Office of Direct Service and Contracting Tribes National Indian Health Outreach and Education-Health Reform Funding Opportunity, 48427-48437 [2016-17500]

Download as PDF mstockstill on DSK3G9T082PROD with NOTICES Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices • Figures 6D and 9C (left panel), grant R01 CA130897–01 A2 • Figure 2A (left, middle, and right panels) in R01 CA130897–01 A2 Supplemental Material • Figures 4D and 7C (left panel), grant R01 CA148697–01 • Figure 4D (left panel), JNCI 2008 • Figure 3A (left panel), HGT 2009 • Figure 1A (left, middle and right panels), Can. Res. Manuscript 2009 • Figure labeled ‘‘Intratumoral Bacterial Titers and Quantification of Tumor Necrosis’’ (top left panel), AGST 2009 Poster presentation 2 Respondent trimmed and used portions of Figure 6C of R21 CA120017– 02, representing pancreatic tumor five (5) days after injection of Cp/sodbacteria, to represent results from different experiments in: • Figures 5E, 6E and 7C (right panel), grant R21 CA120017 Final Progress Report • Figures 9E, 10E, and 13C (right panel), grant R01 CA130897–01 A1 • Figures 6E, 7E and 9C (right panel), grant R01 CA130897–01 A2 • Figures 4E, 5E and 7C (right panel), grant R01 CA148697–01 • Figure 4D (right panel), JNCI 2008 • Figure 3A (middle and right panels), HGT 2009 • Figure labeled ‘‘Intratumoral Bacterial Titers and Quantification of Tumor Necrosis’’ (top right and middle panels), AGST 2009 Poster presentation 2 Respondent trimmed and used a portion of a figure that was reported as mouse pancreatic tumor tissue treated with control liposomes in four (4) figures (Figure 6D in R21 CA120017 Final Progress Report, Figure 10D in R01 CA130897–01 A1, Figure 7D in R01 CA130897–01 A2, and Figure 5D in R01 CA148697–01), to represent results from mouse pancreatic tumor tissue not treated with control liposomes in: • Figures 7C (middle panel), grant R21 CA120017 Final Progress Report • Figure 13C (left panel), grant R01 CA130897–01 A1 • Figures 9C (middle panel), grant R01 CA130897–01 A2 • Figure 7C (middle panel), grant R01 CA148697–01 • Figure 4D (middle panel), JNCI 2008 • Figure entitled ‘‘Oncopathic Potency of Cp/sod-/PVL in Tumor-bearing Mice’’ row C (left panel), AGST 2009 Poster presentation 1 Respondent falsified at least four (4) and possibly eight (8) images by using and relabeling Figures 4A (left panel), 4B (right panel), and 4B (left panel) in JNCI 2008 and Figure 1B (center panel) of Cancer Res. Manuscript 2009, to VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 represent different experimental conditions in Figures 3C (middle panel), 3B (left panel), 3C (right panel), and 3D (left panel) in HGT 2009 respectively. Respondent trimmed and used portions of Figure 4E (right panel) in JNCI 2008, representing pancreatic tumor from mice injected with Cp/sod/PVL bacteria, to represent mice injected with Cp/plc-/sod-/PVL bacteria in the following: • Figure 2, row B (right panel), R01 CA130897 01 A2 Supplemental Material • Figure 3, row D (right panel), HGT 2009 • Figure entitled ‘‘Intratumoral bacterial Titers and Quantification of Tumor Necrosis’’ (bottom right panel), AGST 2009 Poster presentation 2 • Figure 1, row B (right panel), Can. Res. Manuscript 2009 The Respondent also fabricated the resulting quantitative data in nineteen (19) summary bar-graphs based on the false histopathological images in: • Figure 7C, grant R21 CA120017 Final Progress Report • Figures 13C and 17B, grant R01 CA130897–01 A1 • Figure 9C, grant R01 CA130897–01 A2 • Figure 2A–B, grant R01 CA130897–01 A2 Supplemental Material • Figure 7C, grant R01 CA148697–01 • Figures 4A, B, D, and E, JNCI 2008 • Figures 3A–D, HGT 2009 • Figure 1C, Can. Res. Manuscript 2009 • Figure entitled ‘‘Oncopathic Potency of Cp/sod-/PVL in Tumor-bearing Mice’’ graph (C) in AGST 2009 Poster presentation 1 • Figure entitled ‘‘Intratumoral Bacterial Titers and Quantification of Tumor Necrosis’’ top and bottom row graphs in AGST 2009 Poster presentation 2 The following administrative actions have been implemented for a period of five (5) years, beginning on July 3, 2016: (1) Respondent is debarred from any contracting or subcontracting with any agency of the United States Government and from eligibility for, or involvement in, nonprocurement programs of the United States Government referred to as ‘‘covered transactions’’ pursuant to HHS’ Implementation (2 CFR part 376 et seq) of Office of Management and Budget (OMB) Guidelines to Agencies on Governmentwide Debarment and Suspension, 2 CFR part 180 (collectively the ‘‘Debarment Regulations’’); and (2) Respondent is prohibited from serving in any advisory capacity to the U.S. Public Health Service (PHS) including, but not limited to, service on any PHS advisory committee, board, PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 48427 and/or peer review committee, or as a consultant. FOR FURTHER INFORMATION CONTACT: Director, Office of Research Integrity, 1101 Wootton Parkway, Suite 750, Rockville, MD 20852, (240) 453–8800. Kathryn M. Partin, Director, Office of Research Integrity. [FR Doc. 2016–17495 Filed 7–22–16; 8:45 am] BILLING CODE 4150–31–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes National Indian Health Outreach and Education— Health Reform Funding Opportunity Announcement Type: New Limited Competition. Funding Announcement Number: HHS–2016–IHS–NIHOE–3–Health– Reform–0001. Catalog of Federal Domestic Assistance Number: 93.933. Key Dates Application Deadline Date: August 25, 2016. Review Date: August 29, 2016. Earliest Anticipated Start Date: September 15, 2016. Proof of Non-Profit Status Due Date: August 25, 2016. I. Funding Opportunity Description Statutory Authority The Indian Health Service (IHS) Office of Direct Service and Contracting Tribes (ODSCT) and the Office of Resource Access and Partnerships (ORAP) is accepting cooperative agreement applications for the National Indian Health Outreach and Education III (NIHOE–III)–Health Reform funding opportunity that includes outreach and education activities on the following: The Patient Protection and Affordable Care Act, Public Law 111–148, as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111–152, collectively known as the Affordable Care Act (ACA), and the Indian Health Care Improvement Act (IHCIA), as amended. This program is authorized under the Snyder Act, codified at 25 U.S.C. 13, and the Transfer Act, codified