Office of Clinical and Preventive Services: National HIV Program; Announcement Type: Cooperative Agreement; Catalog of Federal Domestic Assistance Number: 93.933, 32633-32637 [E9-16052]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 74, Number 129 (Wednesday, July 8, 2009)]
[Notices]
[Pages 32633-32637]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-16052]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

[Funding Opportunity Number: HHS-2009-IHS-OCPS-HIV-0001]


Office of Clinical and Preventive Services: National HIV Program; 
Announcement Type: Cooperative Agreement; Catalog of Federal Domestic 
Assistance Number: 93.933

DATES: Key Dates: Application Deadline Date: July 31, 2009.
    Review Date: August 6, 2009.
    Anticipated Start Date: August 10, 2009.

I. Funding Opportunity Description

    The Indian Health Service (IHS) announces that competitive 
cooperative agreement applications are now being accepted by the IHS 
Office of Clinical and Preventive Services (OCPS) for the National 
Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/
AIDS) Program. This program is authorized under the Snyder Act, 25 
U.S.C. 13, and the Indian Health Care Improvement Act, 25 U.S.C. 
1602(a)(b)(42)(43). This program is described under 93.933 in the 
Catalog of Federal Domestic Assistance (CFDA). There will be only one 
funding cycle during Fiscal Year (FY) 2009.
    Enhancement of HIV/AIDS testing activities in American Indian/
Alaska Native (AI/AN) people is necessary to reduce the incidence of 
HIV/AIDS in those communities by increasing access to HIV related 
services, reducing stigma, and making testing routine. This open 
competition seeks to expand fiscal resources to increase the number of 
AI/AN with awareness of his/her HIV status. The cooperative agreements 
will provide routine HIV screening for adults as per 2006 Centers for 
Disease Control and Prevention (CDC) guidelines, and pre- and post test 
counseling (when appropriate).
    These cooperative agreements will be used to identify best 
practices to enhance HIV testing, including rapid testing and/or 
conventional HIV antibody testing, and to provide a more focused effort 
to address HIV/AIDS prevention in AI/AN populations in the United 
States.
    The nature of these projects will require collaboration to: (1) 
Coordinate activities with the IHS National HIV Program; and (2) submit 
and share non-personally identifiable (NPI) data surrounding HIV/AIDS 
testing, treatment and education.
    These agreements are intended to encourage development of 
sustainable, routine HIV screening programs in Tribal health facilities 
that are aligned with 2006 CDC HIV screening guidelines (https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5514a1.htm). Key features include 
streamlined consent and counseling procedures (verbal consent, opt-
out), a clear HIV screening policy, identifying and implementing any 
necessary staff training, community awareness, and a clear follow-up 
protocol for HIV positive results including linkages to care. Grantees 
may choose to bundle HIV tests with sexually transmitted diseases (STD) 
screening.
    Proposed activities that cover large populations and/or 
geographical areas that do not necessarily correspond with current IHS 
administrative areas are encouraged. In conducting activities to 
achieve the purpose of this program, the recipient will be responsible 
for the activities under: 1. Recipient Activities, and IHS will be 
responsible for conducting activities under 2. IHS Activities.

1. Recipient Activities

     Assist AI/AN communities and Tribal organizations in 
increasing the number of AI/ANs with awareness of his/her HIV status. 
The grantee will assist and facilitate reporting of HIV diagnoses to 
local and state public health authorities in the region as required 
under existing public health statutes.
     Test at least one previously-untested (not tested in the 
prior five years) patient for every $50.00 in cooperative agreement 
funds received, inclusive of all ancillary and indirect costs.
     Collaborate with national IHS programs by providing 
standardized, anonymous HIV surveillance data on a quarterly basis, and 
in identifying and documenting best practices for implementing routine 
HIV testing.
     Participate in the development of systems for sharing, 
improving, and disseminating aggregate HIV data at a national level for 
purposes of advocacy for AI/AN communities, Government Performance 
Results Act of 1993 (GPRA), Healthy People 2010/2020 and other 
national-level activities.
     A three page mid-year report and no more than a ten page 
summary annual report at the end of each project year. The report 
should establish the impact and outcomes of various methods of 
implementing routine screening tried during the funding period.

