Office of Direct Service and Contracting Tribes; Tribal Management Grant Program, 20396-20405 [2016-07950]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 81, Number 67 (Thursday, April 7, 2016)]
[Notices]
[Pages 20396-20405]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-07950]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Office of Direct Service and Contracting Tribes; Tribal 
Management Grant Program

    Announcement Type: New and Competing Continuation.
    Funding Announcement Number: HHS-2016-IHS-TMD-0001.
    Catalog of Federal Domestic Assistance Number: 93.228.

Key Dates

    Application Deadline Date: June 8, 2016.
    Review Date: June 20-24, 2016.
    Earliest Anticipated Start Date: September 1, 2016.
    Signed Tribal Resolutions Due Date: June 8, 2016.
    Proof of Non-Profit Status Due Date: June 8, 2016.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting competitive grant 
applications for the Tribal Management Grant (TMG) program. This 
program is authorized under 25 U.S.C. 450h(b)(2) and 25 U.S.C. 450h(e) 
of the Indian Self-Determination and Education Assistance Act (ISDEAA), 
Public Law (Pub. L.) 93-638, as amended. This program is described in 
the Catalog of Federal Domestic Assistance (CFDA) under 93.228.

Background

    The TMG Program is a competitive grant program that is capacity 
building and developmental in nature and has been available for 
Federally-recognized Indian Tribes and Tribal organizations (T/TO) 
since shortly after the passage of the ISDEAA in 1975. It was 
established to assist T/TO to prepare for assuming all or part of 
existing IHS programs, functions, services, and activities (PFSAs) and 
further develop and improve their health management capability. The TMG 
Program provides competitive grants to T/TO to establish goals and 
performance measures for current health programs; assess current 
management capacity to determine if new components are appropriate; 
analyze programs to determine if T/TO management is practicable; and 
develop infrastructure systems to manage or organize PFSAs.

Purpose

    The purpose of this IHS grant announcement is to announce the 
availability of the TMG Program to enhance and develop health 
management infrastructure and assist T/TO in assuming all or part of 
existing IHS PSFAs through a Title I contract and assist established 
Title I contractors and Title V compactors to further develop and 
improve their management capability. In addition, TMGs are available to 
T/TO under the authority of 25 U.S.C. 450h(e) for (1) obtaining 
technical assistance from providers designated by the T/TO (including 
T/TO that operate mature contracts) for the purposes of program 
planning and evaluation, including the development of any management 
systems necessary for contract management and the development of cost 
allocation plans for indirect cost rates; and (2) planning, designing, 
monitoring, and evaluating Federal programs serving the T/TO, including 
Federal administrative functions.

II. Award Information

Type of Award

    Grant.

Estimated Funds Available

    The total amount of funding identified for the current fiscal year 
(FY) 2017Mi is approximately $2,412,000. Individual award amounts are 
anticipated to be between $50,000 and $100,000. The amount of funding 
available for new and competing continuation 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 16-18 awards will be issued under this program 
announcement.

Project Period

    The project periods vary based on the project type selected. 
Project periods could run from one, two, or three years and will run 
consecutively from the earliest anticipated start date of September 1, 
2016 through August 31, 2017 for one year projects; September 1, 2016 
through August 31, 2018 for two year projects; and September 1, 2016 
through August 31, 2019 for three year projects. Please refer to 
``Eligible TMG Project Types, Maximum Funding Levels and Project 
Periods'' below for additional details. State the number of years for 
the project period and include the exact dates.

III. Eligibility Information

1. Eligibility

    Eligible Applicants: ``Indian Tribes'' and ``Tribal organizations'' 
(T/TO) as defined by the ISDEAA are eligible to apply for the TMG 
Program. The definitions for each entity type are outlined below. Only 
one application per T/TO is allowed.
    Definitions: ``Indian Tribe'' means any Indian tribe, band, nation, 
or other organized group or community, including any Alaska Native 
village or regional or village corporation as defined in or established 
pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 
U.S.C. 1601 et seq.], which is recognized as eligible for the special 
programs and services provided by the United States to Indians because 
of their status as Indians. 25 U.S.C. 450b(e).
    ``Tribal organization'' means the recognized governing body of any 
Indian tribe; any legally established organization of Indians which is 
controlled, sanctioned, or chartered by such governing body or which is 
democratically elected by the adult members of the Indian community to 
be served by such organization and which includes the maximum 
participation of Indians in all phases of its activities. 25 U.S.C. 
450b(l).
    Tribal organizations must provide proof of non-profit status.

