Health Promotion and Disease Prevention, 19772-19777 [05-7460]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 70, Number 71 (Thursday, April 14, 2005)]
[Notices]
[Pages 19772-19777]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-7460]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Health Promotion and Disease Prevention

Funding Opportunity Number: HHS-2005-IHS-0001.
Announcement Type: New.
CFDA Number: 93.193 and 93.284.

    Key Dates:
    Application Deadline: June 1, 2005.
    Application Review: July 15, 2005.
    Application Notification: August 31, 2005.
    Earliest Anticipated Start Date: October 1, 2005.

I. Funding Opportunity Description

    The Indian Health Service (IHS), announces the availability of 
Fiscal Year (FY) 2005 grants to implement the IHS Health Promotion/
Disease Prevention (HP/DP) Initiative to create healthier American 
Indian/Alaska Native (AI/AN) communities through innovative and 
effective community, school, clinic, and work site health promotion and 
chronic disease prevention programs.
    The IHS HP/DP Initiative is focusing on enhancing and expanding 
health promotion and chronic disease prevention to reduce health 
disparities among AI/AN populations. The plan is fully integrated with 
the Department of Health and Human Services (HHS) Initiative such as 
Healthy People 2010 and Steps to a HealthierUS https://
www.healthierus.gov/.
    The initiative focuses on cardiovascular disease, diabetes, cancer, 
obesity, and unintentional injury prevention and intervention efforts 
in AI/AN communities. Focus efforts include enhancing and maintaining 
personal and behavioral factors that support healthy lifestyles such as 
making healthier food choices, avoiding the use of tobacco, alcohol, 
and other harmful substances, being physically active, and 
demonstrating other positive behaviors to achieve and maintain good 
health.
    Major focus areas include preventing and controlling obesity by 
developing and implementing science-based nutrition and physical 
activity interventions (i.e., increased consumption of fruits and 
vegetables, reduced consumption of foods that are high in fat, 
increased breastfeeding, reduced television time, and increased 
opportunities for physical activity). Other focus areas include 
preventing consumption of alcohol and tobacco use among youth, reducing 
unintentional injury, increasing accessibility to tobacco cessation 
programs, and reducing exposure to second-hand smoke.
    The purpose of this initiative is to enable American Indian/Alaska 
Native (AI/AN) communities to enhance and expand health promotion and 
reduce chronic disease by: increasing physical activity; avoiding the 
use of tobacco, alcohol, and other unhealthy addictive substances; and 
improving nutrition to support healthier AI/AN communities through 
innovative and effective community, school, clinic and work site health 
promotion and chronic disease prevention programs.
    The initiative encourages Tribal applicants to fully engage their 
local schools, communities, health care providers, health centers, 
faith-based/spiritual communities, senior centers, youth programs, 
local governments, academia, non-profit organizations, and many other 
community sectors to work together to enhance and promote health and 
prevent chronic disease in their communities.
    This initiative is described in the Catalog of Federal Domestic 
Assistance Nos. 93.193 and 93.284 at: http:/www.cfda.gov/ and is not 
subject to the intergovernmental review requirements of Executive Order 
12372 or Health Systems Agency review. Awards are made under the 
authorization of the Indian Health Care Improvement Act, Title V, 
Sections 503 and 511, Public Law 94-437 as amended, Public Law 100-713, 
101-630, and 102-572 also, the Public Health Service Act 203 and 
301(a), as amended. The grant will be administered under the Public 
Health Service Grants Policy Statement an dother applicable agency 
policies.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives of Healthy People 
2010, a PHS-led activity for setting priority areas. This program 
announcement is related to the priority area of Education and 
Community-Based Programs. Potential applicants may obtain a copy of 
Healthy People 2000, (Full Report; Stock No. 017-001-00474-0) or 
Healthy People 2010 (Summary report: Stock No. 017-001-00473-1) through 
the Superintendent of Documents, Government Printing Office, 
Washington, DC 20402-9325 (Telephone 202-783-3238).