2. IHS Activities

     Provide funded organizations with ongoing consultation and 
technical assistance to plan, implement, and evaluate each component of 
the comprehensive program as described under Recipient Activities 
above. Consultation and technical assistance will include, but not be 
limited to, the following areas: (a) Interpretation of current 
scientific literature related epidemiology, statistics, surveillance, 
Healthy People 2010/2020 Objectives, and other HIV disease control 
activities;
    (b) Design and implementation of program components (including, but 
not limited to, program implementation methods, surveillance, 
epidemiologic analysis, outbreak investigation, development of 
programmatic evaluation, development of disease control programs, and 
coordination of activities); and
    (c) Overall operational planning and program management.

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     Conduct visits to assess program progress and mutually 
resolve problems, as needed.
     Coordinate these activities with all IHS HIV activities on 
a national basis.

II. Award Information

    Type of Award: Cooperative Agreement.
    Estimated Funds Available: The total amount identified for Fiscal 
Year (FY) 2009 is ten awards totaling $850,000. The award is for two 
years in duration. The individual award received is inclusive of 
project evaluation and administrative support. Awards under this 
announcement are subject to the availability of funds.
    Anticipated Number of Awards: An estimated number of ten 
cooperative agreements (CA) awards will be issued under the Program.
    Project Period: 2 years.
    Award Amount: $85,000.
    Projects will be funded for annual budget periods with project 
periods of two years, dependent upon the scope of work. There will be 
yearly continuation applications required. The continuation years will 
be pending funding and based on the following:
     Satisfactory progress.
     Availability of funds.
     Continuing need for IHS to support the program (program 
priorities).

    Awardees will be required to submit routine quarterly surveillance 
data as well as the Standard Form 424 and Progress Reports, annually 
and financial statements as required in the PHS Grants Policy 
Statement. Forms are available at the following Web site https://www.grants.gov. The progress report should provide information about 
changes in the program and a summary report of any evaluations. These 
bi-annual and annual progress reports will be closely monitored by the 
IHS staff to ensure that the cooperative agreement is achieving the 
goals of the Office of HIV/AIDS Policy (OHAP). Limitations--Only one CA 
project will be awarded per Tribe, Tribal organization, or intertribal 
consortium.

III. Eligibility Information

    1. Federally recognized AI/AN Tribes, as defined under 25 U.S.C. 
1603(d), Tribal Organizations, as defined under 25 U.S.C. 1603(e), or a 
consortium of two or more of those Tribes or Tribal organizations. 
Applicants other than Tribes must provide proof of non-profit status. 
Eligible consortiums must represent or propose to serve a population of 
at least 20,000 AI/AN in order to be considered eligible. An 
intertribal consortium or AI/AN organization is eligible to receive a 
cooperative agreement if it is incorporated for the primary purpose of 
improving AI/AN health, and it is representing of the tribes or AN 
villages in which it is located. Collaborations with regional IHS, CDC, 
State, or organizations are encouraged and proof of such collaboration 
must be included in the application. The following documentation is 
required:
     Tribal Resolution
    [cir] A signed and dated resolution supportive of the HIV 
cooperative agreement proposal from the Indian Tribe(s) served by the 
project, or a copy of an existing Tribal resolution that encompasses 
the proposed activities and project type, must accompany the 
application.
    [cir] Application by Tribal organizations will not require a 
specific Tribal resolution(s) if the current blanket Tribal 
resolution(s) under which they operate would encompass the proposed 
activities and project type.
     Non-profit organization--a copy of 501(c)(3) non-profit 
certificate.
    2. Cost Sharing or Matching--This program does not require matching 
funds or cost sharing.
    If the application budget exceeds $85,000, it will not be 
considered for review.

