Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education Cooperative Agreement, 50128-50137 [2012-20285]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 77, Number 161 (Monday, August 20, 2012)]
[Notices]
[Pages 50128-50137]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-20285]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

[Funding Announcement Number: HHS-2012-IHS-NIHOE-0001]


Office of Direct Service and Contracting Tribes; National Indian 
Health Outreach and Education Cooperative Agreement

Announcement Type: Limited Competition

Catalog of Federal Domestic Assistance Number: 93.933

DATES: Key Dates:
    Application Deadline Date: September 10, 2012.
    Review Date: September 12, 2012.
    Earliest Anticipated Start Date: September 30, 2012.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting applications for the 
Office of Direct Service and Contracting Tribes on the National Indian 
Health Outreach and Education (NIHOE) I cooperative agreement. This 
award includes the following four components, as described in this 
announcement: ``Line Item 128 Health Education and Outreach funds,'' 
``Health Care Policy Analysis and Review,'' ``Budget Formulation'' and 
``Tribal Leaders Diabetes Committee'' (TLDC). This program is 
authorized under the Snyder Act, codified at 25 U.S.C. 13. This program 
is described in the Catalog of Federal Domestic Assistance under CFDA 
93.933.

Limited Competition Announcement

    This is a Limited Competition announcement. The funding levels 
noted include both direct and indirect costs. Limited competition 
refers to a funding opportunity that limits the eligibility to compete 
to more than one entity but less than all entities.

Limited Competition Justification

    Competition for the award included in this announcement is limited 
to national Indian health care organizations with at least ten years of 
experience providing education and outreach on a national scale. This 
limitation ensures that the awardee will have (1) A national 
information-sharing infrastructure which will facilitate the timely 
exchange of information between the Department of Health and Human 
Services (HHS) and Tribes and Tribal organizations on a broad scale; 
(2) a national perspective on the needs of American Indian/Alaska 
Native (AI/AN) communities that will ensure that the information 
developed and disseminated through the projects is appropriate, useful 
and addresses the most pressing needs of AI/AN communities; and (3) 
established relationships with Tribes and Tribal organizations that 
will foster open and honest participation by AI/AN communities. 
Regional or local organizations will not have the mechanisms in place 
to conduct communication on a national level, nor will they have an 
accurate picture of the health care needs facing AI/ANs nationwide. 
Organizations with less experience will lack the established 
relationships with Tribes and Tribal organizations throughout the 
country that will facilitate participation and the open and honest 
exchange of information between Tribes and HHS. With the limited funds 
available for

[[Page 50129]]

these projects, HHS must ensure that the education and outreach efforts 
described in this announcement reach the widest audience possible in a 
timely fashion, are appropriately tailored to the needs of AI/AN 
communities throughout the country, and come from a source that AI/ANs 
recognize and trust. For these reasons, this is a limited competition 
announcement.

Background

    The NIHOE program carries out health program objectives in the AI/
AN community in the interest of improving Indian health care for all 
566 Federally-recognized Tribes, including Tribal governments operating 
their own health care delivery systems through self-determination 
contracts with the IHS and Tribes that continue to receive health care 
directly from the IHS. This program addresses health policy and health 
program issues and disseminates educational information to all AI/AN 
Tribes and villages. This program requires that public forums be held 
at Tribal educational consumer conferences to disseminate changes and 
updates in the latest health care information. This program also 
requires that regional and national meetings be coordinated for 
information dissemination as well as the inclusion of planning and 
technical assistance and health care recommendations on behalf of 
participating Tribes to ultimately inform IHS based on Tribal input 
through a broad based consumer network.

Purpose

    The purpose of this IHS cooperative agreement is to further IHS's 
mission and goals related to providing quality health care to the AI/AN 
community through outreach and education efforts with the sole outcome 
of improving Indian health care. This award includes the following four 
health services components: Retained Tribal Shares for outreach and 
health education for Tribes, Health Care Policy Analysis and Review, 
Budget Formulation and Tribal Leaders Diabetes Committee (TLDC).

II. Award Information

Type of Award

    Cooperative Agreement.

Estimated Funds Available

    The total amount of funding identified for the current fiscal year, 
FY 2012, is approximately $966,000 to fund the cooperative agreement 
for one year. $300,000 is estimated for outreach, education, and 
support to Tribes who have elected to leave their Tribal Shares with 
the IHS (this amount could vary based on Tribal Shares assumptions; 
Line Item 128 Health Education and Outreach will be awarded in partial 
increments based on availability and amount of funding); $400,000 for 
the Health Care Policy Analysis and Review; $16,000 for the Budget 
Formulation; and $250,000 associated with providing legislative 
education, outreach and communications support to the IHS TLDC and to 
facilitate Tribal consultation on the Special Diabetes Program for 
Indians (SDPI). The awards under this announcement are subject to the 
availability of funds. Award(s) issued under this announcement are 
subject to the availability of funds. In the absence of funding, the 
IHS is under no obligation to make awards that are selected for funding 
under this announcement.

Anticipated Number of Awards

    One IHS award comprised of the following four components is 
anticipated: Line Item 128 Health Education and Outreach; Health Care 
Policy Analysis and Review, Budget Formulation and TLDC.

Project Period

    The project period will run for one year from September 30, 2012 
through September 29, 2013.

Cooperative Agreement

    In HHS, a cooperative agreement is administered under the same 
policies as a grant. The funding agency (IHS) is required to have 
substantial programmatic involvement in the project during the entire 
award segment. Below is a detailed description of the level of 
involvement required for both IHS and the grantee. IHS will be 
responsible for activities listed under section A and the grantee will 
be responsible for activities listed under section B as stated:

Substantial Involvement Description for Cooperative Agreement

A. IHS Programmatic Involvement
    (1) The IHS assigned program official will work in partnership with 
the awardee in all decisions involving strategy, hiring of personnel, 
deployment of resources, release of public information materials, 
quality assurance, coordination of activities, any training, reports, 
budget and evaluation. Collaboration includes data analysis, 
interpretation of findings and reporting.
    (2) The IHS assigned program official will monitor the overall 
progress of the awardee's execution of the requirements of the award 
noted below, as well as their adherence to the terms and conditions of 
the cooperative agreement. This includes providing guidance for 
required reports, development of tools, and other products, 
interpreting program findings and assistance with evaluation and 
overcoming any slippages encountered.
    (3) The IHS assigned program official will coordinate review and 
provide final approval of any deliverables, including printed 
materials, reports, testimony, and PowerPoint slides, prior to their 
distribution or dissemination to HHS, Tribes, or the public.
    (4) The IHS assigned program official will also coordinate the 
following:
     Discussion and release of any and all special grant 
conditions upon fulfillment.
     Monthly scheduled conference calls.
     Appropriate dissemination of required reports to each 
participating IHS program.
    (5) IHS will jointly, with the awardee, plan and set an agenda for 
an annual conference that:
     Shares the outcomes of the outreach and health education 
training provided.
     Fosters collaboration amongst the participating IHS 
program offices.
     Increases visibility for the partnership between the 
awardee and IHS.
    (6) IHS will provide guidance in preparing articles for publication 
and/or presentations of program successes, lessons learned and new 
findings.
    (7) IHS staff will review articles concerning the HHS for accuracy 
and may, if requested by the awardee, provide relevant articles.
    (8) IHS will communicate via monthly conference calls, individual 
or collective (all participating programs) site visits to the awardee, 
and via monthly meetings.
    (9) IHS will provide technical assistance to the awardee as 
requested.
    (10) IHS staff may, at the request of the entity's board, 
participate on study groups, attend board meetings, and recommend 
topics for analysis and discussion.
B. Grantee Cooperative Agreement Award Activities
    The awardee must obtain written IHS approval of all deliverables 
produced with award funds, including printed materials, reports, 
testimony, and PowerPoint slides, prior to their distribution or 
dissemination to HHS, Tribes, or the public.
    The awardee must comply with relevant Office of Management and 
Budget (OMB) Circular provisions regarding lobbying, any applicable 
lobbying restrictions provided under

[[Page 50130]]

other law, and any applicable restriction on the use of appropriated 
funds for lobbying activities.

1. Line Item 128 Health Education and Outreach Funding Is Utilized for 
Outreach, Health Education, and Support to Tribes

    The awardee is expected to:
    a. Host an annual conference to disseminate changes and updates on 
health care information relative to AI/AN.
    b. Host a mid-year consumer conference(s) as appropriate to 
disseminate changes and updates on health care information relative to 
AI/AN.
    c. Conduct regional and national meeting coordination as 
appropriate.
    d. Conduct health care information dissemination as appropriate.
    e. Coordinate planning and technical assistance needs on behalf of 
Tribes/Tribal Organizations (T/TO) to IHS.
    f. Convey health care recommendations on behalf of T/TO to IHS.

2. Health Care Policy Analysis and Review

    This funding component requires the awardee to provide IHS with 
research and analysis of the impact of Centers for Medicare and 
Medicaid Services (CMS) programs on AI/AN beneficiaries and the health 
care delivery system that serves these beneficiaries. The awardee will 
perform in-depth analysis and review of issues related to CMS rules and 
regulations and the impact on IHS beneficiaries. This is to include, 
but not limited to, a special emphasis and focus on the health care 
policy issues related to the special provisions for Indians in the 
Patient Protection and Affordable Care Act (ACA).
$100,000 Funding for Analysis of CMS Programs on AI/AN Beneficiaries
    The awardee will produce measurable outcomes to include:
    a. Analytical reports, policy review and recommendation documents--
The products will be in the form of written (hard copy and/or 
electronic files) documents that contain analysis of relevant health 
care issues to be reported on a monthly or quarterly basis during the 
IHS and CMS ``All Tribes Calls'' and face-to-face meetings with hard 
copies submitted to the Director, Office of Resource, Access and 
Partnerships, IHS.
    b. Educational and informational materials to be disseminated by 
the awardee and communicated to IHS and Tribal health program staff 
during monthly and quarterly conferences, the annual consumer 
conference, meetings and training sessions. This can be in the form of 
PowerPoint presentations, informational brochures, and/or handout 
materials.
$300,000 Funding for Implementation of the Affordable Care Act (ACA)--
Preparation for Medicaid Expansion and Exchange Decision Making
    This funding requires the awardee to manage and provide technical, 
research and analytical support nationally to Tribes in coordination 
and communication with the IHS Office of Resource Access and 
Partnerships (ORAP) regarding implementation of the Affordable Care Act 
(ACA). The awardee will develop decision tools (e.g. written policy 
recommendations, updates and analyses, drafting of correspondence, 
developing action items, etc.) and disseminate to Tribes in preparation 
for Medicaid Expansion and Exchange participation, roles and 
responsibilities, and potential areas of collaboration. The awardee 
agrees to the following outcomes and deliverables to perform in depth 
analyses and reviews of the implications for coverage and access to 
care, and to make recommendations on issues such as:
1. Best Practices in State-Tribal Consultation on Health Insurance 
Exchanges
    a. Create briefing documents and assist in drafting, editing, and 
reviewing policy analysis, correspondence, and letters for tribal 
educational purposes.
    b. Create a portfolio of examples of State tribal consultation 
documents.
2. Working With Federally Facilitated Exchanges (FFE)
    a. Development of enrollment and analysis tools for tribes that are 
in states that will be served wholly or in part by the FFE.
3. Medicaid Expansion Preparations at National, Area, and Local Levels
    a. Create briefing documents and assist in drafting, editing, and 
reviewing policy analysis, correspondence, and letters for tribal 
educational and outreach.
4. The Use of IHS Data for the Federal Data Services Hub Verification 
Process
    a. Create briefing documents and assist in drafting, editing, and 
reviewing policy analysis, correspondence, and letters for tribal 
educational purposes.
    b. Provide comparison analysis of how IHS Resource and Patient 
Management System data matches Affordable Care Act Indian definitions 
for eligibility with recommendations on how to make the match, 
identification of any needed changes to RPMS for data verification.
    c. Provide an analysis of how tribes that do not use RPMS can 
provide data for verification purposes in the federal hub.
5. Best Practices in Working With States Applying for Medicaid Section 
1115 Waivers
    a. Provide analysis of waiver applications
    b. Create briefing documents and assist in drafting, editing, and 
reviewing policy analysis, correspondence, and letters for tribal 
educational purposes
    c. Provide analysis report of State Tribal consultation efforts.
    The awardee will produce measurable outcomes to include:
    a. Analytical reports, policy reviews and recommended documents--
The products will be in the form of written (hard copy and/or 
electronic files) documents that contain analyses of the listed ACA 
implementation health care issues to be reported at the Quarterly 
Direct Service Tribes Advisory Meetings. A hard copy of all information 
will be submitted to the Director, Attn: Office of Resource, Access and 
Partnerships, IHS.
    b. Educational and informational materials to be disseminated by 
the awardee and communicated to IHS and Tribal health program staff 
through venues such as National and Regional Health conferences with a 
Tribal focus, consumer conferences, meetings and training sessions. 
This can be in the form of PowerPoint presentations, informational 
brochures, and/or handout materials.
    The IHS will provide guidance and assistance as needed. Copies of 
all deliverables shall be submitted to the IHS Office of Direct Service 
and Contracting Tribes; IHS ORAP; and IHS Senior Advisor to the 
Director.