Background

    Heart disease, cancer and unintentional injuries are the leading 
cause of morbidity and mortality among AI/AN. Many of these diseases 
and injuries are impacted by modifiable

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behavioral risk factors such as physical inactivity, unhealthy diet, 
tobacco, and alcohol abuse. Concerted efforts to increase efficacious 
public health, prevention, and intervention strategies are necessary to 
reduce tobacco/alcohol use, poor diet, and insufficient physical 
activity to reduce the burden of diseases and disabilities to AI/AN 
communities.
    Although the National 2010 objective recommends that adults engage 
in 30 minutes of regular, moderate physical activity each day, only 15 
percent of adults performed the recommended amount of physical 
activity. Despite the well known benefits of physical activity, many 
adults and children remain sedentary. A health diet and regular 
physical activity are both important for maintaining a healthy weight. 
Regular physical activity, fitness, and exercise are extremely 
important for the health and well being of all people. A profound 
change from a ``traditional'' low fat diet of largely unprocessed plant 
foods to an ``affluent'' high fat diet of more animal fats, simple 
carbohydrates, and less fiber is accompanied by an increasing 
prevalence of obesity and chronic diseases. Historically, American 
Indians consumed a diet that was high in complex carbohydrates, high in 
fiber, and low in fat. Today, their diet is replaced by food high in 
refined carbohydrates, fat, and a low consumption of fruits and 
vegetables. A proliferation of fast food restaurants and convenience 
stores selling foods that are high in fat and sugar, as well as 
sedentary lifestyles have translated into weight gain and obesity. 
There are also epidemiological studies indicating that increased intake 
of fruits and vegetables decreases the risk of many types of cancer.
    Many of the medical and health problems of AI/AN are associated 
with obesity. There is limited data on the prevalence of obesity among 
AI/AN, although it is estimated that 40 percent of American Indian 
children and one-third of adults are overweight. Tobacco use is the 
largest preventable cause of disease and premature death in the United 
States. More than 400,000 Americans die each year from illnesses 
related to smoking. Cardiovascular disease and lung cancer are the 
leading causes of death among AI/AN, and tobacco use is one of the risk 
factors for these diseases. Non-ceremonial tobacco use varies amongst 
AI/AN regions and states.
    Interventions may include environmental and policy changes in the 
community, school, clinic or work sites to increase physical activity, 
increase healthier food items at school fund raising, vending machines, 
school food service, senior centers, shopping centers, food vendors, 
work sites, Tribal colleges and other community settings. Other 
strategies include no smoking policies in the workplace and clinics, 
safe walking trails for community access, improving access to tobacco 
cessation programs, utilize social marketing to promote change and 
prevent disease, reduce underage drinking, increasing effective self 
management of chronic disease and associated risk factors, and 
increasing evidence-based clinical preventive care practices. Programs 
are expected to utilize evidence-based public health strategies that 
may include system improvement, public education and information, media 
campaigns to support healthier behaviors, policy and environmental 
changes, community capacity building and training, school classroom 
curricula, and health care provider education.

Activities

    All recipient activities funded under this program announcement are 
required to coordinate with existing federal, local public health 
agencies. Tribal programs, and/or local coalitions/task forces to 
enhance joint efforts to strengthen health promotion and disease 
prevention programs in the community, school and/or work site. All 
recipients are required to address one of the following or a 
combination of all three components; school, work site, clinic, or 
community-based.
a. Community Engagement
    Create and build on current alliances by identifying key 
coalitions, task forces, and partners that focus on health promotion 
and chronic disease prevention and its associated risk factors. The key 
to success is to engage partners and stakeholders that demonstrate 
commitment to the initiative by their willingness to invest leadership, 
personnel, expertise, and other resources.
    Partners may include local public health agencies, local health 
programs, local and state education agencies (i.e., Bureau of Indian 
Affairs and public), Indian Health Service, health care hospitals/
clinics, local businesses, academia, spiritual and faith-based 
organizations, community coalitions/task forces youth-focused 
organizations, and elderly-focused organizations.
b. Community Action Plan, Community, Work Site, Clinic-Based, and/or 
School-Based Interventions
    Identify and implement high priority, effective strategies proven 
to prevent, reduce and control chronic diseases or reduce injuries. The 
communities must examine their chronic disease burden, identify 
behavioral risk factors, at-risk populations, current services and 
resources, Tribal and IHS strategic plans, and partnership capabilities 
in order to develop a comprehensive community action plan. Applicants 
are encouraged to identify and examine local data sources to describe 
the extent of the health problem. Data sources include IHS Resource 
Patient Management System (RPMS), Government Performance and Results 
Act (GPRA), diabetes registry, hospital/clinic data, Women Infant 
Children (WIC) data, school data, behavioral risk surveys, injury data 
and other sources of information about individual, group, or community 
health status, needs, and resources.
    Communities can address behavioral risk factors contributing to 
chronic, conditions and diseases such as cardiovascular disease, 
diabetes, obesity, cancer, and unintentional injury. These factors 
include physical activity, nutrition, tobacco, alcohol and substance 
use. Applicants are encouraged to apply effective and innovative 
strategies to reduce chronic disease and unintentional injuries. 
Current evidence-based and promising public health strategies can be 
found at the IHS Best Practices database at https://www.ihs.gov/
nonmedicalprograms/hpdp/bptr/ Guide to Clinical Preventive Services at 
https://www.odphp.osophs.dhhs.gov/pubs/guidecps/ and https://
www.ahrq.gov and the National Registry for Effective Programs at http:/
/modelprograms.samhsa.gov/ template.cfm?page=nrepbutton.