IV. Application and Submission Information

    1. Applicant package may be found in Grants.gov (https://www.grants.gov) or at: https://www.ihs.gov/NonMedicalPrograms/gogp/gogp_funding.asp. Questions regarding the electronic application 
process may be directed to Michelle G. Bulls at (301) 443-6290.
    2. Content and Form of Application Submission:
     Be single spaced.
     Be typewritten.
     Have consecutively numbered pages.
     Use black type not smaller than 12 characters per one 
inch.
     Contain a narrative that does not exceed 15 typed pages 
that includes the other submission requirements below. The 15 page 
narrative does not include the work plan, standard forms, table of 
contents, budget, budget justifications, narratives, and/or other 
appendix items.
    Public Policy Requirements: All Federal-wide public policies apply 
to IHS grants with the exception of the Lobbying and Discrimination 
public policy.
    3. Submission Dates and Times:
    The application from each Tribal entity must be submitted 
electronically through Grants.gov by 12 midnight Eastern Daylight Time 
(EDT).
    If technical challenges arise and the Tribes or Tribal entities are 
unable to successfully complete the electronic application process, 
each organization must contact Michelle G. Bulls, Grants Policy Staff 
(GPS) fifteen days prior to the application deadline and advise of the 
difficulties that they are experiencing. Each organization must obtain 
prior approval, in writing (e-mails are acceptable), from Ms. Bulls 
allowing the paper submission. If submission of a paper application is 
requested and approved, the original and two copies may be sent to the 
appropriate grants contact that is listed in Section IV.1 above. 
Applications not submitted through Grants.gov, without an approved 
waiver, may be returned to the organizations without review or 
consideration.
    A late application will be returned to the organization without 
review or consideration.
    4. Intergovernmental Review: Executive Order 12372 requiring 
intergovernmental review is not applicable to this program.
    5. Funding Restrictions:
    A. Pre-award costs are allowable pending prior approval from the 
awarding agency. However, in accordance with 45 CFR Part 74, all pre-
award costs are incurred at the recipient's risk. The awarding office 
is under no obligation to reimburse such costs if for any reason any of 
the urban Indian organizations do not receive an award, or if the award 
to the recipient is less than anticipated.
    B. The available funds are inclusive of direct and appropriate 
indirect costs.
    C. Only one cooperative agreement will be awarded to each 
organization.
    D. IHS will acknowledge receipt of the application by e-mail.
    6. Other Submission Requirements:
    Electronic Submission--Each Tribe or Tribal entity must submit 
through Grants.gov. However, should any technical challenges arise 
regarding the submission, please contact Grants.gov Customer Support at 
(800) 518-4726 or support@grants.gov. The Contact Center hours of 
operation are Monday-Friday from 7 a.m. to 9 p.m. E.D.T. If you require 
additional assistance please call (301) 443-6290 and identify the need 
for assistance regarding your Grants.gov application. Your call will be 
transferred to the appropriate grants staff member. Each organization 
must seek assistance at least fifteen days prior to the application 
deadline. If each organization doesn't adhere to the timelines for 
Central Contractor Registry (CCR), Grants.gov registration and request 
timely assistance with technical

[[Page 32635]]

issues, paper application submission may not be granted.
    To submit an application electronically, please use the Grants.gov 
Web site. Download a copy of the application package on the Grants.gov 
Web site, 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 IHS.
    Please be reminded of the following:
     Under the new IHS application submission requirements, 
paper applications are not the preferred method. However, if any Tribe 
or Tribal entity has technical problems submitting the application on-
line, please contact directly Grants.gov Customer Support at: https://www.grants.gov/CustomerSupport.
     Upon contacting Grants.gov, obtain a Grants.gov tracking 
number as proof of contact. The tracking number is helpful if there are 
technical issues that cannot be resolved and a waiver request from 
Grants Policy must be obtained. If any of the organizations are still 
unable to successfully submit the application online, please contact 
Michelle G. Bulls, GPS at (301) 443-6290 at least fifteen days prior to 
the application deadline to advise her of the difficulties you have 
experienced.
     If it is determined that a formal waiver is necessary, 
each organization must submit a request, in writing (e-mails are 
acceptable), to Michelle.Bulls@ihs.gov providing a justification for 
the need to deviate from the standard electronic submission process. 
Upon receipt of approval, a hard-copy application package must be 
downloaded from Grants.gov, and sent directly to the Division of Grants 
Operations (DGO), 801 Thompson Avenue, TMP, Suite 360, Rockville, MD 
20852 by July 31, 2009.
     Upon entering the Grants.gov Web site, there is 
information available that outlines the requirements to all eligible 
entities regarding electronic submission of application and hours of 
operation. We strongly encourage that each organization does not wait 
until the deadline date to begin the application process as the 
registration process for CCR and Grants.gov could take up to fifteen 
working days.
     To use Grants.gov, each eligible entity must have a Data 
Universal Numbering System (DUNS) Number and register in the CCR. Each 
organization should allow a minimum of ten working days to complete CCR 
registration. See below on how to apply.
     Each organization must submit all documents 
electronically, including all information typically included on the SF-
424 and all necessary assurances and certifications.
     Please use the optional attachment feature in Grants.gov 
to attach additional documentation that may be requested by IHS.
     Each organization 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 DGO will retrieve your application from 
Grants.gov. The DGO will notify each organization that the application 
has been received.
     You may access the electronic application for this program 
on Grants.gov.
     You may search for the downloadable application package 
using either the CFDA number or the Funding Opportunity Number. Both 
numbers are identified in the heading of this announcement.
     To receive an application package, each urban Indian 
organization must provide the Funding Opportunity Number: HHS-2009-IHS-
OCPS-HIV-0001.
E-mail applications will not be accepted under this announcement.

