Office of Tribal Self-Governance Program; Planning Cooperative Agreement, 44043-44049 [2014-17801]
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Federal Register / Vol. 79, No. 145 / Tuesday, July 29, 2014 / Notices
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conduct of its advisory committee
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Dated: July 23, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014–17711 Filed 7–28–14; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Office of Tribal Self-Governance
Program; Planning Cooperative
Agreement
Announcement Type: New—Limited
Competition.
Funding Announcement Number:
HHS–2014–IHS–TSGP–0001.
Catalog of Federal Domestic
Assistance Number: 93.444.
Key Dates
Application Deadline Date: August
29, 2014.
Review Date: September 8, 2014.
Earliest Anticipated Start Date:
September 15, 2014.
Signed Tribal Resolutions Due Date:
August 29, 2014.
I. Funding Opportunity Description
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Statutory Authority
The Indian Health Service (IHS)
Office of Tribal Self-Governance (OTSG)
is accepting limited competition
Planning Cooperative Agreement
applications for the Tribal SelfGovernance Program (TSGP). This
program is authorized under Title V of
the Indian Self-Determination and
Education Assistance Act (ISDEAA), 25
U.S.C. 458aaa–2(e). This program is
described in the Catalog of Federal
Domestic Assistance (CFDA), available
at https://www.cfda.gov/, under 93.444.
Background
The TSGP is more than an IHS
program; it is an expression of the
government-to-government relationship
between the United States and Indian
Tribes. Through the TSGP, Tribes
negotiate with the IHS to assume
Programs, Services, Functions and
Activities (PSFAs), or portions thereof,
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which gives Tribes the authority to
manage and tailor health care programs
in a manner that best fits the needs of
their communities.
Participation in the TSGP is one of
three ways that Tribes can choose to
obtain health care from the Federal
Government for their members.
Specifically, Tribes can choose to: (1)
Receive health care services directly
from the IHS, (2) contract with the IHS
to administer individual PSFAs that the
IHS would otherwise provide (referred
to as Title I Self-Determination
Contracting), or (3) compact with the
IHS to assume control over healthcare
PSFAs that the IHS would otherwise
provide (referred to as Title V SelfGovernance Compacting or the TSGP).
These options are not exclusive and
Tribes may choose to combine options
based on their individual needs and
circumstances. Participation in the
TSGP affords Tribes the most flexibility
to tailor health care PSFAs to the needs
of their communities.
The TSGP is a Tribally-driven
initiative and strong Tribal/Federal
partnerships are essential for program
success. The IHS established the OTSG
to implement Tribal Self-Governance
authorities. The OTSG: (1) serves as the
primary liaison and advocate for Tribes
participating in the TSGP, (2) develops,
directs, and implements Tribal SelfGovernance policies and procedures, (3)
provides information and technical
assistance to Self-Governance Tribes,
and (4) advises the IHS Director on
compliance with TSGP policies,
regulations, and guidelines. Each IHS
Area has an Agency Lead Negotiator
(ALN), designated by the IHS Director,
who has the authority to negotiate SelfGovernance Compacts and Funding
Agreements. A Tribe should contact the
respective ALN to begin the SelfGovernance planning process or, if
currently an existing Self-Governance
Tribe, discuss methods to expand
current PSFAs. The ALN shall provide
an overview of the TSGP and provide
technical assistance on the planning
process or expanding current PSFAs.
Purpose
The purpose of this Planning
Cooperative Agreement is to provide
resources to Tribes interested in
entering the TSGP and to existing SelfGovernance Tribes interested in
assuming new or expanded PSFAs. Title
V of the ISDEAA requires a Tribe or
Tribal organization to complete a
planning phase to the satisfaction of the
Tribe. The planning phase must include
legal and budgetary research and
internal Tribal government planning
and organization preparation relating to
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the administration of health care
programs. See 25 U.S.C. 458aaa–2(d).
The planning phase helps Tribes
make informed decisions about which
PSFAs to assume and what
organizational changes or modifications
are necessary to successfully support
those PSFAs. A thorough planning
phase improves timeliness and
efficiency of negotiations and ensures
that the Tribe is fully prepared to
assume the transfer of IHS PSFAs to the
Tribal health program.
A Planning Cooperative Agreement is
not a prerequisite to enter the TSGP and
a Tribe may use other resources to meet
the planning requirements. Tribes that
receive a Planning Cooperative
Agreement are not obligated to
participate in the TSGP and may choose
to delay or decline participation based
on the outcome of their planning
activities. This also applies to existing
Self-Governance Tribes exploring the
option to expand their current PSFAs or
assume additional PSFAs.
Limited Competition Justification
There is limited competition under
this announcement because the
authorizing legislation restricts
eligibility to Tribes that meet specific
criteria. See 25 U.S.C. 458aaa–2(e); 42
CFR 137.24–26; see also 42 CFR 137.10.
II. Award Information
Type of Award
Cooperative Agreement.
Estimated Funds Available
The total amount of funding
identified for fiscal year (FY) 2014 is
approximately $360,000. Individual
award amounts are anticipated to be
$120,000. The amount of funding
available for competing awards issued
under this announcement is subject to
the availability of appropriations and
budgetary priorities of the Agency. The
IHS is under no obligation to make
awards that are selected for funding
under this announcement.
Anticipated Number of Awards
Approximately three awards will be
issued under this program
announcement.
Project Period
The project period is for 12 months
and runs from September 1, 2014 to
August 31, 2015.
Cooperative Agreement
Cooperative Agreements awarded by
the Department of Health and Human
Services (HHS) are administered under
the same policies as a grant. The
funding agency (IHS) is required to have
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substantial programmatic involvement
in the project during the entire award.
Below is a detailed description of the
level of involvement required for both
IHS and the grantee. The 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
the TSGP Planning Cooperative
Agreement
A. IHS Programmatic Involvement
(1) Provide descriptions of PSFAs and
associated funding at all organizational
levels (Service Unit, Area, and
Headquarters), including funding
formulas and methodologies related to
determining Tribal shares.
(2) Meet with Planning Cooperative
Agreement recipient to provide program
information and discuss methods
currently used to manage and deliver
health care.
(3) Identify and provide statutes,
regulations, and policies that provide
authority for administering IHS
programs.
(4) Provide technical assistance on the
IHS budget, Tribal shares, and other
topics as needed.
B. Grantee Planning Cooperative
Agreement Award Activities
(1) Research and analyze the complex
IHS budget to gain a thorough
understanding of funding distribution at
all organizational levels and to
determine which PSFAs the Tribe may
elect to assume or expand.
(2) Establish a process by which
Tribes may approach the IHS to identify
PSFAs and associated funding that may
be incorporated into their current
programs.
(3) Determine the Tribe’s share of
each PSFA and evaluate the current
level of healthcare services being
provided to make an informed decision
on new or expanded program
assumption(s).