Eligible TMG Project Types, Maximum Funding Levels and Project Periods

    The TMG Program consists of four project types: (1) Feasibility 
study; (2)

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planning; (3) evaluation study; and (4) health management structure. 
Applicants may submit applications for one project type only. 
Applicants must state the project type selected. Applications that 
address more than one project type will be considered ineligible. The 
maximum funding levels noted include both direct and indirect costs. 
Applicant budgets may not exceed the maximum funding level or project 
period identified for a project type. Applicants whose budget or 
project period exceed the maximum funding level or project period will 
be deemed ineligible and will not be reviewed. Please refer to Section 
IV.5, ``Funding Restrictions'' for further information regarding 
ineligible project activities.
    1. FEASIBILITY STUDY (Maximum funding/project period: $70,000/12 
months)
    The Feasibility Study must include a study of a specific IHS 
program or segment of a program to determine if Tribal management of 
the program is possible. The study shall present the planned approach, 
training, and resources required to assume Tribal management of the 
program. The study must include the following four components:
     Health needs and health care services assessments that 
identify existing health care services and delivery systems, program 
divisibility issues, health status indicators, unmet needs, volume 
projections, and demand analysis.
     Management analysis of existing management structures, 
proposed management structures, implementation plans and requirements, 
and personnel staffing requirements and recruitment barriers.
     Financial analysis of historical trends data, financial 
projections and new resource requirements for program management costs 
and analysis of potential revenues from Federal/non-Federal sources.
     Decision statement/report that incorporates findings, 
conclusions and recommendations; the presentation of the study and 
recommendations to the Tribal governing body for determination 
regarding whether Tribal assumption of program(s) is desirable or 
warranted.
    2. PLANNING (Maximum funding/project period: $50,000/12 months)
    Planning projects entail a collection of data to establish goals 
and performance measures for the operation of current health programs 
or anticipated PFSAs under a Title I contract. Planning projects will 
specify the design of health programs and the management systems 
(including appropriate policies and procedures) to accomplish the 
health priorities of the T/TO. For example, planning projects could 
include the development of a Tribal Specific Health Plan or a Strategic 
Health Plan, etc. Please note that updated Healthy People information 
and Healthy People 2020 objectives are available in electronic format 
at the following Web site: https://www.health.gov/healthypeople/publications. The Public Health Service (PHS) encourages applicants 
submitting strategic health plans to address specific objectives of 
Healthy People 2020.
    3. EVALUATION STUDY (Maximum funding/project period: $50,000/12 
months)
    The Evaluation Study must include a systematic collection, 
analysis, and interpretation of data for the purpose of determining the 
value of a program. The extent of the evaluation study could relate to 
the goals and objectives, policies and procedures, or programs 
regarding targeted groups. The evaluation study could also be used to 
determine the effectiveness and efficiency of a Tribal program 
operation (i.e., direct services, financial management, personnel, data 
collection and analysis, third-party billing, etc.), as well as to 
determine the appropriateness of new components of a Tribal program 
operation that will assist Tribal efforts to improve their health care 
delivery systems.
    4. HEALTH MANAGEMENT STRUCTURE (Average funding/project period: 
$100,000/12 months; maximum funding/project period: $300,000/36 months)
    The first year maximum funding level is limited to $150,000 for 
multi-year projects. The Health Management Structure component allows 
for implementation of systems to manage or organize PFSAs. Management 
structures include health department organizations, health boards, and 
financial management systems, including systems for accounting, 
personnel, third-party billing, medical records, management information 
systems, etc. This includes the design, improvement, and correction of 
management systems that address weaknesses identified through quality 
control measures, internal control reviews, and audit report findings 
under required financial audits and ISDEAA requirements.
    For the minimum standards for the management systems used by Indian 
T/TO when carrying out self-determination contracts, please see 25 CFR 
part 900, Contracts Under the Indian Self-Determination and Education 
Assistance Act, Subpart F--``Standards for Tribal or Tribal 
Organization Management Systems,'' Sec. Sec.  900.35 through 900.60. 
For operational provisions applicable to carrying out self-governance 
compacts, please see 42 CFR part 137, Tribal Self-Governance, Subpart 
I--``Operational Provisions'' Sec. Sec.  137.160 through 137.220.
    Please see Section IV ``Application and Submission Information'' 
for information on how to obtain a copy of the TMG application package.
    To be eligible for this ``New/Competing, Continuation 
Announcement,'' an applicant must be one of the following as defined by 
25 U.S.C. 450b:
    i. An Indian Tribe, as defined by 25 U.S.C. 450b(e); or
    ii. A Tribal organization, as defined by 25 U.S.C. 450b(l).