DUNS Number

    Applicants are required to have a DUNS number to apply for a grant 
or cooperative agreement from the Federal Government. 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 https://www.dunandbradstreet.com 
or call (866) 705-5711. Interested parties may wish to obtain their 
DUNS number by phone to expedite the process.
    Applications submitted electronically must also be registered with 
the CCR. A DUNS number is required before CCR registration can be 
completed. Many organizations may already have a DUNS number. Please 
use the number listed above to investigate whether or not your 
organization has a DUNS number. Registration with the CCR is free of 
charge.
    Applicants may register by calling (888) 227-2423. Please review 
and complete the CCR Registration Worksheet located on https://www.ccr.gov.
    More detailed information regarding these registration processes 
can be found at Grants.gov.

V. Application Review Information

1. Criteria
    The instructions for preparing the application narrative also 
constitute the evaluation criteria for reviewing and scoring the 
application. Weights assigned to each section are noted in parentheses. 
The narrative should include all prior years of activity; information 
for multi-year projects should be included as an appendix (see E. 
``Categorical Budget and Budget Justification'') at the end of this 
section for more information. The narrative should be written in a 
manner that is clear to outside reviewers unfamiliar with prior related 
activities of the entity. It should be well organized, succinct, and 
contain all information necessary for reviewers to understand the 
project fully. Emphasis will be placed on measures to increase testing 
and ensure sustainability of testing.

A. Understanding of the Need and Necessary Capacity (15 Points)

1. Understanding of the Problem
    a. Define the project target population, identify their unique 
characteristics, and describe the impact of HIV on the population.
    b. Describe the gaps/barriers in HIV testing for the population.
    c. Describe the unique cultural or sociological barriers of the 
target population to adequate access for the described services.
2. Facility Capability
    a. Briefly describe your health facility and user population.
    b. Describe your health facility's ability to conduct this 
initiative through:
     Linkages to treatment and care: Partnerships established 
to refer out of your health facility as needed for specialized 
treatment, care, confirmatory testing (if applicable) and counseling 
services.

B. Work Plan (40 Points)

     Implementation Plan
    1. Identify the proposed program activities and explain how these 
activities will increase and sustain HIV screening.
    2. Describe Policy and Procedure changes anticipated for testing 
implementation that include:
    a. Support of CDC 2006 Revised Testing Recommendations.
    b. Community awareness of new HIV testing policy.
    c. Age and sex range of persons to be tested.
    d. Bundling of HIV test with STDs tests.

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    e. Type of HIV test (rapid, conventional, Western Blot) and who 
will perform test (in-house, contract lab).
    f. Inclusion, exclusion, or phased introduction of testing in 
outpatient, inpatient, acute care/emergency room, specialty clinics, 
community-based testing.
    3. Provide a clear timeline with quarterly milestones for project 
implementation.
    4. Describe which group(s), if any, to which you cannot, because of 
State regulations, offer testing with verbal consent only, in an opt-
out format.
    5. Describe how the program will ensure that clients receive their 
test results, particularly clients who test positive.
    6. Describe how the program will ensure that individuals with 
initial HIV-positive test results will receive confirmatory tests. If 
you do not provide confirmatory HIV testing, you must provide a letter 
of intent or Memorandum of Understanding with an external laboratory 
documenting the process through which initial HIV-positive test results 
will be confirmed.
    7. Describe the program strategies to linking potential 
seropositive patients to care.
    8. Describe the program procedures for reporting seropositive 
patients to the appropriate State(s).
    9. Describe the program quality assurance strategies.
    10. Describe how the program will train, support and retain staff 
providing counseling and testing.
    11. Describe how the program will ensure client confidentiality.
    12. Describe how the program will ensure that your services are 
culturally sensitive and relevant.
    13. Describe how the program will attempt to streamline procedures 
so as to reduce the overall cost per test administered.