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III. Eligibility Information
1. Eligibility
To be eligible for this Limited
Competition Planning Cooperative
Agreement under this announcement,
an applicant must:
A. Be an ‘‘Indian Tribe’’ as defined in
25 U.S.C. 450b(e); a ‘‘Tribal
Organization’’ as defined in 25 U.S.C.
450b(l); or an ‘‘Inter-Tribal Consortium’’
as defined at 42 CFR 137.10. However,
Alaska Native Villages or Alaska Native
Village Corporations are not eligible if
they are located within the area served
by an Alaska Native regional health
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entity. See Consolidated Appropriations
Act, 2014, Public Law 113–76. By
statute, the Native Village of Eyak,
Eastern Aleutian Tribes, and the
Council for Athabascan Tribal
Governments have also been deemed
Alaska Native regional health entities
and therefore are eligible to apply.
Those Alaska Tribes not represented by
a Self-Governance Tribal consortium
Funding Agreement within their area
may still be considered to participate in
the TSGP.
B. Submit a Tribal resolution from the
appropriate governing body of each
Indian Tribe to be served by the
ISDEAA Compact authorizing the
submission of the Planning Cooperative
Agreement application. Tribal consortia
applying for a TSGP Planning
Cooperative Agreement shall submit
Tribal Council resolutions from each
Tribe in the consortium. Tribal
resolutions can be attached to the
electronic online application.
Applications by Tribal organizations
will not require a specific Tribal
resolution if the current Tribal
resolution(s) under which they operate
would encompass the proposed grant
activities.
Draft Tribal resolutions are acceptable
in lieu of official signed resolutions and
can be submitted along with the
electronic application. However, an
official signed Tribal resolution must be
received by the Division of Grants
Management (DGM) prior to the
beginning of the Objective Review. If the
DGM does not receive an official signed
resolution by the Review Date listed
under the Key Dates section on page one
of this announcement, then the
application shall be considered
incomplete and ineligible for review or
further consideration.
Officially signed Tribal resolutions
can be mailed to the DGM, Attn: Mr.
John Hoffman, 801 Thompson Avenue,
TMP Suite 360, Rockville, MD 20852.
Applicants submitting Tribal
resolutions after or aside from the
online electronic application
submission must ensure that the
information is received by the IHS,
DGM. It is highly recommended that the
documentation be sent by a delivery
method that includes delivery
confirmation and tracking. Please
contact Mr. Hoffman by telephone at
(301) 443–5204 prior to the Review Date
regarding submission questions.
C. Demonstrate, for three fiscal years,
financial stability and financial
management capability. The Indian
Tribe must provide evidence that, for
the three years prior to participation in
Self-Governance, the Indian Tribe has
had no uncorrected significant and
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material audit exceptions in the
required annual audit of the Indian
Tribe’s Self-Determination Contracts or
Self-Governance Funding Agreements
with any Federal agency. See 25 U.S.C.
458aaa–2; 42 CFR 137.15–23.
For Tribes or Tribal organizations that
expended $300,000 or more ($500,000
for FYs ending after December 31, 2003)
in Federal awards, the OTSG shall
retrieve the audits directly from the
Federal Audit Clearinghouse database.
For Tribes or Tribal organizations that
expended less than $300,000 ($500,000
for FYs ending after December 31, 2003)
in Federal awards, the Tribe or Tribal
organization must provide evidence of
the program review correspondence
from IHS or Bureau of Indian Affairs
officials. See 42 CFR 137.21–23.
Meeting the eligibility criteria for a
Planning Cooperative Agreement does
not mean that a Tribe or Tribal
organization is eligible for participation
in the IHS TSGP under Title V of the
ISDEAA. See 25 U.S.C. 458aaa–2; 42
CFR 137.15–23. For additional
information on eligibility for the IHS
TSGP, please visit the Eligibility and
Funding page on the OTSG Web site,
located at: https://www.ihs.gov/
SelfGovernance.
Note: Please refer to Section IV.2
(Application and Submission
Information/Subsection 2, Content and
Form of Application Submission) for
additional proof of applicant status
documents required such as Tribal
resolutions, proof of non-profit status,
etc.
2. Cost Sharing or Matching
The IHS does not require matching
funds or cost sharing for grants or
cooperative agreements.
3. Other Requirements
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. If
deemed ineligible, the IHS will not
return the application. The applicant
will be notified via email by the DGM
of this decision.
IV. Application and Submission
Information
1. Obtaining Application Materials
The full application package and
detailed instructions for this
announcement can be found at https://
www.Grants.gov or https://www.ihs.gov/
dgm/index.cfm?module=dsp_dgm_
funding.
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Questions regarding the electronic
application process may be directed to
Mr. 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:
Æ SF–424, Application for Federal
Assistance.
Æ SF–424A, Budget Information—
Non-Construction Programs.
Æ SF–424B, Assurances—NonConstruction Programs.
• Budget Justification and Narrative
(must be single spaced and not exceed
five pages).
• Project Narrative (must be single
spaced and not exceed ten pages).
Æ Background information on the
Tribe or Tribal organization.
Æ Proposed scope of work, objectives,
and activities that provide a description
of what will be accomplished, including
a one-page Timeframe Chart.
• Tribal Resolution(s).
• 501(c)(3) Certificate (if applicable).
• Biographical sketches for all Key
Personnel.
• Contractor/Consultant resumes or
qualifications and scope of work.
• Disclosure of Lobbying Activities
(SF–LLL).
• Certification Regarding Lobbying
(GG-Lobbying Form).
• Copy of current Negotiated Indirect
Cost rate (IDC) agreement (required) in
order to receive IDC.
• Organizational Chart (optional).
Public Policy Requirements
All Federal-wide public policies
apply to IHS grants and cooperative
agreements with exception of the
Discrimination policy.
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Requirements for Project and Budget
Narratives
A. Project Narrative: This narrative
should be a separate Word document
that is no longer than ten pages 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 81⁄2″
× 11″ paper. Be sure to succinctly
address and answer all questions listed
under the evaluation criteria (refer to
Section V.I, Evaluation criteria in this
announcement) and place all responses
and required information in the correct
section (noted below), or it will not be
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considered or scored. These narratives
will assist the Objective Review
Committee (ORC) in becoming familiar
with the applicant’s activities and
accomplishments prior to the
cooperative agreement award. If the
narrative exceeds the page limit, only
the first ten pages will be reviewed. The
10-page limit for the narrative does not
include the work plan, standard forms,
Tribal resolutions, table of contents,
budget and budget justifications/
narratives, and/or other appendix items.
There are three parts to the narrative,
including: (1) Part A—Program
Information; (2) Part B—Program
Planning and Evaluation; and (3) Part
C—Program Report. See below for
additional details about what must be
included in the narrative.
Part A: Program Information (4 Page
Limitation)
Section 1: Needs
Introduction and Need for Assistance
Describe the Tribe’s current health
program activities, including: how long
it has been operating, the programs or
services currently being provided, and if
the applicant is currently administering
any ISDEAA Title I Self-Determination
Contracts or Title V Self-Governance
Compacts. Identify the need for
assistance and how the Planning
Cooperative Agreement would benefit
the health activities the Tribe is
currently administering.