    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, IHS 
will not return the application. The applicant will be notified by 
email by the Division of Grants Management (DGM) of this decision.
    The following documentation is required:

Tribal Resolution

    A. An Indian Tribe or Tribal organization that is proposing a 
project affecting another Indian Tribe must include resolutions from 
all affected Tribes to be served. Applications by Tribal organizations 
will not require a specific Tribal resolution if the current Tribal 
resolution(s) under which they operate would encompass the proposed 
grant activities.
    An official signed Tribal resolution must be received by the DGM 
prior to a Notice of Award being issued to any applicant selected for 
funding. However, if an official signed Tribal resolution cannot be 
submitted with the electronic application submission prior to the 
official application deadline date, a draft Tribal resolution must be

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submitted by the deadline in order for the application to be considered 
complete and eligible for review. The draft Tribal resolution is not in 
lieu of the required signed resolution, but is acceptable until a 
signed resolution is received. If an official signed Tribal resolution 
is not received by DGM when funding decisions are made, then a Notice 
of Award will not be issued to that applicant and they will not receive 
any IHS funds until such time as they have submitted a signed 
resolution to the Grants Management Specialist listed in this Funding 
Announcement.
    B. Tribal organizations applying for technical assistance and/or 
training grants must submit documentation that the Tribal organization 
is applying upon the request of the Indian Tribe/Tribes it intends to 
serve.
    C. Documentation for Priority I participation requires a copy of 
the Federal Register notice or letter from the Bureau of Indian Affairs 
verifying establishment of Federally-recognized Tribal status within 
the last five years. The date on the documentation must reflect that 
Federal recognition was received during or after March 2012.
    D. Documentation for Priority II participation requires a copy of 
the most current transmittal letter and Attachment A from the 
Department of Health and Human Services (HHS), Office of Inspector 
General (OIG), National External Audit Review Center (NEAR). See 
``FUNDING PRIORITIES'' below for more information. If an applicant is 
unable to locate a copy of the most recent transmittal letter or needs 
assistance with audit issues, information or technical assistance may 
be obtained by contacting the IHS, Office of Finance and Accounting, 
Division of Audit at (301) 443-1270, or the NEAR help line at (800) 
732-0679 or (816) 426-7720. Federally-recognized Indian Tribes or 
Tribal organizations not subject to Single Audit Act requirements must 
provide a financial statement identifying the Federal dollars in the 
footnotes. The financial statement must also identify specific 
weaknesses/recommendations that will be addressed in the TMG proposal 
and that are related to 25 CFR part 900, subpart F--``Standards for 
Tribal and Tribal Organization Management Systems.''
    E. Documentation of Consortium participation--If an Indian Tribe 
submitting an application is a member of an eligible intertribal 
consortium, the Tribe must:

--Identify the consortium.
--Indicate if the consortium intends to submit a TMG application.
--Demonstrate that the Tribe's application does not duplicate or 
overlap any objectives of the consortium's application.
--Identify all consortium member Tribes.
--Identify if any of the member Tribes intend to submit a TMG 
application of their own.
--Demonstrate that the consortium's application does not duplicate or 
overlap any objectives of the other consortium members who may be 
submitting their own TMG application.

    FUNDING PRIORITIES: The IHS has established the following funding 
priorities for TMG awards:
     PRIORITY I--Any Indian Tribe that has received Federal 
recognition (including restored, funded, or unfunded) within the past 
five years, specifically received during or after March 2011, will be 
considered Priority I.
     PRIORITY II--Federally-recognized Indian Tribes or Tribal 
organizations submitting a competing continuation application or a new 
application for the sole purpose of addressing audit material 
weaknesses will be considered Priority II.
    Priority II participation is only applicable to the Health 
Management Structure project type. For more information, see ``Eligible 
TMG Project Types, Maximum Funding Levels and Project Periods'' in 
Section II.
     PRIORITY III--Eligible Direct Service and Title I 
Federally-recognized Indian Tribes or Tribal organizations submitting a 
competing continuation application or a new application will be 
considered Priority III.
     PRIORITY IV--Eligible Title V Self Governance Federally-
recognized Indian Tribes or Tribal organizations submitting a competing 
continuation or a new application will be considered Priority IV.
    The funding of approved Priority I applicants will occur before the 
funding of approved Priority II applicants. Priority II applicants will 
be funded before approved Priority III applicants. Priority III 
applicants will be funded before Priority IV applicants. Funds will be 
distributed until depleted.
    The following definitions are applicable to the PRIORITY II 
category:
    Audit finding means deficiencies which the auditor is required by 
45 CFR 75.516, to report in the schedule of findings and questioned 
costs.
    Material weakness--``Statements on Auditing Standards 115'' defines 
material weakness as a deficiency, or combination of deficiencies, in 
internal control, such that there is a reasonable possibility that a 
material misstatement of the entity's financial statements will not be 
prevented, or detected and corrected on a timely basis.
    Significant deficiency--Statements on Auditing Standards 115 
defines significant deficiency as a deficiency, or a combination of 
deficiencies, in internal control that is less severe than a material 
weakness, yet important enough to merit attention by those charged with 
governance.
    The audit findings are identified in Attachment A of the 
transmittal letter received from the HHS/OIG/NEAR. Please identify the 
material weaknesses to be addressed by underlining the item(s) listed 
on the Attachment A.
    Federally-recognized Indian Tribes or Tribal organizations not 
subject to Single Audit Act requirements must provide a financial 
statement identifying the Federal dollars received in the footnotes. 
The financial statement should also identify specific weaknesses/
recommendations that will be addressed in the TMG proposal and that are 
related to 25 CFR part 900, subpart F--``Standards for Tribal and 
Tribal Organization Management Systems.''