C. Project Evaluation (20 Points)

1. Evaluation Plan
    The grantee shall provide a plan for monitoring and evaluating 
implementation of the HIV rapid test and/or standard HIV antibody test, 
and to identify best practices.
2. Reporting Requirements
    The following quantitative and qualitative measures shall be 
addressed:
     Required Quantitative Indicators (quantitative). Quarterly 
surveillance reports should be broken down by age and sex and contain 
only aggregate data, with no personal identifiers:
    1. Number of tests performed and number of test refusals.
    2. Number of clients learning of their serostatus for the first 
time via this testing initiative (unique patients, non-repeated tests). 
Number of clients tested for the first time in five years and meeting 
the programmatic definition of ``previously untested.''
    3. Number of reactive tests and confirmed seropositive (actual and 
proportion).
    4. Number of clients linked to care/treatment or referrals for 
prevention counseling.
    5. Number of individuals receiving their confirmatory test results.
     Required Qualitative Information
    1. Measures in place to protect confidentiality.
    2. Identify barriers to implementation as well as lessons learned 
for best practices to share with other Tribes or Tribal organizations.
    3. Sustainability plan and measures of ongoing testing in future 
years, after grant money has been spent.
     Other quantitative indicators may be collected to improve 
clinic processes and add to information reported, however are not 
required reporting measures:
    1. Number of clients who refused due to prior knowledge of status.
    2. Number of rapid versus standard antibody test.
    3. Number of false negatives and/or positives after confirmatory 
test.

D. Organizational Capabilities and Qualifications (10 Points)

    This section outlines the broader capacity of the organization to 
complete the project outlined in the work plan. It includes the 
identification of personnel responsible for completing tasks and the 
chain of responsibility for successful completion of the project 
outlined in the work plan.
    1. Describe the organizational structure.
    2. Describe the ability of the organization to manage the proposed 
project. Include information regarding similarly sized projects in 
scope and financial assistance as well as other grants and projects 
successfully completed.
    3. Describe what equipment (i.e., phone, Web sites, etc.) and 
facility space (i.e., office space) will be available for use during 
the proposed project. Include information about any equipment not 
currently available that will be purchased throughout the agreement.
    4. List key personnel who will work on the project.
     Identify staffing plan, existing personnel and new program 
staff to be hired.
     In the appendix, include position descriptions and resumes 
for all key personnel. Position descriptions should clearly describe 
each position and duties indicating desired qualifications, experience, 
and requirements related to the proposed project and how they will be 
supervised. Resumes must indicate that the proposed staff member is 
qualified to carry out the proposed project activities and who will 
determine if the work of a contractor is acceptable.
     Note who will be writing the progress reports.
     If a position is to be filled, indicate that information 
on the proposed position description.
     If the project requires additional personnel beyond those 
covered by the supplemental grant, (i.e., IT support, volunteers, 
interviewers, etc.), note these and address how these positions will be 
filled and, if funds are required, the source of these funds.
     If personnel are to be only partially funded by this 
supplemental grant, indicate the percentage of time to be allocated to 
this project and identify the resources used to fund the remainder of 
the individual's salary.

E. Categorical Budget and Budget Justification (15 Points)

    Provide a clear estimate of the project program costs and 
justification for expenses for the entire grant period. The budget and 
budget justification should be consistent with the tasks identified in 
the work plan. The budget focus should be on routinizing and sustaining 
HIV testing services as well as reducing the cost per person tested.
    1. Categorical budget (Form SF 424A, Budget Information Non-
Construction Programs) completing each of the budget periods requested.
    2. Narrative justification for all costs, explaining why each line 
item is necessary or relevant to the proposed project. Include 
sufficient details to facilitate the determination of allowable costs.
    3. Budget justification should include a brief program narrative 
for the second year.
    4. If indirect costs are claimed, indicate and apply the current 
negotiated rate to the budget. Include a copy of the rate agreement in 
the appendix.
2. Review and Selection Process
    In addition to the above criteria/requirements, the application 
will be considered according to the following:
    A. The submission deadline: July 31, 2009.
    Applications submitted in advance of or by the deadline and 
verified by the

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postmark will undergo a preliminary review to determine that:
     The applicant is eligible in accordance with this grant 
announcement.
     The application is not a duplication of a previously 
funded project.
     The application narrative, forms, and materials submitted 
meet the requirements of the announcement allowing the review panel to 
undertake an in-depth evaluation; otherwise, it may be returned.
    B. The Objective Review date is August 6, 2009.
    The applications that are complete, responsive, and conform to this 
program announcement will be reviewed for merit by the Ad Hoc Objective 
Review Committee (ORC) appointed by the IHS to review and make 
recommendations on this application. Prior to ORC review, the 
application will be screened to determine that programs proposed are 
those which the IHS has the authority to provide, either directly or 
through funding agreement, and that those programs are designed for the 
benefit of IHS beneficiaries. If an eligible entity does not meet these 
requirements, the application will not be reviewed. The ORC review will 
be conducted in accordance with the IHS Objective Review Guidelines. 
The application will be evaluated and rated on the basis of the 
evaluation criteria listed in section V. 1. The criteria are used to 
evaluate the quality of a proposed project and determine the likelihood 
of success.
3. Anticipated Announcement and Award Dates
    Anticipated Award Date of August 10, 2009.