3. Tribal Budget Consultation--Budget Formulation

    The Awardee will provide assistance to IHS, Tribes, the Budget 
Formulation Workgroup, and to the technical team, by performing the 
following activities in coordination and support of the IHS Tribal 
Budget Consultation. Budget consultation is required by the Indian 
Self-Determination and Education Assistance Act (ISDEAA), 25 U.S.C. 
450j-1(i).
National Budget Work Session--January 2013 Meeting Responsibilities 
(Required)
    Estimated Costs: The estimated costs for this activity shall not 
exceed

[[Page 50131]]

$6,500.00. The awardee shall work with IHS/Office of Finance and 
Accounting (OFA)/Division of Budget Formulation (DBF) closely on this 
item.
Recordation of Meeting--The Awardee Shall Take Minutes During the Work 
Session
     Minutes should be recorded in a clear and concise manner 
and identify all speakers including presenters and any individuals 
contributing comments or motions.
     Minutes will be recorded in an objective manner.
     Minutes shall include a record of any comments, votes, or 
recommendations made, as well as notation of any handouts and other 
materials referenced by speakers, documented by the speaker's name and 
affiliation.
     Minutes shall document any written materials that were 
distributed at the meeting. These materials will be included with the 
submission of the transcription and the summary page outlining all key 
topics.
     Minutes will include information regarding the next 
meeting, including the date, time and location and a list of topics to 
be addressed.
     The minutes must be submitted to IHS/OFA for review and 
approval within five working days.
Further Instructions
    The awardee shall:
    a. Package and distribute results of work session to OFA within 
five working days, which includes minutes and the final set of agreed 
upon national budget and health priorities; and
    b. Provide final documents needed for IHS budget formulation Web 
site.
HHS Tribal Consultation--March 2013 Preparation and Meeting 
Responsibilities
    Estimated Costs: The estimated costs for this activity shall not 
exceed $3,000.00. The awardee shall work with IHS/OFA/DBF closely on 
this item.
    The tribal testimony is a combined effort that is written and 
presented by the National Tribal Budget Formulation Workgroup. The 
testimony is presented to the Secretary of HHS and related staff as 
part of the Annual National U.S. Department of Health and Human 
Services Tribal Budget and Policy Consultation.
    Assist the selected Tribal Budget Formulation Workgroup to prepare 
for the HHS Consultation meeting to:
    a. Arrange a workgroup meeting;
    b. Prepare testimony, and PowerPoint presentation with talking 
points, with the content of both based on input from the workgroup and 
technical team and with the awardee responsible for formatting and 
design of the products;
    c. Submit testimony and draft PowerPoint presentation to IHS for 
review and approval;
    d. Package and distribute final materials, once approval from IHS 
is obtained; and
    e. Deliver final testimony to IHS Budget Formulation prior to the 
presentation for final printing.
    Assist Tribal presenters as needed with rehearsal of the 
presentation.
    Arrange working space for the workgroup to provide final input to 
the presentation and finalize presentation, if needed--NTE 2 days.
Budget Formulation Evaluation/Planning Meeting--May 2013 Meeting 
Responsibilities (Required)
    Estimated Costs: The estimated costs for this activity shall not 
exceed $6,500.00. The awardee shall work with IHS/OFA/DBF closely on 
this item.
Recordation of Meeting--The Awardee Shall Take Minutes During the Work 
Session
     Minutes should be recorded in a clear and concise manner 
and identify all speakers including presenters and any individuals 
contributing comments or motions.
     Minutes will be recorded in an objective manner.
     Minutes shall include a record of any comments, votes, or 
recommendations made, as well as notation of any handouts and other 
materials referenced by speakers, documented by the speaker's name and 
affiliation.
     Minutes shall document any written materials that were 
distributed at the meeting. These materials will be included with the 
submission of the transcription and the summary page outlining all key 
topics.
     Minutes will include information regarding the next 
meeting, including the date, time and location and a list of topics to 
be addressed.
     The minutes must be submitted to IHS/OFA for review and 
approval within five working days.
    Further Instructions:
    Package and distribute results of work session:
    (a) To OFA within five working days, and
    (b) Provide final documents needed for IHS budget formulation Web 
site.
    Additionally:
     All expenses will be itemized.
     If costs exceed the estimated cost for any part of this 
Scope of Work, approval from OFA must be granted before any release of 
funds.
     Preapproval from IHS is required before any subcontract 
may be awarded at a price above the estimated cost.

4. TLDC and Related Support Activities

    A. Coordination of travel and travel/per diem reimbursement of 12 
TLDC members (or their assigned alternate) and five Technical Advisors 
to attend four quarterly TLDC meetings in accordance with the approved 
TLDC charter. Amount: $150,000.
    Activities to be performed by the awardee include:
     Communicate directly with TLDC members (and alternates, as 
necessary) to arrange travel to TLDC meetings in accordance with the 
approved charter.
     Address and track all inquiries regarding travel 
arrangements and reimbursements for TLDC members and advisors (and 
alternates, as necessary) to attend planned TLDC meetings.
     Coordinate sharing of logistical information to TLDC 
members and advisors for meeting location and lodging with the IHS 
Division of Diabetes Treatment and Prevention (DDTP) contractor(s).
     Prepare and distribute reimbursement forms with clear 
instructions in advance of the meeting and serve as the point of 
contact for communicating any additional travel information that is 
required.
     Establish a process to collect reimbursement forms from 
TLDC members and communicate this process to them.
     Establish and maintain a database on travel reimbursements 
and related meeting costs.
     Track and report all related travel and per diem costs.
     Coordinate and effect the timely reimbursement of approved 
participants' expenses within 30 days of the receipt of the claim 
forms.
     Maintain an active TLDC email directory in order to assist 
the DDTP and the TLDC with broadcasting related meeting, travel and 
reimbursement information and soliciting related feedback.
     Include identified DDTP staff on all electronic 
correspondence to TLDC members.
    B. Provide support for education and outreach efforts in support of 
communicating with Tribal leaders and Indian organizations about the 
activities of the (1) TLDC and (2) the SDPI grant program. Amount: 
$70,000.
    The awardee is expected to:
     Provide DDTP with factual information, review and analysis 
of legislative and policy issues that are relevant to diabetes, obesity 
and related conditions in AI/ANs and on related