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 the application 
submission by the Application Deadline Date listed under the Key Dates 
section on page one of this announcement.
    An applicant submitting any of the above additional documentation 
after the initial application submission due date is 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/dgm/funding/.
    Questions regarding the electronic application process may be 
directed to Mr. Paul Gettys at (301) 443-2114 or (301) 443-5204.

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.

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     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 15 
pages).
    [cir] Background information on the 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.
     501(c)(3) Certificate (if applicable).
     Position descriptions for 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 Office of Management and Budget 
Audit, as required by 45 CFR part 75, subpart F or other required 
Financial Audit (if applicable).
    [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 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 15 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 narrative and place them 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 shall 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 this grant 
award. If the narrative exceeds the page limit, only the first 15 pages 
will be reviewed. The 15-page limit for the narrative does not include 
the work plan, standard forms, Tribal resolutions, 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 T/TO has determined the need to either enhance or 
develop its management capability to either assume PFSAs or not in the 
interest of self-determination. Note the progression of previous TMG 
projects/awards if applicable.
Part B: Program Planning and Evaluation (11 Page Limitation)
    Section 1: Program Plans
    Describe fully and clearly the direction the T/TO plans to take 
with the selected TMG project type in addressing their health 
management infrastructure including how the T/TO plans to demonstrate 
improved health and services to the community or communities it serves. 
Include proposed timelines.
    Section 2: Program Evaluation
    Describe fully and clearly the improvements that will be made by 
the T/TO that will impact their management capability or prepare them 
for future improvements to their organization that will allow them to 
manage their health care system and identify the anticipated or 
expected benefits for the Tribe.
Part C: Program Report (2 Page Limitation)
    Section 1: Describe major accomplishments over the last 24 months.
    Please identify and describe significant program achievements 
associated with the delivery of quality health services. 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.
    Please identify and summarize recent major health related project 
activities of the work done during the project period.
    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 
11:59 p.m. 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 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 Grant Systems Coordinator, by telephone at 
(301) 443-2114 or (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 the applicant needs to submit a paper application instead of 
submitting electronically through Grants.gov, a waiver must be 
requested. Prior approval must be requested and obtained from Mr. 
Robert Tarwater, Director, 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 must be 
sent to GrantsPolicy@ihs.gov with a copy to Robert.Tarwater@ihs.gov. 
Once the waiver request has been approved, the applicant will receive a 
confirmation of approval email containing submission