VI. Award Administration Information

    1. Award Notices.
    The Notice of Award (NOA) will be initiated by the DGO and will be 
mailed via postal mail to the Tribe or Tribal entity. The NOA will be 
signed by the Grants Management Officer and this is the authorizing 
document under which funds are dispersed. The NOA is the legally 
binding document and will serve as the official notification of the 
grant award and will reflect the amount of Federal funds awarded for 
the purpose of the grant, the terms and conditions of the award, the 
effective date of the award, and the budget/project period.
    2. Administrative Requirements.
    Grants are administered in accordance with the following documents:
     This Program Announcement.
     45 CFR Part 74, ``Uniform Administrative Requirements for 
Awards to Institutions of Higher Education, Hospitals, Other Non Profit 
Organizations, and Commercial Organizations.''
     Grants Policy Guidance: HHS Grants Policy Statement, 
January 2007.
     ``Non Profit Organizations'' (Title 2 Part 230).
     Audit Requirements: OMB Circular A-133, ``Audits of 
States, Local Governments, and Non Profit Organizations.''
     45 CFR Part 46, ``Protection of Human Subjects.''
    3. Indirect Costs.
    This section applies to indirect costs in accordance with HHS 
Grants Policy Statement, Part II-27. The IHS requires applicants to 
have a current indirect cost rate agreement in place prior to award. 
The rate agreement must be prepared in accordance with the applicable 
cost principles and guidance as provided by the cognoscente agency or 
office. A current rate means the rate covering the applicable 
activities and the award budget period. If the current rate is not on 
file with the awarding office, the award shall include funds for 
reimbursement of indirect costs. However, the indirect costs portion 
will remain restricted until the current rate is provided to the DGO.
    4. Reporting.
    A. Progress Report. Program progress reports are required quarterly 
by the National HIV Program in order to satisfy quarterly reports due 
to the funding source at Minority AIDS Initiative (MAI). These reports 
(due mid-November, February, May, August) will include quantitative 
data as well as a brief comparison of actual accomplishments to the 
goals established for the period per the implementation plan, reasons 
for delays or milestones not attained (if applicable), and other 
pertinent information as required. An Assessment and Evaluation Report 
must be submitted within 30 days of the end of each funded year.
    B. Financial Status Report. Semi-annual financial status reports 
must be submitted within 30 days of the end of the half year. Final 
financial status reports are due within 90 days of expiration of the 
budget period. Standard Form 269 (long form) will be used for financial 
reporting.
    C. Participation in a minimum of two teleconferences. 
Teleconferences will be required semi-annually (unless further follow 
up is needed) for Technical Assistance to be provided and progress to 
be shared.
    D. Site visits. Tribal sites using MAI resources should be amenable 
to the possibility of site visits by IHS staff administering MAI funds.
    Failure to submit required reports within the time allowed may 
result in suspension or termination of an active agreement, withholding 
of additional awards for the project, or other enforcement actions such 
as withholding of payments or converting to the reimbursement method of 
payment. Continued failure to submit required reports may result in one 
or both of the following: (1) The imposition of special award 
provisions; and (2) the non-funding or non-award of other eligible 
projects or activities. This applies whether the delinquency is 
attributable to the failure of the organization or the individual 
responsible for preparation of the reports.
    Telecommunication for the hearing impaired is available at: TTY 
(301) 443-6394.

VII. Agency Contacts

    For program-related and general information regarding this 
announcement: CAPT Scott Giberson, IHS National HIV Principal 
Consultant, 801 Thompson Ave., Reyes Building, Suite 306, Rockville, MD 
20852, (301) 443-2449 or scott.giberson@ihs.gov.
    For specific grant-related and business management information: 
Denise Clark, Senior Grants Management Specialist, 801 Thompson Avenue, 
TMP, Suite 360, Rockville, MD 20852, (301) 443-5204 or 
denise.clark@ihs.gov.

    Dated: June 26, 2009.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. E9-16052 Filed 7-7-09; 8:45 am]
BILLING CODE 4165-16-P