Part B: Program Planning and
Evaluation (4 Page Limitation)
Section 1: Program Plans
Project Objective(s), Work Plan and
Approach
State in measurable terms the
objectives and appropriate activities to
achieve the following Cooperative
Agreement Recipient Award Activities:
(a) Research and analyze the complex
IHS budget to gain a thorough
understanding of funding distribution at
all organizational levels and determine
which PSFAs the Tribe may elect to
assume or expand.
(b) Establish a process to identify
PSFAs and associated funding that may
be incorporated into current programs.
(c) Determine the Tribe’s share of each
PSFA and evaluate the current level of
health care services being provided to
make an informed decision on new
program assumption(s).
Describe how the objectives are
consistent with the purpose of the
program, the needs of the people to be
served, and how they will be achieved
within the proposed time frame.
Identify the expected results, benefits,
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and outcomes or products to be derived
from each objective of the project.
Organizational Capabilities, Key
Personnel and Qualifications
Describe the organizational structure
of the Tribe and its ability to manage the
proposed project. Include resumes or
position descriptions of key staff
showing requisite experience and
expertise. If applicable, include resumes
and scope of work for consultants that
demonstrate experience and expertise
relevant to the project.
Section 2: Program Evaluation
Define the criteria to be used to
evaluate planning activities. Describe
fully and clearly the methodology that
will be used to determine if the needs
identified are being met and if the
outcomes are being achieved. This
section must address the following
questions:
(a) Are the goals and objectives
measurable and consistent with the
purpose of the program and the needs
of the people to be served?
(b) Are they achievable within the
proposed time frame?
Part C: Program Report (2 Page
Limitation)
Section 1: Describe major
accomplishments over the last 24
months. Please identify and describe
significant health related
accomplishments associated with the
delivery of quality health services. This
section should highlight major program
achievements over the last 24 months.
Section 2: Describe major activities
over the last 24 months. Please provide
an overview of significant program
activities associated with the delivery of
quality health services over the last 24
months. This section should address
significant program activities including
those related to the accomplishments
listed in the previous section.
B. Budget Narrative: This narrative
must include a line item budget with a
narrative justification for all
expenditures identifying reasonable and
allowable costs necessary to accomplish
the goals and objectives as outlined in
the project narrative. Budget should
match the scope of work described in
the project narrative. The page
limitation should not exceed five pages.
3. Submission Dates and Times
Applications must be submitted
electronically through Grants.gov by
12:00 a.m., midnight Eastern Daylight
Time (EDT) on the Application Deadline
Date listed in the Key Dates section on
page one of this announcement. Any
application received after the
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application deadline will not be
accepted for processing, nor will it be
given further consideration for funding.
Grants.gov will notify the applicant via
email if the application is rejected.
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 Mr. Paul
Gettys (Paul.Gettys@ihs.gov), DGM
Grants Systems Coordinator, by
telephone at (301) 443–2114. 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 the applicant needs to submit a
paper application instead of submitting
electronically via Grants.gov a waiver
must be requested. Prior approval must
be requested and obtained from Ms.
Tammy Bagley, Acting Director of DGM,
(see Section IV.6 below for additional
information). The waiver must: (1) Be
documented in writing (emails are
acceptable), before submitting a paper
application and (2) include clear
justification for the need to deviate from
the required electronic grants
submission process. A written waiver
request can be sent to GrantsPolicy@
ihs.gov with a copy to Tammy.Bagley@
ihs.gov. Once the waiver request has
been approved, the applicant will
receive a confirmation of approval and
the mailing address to submit the
application. A copy of the written
approval must be submitted along with
the hardcopy that is mailed to DGM.
Paper applications that are submitted
without a copy of the signed waiver
from the Acting Director of the DGM
will not be reviewed or considered for
funding. The applicant will be notified
via email of this decision by the Grants
Management Officer of the DGM. Paper
applications must be received by the
DGM no later than 5:00 p.m., EDT, on
the Application Deadline Date listed in
the Key Dates section on page one of
this announcement. 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.
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• The available funds are inclusive of
direct and appropriate indirect costs.
• Only one grant/cooperative
agreement will be awarded per
applicant per grant cycle. Tribes cannot
apply for both the Planning Cooperative
Agreement and the Negotiation
Cooperative Agreement within the same
grant cycle (new rule).
• 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.
If the applicant receives a waiver to
submit paper application documents,
they must follow the rules and timelines
that are noted below. The applicant
must seek assistance at least ten days
prior to the Application Deadline Date
listed in the Key Dates section on page
one of this announcement.
Applicants that do not adhere to the
timelines for System for Award
Management (SAM) 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 a 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.
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Please include a clear justification for
the need to deviate from the standard
electronic submission process.
• If the waiver is approved, the
application should be sent directly to
the DGM by the Application Deadline
Date listed in the Key Dates section on
page one of this announcement.
• Applicants are strongly encouraged
not to wait until the deadline date to
begin the application process through
Grants.gov as the registration process for
SAM and Grants.gov could take up to
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 electronically submitting the
application, the applicant 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 OTSG will
notify the applicant 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 SAM 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, please access it through
https://fedgov.dnb.com/webform, or to
expedite the process, call (866) 705–
5711.
All HHS recipients are required by the
Federal Funding Accountability and
Transparency Act of 2006, as amended
(‘‘Transparency Act’’), to report
information on subawards. 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.
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System for Award Management (SAM)
Organizations that were not registered
with Central Contractor Registration
(CCR) and have not registered with SAM
will need to obtain a DUNS number first
and then access the SAM online
registration through the SAM home page
at https://www.sam.gov (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 SAM registration will take 3–5
business days to process. Registration
with the SAM is free of charge.
Applicants may register online at
https://www.sam.gov.
Additional information on
implementing the Transparency Act,
including the specific requirements for
DUNS and SAM, can be found on the
IHS Grants Management, Grants Policy
Web site: https://www.ihs.gov/dgm/
index.cfm?module=dsp_dgm_policy_
topics.
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 10 page narrative
section should be written in a manner
that is clear and concise 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
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A. Introduction and Need for Assistance
(25 Points)
Describe the Tribe’s current health
program activities, including: how long
it has been operating, programs or
services currently being provided and if
the applicant is currently administering
any ISDEAA Title I Self-Determination
Contracts or Title V Self-Governance
Compacts. Identify the need for
assistance and how the Planning
Cooperative Agreement would benefit
the health activities the Tribe is
currently administering.
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State in measurable terms the
objectives and appropriate activities to
achieve the following Cooperative
Agreement Recipient Award Activities:
(1) Research and analyze the complex
IHS budget to gain a thorough
understanding of funding distribution at
all organizational levels and to
determine which PSFAs the Tribe may
elect to assume or expand.
(2) Establish a process to identify
PSFAs and associated funding that may
be incorporated into current programs.
(3) Determine the Tribe’s share of
each PSFA and evaluate the current
level of health care services being
provided to make an informed decision
on new program assumption(s).