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instructions and the mailing address to submit the application. A copy 
of the written approval must be submitted along with the hardcopy of 
the application that is mailed to DGM. Paper applications that are 
submitted without a copy of the signed waiver from the Senior Grants 
Policy Analyst 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 will be awarded per applicant.
     IHS will not acknowledge receipt of applications.
     The TMG may not be used to support recurring operational 
programs or to replace existing public and private resources. Funding 
received under a recurring Public Law 93-638 contract cannot be totally 
supplanted or totally replaced. Exception is allowed to charge a 
portion or percentage of salaries of existing staff positions involved 
in implementing the TMG grant, if applicable. However, this percentage 
of TMG funding must reflect supplementation of funding for the project 
and not supplantation of existing ISDEAA contract funds. 
Supplementation is ``adding to a program'' whereas supplantation is 
``taking the place of'' funds. An entity cannot use the TMG funds to 
supplant the ISDEAA contract or recurring funding.
     Ineligible Project Activities--The inclusion of the 
following projects or activities in an application will render the 
application ineligible.
    [cir] Planning and negotiating activities associated with the 
intent of a Tribe to enter the IHS Self-Governance Project. A separate 
grant program is administered by the IHS for this purpose. Prospective 
applicants interested in this program should contact Mr. Jeremy 
Marshall, Policy Analyst, Office of Tribal Self-Governance, Indian 
Health Service, 5600 Fishers Lane, Mail Stop 08E05, Rockville, MD 
20857, (301) 443-7821, and request information concerning the ``Tribal 
Self-Governance Program Planning Cooperative Agreement Announcement'' 
or the ``Negotiation Cooperative Agreement Announcement.''
    [cir] Projects related to water, sanitation, and waste management.
    [cir] Projects that include direct patient care and/or equipment to 
provide those medical services to be used to establish or augment or 
continue direct patient clinical care. Medical equipment that is 
allowable under the Special Diabetes Program for Indians is not 
allowable under the TMG Program.
    [cir] Projects that include recruitment efforts for direct patient 
care services.
    [cir] Projects that include long-term care or provision of any 
direct services.
    [cir] Projects that include tuition, fees, or stipends for 
certification or training of staff to provide direct services.
    [cir] Projects that include pre-planning, design, and planning of 
construction for facilities, including activities relating to program 
justification documents.
    [cir] Projects that propose more than one project type. Refer to 
Section II, ``Award Information,'' specifically ``Eligible TMG Project 
Types, Maximum Funding Levels and Project Periods'' for more 
information. An example of a proposal with more than one project type 
that would be considered ineligible may include the creation of a 
strategic health plan (defined by TMG as a planning project type) and 
improving third-party billing structures (defined by TMG as a health 
management structure project type). Multi-year applications that 
include in the first year planning, evaluation, or feasibility 
activities with the remainder of the project years addressing 
management structure are also deemed ineligible.
    [cir] Any Alaska Native Village that is neither a Title I nor a 
Title V organization and does not have the legal authority to contract 
services under 450(b) of the ISDEAA as it is affiliated with one of the 
Alaska health corporations as a consortium member and has all of its 
IHS funding for the Village administered through an Alaska health 
corporation, a Title V compactor, is not eligible for consideration 
under the TMG program.
    Moreover, Congress has reenacted its moratorium in Alaska on new 
contracting under the ISDEAA with Alaska Native Tribes that do not 
already have contracts or compacts with the IHS under this Act. See the 
Consolidated Appropriations Act, 2014 (Jan. 17, 2014), Public Law 113-
76, 128 Stat. 5, 343-44:
    SEC. 424. (a) Notwithstanding any other provision of law and until 
October 1, 2018, the Indian Health Service may not disburse funds for 
the provision of health care services pursuant to Public Law 93-638 (25 
U.S.C. 450 et seq.) to any Alaska Native village or Alaska Native 
village corporation that is located within the area served by an Alaska 
Native regional health entity.
    Consequently, Alaska Native Villages will not have any opportunity 
to enter into an ISDEAA contract with the IHS until this law lapses on 
October 1, 2018.
     Other Limitations--A current TMG recipient cannot be 
awarded a new, renewal, or competing continuation grant for any of the 
following reasons:
    [cir] The grantee will be administering two TMGs at the same time 
or have overlapping project/budget periods;
    [cir] The current project is not progressing in a satisfactory 
manner;
    [cir] The current project is not in compliance with program and 
financial reporting requirements; or
    [cir] The applicant has an outstanding delinquent Federal debt. No 
award shall be made until either:
    [ssquf] The delinquent account is paid in full; or
    [ssquf] A negotiated repayment schedule is established and at least 
one payment is received.

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, the applicant 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:

[[Page 20401]]

     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 Robert.Tarwater@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 Office of Direct 
Service and Contracting Tribes (ODSCT) 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 sub-awards. Accordingly, all IHS 
grantees must notify potential first-tier sub-recipients that no entity 
may receive a first-tier sub-award 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.

System for Award Management (SAM)

    Organizations that were not registered with Central Contractor 
Registration 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/policytopics/.