II. Award Information

    1. Type of Funding Instrument: Grant.
    It is expected that $1,290,000 will be available in FY 2005 to fund 
Tribal and Urban programs. The maximum amount for each award is $64,500 
for 12-month budget period. Approximately 20 awards will be made. If 
you request a funding amount greater than the ceiling of the award 
range, your application will be considered non-responsive, and will not 
be entered into the review process. You will be notified that your 
application did not meet the submission requirements.

III. Eligibility Information

1. Eligible Applicants

    Federally Recognized Tribes and Tribal Organizations, Urban Indians 
Organizations and Non-profit Organizations.
    Non-profit organizations must submit:

[[Page 19774]]

    1. Copies of their 501(C)(3) Certificate (required).
    2. The following document is required if applicable.
    Tribal Resolution--A resolution of the Indian Tribe served by the 
project must accompany the application submission. An Indian Tribe that 
is proposing a project affecting another Indian Tribe must include 
resolutions from all affected Tribes to be served. Applications by 
Tribal organizations will not require a specific Tribal resolution if 
the current Tribal resolution(s) under which they operate would 
encompass the proposed grant activities. Draft resolutions are 
acceptable in lieu of an official resolution. However, an official 
signed Tribal resolution must be received by the Division of Grants 
Operations prior to the beginning of the Objective Review (July 14-15 
or July 20-21, 2005). If an officially signed resolution is not 
submitted by the date referenced, the application will be considered 
incomplete and will be returned without consideration. Documentation of 
Consortium Participation--If an Indian Tribe submitting an application 
is a member of a consortium, the Tribe must:
     Identify the consortium.
     Indicate if the consortium intends to submit a Tribal 
Management Grant (TMG) application.
     Demonstrate that the Tribe's application does not 
duplicate or overlap any objectives of the consortium's application.
    If a consortium is submitting an application it must:
     Identify all the consortium member Tribes.
     Identify if any of the member Tribes intends to submit a 
TMG application of their own.
     Demonstrate that the consortium's application does not 
duplicate or overlap any objectives of the other consortium members who 
may be submitting their own TMG application.
    3. Letters of support from the AI/AN community served (required).
    4. Letters of support from the Tribal chairperson/president, the 
Tribal council, or the Tribal health director in support of the 
application (required).
    5. 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.
    The applicant must provide documentation of: (1) Non-profit status, 
and (2) provide Tribal or health board resolution. If the required 
documents are not submitted, the application will be considered non-
responsive and will not be entered into the review process.

2. Cost Sharing or Matching

    Cost sharing or matching is not required.

3. Other Requirements

    If a funding amount is requested greater than the ceiling of the 
award, the application will be considered non-responsive, and will not 
be entered into the review process. You will be notified that your 
application did not meet the submission requirements.
    Late applications will be considered non-responsive. See Section 
``IV.3. Submission Dates and Times'' for more information on deadlines.

IV. Application and Submission Information

1. Address To Request Application Package

    To apply for this funding opportunity use application form SF-424. 
Application forms and instructions are available on the Web site at the 
following internet address: https://www.grants.gov. If you do not have 
access to the Internet, or if you have difficulty accessing the forms 
online, you may contact the IHS--Division of Grants Operation staff at: 
(301) 443-5204. Application forms can be mailed to you. If you have 
questions, you may contact:

Ms. Alberta Becenti, Division of Clinical & Community Services, Indian 
Health Service, 801 Thompson Avenue, Suite 320, Rockville, Maryland 
20852. Phone (301) 443-4305.
Ms. Patricia Spottedhorse, Division of Grants Operations, Indian Health 
Service, 801 Thompson Avenue, Suite 120, Rockville, Maryland 20852. 
Phone (301) 443-5204.