[[Page 50132]]

health care disparities for the purpose of keeping TLDC membership up-
to-date on such information.
     Provide analytical reports and summaries in the form of 
written (hard copy and electronic files) documents that contain the 
analysis or summary of the factual information for the purpose of 
assisting the TLDC with communication to Tribes, Tribal leaders, Indian 
organizations, and others about relevant issues pertinent to addressing 
diabetes in AIAN communities.
     Coordinate sharing TLDC-approved information with national 
non-profit organizations such as the Juvenile Diabetes Research 
Foundation and the American Diabetes Association for strengthening 
outreach to Tribes and Tribal communities as well as education and 
outreach to non-Indian communities in the United States about AI/ANs 
living with diabetes.
     Participate with the DDTP and the TLDC in the development 
of the agendas for the quarterly TLDC face-to-face meetings and 
scheduled conference calls. The awardee will provide the draft agenda 
to the TLDC Tribal Chairman and the DDTP Director or assignee.
     In consultation with the DDTP, the awardee will be 
responsible for payment of costs associated with presenter fees, 
registration fees and exhibit fees for DDTP staff and assignees at the 
National Indian Health Board's (NIHB) Public Health Summit and the 
annual consumer conference, to include a plenary presentation on 
diabetes treatment and prevention and up to four diabetes and SDPI 
related workshops.
     The awardee will be responsible for payment of presenter 
costs associated with no more than three other separate presentations 
that address diabetes and related chronic disease issues among AI/ANs 
at national Tribal health care conferences.
    C. Support DDTP's collaborative efforts that are aimed at 
addressing the epidemic of diabetes and obesity in AI/AN youth. Annual 
Amount: $30,000.
    The awardee is expected to:
     Provide the DDP with current factual information on the 
epidemic of diabetes and obesity in AIAN youth and review and analyze 
legislative and policy issues that are relevant to this topic.
     Address and update the findings in the report generated at 
the NIHB/IHS Obesity Prevention and Strategies in Native Youth Meeting 
held December 1, 2009. The awardee can access this report by contacting 
the DDTP.
     Provide analytical reports and summaries in the form of 
written (hard copy and electronic files) documents that contain the 
analysis or summary of the factual information for the purpose of 
assisting the DDTP and the TLDC with communication to Tribes, Tribal 
leaders, Indian organizations, and others about relevant issues 
pertinent to addressing this epidemic of diabetes and obesity in AI/AN 
youth.
     In consultation with the DDTP, the awardee will arrange 
the logistics for an obesity and AI/AN youth workgroup meeting to take 
place. The intent of the workgroup is to provide a summary of the 
current factual information on obesity and AIAN youth including 
reference articles and public reports.
    This summary report will not provide recommendations. The available 
members who are identified in the report cited above (IHS Obesity 
Prevention and Strategies in Native Youth) as well as other subject 
matter experts will be invited to attend. The awardee will provide a 
proceedings and executive summary of this workgroup meeting to DDTP. 
(Payment for travel and per diem will not be the responsibility of the 
awardee).

III. Eligibility Information

1. Eligibility

    Eligible applicants are 501(c)(3) national Indian organizations 
that meet the following criteria: Eligible entities must have 
demonstrated expertise in:
     Representing all Tribal governments and providing a 
variety of services to Tribes, Area Health Boards, Tribal 
organizations, and Federal agencies, and playing a major role in 
focusing attention on Indian health care needs, resulting in improved 
health outcomes for Tribes.
     Promoting and supporting Indian education, and 
coordinating efforts to inform AI/AN of Federal decisions that affect 
Tribal government interests including the improvement of Indian health 
care.
     Administering national health policy and health programs.
     Maintaining a national AI/AN constituency and clearly 
supporting critical services and activities within the IHS mission of 
improving the quality of health care for AI/AN people.
     Supporting improved healthcare in Indian Country.
    The national Indian organization must have the infrastructure in 
place to accomplish the work under the proposed program.

2. Cost Sharing or Matching

    The IHS does not require matching funds or cost sharing for grants 
or cooperative agreements.

3. Other Requirements

    If application budgets exceed the highest dollar amount outlined 
under the ``Estimated Funds Available'' section within this funding 
announcement, the application will be considered ineligible and will 
not be reviewed for further consideration. IHS will not return the 
application to the applicant. The applicant will be notified by email 
or certified mail by the Division of Grants Management (DGM) of this 
decision.
Proof of Non-Profit Status
    Organizations claiming non-profit status must submit proof. A copy 
of the 501(c)(3) Certificate must be received with your application 
submission by the deadline due date of September 10, 2012.
    Letters of Intent will not be required under this funding 
opportunity announcement.
    Applicants submitting any of the above additional documentation 
after the initial application submission due date are required to 
ensure the information was received by the IHS by obtaining 
documentation confirming delivery (i.e. FedEx tracking, postal return 
receipt, etc.).

IV. Application and Submission Information

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement can be found at https://www.Grants.gov or https://www.ihs.gov/NonMedicalPrograms/gogp/index.cfm?module=gogp_funding.
    Questions regarding the electronic application process may be 
directed to Paul Gettys at (301) 443-2114.

2. Content and Form Application Submission

    The applicant must include the project narrative as an attachment 
to the application package. Mandatory documents for all applicants 
include:

 Table of contents.
 Abstract (one page) summarizing the project.
 Application forms:
    [cir] SF-424, Application for Federal Assistance.
    [cir] SF-424A, Budget Information--Non-Construction Programs.
    [cir] SF-424B, Assurances--Non-Construction Programs.
 Budget Justification and Narrative (must be single spaced and 
not exceed 5 pages per each of the four components).
 Project Narrative (must not exceed ten pages for each of the 
four components).