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 15-page narrative should include only the first year of activities; 
information for multi-year projects should be included as an appendix. 
See ``Multi-Year Project Requirements'' at the end of this section for 
more information. 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 (20 Points)
    (1) Describe the T/TO's current health operation. Include what 
programs and services are currently provided (i.e., Federally-funded, 
State-funded, etc.), information regarding technologies currently used 
(i.e., hardware, software, services, etc.), and identify the source(s) 
of technical support for those technologies (i.e., Tribal staff, area 
office, vendor, etc.). Include information regarding whether the T/TO 
has a health department and/or health board and how long it has been 
operating.
    (2) Describe the population to be served by the proposed project. 
Include the number of eligible IHS beneficiaries who currently use the 
services.
    (3) Describe the geographic location of the proposed project 
including any geographic barriers to the health care users in the area 
to be served.
    (4) Identify all TMGs received since FY 2011, dates of funding and 
a summary of project accomplishments. State how previous TMG funds 
facilitated the progression of health development relative to the 
current proposed project. (Copies of reports will not be accepted.)
    (5) Identify the eligible project type and priority group of the 
applicant.
    (6) Explain the need/reason for the proposed project by identifying 
specific gaps or weaknesses in services or infrastructure that will be 
addressed by the proposed project. Explain how these gaps/weaknesses 
have been assessed.
    (7) If the proposed project includes information technology (i.e., 
hardware, software, etc.), provide further information regarding 
measures taken or to be taken that ensure the proposed project will not 
create other gaps in services or infrastructure (i.e., negatively 
affect or impact IHS interface capability, Government Performance and 
Results Act reporting requirements, contract reporting requirements, 
Information Technology (IT) compatibility, etc.) if applicable.
    (8) Describe the effect of the proposed project on current programs 
(i.e., Federally-funded, State-funded, etc.)

[[Page 20402]]

and, if applicable, on current equipment (i.e., hardware, software, 
services, etc.). Include the effect of the proposed project on planned/
anticipated programs and/or equipment.
    (9) Address how the proposed project relates to the purpose of the 
TMG Program by addressing the appropriate description that follows:
     Identify if the T/TO is an IHS Title I contractor. Address 
if the self-determination contract is a master contract of several 
programs or if individual contracts are used for each program. Include 
information regarding whether or not the Tribe participates in a 
consortium contract (i.e., more than one Tribe participating in a 
contract). Address what programs are currently provided through those 
contracts and how the proposed project will enhance the organization's 
capacity to manage the contracts currently in place.
     Identify if the T/TO is not a Title I organization. 
Address how the proposed project will enhance the organization's 
management capabilities, what programs and services the organization is 
currently seeking to contract and an anticipated date for contract.
     Identify if the T/TO is an IHS Title V compactor. Address 
when the T/TO entered into the compact and how the proposed project 
will further enhance the organization's management capabilities.
B. Project Objective(s), Work Plan and Approach (40 Points)
    (1) Identify the proposed project objective(s) addressing the 
following:
     Objectives must be measureable and (if applicable) 
quantifiable.
     Objectives must be results oriented.
     Objectives must be time-limited.
    Example: By installing new third-party billing software, the Tribe 
will increase the number of bills processed by 15 percent at the end of 
12 months.
    (2) Address how the proposed project will result in change or 
improvement in program operations or processes for each proposed 
project objective. Also address what tangible products are expected 
from the project (i.e., policies and procedures manual, health plan, 
etc.).
    (3) Address the extent to which the proposed project will build 
local capacity to provide, improve, or expand services that address the 
need(s) of the target population.
    (4) Submit a work plan in the Appendix which includes the following 
information:
     Provide the action steps on a timeline for accomplishing 
the proposed project objective(s).
     Identify who will perform the action steps.
     Identify who will supervise the action steps taken.
     Identify what tangible products will be produced during 
and at the end of the proposed project.
     Identify who will accept and/or approve work products 
during the duration of the proposed project and at the end of the 
proposed project.
     Include any training that will take place during the 
proposed project and who will be providing and 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 (i.e., revision of policies/procedures, 
upgrades, technical support, etc.) will be required for the continued 
success of the proposed project. 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 processes. 
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 the project be monitored and assessed for 
potential problems and needed quality improvements?
     Who will be responsible for monitoring and managing 
project improvements based on results of ongoing process improvements 
and their qualifications?
     How will ongoing monitoring be used to improve the 
project?
     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 the project period?
    (3) Describe any evaluation efforts planned after the grant period 
has ended.
    (4) Describe the ultimate benefit to the Tribe that is expected to 
result from this project. An example of this might be the ability of 
the Tribe to expand preventive health services because of increased 
billing and third party payments.
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 
chain of responsibility for successful completion of the projects 
outlined in the work plan.
    (1) Describe the organizational structure of the T/TO beyond health 
care activities, if applicable.
    (2) Provide information regarding plans to obtain management 
systems if the T/TO does not have an established management system 
currently in place that complies with 25 CFR part 900, subpart F, 
``Standards for Tribal or Tribal Organization Management Systems.'' 
State if management systems are already in place and how long the 
systems have been in place.
    (3) Describe the ability of the organization to manage the proposed 
project. Include information regarding similarly sized projects in 
scope and financial assistance as well as other grants and projects 
successfully completed.
    (4) 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 project. Include information about any equipment 
not currently available that will be purchased through the grant.
    (5) List key personnel who will work on the project. Include all 
titles of key personnel in the work plan. 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 project. Resumes must