2. Content and Form of Application Submission

    The program announcement title and number must appear in the 
application. Use the information in the Activities Section, Review 
Criteria Section, and this section to develop the application content. 
Your application will be evaluated on the criteria listed, 
consequently, it is important to follow this guide carefully.
     Font size: 12 point unreduced
     Double-spaced
     Paper size: 8.5 by 11 inches
     Page margin size: one inch
     Printed only on one side of page
     Held together only by rubber bands or metal clips; not 
bound in any other way.
     Contain a narrative that does not exceed 20 typed pages 
that includes the below listed sections. (The 20-page narrative does 
not include standard forms, Tribal Resolution(s), budget and other 
appendix items).

--Abstract (1 page)
--Background and needs
--Intervention Plan
--Plans for Monitoring and Program Evaluation
--Organizational Capabilities and Qualifications
--Communication and Information Sharing

     Include in the application the following documents in the 
order presented.

--Application Receipt Record, IHS-815-1A
--FY 2006 Application Checklist
--Standard Form 424, Application for Federal Assistance
--Standard Form 424A, Budget Information--Non-Construction Programs (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 17-19)
--PHS-5161 Checklist (pages 25-26)
--Disclosure of Lobbying Activities
--Abstract
--Table of Contents
--Application Narrative
--Budget
--Appendix Items

    Other Format Requirements:
    (a) Please number pages consecutively from beginning to end so that 
information can be located easily during review of the application. The 
abstract

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page should be page 1, and the table of contents page should be page 2. 
Appendices should be labeled and separated from the Project Narrative 
and Budget Section, and the pages should be numbered to continue the 
sequence.
(b) Abstract
    Abstract describing the overall project, intervention area and 
population size, partnerships, intervention strategies, and major 
outcomes. The abstract is limited to 1 page.
(c) Table of Contents
    Table of Contents with page numbers for each of the following 
sections.
(d) Application Narrative
    The application narrative (excluding the appendices) must be no 
more than 20 pages, double-spaced, printed on one side, with one-inch 
margins, and unreduced 12-point font. If your narrative exceeds the 
page limit, only the first 20 pages will be reviewed. The narrative 
should include background and needs; intervention plan; plan for 
monitoring and evaluation; organizational capabilities and 
qualifications; communication and information sharing.
(e) Budget
    Detail budget by line item along with detailed narrative 
justification explaining why each line item is necessary/relevant to 
the proposed project (personnel, supplies, equipment, training etc.,). 
You may include in-kind services to carry out proposed plans.
(f) Letters of Support
    The narrative should include a summary of the organizations that 
have submitted letters of support, resolution, and Memorandum of 
Understanding (as appropriate) from the local key partners specifying 
their roles, responsibilities, and resources. Actual letters, 
resolution, and Memorandum of Understanding should be placed in the 
appendix.
(g) Appendix
    The following additional information may be included in appendix. 
The appendices will not be counted toward the narrative page limit. 
Appendices are limited to the following items:
     Tribal Resolution or Health Board Resolution
     Organizational Charts
     Letters of Support, Resolution, or Memorandum of 
Understanding
     Resumes of key staff that reflect current duties
    Any material submitted in the appendices that is not listed here 
will not be reviewed. All information included in the appendices should 
be clearly referenced within the 20 page narrative to aid reviewers in 
connecting information in the appendices to that provided in the 
narrative.

3. Submission Dates and Times

    Applications are due by close of business June 1, 2005, 5 p.m. 
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. IHS will not notify applicants 
upon receipt of application.

4. Intergovernmental Review

    This funding opportunity is not subject to Executive Order 12372, 
``Intergovernmental Review of Federal Programs.'' A State approval is 
not required.

5. Funding Restrictions

    Funds may be used to expand or enhance existing activities to 
accomplish the objectives of this program announcement. Funds may be 
used to pay for consultants, contractors, materials, resources, travel 
and associated expenses to implement and evaluate intervention 
activities such as those described under the ``Activities'' section of 
this announcement. Funds may not be used for direct patient care, 
diagnostic medical testing, patient rehabilitation, pharmaceutical 
purchases, facilities construction, or lobbying.