[[Page 50133]]

 Background information on the organization.
 Proposed scope of work, objectives, and activities that 
provide a description of what will be accomplished, including a one-
page Timeframe Chart.
 Biographical sketches for all Key Personnel.
 Contractor/Consultant resumes or qualifications and scope of 
work.
 Disclosure of Lobbying Activities (SF-LLL).
 Certification Regarding Lobbying (GG-Lobbying Form).
 Copy of current Negotiated Indirect Cost rate (IDC) agreement 
(required) in order to receive IDC.
 Organizational Chart (optional).
 Documentation of current OMB A-133 required Financial Audit 
(if applicable).
    Acceptable forms of documentation include:
    [cir] Email confirmation from Federal Audit Clearinghouse (FAC) 
that audits were submitted; or
    [cir] Face sheets from audit reports. These can be found on the FAC 
Web site: https://harvester.census.gov/sac/dissem/
accessoptions.html?submit=Go+To+Database.
Public Policy Requirements
    All Federal-wide public policies apply to IHS grants with exception 
of the Discrimination policy.
Requirements for Project and Budget Narratives
    A. Project Narrative: This narrative should be a separate Word 
document that is no longer than ten pages per each component and must: 
Be single-spaced, be type written, have consecutively numbered pages, 
use black type not smaller than 12 characters per one inch, and be 
printed on one side only of standard size 8\1/2\'' x 11'' paper.
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation criteria in this 
announcement) and place all responses and required information in the 
correct section (noted below), or they will not be considered or 
scored. These narratives will assist the Objective Review Committee 
(ORC) in becoming more familiar with the grantee's activities and 
accomplishments prior to this possible grant award. If the narrative 
exceeds the page limit, only the first ten pages of each of the four 
components pages will be reviewed. The ten pages per component page 
limit for the narrative does not include the work plan, standard forms, 
table of contents, budget, budget justifications, narratives, and/or 
other appendix items.
    There are three parts to the narrative: Part A--Program 
Information; Part B--Program Planning and Evaluation; and Part C--
Program Report. See below for additional details about what must be 
included in the narrative.
Part A: Program Information (2 Page Limitation)
Section 1: Needs
    Describe how the national Indian organization has the expertise to 
provide outreach and education efforts on a continuing basis regarding 
the pertinent changes and updates in health care for each of the four 
components listed herein.
Part B: Program Planning and Evaluation (6 Page Limitation)
Section 1: Program Plans
    Describe fully and clearly the direction the national Indian 
organization plans to address the NIHOE requirements, including how the 
national Indian organization plans to demonstrate improved health 
education and outreach services to all 566 Federally-recognized Tribes 
for each of the four components described herein. Include proposed 
timelines as appropriate and applicable.
Section 2: Program Evaluation
    Describe fully and clearly how the outreach and education efforts 
will impact changes in knowledge and awareness in Tribal communities. 
Identify anticipated or expected benefits for the Tribal constituency.
Part C: Program Report (2 Page Limitation)
    Section 1: Describe major accomplishments over the last 24 months. 
Identify and describe significant program achievements associated with 
the delivery of quality health outreach and education. Provide a 
comparison of the actual accomplishments to the goals established for 
the project period, or if applicable, provide justification for the 
lack of progress.
    Section 2: Describe major activities over the last 24 months. 
Identify and summarize recent major health related outreach and 
education project activities conducted over the last 24 months.
    B. Budget Narrative: This narrative must describe the budget 
requested and match the scope of work described in the project 
narrative. The budget narrative should not exceed five pages per each 
of the four components.

3. Submission Dates and Times

    Applications must be submitted electronically through Grants.gov by 
12 a.m., midnight Eastern Daylight Time (EDT) on September 10, 2012. 
Any application received after the application deadline will not be 
accepted for processing, nor will it be given further consideration for 
funding. The applicant will be notified by the DGM via email or 
certified mail of this decision.
    If technical challenges arise and assistance is required with the 
electronic application process, contact Grants.gov Customer Support via 
email to support@grants.gov or at (800) 518-4726. Customer Support is 
available to address questions 24 hours a day, 7 days a week (except on 
Federal holidays). If problems persist, contact Paul Gettys, DGM 
(Paul.Gettys@ihs.gov) at (301) 443-5204. Please be sure to contact Mr. 
Gettys at least ten days prior to the application deadline. Please do 
not contact the DGM until you have received a Grants.gov tracking 
number. In the event you are not able to obtain a tracking number, call 
the DGM as soon as possible.
    If an applicant needs to submit a paper application instead of 
submitting electronically via Grants.gov, prior approval must be 
requested and obtained (see Section IV.6 below for additional 
information). The waiver must be documented in writing (emails are 
acceptable), before submitting a paper application. A copy of the 
written approval must be submitted along with the hardcopy that is 
mailed to the DGM. Once the waiver request has been approved, the 
applicant will receive a confirmation of approval and the mailing 
address to submit the application. Paper applications that are 
submitted without a waiver from the Acting Director of DGM will not be 
reviewed or considered further for funding. The applicant will be 
notified via email or certified mail of this decision by the Grants 
Management Officer of DGM. Paper applications must be received by the 
DGM no later than 5 p.m., EDT, on the application deadline date. Late 
applications will not be accepted for processing or considered for 
funding.

4. Intergovernmental Review

    Executive Order 12372 requiring intergovernmental review is not 
applicable to this program.

5. Funding Restrictions

     Pre-award costs are not allowable.
     The available funds are inclusive of direct and 
appropriate indirect costs.

[[Page 50134]]

     Only one grant/cooperative agreement will be awarded per 
applicant.
     IHS will not acknowledge receipt of applications.

