevention 
Specialist at the IHS Injury Prevention website: http: //www.ihs.gov/
MedicalPrograms/InjuryPrevention/index.cfm.
    United Tribes Technical College at Bismarck, North Dakota is the 
only college that offers a degree in injury prevention. Courses 
including online courses are available. Contact Mr. Dennis Renville, 
Director, Injury Prevention Department, United Tribes Technical College 
at (701) 255-3285 ext. 374. Or e-mail: drenville@uttc.edu Web site: 
https://www.uttc.edu/injuryprevention.
    The Public Health Service (PHS) strongly encourages all contract 
recipients to provide a smoke-free workplace and promote the non-use of 
all tobacco products. 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 IHS mission to protect and 
advance the physical and mental health of the American Indian/Alaska 
Native people.

    Dated: April 6, 2005.
Charles W. Grim,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 05-7459 Filed 4-13-05; 8:45 am]
BILLING CODE 4165-16-P