[[Page 20403]]

indicate that the proposed staff member is qualified to carry out the 
proposed project activities. If a position is to be filled, indicate 
that information on the proposed position description.
    (6) Address how the T/TO will sustain the position(s) after the 
grant expires if the project requires additional personnel (i.e., IT 
support, etc.). State if there is no need for additional personnel.
    (7) If the personnel are to be only partially funded by this grant, 
indicate the percentage of time to be allocated to the project and 
identify the resources used to fund the remainder of the individual's 
salary.
E. Categorical Budget and Budget Justification (5 Points)
    (1) Provide a categorical budget for each of the 12-month budget 
periods requested.
    (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 
categorical budget line item is necessary and relevant to the proposed 
project. Include sufficient cost and other details to facilitate the 
determination of cost allowability (i.e., equipment specifications, 
etc.).

Multi-Year Project Requirements

    For projects requiring a second and/or third year, include only 
Year 2 and/or Year 3 narrative sections (objectives, evaluation 
components and work plan) that differ from those in Year 1. For every 
project year, include a full budget justification and a detailed, 
itemized categorical budget showing calculation methodologies for each 
item. The same weights and criteria which are used to evaluate a one-
year project or the first year of a multi-year project will be applied 
when evaluating the second and third years of a multi-year application. 
A weak second and/or third year submission could negatively impact the 
overall score of an application and result in elimination of the 
proposed second and/or third years with a recommendation for only a 
one-year award.

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.
     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 IHS program 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. 
The applicant will be notified via email of this decision by the Grants 
Management Officer of the DGM. 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 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 ODSCT within 
30 days of the conclusion of the ORC outlining the strengths and 
weaknesses of their application submitted. The ODSCT 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 2016 the approved but unfunded 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

    Grants are administered in accordance with the following 
regulations, policies, and OMB cost principles:
    A. The criteria as outlined in this program announcement.
    B. Uniform Administrative Regulations for Grants:
     Uniform Administrative Requirements for HHS Awards, 
located at 45 CFR part 75.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' located at 45 CFR part 75, subpart E.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' located at 45 CFR part 75, subpart F.

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

[[Page 20404]]

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/finance/indirect-Cost-Services/indian-tribes. For 
questions regarding the indirect cost policy, please call the Grants 
Management Specialist listed under ``Agency Contacts'' or the main DGM 
office 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. Per DGM policy, all reports are required to be submitted 
electronically by attaching them as a ``Grant Note'' in 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 Sub-Award Reporting System (FSRS)
    This award may be subject to the Transparency Act sub-award 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 sub-awards 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 sub-award 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 sub-award 
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/policytopics/.
D. Compliance With Executive Order 13166 Implementation of Services 
Accessibility Provisions for All Grant Application Packages and Funding 
Opportunity Announcements
    Recipients of federal financial assistance (FFA) from HHS must 
administer their programs in compliance with federal civil rights law. 
This means that recipients of HHS funds must ensure equal access to 
their programs without regard to a person's race, color, national 
origin, disability, age and, in some circumstances, sex and religion. 
This includes ensuring your programs are accessible to persons with 
limited English proficiency. HHS provides guidance to recipients of FFA 
on meeting their legal obligation to take reasonable steps to provide 
meaningful access to their programs by persons with limited English 
proficiency. Please see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/guidance-federal-financial-assistance-recipients-title-VI/.
    The HHS Office for Civil Rights (OCR) also provides guidance on 
complying with civil rights laws enforced by HHS. Please see https://www.hhs.gov/civil-rights/for-individuals/section-1557/; and 
https://www.hhs.gov/civil-rights/. Recipients of FFA also have 
specific legal obligations for serving qualified individuals with 
disabilities. Please see https://www.hhs.gov/civil-rights/for-individuals/disability/. Please contact the HHS OCR for more 
information about obligations and prohibitions under federal civil 
rights laws at https://www.hhs.gov/civil-rights/for-individuals/disability/ or call 1-800-368-1019 or TDD 1-800-537-7697. 
Also note it is an HHS Departmental goal to ensure access to quality, 
culturally competent care, including long-term services and supports, 
for vulnerable populations. For further guidance on providing 
culturally and linguistically appropriate services, recipients should 
review the National Standards for Culturally and Linguistically 
Appropriate Services in Health and Health Care at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
    Pursuant to 45 CFR 80.3(d), an individual shall not be deemed 
subjected to discrimination by reason of his/her exclusion from 
benefits limited by federal law to individuals eligible for benefits 
and services from the Indian Health Service.
    Recipients will be required to sign the HHS-690 Assurance of 
Compliance form which can be obtained from the following Web site: 
https://www.hhs.gov/sites/default/files/forms/hhs-690.pdf, and send it 
directly to the: U.S. Department of Health and Human Services, Office 
of Civil Rights, 200 Independence Ave. SW., Washington, DC 20201.