Describe how the objectives are
consistent with the purpose of the
program, the needs of the people to be
served, and how the objectives will be
achieved within the proposed time
frame. Identify the expected results,
benefits, and outcomes or products to be
derived from each objective of the
project.
C. Program Evaluation (25 Points)
V. Application Review Information
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B. Project Objective(s), Work Plan and
Approach (25 Points)
Define the criteria to be used to
evaluate planning activities. Clearly
describe the methodologies and
parameters that will be used to
determine if the needs identified are
being met and if the outcomes identified
are being achieved. Are the goals and
objectives measurable and consistent
with the purpose of the program and
meet the needs of the people to be
served? Are they achievable within the
proposed time frame? Describe how the
assumption of PSFAs enhances
sustainable health delivery. Ensure the
measurement includes activities that
will lead to sustainability.
D. Organizational Capabilities, Key
Personnel and Qualifications (15 Points)
Describe the organizational structure
of the Tribe and its ability to manage the
proposed project. Include resumes or
position descriptions of key staff
showing requisite experience and
expertise. If applicable, include resumes
and scope of work for consultants that
demonstrate experience and expertise
relevant to the project.
E. Categorical Budget and Budget
Justification (10 Points)
Submit a budget with a narrative
describing the budget request and
matching the scope of work described in
the project narrative. Justify all
expenditures identifying reasonable and
allowable costs necessary to accomplish
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44047
the goals and objectives as outlined in
the project narrative.
Additional Documents Can Be
Uploaded as Appendix Items in
Grants.gov
• 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.
• Map of area identifying project
location(s).
• 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. Applications that meet
the eligibility criteria shall be reviewed
for merit by the ORC based on
evaluation criteria in this funding
announcement. The ORC could be
composed of both Tribal and Federal
reviewers appointed by the OTSG to
review and make recommendations on
these applications. The technical review
process ensures selection of quality
projects in a national competition for
limited funding. 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, to outline minor missing
components (i.e., budget narratives,
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.
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 in our grant system,
GrantSolutions (https://
www.grantsolutions.gov). Each entity
that is approved for funding under this
announcement will need to request or
have a user account in GrantSolutions
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in order to retrieve their NoA. 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 OTSG within 30 days of the
conclusion of the ORC outlining the
strengths and weaknesses of their
application submitted. The OTSG 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 2014, the approved application may
be re-considered by the OTSG for
possible funding. The applicant will
also receive an Executive Summary
Statement from the OTSG 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.
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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:
• HHS Grants Policy Statement,
Revised 01/07.
D. Cost Principles:
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15:02 Jul 28, 2014
Jkt 232001
• 2 CFR Part 225—Cost Principles for
State, Local, and Indian Tribal
Governments (OMB Circular A–87).
• 2 CFR 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 Nonprofit 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 (Interior
Business Center) https://www.doi.gov/
ibc/services/Indirect_Cost_Services/
index.cfm. For questions regarding the
indirect cost policy, please call the DGM
staff to request assistance at (301) 443–
5204.
4. Reporting Requirements
The grantee 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. Reports must be
submitted electronically via
GrantSolutions. Personnel responsible
for submitting reports will be required
to obtain a login and password for
GrantSolutions. Please see the Agency
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Contacts list in section VII for the
systems contact information.
The reporting requirements for this
program are noted below.
A. Progress Reports
Program progress reports are required
semi-annually, within 30 days after the
budget period ends. 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. A
final report 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 Payment Management
Services, HHS at: https://
www.dpm.psc.gov. It is recommended
that the applicant also send a copy of
the FFR (SF–425) report to the Grants
Management Specialist. Failure to
submit timely reports may cause a
disruption in timely payments to the
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 firsttier subawards and executive
compensation under Federal assistance
awards.
IHS has implemented a Term of
Award into all IHS Standard Terms and
Conditions, NoAs and funding
announcements regarding the FSRS
reporting requirement. This IHS Term of
Award is applicable to all IHS grant and
cooperative agreements issued on or
after October 1, 2010, with a $25,000
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
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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 will be required to
address the FSRS reporting. For the full
IHS award term implementing this
requirement and additional award
applicability information, visit the DGM
Grants Policy Web site at: https://
www.ihs.gov/dgm/index.cfm?module=
dsp_dgm_policy_topics.
Telecommunication for the hearing
impaired is available at: TTY (301) 443–
6394.
VII. Agency Contacts
1. Questions on the programmatic
issues may be directed to: Jeremy
Marshall, Program Official, Office of
Tribal Self-Governance, 80 Thompson
Avenue, Suite 240, Rockville, MD
20852, Phone: (301) 443–7821, Fax:
(301) 443–1050, Email:
Jeremy.Marshall@ihs.gov, Web site:
www.ihs.gov/selfgovernance.
2. Questions on grants management
and fiscal matters may be directed to:
John Hoffman, Grants Management
Specialist, Division of Grants
Management, 801 Thompson Avenue,
TMP Suite 360, Rockville, MD 20852,
Phone: (301) 443–5204, Fax: (301) 443–
9602, Email: John.Hoffman@ihs.gov.
3. Questions on systems matters may
be directed to: Paul Gettys, Grant
Systems Coordinator, 801 Thompson
Avenue, TMP Suite 360, Rockville, MD
20852, Phone: 301) 443–2114; or the
DGM main line (301) 443–5204, Fax:
(301) 443–9602, E-Mail: Paul.Gettys@
ihs.gov.
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VIII. Other Information
The Public Health Service strongly
encourages all cooperative agreement
and contract recipients to provide a
smoke-free workplace and promote the
non-use of all tobacco products. In
addition, Public Law 103–227, the ProChildren Act of 1994, prohibits smoking
in certain facilities (or in some cases,
any portion of the facility) in which
regular or routine education, library,
day care, health care, or early childhood
development services are provided to
children. This is consistent with the
HHS mission to protect and advance the
physical and mental health of the
American people.
Dated: July 19, 2014.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2014–17801 Filed 7–28–14; 8:45 am]
BILLING CODE 4160–16–P
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Jkt 232001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Office of Tribal Self-Governance
Program, Negotiation Cooperative
Agreement
Announcement Type: New—Limited
Competition.
Funding Announcement Number:
HHS–2014–IHS–TSGN–0001.
Catalog of Federal Domestic Assistance
Number: 93.444.
Key Dates
Application Deadline Date: August
29, 2014.
Review Date: September 8, 2014.
Earliest Anticipated Start Date:
September 15, 2014.
Signed Tribal Resolutions Due Date:
August 29, 2014.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS)
Office of Tribal Self-Governance (OTSG)
is accepting limited competition
Negotiation Cooperative Agreement
applications for the Tribal SelfGovernance Program (TSGP). This
program is authorized under Title V of
the Indian Self-Determination and
Education Assistance Act (ISDEAA), 25
U.S.C. § 458aaa-2(e). The program is
described in the Catalog of Federal
Domestic Assistance (CFDA), available
at https://www.cfda.gov/, under 93.444.