Electronic Submission Information

    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 Web 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:
    (a) Electronic submission is voluntary.
    (b) 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.
    (c) 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.
    (d) You will not receive additional point value because you submit 
a grant application in electronic format, nor will you be penalized if 
you submit an application in paper format.
    (e) You may submit all documents electronically, including all 
information typically included on the SF 424 and all necessary 
assurances and certifications.
    (f) Your application must comply with any page limitation 
requirements described in the program announcement.
    (g) After you electronically submit your application, you will 
receive an automatic acknowledgement from Grants.gov that contains a 
Grants.gov tracking number. The Indian Health Service will retrieve 
your application from Grants.gov.
    (h) You may access the electronic application for this program on 
https://www.Grants.gov.
    (i) You must search for the downloadable application package by 
CFDA number.

6. Other Submission Requirements

    DUNS Number--As of October 1, 2003, applications must have a DUNS 
and Bradstreet (D&B) Data Universal Numbering System (DUNS) number as 
the Universal Identifier when apply for Federal Grants or cooperative 
agreements. The DUNS number may be obtained by calling (866) 705-5711 
or through the Web site at https://www.dunandbroadstreet.com/. The DUNS 
number should be entered on the SF 424 face page. Internet applications 
for a DUNS number can take up to 30 days and this could cause 
organizations to lose opportunities to apply, or delay them. It is 
significantly faster to obtain one by phone. You will need the

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following information to request a DUNS number:
     Organization name.
     Organization address.
     Organization telephone number.
     Name of CEO, Executive Director, President, etc. (the 
person in charge).
     Legal structure of the organization.
     Year organization started.
     Primary business (activity) line.
     Total number of employees.

V. Application Review Information

1. Criteria

    You are required to provide measurable objectives related to the 
performance goals stated in the ``Purpose'' section of this 
announcement. Measures must be objective and measure the intended 
outcome. These measures of effectiveness must be submitted with the 
application and will be an element of evaluation. Applicants will be 
evaluated and rated according to weights assigned to each section as 
noted in parentheses.
     Abstract (no points).
     Background and Needs (Total 20 points).
    a. Is the proposed intervention clearly and the extend of the 
problem thoroughly described, including targeted population served and 
geographic location of the proposed project?
    b. Area data provided that substantiate the existing burden and/or 
disparities of chronic diseases and conditions in the target population 
to be served?
    c. Are assets and barriers to successful program implementation 
identified?
    d. How well are existing resources used to complement or contribute 
to the effort planned in the proposal?
     Intervention Plan (Total 40 points).
    a. Does the plan include objectives, strategies, and activities 
that are specific, realistic, measurable, and time-phased related to 
identified needs and gaps in existing programs?
    b. Does the proposed plan include intervention strategies to 
address risk factors contributing to chronic conditions and diseases?
    c. How well does the plan reflect local capacity to provide, 
improve, or expand services that address the needs of the target 
population?
    d. Does the proposed plan include the action steps on a timeline, 
identify who will perform the action steps, identify who will 
coordinate the project, and identify who will develop and collect the 
evaluation, and include any training that will take place during the 
proposed project?
    e. If the plan includes consultants or contractors, does the plan 
include educational requirements, work experience and qualifications, 
expected work products to be delivered and includes a timeline? If 
potential consultant/contractor has already been identified, please 
include a resume in the appendix.
     Plan for Monitoring and Program Evaluation (Total 15 
points).
    a. Does the plan describe appropriate data sources to monitor and 
track changes in community capacity; the extent to which interventions 
reach populations at risk; changes in risk factors; and changes in 
program efficiency?
    b. Does the application demonstrate the capability to conduct 
surveillance and program evaluation, access and analyze data sources, 
and use evaluation to strengthen the program?
    c. Does the applicant describe how the project is anticipated to 
improve specific performance measures and outcomes compared to baseline 
performance?
     Organizational Capabilities and Qualifications (Total 10 
points).
    a. Does the plan include the organizational structure of the Tribe/
Tribal organization?
    b. Does the applicant describe plans to share experiences, 
strategies, and results with other interested communities and partners?
    c. Does the plan include the ability of the organization to manage 
the proposed plans, including information on similar sized projects in 
scope s well as other grants and projects successfully completed?
    d. Does the applicant include key personnel who will work on the 
project? Position descriptions should clearly describe each position 
and duties, qualifications and experiences related to the proposed 
plan. Resumes must indicate the staff qualifications to carry out the 
proposed plan and activities.
    e. How will the plan be sustained after the grant ends?
     Communication and Information Sharing (Total 5 points).
    a. Does the application describe plans to share experiences, 
strategies, and results with other interested communities and partners?
    b. Does the applicant describe plans to ensure effective and timely 
communication and exchange of information, experiences and results 
through mechanisms such as the Internet, workshops, and other methods?
     Budget Justification (Total 10 points).
    a. Is the budget reasonable and consistent with the proposed 
activities and intent of the program?
    b. Does the budget narrative justification explain each line item 
and the relevancy to the proposed plan?
    c. Does the budget include in-kind services?