[[Page 20405]]

E. Federal Awardee Performance and Integrity Information System 
(FAPIIS)
    The Indian Health Service (IHS), is required to review and consider 
any information about the applicant that is in the Federal Awardee 
Performance and Integrity Information System (FAPIIS) before making any 
award in excess of the simplified acquisition threshold (currently 
$150,000) over the period of performance. An applicant may review and 
comment on any information about itself that a federal awarding agency 
previously entered. IHS will consider any comments by the applicant, in 
addition to other information in FAPIIS in making a judgment about the 
applicant's integrity, business ethics, and record of performance under 
federal awards when completing the review of risk posed by applicants 
as described in 45 CFR 75.205.
    As required by 45 CFR part 75 Appendix XII of the Uniform Guidance, 
non-federal entities (NFEs) are required to disclose in FAPIIS any 
information about criminal, civil, and administrative proceedings, and/
or affirm that there is no new information to provide. This applies to 
NFEs that receive federal awards (currently active grants, cooperative 
agreements, and procurement contracts) greater than $10,000,000 for any 
period of time during the period of performance of an award/project.
Mandatory Disclosure Requirements
    As required by 2 CFR part 200 of the Uniform Guidance, and the HHS 
implementing regulations at 45 CFR part 75, effective January 1, 2016, 
the Indian Health Service must require a non-federal entity or an 
applicant for a federal award to disclose, in a timely manner, in 
writing to the IHS or pass-through entity all violations of federal 
criminal law involving fraud, bribery,or gratutity violations 
potentially affecting the federal award.
    Submission is required for all applicants and recipients, in 
writing, to the Indian Health Service and to the HHS Office of 
Inspector General (OIG) all information related to violations of 
federal criminal law involving fraud, bribery, or gratuity violations 
potentially affecting the federal award. 45 CFR 75.113
    Disclosures must be sent in writing to: U.S. Department of Health 
and Human Services, Indian Health Service, Division of Grants 
Management, ATTN: Robert Tarwater, Director, 5600 Fishers Lane, 
Mailstop 09E70, Rockville, Maryland 20857.
    (Include ``Mandatory Grant Disclosures'' in subject line.)
    Ofc: (301) 443-5204, Fax: (301) 594-0899, Email: 
Robert.Tarwater@ihs.gov.
AND
    U.S. Department of Health and Human Services, Office of Inspector 
General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330 
Independence Avenue SW., Cohen Building Room 5527, Washington, DC 
20201.
    URL: https://oig.hhs.gov/fraud/reportfraud/index.asp.
    (Include ``Mandatory Grant Disclosures'' in subject line.)
    Fax: (202) 205-0604 (Include ``Mandatory Grant Disclosures'' in 
subject line) or Email: MandatoryGranteeDisclosures@oig.hhs.gov.
    Failure to make required disclosures can result in any of the 
remedies described in 45 CFR 75.371 Remedies for noncompliance, 
including suspension or debarment (See 2 CFR parts 180 & 376 and 31 
U.S.C. 3321).

VII. Agency Contacts

    1. Questions on the programmatic issues may be directed to: 
Michelle Eagle Hawk, Deputy Director, Office of Direct Service and 
Contracting Tribes, Indian Health Service, 5600 Fishers Lane, Mail Stop 
08E17, Rockville, MD 20857, Telephone: (301) 443-1104, Email: 
michelle.eaglehawk@ihs.gov.
    2. Questions on grants management and fiscal matters may be 
directed to: Mr. Pallop Chareonvootitam, Grants Management Specialist, 
Office of Management Services, Division of Grants Management, Indian 
Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 
20857, Telephone: (301) 443-2195, Fax: (301) 594-0899, Email: 
pallop.chareonvootitam@ihs.gov.
    3. Questions on systems matters may be directed to: Mr. Paul 
Gettys, Grant Systems Coordinator, 5600 Fishers Lane, Mail Stop 09E70, 
Rockville, MD 20857, Phone: (301) 443-2114; or the DGM main line (301) 
443-5204, Fax: (301) 594-0899, Email: Paul.Gettys@ihs.gov.

VIII. Other Information

    The PHS 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, Pub. L. 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: March 30, 2016.
Elizabeth A. Fowler,
Deputy Director for Management Operations, Indian Health Service.
[FR Doc. 2016-07950 Filed 4-6-16; 8:45 am]
BILLING CODE 4165-16-P