Background
The TSGP is more than an IHS
program; it is an expression of the
government-to-government relationship
between the United States and Indian
Tribes. Through the TSGP, Tribes
negotiate with the IHS to assume
Programs, Services, Functions and
Activities (PSFAs), or portions thereof,
which gives Tribes the authority to
manage and tailor health care programs
in a manner that best fits the needs of
their communities.
Participation in the TSGP is one of
three ways that Tribes can choose to
obtain health care from the Federal
Government for their members.
Specifically, Tribes can choose to: (1)
Receive health care services directly
from the IHS, (2) contract with the IHS
to administer individual PSFAs that the
IHS would otherwise provide (referred
to as Title I Self-Determination
Contracting), or (3) compact with the
IHS to assume control over healthcare
PSFAs that the IHS would otherwise
provide (referred to as Title V SelfGovernance Compacting or the TSGP).
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These options are not exclusive and
Tribes may choose to combine options
based on their individual needs and
circumstances. Participation in the
TSGP affords Tribes the most flexibility
to tailor health care PSFAs to the needs
of their communities.
The TSGP is a Tribally-driven
initiative and strong Tribal/Federal
partnerships are essential for program
success. The IHS established the OTSG
to implement Tribal Self-Governance
authorities. The OTSG: (1) Serves as the
primary liaison and advocate for Tribes
participating in the TSGP, (2) develops,
directs, and implements Tribal SelfGovernance policies and procedures, (3)
provides information and technical
assistance to Self-Governance Tribes,
and (4) advises the IHS Director on
compliance with TSGP policies,
regulations, and guidelines. Each IHS
Area has an Agency Lead Negotiator
(ALN), designated by the IHS Director,
who has the authority to negotiate SelfGovernance Compacts and Funding
Agreements. A Tribe should contact the
respective ALN to begin the SelfGovernance planning process or, if
currently an existing Self-Governance
Tribe, discuss methods to expand
current PSFAs. The ALN shall provide
an overview of the TSGP negotiations
process and will provide technical
assistance as the Tribe prepares to
participate in the TSGP.
Purpose
The purpose of this Negotiation
Cooperative Agreement is to provide
Tribes with resources to help defray
costs related to preparing for and
conducting TSGP negotiations. TSGP
negotiations are a dynamic, evolving,
and Tribally-driven process that
requires careful planning and
preparation by both Tribal and Federal
parties, including the sharing of precise,
up-to-date information. The design of
the negotiations process: (1) Enables a
Tribe to set its own priorities when
assuming responsibility for IHS PSFAs,
(2) observes the government-togovernment relationship between the
United States and each Tribe, and (3)
involves the active participation of both
Tribal and IHS representatives,
including the OTSG. Because each
Tribal situation is unique, a Tribe’s
successful transition into the TSGP, or
expansion of their current program,
requires focused discussions between
the Federal and Tribal negotiation teams
about the Tribe’s specific health care
concerns and plans.
The negotiations process has four
major stages, including: (1) Planning, (2)
pre-negotiations, (3) negotiations, and
(4) post-negotiations. Title V of the
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[Federal Register Volume 79, Number 145 (Tuesday, July 29, 2014)]
[Notices]
[Pages 44043-44049]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-17801]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Office of Tribal Self-Governance Program; Planning Cooperative
Agreement
Announcement Type: New--Limited Competition.
Funding Announcement Number: HHS-2014-IHS-TSGP-0001.
Catalog of Federal Domestic Assistance Number: 93.444.
Key Dates
Application Deadline Date: August 29, 2014.
Review Date: September 8, 2014.
Earliest Anticipated Start Date: September 15, 2014.
Signed Tribal Resolutions Due Date: August 29, 2014.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS) Office of Tribal Self-Governance
(OTSG) is accepting limited competition Planning Cooperative Agreement
applications for the Tribal Self-Governance Program (TSGP). This
program is authorized under Title V of the Indian Self-Determination
and Education Assistance Act (ISDEAA), 25 U.S.C. 458aaa-2(e). This
program is described in the Catalog of Federal Domestic Assistance
(CFDA), available at https://www.cfda.gov/, under 93.444.
Background
The TSGP is more than an IHS program; it is an expression of the
government-to-government relationship between the United States and
Indian Tribes. Through the TSGP, Tribes negotiate with the IHS to
assume Programs, Services, Functions and Activities (PSFAs), or
portions thereof, which gives Tribes the authority to manage and tailor
health care programs in a manner that best fits the needs of their
communities.
Participation in the TSGP is one of three ways that Tribes can
choose to obtain health care from the Federal Government for their
members. Specifically, Tribes can choose to: (1) Receive health care
services directly from the IHS, (2) contract with the IHS to administer
individual PSFAs that the IHS would otherwise provide (referred to as
Title I Self-Determination Contracting), or (3) compact with the IHS to
assume control over healthcare PSFAs that the IHS would otherwise
provide (referred to as Title V Self-Governance Compacting or the
TSGP). These options are not exclusive and Tribes may choose to combine
options based on their individual needs and circumstances.
Participation in the TSGP affords Tribes the most flexibility to tailor
health care PSFAs to the needs of their communities.
The TSGP is a Tribally-driven initiative and strong Tribal/Federal
partnerships are essential for program success. The IHS established the
OTSG to implement Tribal Self-Governance authorities. The OTSG: (1)
serves as the primary liaison and advocate for Tribes participating in
the TSGP, (2) develops, directs, and implements Tribal Self-Governance
policies and procedures, (3) provides information and technical
assistance to Self-Governance Tribes, and (4) advises the IHS Director
on compliance with TSGP policies, regulations, and guidelines. Each IHS
Area has an Agency Lead Negotiator (ALN), designated by the IHS
Director, who has the authority to negotiate Self-Governance Compacts
and Funding Agreements. A Tribe should contact the respective ALN to
begin the Self-Governance planning process or, if currently an existing
Self-Governance Tribe, discuss methods to expand current PSFAs. The ALN
shall provide an overview of the TSGP and provide technical assistance
on the planning process or expanding current PSFAs.
Purpose
The purpose of this Planning Cooperative Agreement is to provide
resources to Tribes interested in entering the TSGP and to existing
Self-Governance Tribes interested in assuming new or expanded PSFAs.
Title V of the ISDEAA requires a Tribe or Tribal organization to
complete a planning phase to the satisfaction of the Tribe. The
planning phase must include legal and budgetary research and internal
Tribal government planning and organization preparation relating to the
administration of health care programs. See 25 U.S.C. 458aaa-2(d).
The planning phase helps Tribes make informed decisions about which
PSFAs to assume and what organizational changes or modifications are
necessary to successfully support those PSFAs. A thorough planning
phase improves timeliness and efficiency of negotiations and ensures
that the Tribe is fully prepared to assume the transfer of IHS PSFAs to
the Tribal health program.