6. Electronic Submission Requirements

    All applications must be submitted electronically. Please use the 
https://www.Grants.gov Web site to submit an application electronically 
and select the ``Find Grant Opportunities'' link on the homepage. 
Download a copy of the application package, complete it offline, and 
then upload and submit the completed application via the https://www.Grants.gov Web site. Electronic copies of the application may not 
be submitted as attachments to email messages addressed to IHS 
employees or offices.
    Applicants that receive a waiver to submit paper application 
documents must follow the rules and timelines that are noted below. The 
applicant must seek assistance at least ten days prior to the 
application deadline.
    Applicants that do not adhere to the timelines for Central 
Contractor Registry (CCR) and/or https://www.Grants.gov registration or 
that fail to request timely assistance with technical issues will not 
be considered for a waiver to submit a paper application.
    Please be aware of the following:
     Please search for the application package in https://www.Grants.gov by entering the CFDA number or the Funding Opportunity 
Number. Both numbers are located in the header of this announcement.
     If you experience technical challenges while submitting 
your application electronically, please contact Grants.gov Support 
directly at: support@grants.gov or (800) 518-4726. Customer Support is 
available to address questions 24 hours a day, 7 days a week (except on 
Federal holidays).
     Upon contacting Grants.gov, obtain a tracking number as 
proof of contact. The tracking number is helpful if there are technical 
issues that cannot be resolved and waiver from the agency must be 
obtained.
     If it is determined that a waiver is needed, the applicant 
must submit a request in writing (emails are acceptable) to 
GrantsPolicy@ihs.gov with a copy to Tammy.Bagley@ihs.gov. Please 
include a clear justification for the need to deviate from our standard 
electronic submission process.
     If the waiver is approved, the application should be sent 
directly to the DGM by the deadline date of September 10, 2012.
     Applicants are strongly encouraged not to wait until the 
deadline date to begin the application process through Grants.gov as 
the registration process for CCR and Grants.gov could take up to 
fifteen working days.
     Please use the optional attachment feature in Grants.gov 
to attach additional documentation that may be requested by the DGM.
     All applicants must comply with any page limitation 
requirements described in this Funding Announcement.
     After you electronically submit your application, you will 
receive an automatic acknowledgment from Grants.gov that contains a 
Grants.gov tracking number. The DGM will download the application from 
Grants.gov and provide necessary copies to the appropriate agency 
officials. Neither the DGM nor the ODSCT will notify applicants that 
the application has been received.
     Email applications will not be accepted under this 
announcement.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
    All IHS applicants and grantee organizations are required to obtain 
a DUNS number and maintain an active registration in the CCR database. 
The DUNS number is a unique 9-digit identification number provided by 
D&B which uniquely identifies each entity. The DUNS number is site 
specific; therefore, each distinct performance site may be assigned a 
DUNS number. Obtaining a DUNS number is easy, and there is no charge. 
To obtain a DUNS number, access it through https://fedgov.dnb.com/webform, or to expedite the process, call (866) 705-5711.
    Effective October 1, 2010, all HHS recipients were asked to start 
reporting information on subawards, as required by the Federal Funding 
Accountability and Transparency Act of 2006, as amended (``Transparency 
Act''). Accordingly, all IHS grantees must notify potential first-tier 
subrecipients that no entity may receive a first-tier subaward unless 
the entity has provided its DUNS number to the prime grantee 
organization. This requirement ensures the use of a universal 
identifier to enhance the quality of information available to the 
public pursuant to the Transparency Act.
Central Contractor Registry (CCR)
    Organizations that have not registered with CCR will need to obtain 
a DUNS number first and then access the CCR online registration through 
the CCR homepage at https://www.bpn.gov/ccr/default.aspx (U.S. 
organizations will also need to provide an Employer Identification 
Number from the Internal Revenue Service that may take an additional 2-
5 weeks to become active). Completing and submitting the registration 
takes approximately one hour to complete and your CCR registration will 
take 3-5 business days to process. Registration with the CCR is free of 
charge. Applicants may register online at https://www.bpn.gov/ccrupdate/NewRegistration.aspx.
    Additional information on implementing the Transparency Act, 
including the specific requirements for DUNS and CCR, can be found on 
the IHS Grants Management, Grants Policy Web site: https://www.ihs.gov/NonMedicalPrograms/gogp/index.cfm?module=gogp_policy_topics.

V. Application Review Information

    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 ten page narrative allowed per each of the four components should 
include only the first year of activities. The narrative section should 
be written in a manner that is clear to outside reviewers unfamiliar 
with prior related activities of the applicant. It should be well 
organized, succinct, and contain all information necessary for 
reviewers to understand the project fully. Points will be assigned to 
each evaluation criteria adding up to a total of 100 points. A minimum 
score of 60 points is required for funding. Points are assigned as 
follows:

1. Criteria

A. Introduction and Need for Assistance (15 Points)
    (1) Describe the organization's current health, education and 
technical assistance operations as related to the broad spectrum of 
health needs of the AI/AN community. Include what programs and services 
are currently provided (i.e., Federally-funded, State-funded, etc.), 
any memorandums of agreement with other National, Area or local Indian 
health board organizations. This could also include HHS' agencies that 
rely on the applicant as the primary gateway organization that is 
capable of providing the dissemination of health information. Include 
information regarding technologies currently used (i.e., hardware, 
software, services, Web sites, etc.), and identify the source(s) of 
technical support for those technologies (i.e., in-house staff, 
contractors, vendors, etc.). Include information regarding how long the 
applicant has been operating and its length of association/

[[Page 50135]]

partnerships with Area health boards, etc. [historical collaboration].
    (2) Describe the organization's current technical assistance 
ability. Include what programs and services are currently provided, 
programs and services projected to be provided, memorandums of 
agreement with other national Indian organizations that deem the 
applicant as the primary source of health policy information for AI/AN, 
memorandums of agreement with other Area Indian health boards, etc.
    (3) Describe the population to be served by the proposed projects. 
Are they hard to reach? Are there barriers?
    (4) Describe the geographic location of the proposed projects 
including any geographic barriers experienced by the recipients of the 
technical assistance to the health care information provided.
    (5) Identify all previous IHS cooperative agreement awards 
received, dates of funding and summaries of the projects' 
accomplishments. State how previous cooperative agreement funds 
facilitated education, training and technical assistance nationwide for 
AI/ANs and relate the progression of health care information delivery 
and development relative to the current proposed projects. (Copies of 
reports will not be accepted.)
    (6) Describe collaborative and supportive efforts with national, 
Area and local Indian health boards.
    (7) Explain the need/reason for your proposed projects by 
identifying specific gaps or weaknesses in services or infrastructure 
that will be addressed by the proposed projects. Explain how these 
gaps/weaknesses were discovered. If the proposed projects include 
information technology (i.e., hardware, software, etc.), provide 
further information regarding measures taken or to be taken that ensure 
the proposed projects will not create other gaps in services or 
infrastructure (i.e., IHS interface capability, Government Performance 
Results Act reporting requirements, contract reporting requirements, 
Information Technology (IT) compatibility, etc.), if applicable.
    (8) Describe the effect of the proposed projects on current 
programs (i.e., Federally-funded, State-funded, etc.) and, if 
applicable, on current equipment (i.e., hardware, software, services, 
etc.). Include the effect of the proposed projects on planned/
anticipated programs and/or equipment.
    (9) Describe how the projects relate to the purpose of the 
cooperative agreement by addressing the following: Identify how the 
proposed projects will address outreach and education regarding various 
health data listed, e.g., Line Item 128 Health Education and Outreach 
funds, Health Care Policy Analysis and Review, Tribal Budget 
Consultation--Budget Formulation, and TLDC, etc., dissemination, 
training, and technical assistance.
B. Project Objective(s), Workplan and Consultants (40 Points)
    (1) Identify the proposed objective(s) for each of the four 
projects, as applicable. Objectives should be:
     Measurable and (if applicable) quantifiable.
     Results oriented.
     Time-limited.