2. Review and Selection Process

    Applications will be reviewed for timeless and completeness by the 
Division of Grants Operation and for responsiveness by the Health 
Promotion/Disease Prevention staff. Late and incomplete applications 
(those that do not include all required forms and all elements as 
described in Section IV.2. of this program announcement) will not be 
entered into the review process. Applications will be evaluated and 
rated on the basis of the evaluation criteria listed in Section V.1. 
Applicants will be notified that their application did not meet 
submission requirements.
    Proposals will be reviewed for merit by the Objective Review 
Committee consisting of three federal and three non-federal reviewers 
appointed by the IHS. The technical review process ensures the 
selection of quality projects in a national competition for limited 
funding. After review of the applications, rating scores will be 
compared, and the application with the highest rating score are 
selected to receiving funding. Applications scoring below 60 points 
will be disapproved and returned to the applicant.

3. Anticipated Announcement and Award Dates

    Successful applicants can expect notification no later that August 
31, 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

    Successful applicants will receive a Notice of Grant Award from the 
IHS Headquarters, Division of Grants Operation. The Division of Grants 
Operation 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

[[Page 19777]]

terms applicable to the award. The NGA will serve as the official 
notification of a grant award and will state the amount of Federal 
funds awarded.
    Applicants whose applications are declared ineligible will receive 
written notification of the eligibility determination and their 
original grant application via postal mail. The ineligible notification 
will include information regarding the rationale for the ineligible 
decision citing specific information from the original grant 
application. Applicants who are approved but unfunded and disapproved 
will receive a copy of the Executive Summary which identifies the 
weaknesses and strengths of the application submitted.

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 of Non-
Profit Recipients''
     Appropriate Cost Principals: OMB Circular 87, ``State and 
local governments,'' or OMB Circular A-122, ``None-Profit 
Organizations''
     OMB Circular A-133, ``Audits of States, Local Governments, 
and Non-Profit Organizations''

3. Reporting

    Grantees are responsible and accountable for accurate reporting of 
the Progress Reports and Financial Status Reports which are required 
semi-annually. These report will include a brief comparison of actual 
accomplishments to the goals established for the period, reasons for 
slippage (if applicable), and other pertinent information as required. 
Financial Status Reports (SF 269)--Semi annual financial reports must 
be submitted within 30 of the end of the half year. A Final Financial 
Status Reports (SF 269) are due within 90 days of expiration of the 
budget/project period and must be verified from the grantee records on 
how the value was derived. Grantees are allowed a reasonable period of 
time in which to submit required financial and performance reports.
    Failure to submit required reports within the time allowed may 
result in suspension or termination of an active grant, withholding of 
additional awards for the project, or other enforcement actions such as 
withholding of payments or converting to the reimbursement method of 
payment. Continued failure to submit required reports may result in the 
imposition of special award provisions, or cause other eligible 
projects or activities involving that grantee organization, or the 
individual responsible for the delinquency to not be funded.

VII. Agency Contact(s)

    1. Questions on the programmatic and technical issues may be 
directed to: Alberta Becenti, Health Promotion/Disease Prevention 
Consultant, (301) 443-4305, (301) 443-8170, abecenti@hqe.ihs.gov.
    2. Question on grants management and fiscal matters may be directed 
to: Patricia Spottedhorse, Grants Management Specialist, (301) 443-
5204, (301) 443-9602, PSpotted@hqe.ihs.gov.
    The Public Health Service strongly encourages all grant and contact 
recipients to provide a smoke-free workplace and promote the non-use of 
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 Public Health Service mission to 
protect and advance the physical and mental health of the American 
people.

    Dated: April 7, 2005.
Charles W. Grim,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 05-7460 Filed 4-13-05; 8:45 am]
BILLING CODE 4165-16-M