A Planning Cooperative Agreement is not a prerequisite to enter the
TSGP and a Tribe may use other resources to meet the planning
requirements. Tribes that receive a Planning Cooperative Agreement are
not obligated to participate in the TSGP and may choose to delay or
decline participation based on the outcome of their planning
activities. This also applies to existing Self-Governance Tribes
exploring the option to expand their current PSFAs or assume additional
PSFAs.
Limited Competition Justification
There is limited competition under this announcement because the
authorizing legislation restricts eligibility to Tribes that meet
specific criteria. See 25 U.S.C. 458aaa-2(e); 42 CFR 137.24-26; see
also 42 CFR 137.10.
II. Award Information
Type of Award
Cooperative Agreement.
Estimated Funds Available
The total amount of funding identified for fiscal year (FY) 2014 is
approximately $360,000. Individual award amounts are anticipated to be
$120,000. The amount of funding available for competing awards issued
under this announcement is subject to the availability of
appropriations and budgetary priorities of the Agency. The IHS is under
no obligation to make awards that are selected for funding under this
announcement.
Anticipated Number of Awards
Approximately three awards will be issued under this program
announcement.
Project Period
The project period is for 12 months and runs from September 1, 2014
to August 31, 2015.
Cooperative Agreement
Cooperative Agreements awarded by the Department of Health and
Human Services (HHS) are administered under the same policies as a
grant. The funding agency (IHS) is required to have
[[Page 44044]]
substantial programmatic involvement in the project during the entire
award. Below is a detailed description of the level of involvement
required for both IHS and the grantee. The 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 the TSGP Planning Cooperative
Agreement
A. IHS Programmatic Involvement
(1) Provide descriptions of PSFAs and associated funding at all
organizational levels (Service Unit, Area, and Headquarters), including
funding formulas and methodologies related to determining Tribal
shares.
(2) Meet with Planning Cooperative Agreement recipient to provide
program information and discuss methods currently used to manage and
deliver health care.
(3) Identify and provide statutes, regulations, and policies that
provide authority for administering IHS programs.
(4) Provide technical assistance on the IHS budget, Tribal shares,
and other topics as needed.
B. Grantee Planning Cooperative Agreement Award Activities
(1) Research and analyze the complex IHS budget to gain a thorough
understanding of funding distribution at all organizational levels and
to determine which PSFAs the Tribe may elect to assume or expand.
(2) Establish a process by which Tribes may approach the IHS to
identify PSFAs and associated funding that may be incorporated into
their current programs.
(3) Determine the Tribe's share of each PSFA and evaluate the
current level of healthcare services being provided to make an informed
decision on new or expanded program assumption(s).
III. Eligibility Information
1. Eligibility
To be eligible for this Limited Competition Planning Cooperative
Agreement under this announcement, an applicant must:
A. Be an ``Indian Tribe'' as defined in 25 U.S.C. 450b(e); a
``Tribal Organization'' as defined in 25 U.S.C. 450b(l); or an ``Inter-
Tribal Consortium'' as defined at 42 CFR 137.10. However, Alaska Native
Villages or Alaska Native Village Corporations are not eligible if they
are located within the area served by an Alaska Native regional health
entity. See Consolidated Appropriations Act, 2014, Public Law 113-76.
By statute, the Native Village of Eyak, Eastern Aleutian Tribes, and
the Council for Athabascan Tribal Governments have also been deemed
Alaska Native regional health entities and therefore are eligible to
apply. Those Alaska Tribes not represented by a Self-Governance Tribal
consortium Funding Agreement within their area may still be considered
to participate in the TSGP.
B. Submit a Tribal resolution from the appropriate governing body
of each Indian Tribe to be served by the ISDEAA Compact authorizing the
submission of the Planning Cooperative Agreement application. Tribal
consortia applying for a TSGP Planning Cooperative Agreement shall
submit Tribal Council resolutions from each Tribe in the consortium.
Tribal resolutions can be attached to the electronic online
application. Applications by Tribal organizations will not require a
specific Tribal resolution if the current Tribal resolution(s) under
which they operate would encompass the proposed grant activities.
Draft Tribal resolutions are acceptable in lieu of official signed
resolutions and can be submitted along with the electronic application.
However, an official signed Tribal resolution must be received by the
Division of Grants Management (DGM) prior to the beginning of the
Objective Review. If the DGM does not receive an official signed
resolution by the Review Date listed under the Key Dates section on
page one of this announcement, then the application shall be considered
incomplete and ineligible for review or further consideration.
Officially signed Tribal resolutions can be mailed to the DGM,
Attn: Mr. John Hoffman, 801 Thompson Avenue, TMP Suite 360, Rockville,
MD 20852. Applicants submitting Tribal resolutions after or aside from
the online electronic application submission must ensure that the
information is received by the IHS, DGM. It is highly recommended that
the documentation be sent by a delivery method that includes delivery
confirmation and tracking. Please contact Mr. Hoffman by telephone at
(301) 443-5204 prior to the Review Date regarding submission questions.
C. Demonstrate, for three fiscal years, financial stability and
financial management capability. The Indian Tribe must provide evidence
that, for the three years prior to participation in Self-Governance,
the Indian Tribe has had no uncorrected significant and material audit
exceptions in the required annual audit of the Indian Tribe's Self-
Determination Contracts or Self-Governance Funding Agreements with any
Federal agency. See 25 U.S.C. 458aaa-2; 42 CFR 137.15-23.
For Tribes or Tribal organizations that expended $300,000 or more
($500,000 for FYs ending after December 31, 2003) in Federal awards,
the OTSG shall retrieve the audits directly from the Federal Audit
Clearinghouse database.
For Tribes or Tribal organizations that expended less than $300,000
($500,000 for FYs ending after December 31, 2003) in Federal awards,
the Tribe or Tribal organization must provide evidence of the program
review correspondence from IHS or Bureau of Indian Affairs officials.
See 42 CFR 137.21-23.
Meeting the eligibility criteria for a Planning Cooperative
Agreement does not mean that a Tribe or Tribal organization is eligible
for participation in the IHS TSGP under Title V of the ISDEAA. See 25
U.S.C. 458aaa-2; 42 CFR 137.15-23. For additional information on
eligibility for the IHS TSGP, please visit the Eligibility and Funding
page on the OTSG Web site, located at: https://www.ihs.gov/SelfGovernance.
Note: Please refer to Section IV.2 (Application and Submission
Information/Subsection 2, Content and Form of Application Submission)
for additional proof of applicant status documents required such as
Tribal resolutions, proof of non-profit status, etc.
2. Cost Sharing or Matching
The IHS does not require matching funds or cost sharing for grants
or cooperative agreements.
3. Other Requirements
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. If deemed ineligible, the
IHS will not return the application. The applicant will be notified via
email by the DGM of this decision.
IV. Application and Submission Information
1. Obtaining Application Materials
The full application package and detailed instructions for this
announcement can be found at https://www.Grants.gov or https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_funding.
[[Page 44045]]
Questions regarding the electronic application process may be
directed to Mr. 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 five pages).
Project Narrative (must be single spaced and not exceed
ten pages).