    Example:  Issue four quarterly newsletters, provide alerts and 
quantify number of contacts with Tribes. Goals must be clear and 
concise. Objectives must be measurable, feasible and attainable for 
each of the selected projects.

    (2) Address how the proposed projects will result in change or 
improvement in program operations or processes for each proposed 
project objective for all of the projects. Also address what tangible 
products, if any, are expected from the projects, (i.e., legislative 
analysis, policy analysis, annual conference, mid-year conferences, 
summits, etc.).
    (3) Address the extent to which the proposed projects will provide, 
improve, or expand services that address the need(s) of the target 
population. Include a current strategic plan and business plan that 
includes the expanded services. Include the plan(s) with the 
application submission.
    (4) Submit a work plan in the appendix which includes the following 
information:
     Provide the action steps on a timeline for accomplishing 
each of the projects' proposed objective(s).
     Identify who will perform the action steps.
     Identify who will supervise the action steps.
     Identify what tangible products will be produced during 
and at the end of the proposed projects' objective(s).
     Identify who will accept and/or approve work products 
during the duration of the proposed projects and at the end of the 
proposed projects.
     Include any training that will take place during the 
proposed projects and who will be attending the training.
     Include evaluation activities planned in the work plans.
    (5) If consultants or contractors will be used during the proposed 
project, please include the following information in their scope of 
work (or note if consultants/contractors will not be used):
     Educational requirements.
     Desired qualifications and work experience.
     Expected work products to be delivered on a timeline.
    If a potential consultant/contractor has already been identified, 
please include a resume in the Appendix.
    (6) Describe what updates will be required for the continued 
success of the proposed projects. Include when these updates are 
anticipated and where funds will come from to conduct the update and/or 
maintenance.
C. Program Evaluation (20 Points)
    Each proposed objective requires an evaluation component to assess 
its progression and ensure its completion. Also, include the evaluation 
activities in the work plan.
    Describe the proposed plan to evaluate both outcomes and process. 
Outcome evaluation relates to the results identified in the objectives, 
and process evaluation relates to the work plan and activities of the 
project.
    (1) For outcome evaluation, describe:
     What will the criteria be for determining success of each 
objective?
     What data will be collected to determine whether the 
objective was met?
     At what intervals will data be collected?
     Who will collect the data and their qualifications?
     How will the data be analyzed?
     How will the results be used?
    (2) For process evaluation, describe:
     How will each project be monitored and assessed for 
potential problems and needed quality improvements?
     Who will be responsible for monitoring and managing each 
project's improvements based on results of ongoing process improvements 
and their qualifications?
     How will ongoing monitoring be used to improve the 
projects?
     Describe any products, such as manuals or policies, that 
might be developed and how they might lend themselves to replication by 
others.
     How will the organization document what is learned 
throughout each of the projects' periods?
    (3) Describe any evaluation efforts planned after the grant period 
has ended.
    (4) Describe the ultimate benefit to the AI/AN population that the 
applicant organization serves that will be derived from these projects.
(D) Organizational Capabilities, Key Personnel and Qualifications (15 
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

[[Page 50136]]

chain of responsibility for successful completion of the projects 
outlined in the work plan.
    (1) Describe the organizational structure of the organization 
beyond health care activities, if applicable.
    (2) Describe the ability of the organization to manage the proposed 
projects. Include information regarding similarly sized projects in 
scope and financial assistance, as well as other cooperative 
agreements/grants and projects successfully completed.
    (3) Describe what equipment (i.e., fax machine, phone, computer, 
etc.) and facility space (i.e., office space) will be available for use 
during the proposed projects. Include information about any equipment 
not currently available that will be purchased through the cooperative 
agreement/grant.
    (4) List key personnel who will work on the projects. Include title 
used in the work plans. In the appendix, include position descriptions 
and resumes for all key personnel. Position descriptions should clearly 
describe each position and duties, indicating desired qualifications 
and experience requirements related to the proposed projects. Resumes 
must indicate that the proposed staff member is qualified to carry out 
the proposed projects' activities. If a position is to be filled, 
indicate that information on the proposed position description.
    (5) If personnel are to be only partially funded by this 
cooperative agreement, indicate the percentage of time to be allocated 
to the projects and identify the resources used to fund the remainder 
of the individual's salary.
(E) Categorical Budget and Budget Justification (10 Points)
    This section should provide a clear estimate of the projects' 
program costs and justification for expenses for the entire cooperative 
agreement period. The budgets and budget justifications should be 
consistent with the tasks identified in the work plans.
    (1) Provide a categorical budget for each of the 12-month budget 
periods requested for each of the four projects.
    (2) 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.
    (3) 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.).
Appendix Items
     Work plan, logic model and/or time line for proposed 
objectives.
     Position descriptions for key staff.
     Resumes of key staff that reflect current duties.
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Current Indirect Cost Agreement.
     Organizational chart(s) highlighting proposed project 
staff and their supervisors as well as other key contacts within the 
organization and key community contacts. (Inclusion is optional.)
     Additional documents to support narrative (i.e. data 
tables, key news articles, etc.).

2. Review and Selection

    Each application will be prescreened by the DGM staff for 
eligibility and completeness as outlined in the funding announcement. 
Incomplete applications and applications that are non-responsive to the 
eligibility criteria will not be referred to the ORC. Applicants will 
be notified by DGM, via email or letter, to outline minor missing 
components (i.e., signature on the SF-424, audit documentation, key 
contact form) needed for an otherwise complete application. All missing 
documents must be sent to DGM on or before the due date listed in the 
email of notification of missing documents required.
    To obtain a minimum score for funding by the ORC, applicants must 
address all program requirements and provide all required 
documentation. Applicants that receive less than a minimum score will 
be considered to be ``Disapproved'' and will be informed via email or 
regular mail by the IHS Program Office of their application's 
deficiencies. A summary statement outlining the strengths and 
weaknesses of the application will be provided to each disapproved 
applicant. The summary statement will be sent to the Authorized 
Organizational Representative that is identified on the face page (SF-
424), of the application within 60 days of the completion of the 
Objective Review.

VI. Award Administration Information

1. Award Notices

    The Notice of Award (NoA) is a legally binding document signed by 
the Grants Management Officer and serves as the official notification 
of the grant award. The NoA will be initiated by the DGM and will be 
mailed via postal mail or emailed to each entity that is approved for 
funding under this announcement. The NoA is the authorizing document 
for which funds are dispersed to the approved entities and reflects the 
amount of Federal funds awarded, the purpose of the grant, the terms 
and conditions of the award, the effective date of the award, and the 
budget/project period.
Disapproved Applicants
    Applicants who received a score less than the recommended funding 
level for approval (60 points) and were deemed to be disapproved by the 
ORC, will receive an Executive Summary Statement from the IHS Program 
Office within 30 days of the conclusion of the ORC outlining the 
weaknesses and strengths of their application. The IHS program office 
will also provide additional contact information as needed to address 
questions and concerns as well as provide technical assistance if 
desired.
Approved But Unfunded Applicants
    Approved but unfunded applicants that met the minimum scoring range 
and were deemed by the ORC to be ``Approved,'' but were not funded due 
to lack of funding, will have their applications held by DGM for a 
period of one year. If additional funding becomes available during the 
course of FY 2012, the approved application may be re-considered by the 
awarding program office for possible funding. The applicant will also 
receive an Executive Summary Statement from the IHS Program Office 
within 30 days of the conclusion of the ORC.
    Note: Any correspondence other than the official NoA signed by an 
IHS Grants Management Official announcing to the Project Director that 
an award has been made to their organization is not an authorization to 
implement their program on behalf of IHS.

2. Administrative Requirements

    Cooperative agreements are administered in accordance with the 
following regulations, policies, and OMB cost principles:
    A. The criteria as outlined in this Program Announcement.
    B. Administrative Regulations for Grants:
     45 CFR, Part 92, Uniform Administrative Requirements for 
Grants and Cooperative Agreements to State, Local and Tribal 
Governments.
     45 CFR, Part 74, Uniform Administrative Requirements for 
Awards and Subawards to Institutions of Higher Education, Hospitals, 
and other Non-profit Organizations.
    C. Grants Policy:

[[Page 50137]]

     HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
     Title 2: Grant and Agreements, Part 225--Cost Principles 
for State, Local, and Indian Tribal Governments (OMB Circular A-87).
     Title 2: Grant and Agreements, Part 230--Cost Principles 
for Non-Profit Organizations (OMB Circular A-122).
    E. Audit Requirements:
     OMB Circular A-133, Audits of States, Local Governments, 
and Non-profit Organizations.

3. Indirect Costs

    This section applies to all grant recipients that request 
reimbursement of indirect costs (IDC) in their grant application. In 
accordance with HHS Grants Policy Statement, Part II-27, IHS requires 
applicants to obtain a current IDC rate agreement prior to award. The 
rate agreement must be prepared in accordance with the applicable cost 
principles and guidance as provided by the cognizant agency or office. 
A current rate covers the applicable grant activities under the current 
award's budget period. If the current rate is not on file with the DGM 
at the time of award, the IDC portion of the budget will be restricted. 
The restrictions remain in place until the current rate is provided to 
the DGM.
    Generally, IDC rates for IHS grantees are negotiated with the 
Division of Cost Allocation (DCA) https://rates.psc.gov/ and the 
Department of Interior (National Business Center) https://www.aqd.nbc.gov/services/ICS.aspx. If your organization has questions 
regarding the indirect cost policy, please call (301) 443-5204 to 
request assistance.

4. Reporting Requirements

    Grantees must submit required reports consistent with the 
applicable deadlines. Failure to submit required reports within the 
time allowed may result in suspension or termination of an active 
grant, withholding of additional awards for the project, or other 
enforcement actions such as withholding of payments or converting to 
the reimbursement method of payment. Continued failure to submit 
required reports may result in one or both of the following: (1) The 
imposition of special award provisions; and (2) the non-funding or non-
award of other eligible projects or activities. This requirement 
applies whether the delinquency is attributable to the failure of the 
grantee organization or the individual responsible for preparation of 
the reports.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required semi annually. These reports 
must include a brief comparison of actual accomplishments to the goals 
established for the period, or, if applicable, provide sound 
justification for the lack of progress, and other pertinent information 
as required. Final reports must be submitted within 90 days of 
expiration of the budget/project period.
B. Financial Reports
    Federal Financial Report FFR (SF-425), Cash Transaction Reports are 
due 30 days after the close of every calendar quarter to the Division 
of Payment Management, HHS at: https://www.dpm.psc.gov. It is 
recommended that you also send a copy of your FFR (SF-425) report to 
your Grants Management Specialist. Failure to submit timely reports may 
cause a disruption in timely payments to your organization.
    Grantees are responsible and accountable for accurate information 
being reported on all required reports: the Progress Reports and 
Federal Financial Report.
C. Federal Subaward Reporting System (FSRS)
    This award may be subject to the Transparency Act subaward and 
executive compensation reporting requirements of 2 CFR part 170.
    The Transparency Act requires the OMB to establish a single 
searchable database, accessible to the public, with information on 
financial assistance awards made by Federal agencies. The Transparency 
Act also includes a requirement for recipients of Federal grants to 
report information about first-tier subawards and executive 
compensation under Federal assistance awards.
    Effective October 1, 2010, IHS implemented a Term of Award into all 
IHS Standard Terms and Conditions, NoAs and funding announcements 
regarding this requirement. This IHS Term of Award is applicable to all 
IHS grant and cooperative agreements issued on or after October 1, 
2010, with a $25,000 subaward obligation dollar threshold met for any 
specific reporting period. Additionally, all new (discretionary) IHS 
awards (where the project period is made up of more than one budget 
period) and where: (1) The project period start date was October 1, 
2010 or after; and (2) the primary awardee will have a $25,000 subaward 
obligation dollar threshold during any specific reporting period and 
will be required to conduct address the FSRS reporting