[cir] Background information on the Tribe or Tribal organization.
[cir] Proposed scope of work, objectives, and activities that
provide a description of what will be accomplished, including a one-
page Timeframe Chart.
Tribal Resolution(s).
501(c)(3) Certificate (if applicable).
Biographical sketches for all Key Personnel.
Contractor/Consultant resumes or qualifications and scope
of work.
Disclosure of Lobbying Activities (SF-LLL).
Certification Regarding Lobbying (GG-Lobbying Form).
Copy of current Negotiated Indirect Cost rate (IDC)
agreement (required) in order to receive IDC.
Organizational Chart (optional).
Public Policy Requirements
All Federal-wide public policies apply to IHS grants and
cooperative agreements 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 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
address and answer all questions listed under the evaluation criteria
(refer to Section V.I, Evaluation criteria in this announcement) and
place all responses and required information in the correct section
(noted below), or it will not be considered or scored. These narratives
will assist the Objective Review Committee (ORC) in becoming familiar
with the applicant's activities and accomplishments prior to the
cooperative agreement award. If the narrative exceeds the page limit,
only the first ten pages will be reviewed. The 10-page limit for the
narrative does not include the work plan, standard forms, Tribal
resolutions, table of contents, budget and budget justifications/
narratives, and/or other appendix items.
There are three parts to the narrative, including: (1) Part A--
Program Information; (2) Part B--Program Planning and Evaluation; and
(3) Part C--Program Report. See below for additional details about what
must be included in the narrative.
Part A: Program Information (4 Page Limitation)
Section 1: Needs
Introduction and Need for Assistance
Describe the Tribe's current health program activities, including:
how long it has been operating, the programs or services currently
being provided, and if the applicant is currently administering any
ISDEAA Title I Self-Determination Contracts or Title V Self-Governance
Compacts. Identify the need for assistance and how the Planning
Cooperative Agreement would benefit the health activities the Tribe is
currently administering.
Part B: Program Planning and Evaluation (4 Page Limitation)
Section 1: Program Plans
Project Objective(s), Work Plan and Approach
State in measurable terms the objectives and appropriate activities
to achieve the following Cooperative Agreement Recipient Award
Activities:
(a) Research and analyze the complex IHS budget to gain a thorough
understanding of funding distribution at all organizational levels and
determine which PSFAs the Tribe may elect to assume or expand.
(b) Establish a process to identify PSFAs and associated funding
that may be incorporated into current programs.
(c) Determine the Tribe's share of each PSFA and evaluate the
current level of health care services being provided to make an
informed decision on new program assumption(s).
Describe how the objectives are consistent with the purpose of the
program, the needs of the people to be served, and how they will be
achieved within the proposed time frame. Identify the expected results,
benefits, and outcomes or products to be derived from each objective of
the project.
Organizational Capabilities, Key Personnel and Qualifications
Describe the organizational structure of the Tribe and its ability
to manage the proposed project. Include resumes or position
descriptions of key staff showing requisite experience and expertise.
If applicable, include resumes and scope of work for consultants that
demonstrate experience and expertise relevant to the project.
Section 2: Program Evaluation
Define the criteria to be used to evaluate planning activities.
Describe fully and clearly the methodology that will be used to
determine if the needs identified are being met and if the outcomes are
being achieved. This section must address the following questions:
(a) Are the goals and objectives measurable and consistent with the
purpose of the program and the needs of the people to be served?
(b) Are they achievable within the proposed time frame?
Part C: Program Report (2 Page Limitation)
Section 1: Describe major accomplishments over the last 24 months.
Please identify and describe significant health related accomplishments
associated with the delivery of quality health services. This section
should highlight major program achievements over the last 24 months.
Section 2: Describe major activities over the last 24 months.
Please provide an overview of significant program activities associated
with the delivery of quality health services over the last 24 months.
This section should address significant program activities including
those related to the accomplishments listed in the previous section.
B. Budget Narrative: This narrative must include a line item budget
with a narrative justification for all expenditures identifying
reasonable and allowable costs necessary to accomplish the goals and
objectives as outlined in the project narrative. Budget should match
the scope of work described in the project narrative. The page
limitation should not exceed five pages.
3. Submission Dates and Times
Applications must be submitted electronically through Grants.gov by
12:00 a.m., midnight Eastern Daylight Time (EDT) on the Application
Deadline Date listed in the Key Dates section on page one of this
announcement. Any application received after the
[[Page 44046]]
application deadline will not be accepted for processing, nor will it
be given further consideration for funding. Grants.gov will notify the
applicant via email if the application is rejected.
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 Mr. Paul Gettys
(Paul.Gettys@ihs.gov), DGM Grants Systems Coordinator, by telephone at
(301) 443-2114. 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 the applicant needs to submit a paper application instead of
submitting electronically via Grants.gov a waiver must be requested.
Prior approval must be requested and obtained from Ms. Tammy Bagley,
Acting Director of DGM, (see Section IV.6 below for additional
information). The waiver must: (1) Be documented in writing (emails are
acceptable), before submitting a paper application and (2) include
clear justification for the need to deviate from the required
electronic grants submission process. A written waiver request can be
sent to GrantsPolicy@ihs.gov with a copy to Tammy.Bagley@ihs.gov. Once
the waiver request has been approved, the applicant will receive a
confirmation of approval and the mailing address to submit the
application. A copy of the written approval must be submitted along
with the hardcopy that is mailed to DGM. Paper applications that are
submitted without a copy of the signed waiver from the Acting Director
of the DGM will not be reviewed or considered for funding. The
applicant will be notified via email of this decision by the Grants
Management Officer of the DGM. Paper applications must be received by
the DGM no later than 5:00 p.m., EDT, on the Application Deadline Date
listed in the Key Dates section on page one of this announcement. 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.
Only one grant/cooperative agreement will be awarded per
applicant per grant cycle. Tribes cannot apply for both the Planning
Cooperative Agreement and the Negotiation Cooperative Agreement within
the same grant cycle (new rule).
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.
If the applicant receives a waiver to submit paper application
documents, they must follow the rules and timelines that are noted
below. The applicant must seek assistance at least ten days prior to
the Application Deadline Date listed in the Key Dates section on page
one of this announcement.
Applicants that do not adhere to the timelines for System for Award
Management (SAM) 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 a 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 the standard
electronic submission process.
If the waiver is approved, the application should be sent
directly to the DGM by the Application Deadline Date listed in the Key
Dates section on page one of this announcement.
Applicants are strongly encouraged not to wait until the
deadline date to begin the application process through Grants.gov as
the registration process for SAM and Grants.gov could take up to
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 electronically submitting the application, the
applicant 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 OTSG will notify
the applicant 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 SAM 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, please access it through https://fedgov.dnb.com/webform, or to expedite the process, call (866) 705-
5711.
All HHS recipients are required by the Federal Funding
Accountability and Transparency Act of 2006, as amended (``Transparency
Act''), to report information on subawards. 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.
[[Page 44047]]
System for Award Management (SAM)
Organizations that were not registered with Central Contractor
Registration (CCR) and have not registered with SAM will need to obtain
a DUNS number first and then access the SAM online registration through
the SAM home page at https://www.sam.gov (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 SAM registration will take 3-5 business days
to process. Registration with the SAM is free of charge. Applicants may
register online at https://www.sam.gov.
Additional information on implementing the Transparency Act,
including the specific requirements for DUNS and SAM, can be found on
the IHS Grants Management, Grants Policy Web site: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_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 10 page narrative section should be written in a manner that is
clear and concise 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 (25 Points)
Describe the Tribe's current health program activities, including:
how long it has been operating, programs or services currently being
provided and if the applicant is currently administering any ISDEAA
Title I Self-Determination Contracts or Title V Self-Governance
Compacts. Identify the need for assistance and how the Planning
Cooperative Agreement would benefit the health activities the Tribe is
currently administering.
B. Project Objective(s), Work Plan and Approach (25 Points)
State in measurable terms the objectives and appropriate activities
to achieve the following Cooperative Agreement Recipient Award
Activities:
(1) Research and analyze the complex IHS budget to gain a thorough
understanding of funding distribution at all organizational levels and
to determine which PSFAs the Tribe may elect to assume or expand.
(2) Establish a process to identify PSFAs and associated funding
that may be incorporated into current programs.
(3) Determine the Tribe's share of each PSFA and evaluate the
current level of health care services being provided to make an
informed decision on new program assumption(s).
Describe how the objectives are consistent with the purpose of the
program, the needs of the people to be served, and how the objectives
will be achieved within the proposed time frame. Identify the expected
results, benefits, and outcomes or products to be derived from each
objective of the project.
C. Program Evaluation (25 Points)
Define the criteria to be used to evaluate planning activities.
Clearly describe the methodologies and parameters that will be used to
determine if the needs identified are being met and if the outcomes
identified are being achieved. Are the goals and objectives measurable
and consistent with the purpose of the program and meet the needs of
the people to be served? Are they achievable within the proposed time
frame? Describe how the assumption of PSFAs enhances sustainable health
delivery. Ensure the measurement includes activities that will lead to
sustainability.
D. Organizational Capabilities, Key Personnel and Qualifications (15
Points)
Describe the organizational structure of the Tribe and its ability
to manage the proposed project. Include resumes or position
descriptions of key staff showing requisite experience and expertise.
If applicable, include resumes and scope of work for consultants that
demonstrate experience and expertise relevant to the project.
E. Categorical Budget and Budget Justification (10 Points)
Submit a budget with a narrative describing the budget request and
matching the scope of work described in the project narrative. Justify
all expenditures identifying reasonable and allowable costs necessary
to accomplish the goals and objectives as outlined in the project
narrative.
Additional Documents Can Be Uploaded as Appendix Items in
Grants.gov
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.
Map of area identifying project location(s).
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.
Applications that meet the eligibility criteria shall be reviewed for
merit by the ORC based on evaluation criteria in this funding
announcement. The ORC could be composed of both Tribal and Federal
reviewers appointed by the OTSG to review and make recommendations on
these applications. The technical review process ensures selection of
quality projects in a national competition for limited funding.
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, to outline minor missing components
(i.e., budget narratives, 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.
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 in our grant
system, GrantSolutions (https://www.grantsolutions.gov). Each entity
that is approved for funding under this announcement will need to
request or have a user account in GrantSolutions
[[Page 44048]]
in order to retrieve their NoA. 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 OTSG within
30 days of the conclusion of the ORC outlining the strengths and
weaknesses of their application submitted. The OTSG 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 2014, the approved application may be re-considered by the
OTSG for possible funding. The applicant will also receive an Executive
Summary Statement from the OTSG 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:
HHS Grants Policy Statement, Revised 01/07.
D. Cost Principles:
2 CFR Part 225--Cost Principles for State, Local, and
Indian Tribal Governments (OMB Circular A-87).
2 CFR 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 (Interior Business Center) https://www.doi.gov/ibc/services/Indirect_Cost_Services/index.cfm. For questions
regarding the indirect cost policy, please call the DGM staff to
request assistance at (301) 443-5204.
4. Reporting Requirements
The grantee 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. Reports must be submitted electronically via
GrantSolutions. Personnel responsible for submitting reports will be
required to obtain a login and password for GrantSolutions. Please see
the Agency Contacts list in section VII for the systems contact
information.
The reporting requirements for this program are noted below.
A. Progress Reports
Program progress reports are required semi-annually, within 30 days
after the budget period ends. 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. A final report
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 Payment
Management Services, HHS at: https://www.dpm.psc.gov. It is recommended
that the applicant also send a copy of the FFR (SF-425) report to the
Grants Management Specialist. Failure to submit timely reports may
cause a disruption in timely payments to the 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.
IHS has implemented a Term of Award into all IHS Standard Terms and
Conditions, NoAs and funding announcements regarding the FSRS reporting
requirement. This IHS Term of Award is applicable to all IHS grant and
cooperative agreements issued on or after October 1, 2010, with a
$25,000 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
[[Page 44049]]
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 will be required to address the FSRS
reporting. For the full IHS award term implementing this requirement
and additional award applicability information, visit the DGM Grants
Policy Web site at: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.
Telecommunication for the hearing impaired is available at: TTY
(301) 443-6394.
VII. Agency Contacts
1. Questions on the programmatic issues may be directed to: Jeremy
Marshall, Program Official, Office of Tribal Self-Governance, 80
Thompson Avenue, Suite 240, Rockville, MD 20852, Phone: (301) 443-7821,
Fax: (301) 443-1050, Email: Jeremy.Marshall@ihs.gov, Web site:
www.ihs.gov/selfgovernance.
2. Questions on grants management and fiscal matters may be
directed to: John Hoffman, Grants Management Specialist, Division of
Grants Management, 801 Thompson Avenue, TMP Suite 360, Rockville, MD
20852, Phone: (301) 443-5204, Fax: (301) 443-9602, Email:
John.Hoffman@ihs.gov.
3. Questions on systems matters may be directed to: Paul Gettys,
Grant Systems Coordinator, 801 Thompson Avenue, TMP Suite 360,
Rockville, MD 20852, Phone: 301) 443-2114; or the DGM main line (301)
443-5204, Fax: (301) 443-9602, E-Mail: Paul.Gettys@ihs.gov.
VIII. Other Information
The Public Health Service strongly encourages all cooperative
agreement and contract recipients to provide a smoke-free workplace and
promote the non-use of all tobacco products. In addition, Public Law
103-227, the Pro-Children Act of 1994, prohibits smoking in certain
facilities (or in some cases, any portion of the facility) in which
regular or routine education, library, day care, health care, or early
childhood development services are provided to children. This is
consistent with the HHS mission to protect and advance the physical and
mental health of the American people.
Dated: July 19, 2014.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2014-17801 Filed 7-28-14; 8:45 am]
BILLING CODE 4160-16-P