at 42 U.S.C. 2001(a). This program is described in the Catalog of Federal Domestic Assistance under 93.933. Background The NIHOE III—Health Reform program carries out health program E:\FR\FM\25JYN1.SGM 25JYN1 48428 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices mstockstill on DSK3G9T082PROD with NOTICES objectives in the American Indian/ Alaska Native (AI/AN) community in the interest of improving the quality of and access to health care for all 567 Federally-recognized Tribes including Tribal governments operating their own health care delivery systems through self-determination contracts and compacts with the IHS and Tribes that continue to receive health care directly from the IHS. This program addresses health policy and health program issues and disseminates educational information to all AI/AN Tribes and villages. These Health Reform awards require that public forums be held at Tribal educational consumer conferences to disseminate changes and updates on the latest health care information. These awards also require that regional and national meetings be coordinated for information dissemination as well as for the inclusion of planning and technical assistance and health care recommendations on behalf of participating Tribes to ultimately inform IHS and the Department of Health and Human Services (HHS) based on Tribal input through a broad based consumer network. Purpose The purpose of this IHS cooperative agreement announcement is to encourage national Indian organizations, IHS, and Tribal partners to work together to conduct ACA/IHCIA training and technical assistance throughout Indian Country. Under the Limited Competition NIHOE Health Reform Cooperative Agreement program, the overall program objective is to improve Indian health care by conducting training and technical assistance across AI/AN communities to ensure that the Indian health care system and all AI/ANs are prepared to take advantage of the new health insurance coverage options which will improve the quality of and access to health care services and increase resources for AI/AN health care. The goal of this program announcement is to coordinate and conduct training and technical assistance on a national scale for the 567 Federally-recognized Tribes and Tribal organizations on the changes, improvements and authorities of the ACA and IHCIA and the health insurance options available to AI/AN through the Health Insurance Marketplace. Limited Competition Justification Competition for the award included in this announcement is limited to national Indian organizations with at least ten years of experience providing VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 training, education and outreach on a national scale. This limitation ensures that the awardee will have (1) a national information-sharing infrastructure which will facilitate the timely exchange of information between the HHS, Tribes, and Tribal organizations on a broad scale; (2) a national perspective on the needs of AI/AN communities that will ensure that the information developed and disseminated through the projects is culturally appropriate, useful and addresses the most pressing needs of AI/ AN communities; and (3) established relationships with Tribes and Tribal organizations that will foster open and honest participation by AI/AN communities. Regional and local organizations will not have the mechanisms in place to conduct communication on a national level, nor will they have an accurate picture of the health care needs facing AI/ANs nationwide. Organizations with less experience will lack the established relationships with Tribes and Tribal organizations throughout the country that will facilitate participation and the open and honest exchange of information between Tribes and HHS. However, awardees will be expected to work with regional and local organizations to achieve the goals herein. With the limited funds available for these health reform projects, HHS must ensure that the training, education and outreach efforts described in this announcement reach the widest audience possible in a timely fashion, are appropriately tailored to the needs of AI/AN communities throughout the country, and come from a source that AI/ANs recognize and trust. For these reasons, this is a limited competition announcement. II. Award Information Type of Award Cooperative Agreement. Estimated Funds Available The total amount of funding identified for the current funding cycle which covers fiscal years (FY) 2016– 2018 is approximately $600,000. Individual award amounts are anticipated to be $200,000 per FY, respectively, if awarded to two entities applying separately. Further details are provided in the applicable section components. The amount of funding available for both competing and 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 PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 awards that are selected for funding under this announcement. Two entities applying separately to accomplish appropriately divided program activities: 1. One entity will apply for $75,000 per FY or $225,000 total. 2. The second entity will apply for the remaining $125,000 per FY or $375,000 total. Anticipated Number of Awards Approximately two awards will be issued under this program announcement. Project Period The project period will be for three years and will run consecutively from September 15, 2016 to September 14, 2019. Cooperative Agreement Cooperative agreements awarded by the HHS are administered under the same policies as a grant. The funding agency (IHS) is required to have substantial programmatic involvement in the project during the entire award segment. Below is a detailed description of the level of involvement required for both IHS and the grantee. IHS will be responsible for activities listed under section A and the grantee will be responsible for activities listed under section B as stated: Substantial Involvement Description for Cooperative Agreement A. IHS Programmatic Involvement (1) The IHS assigned program official will work in partnership with the awardee in all decisions involving strategy, hiring of consultants, deployment of resources, release of public information materials, quality assurance, coordination of activities, any training activities, reports, budget and evaluation. Collaboration includes data analysis, interpretation of findings and reporting. (2) The IHS assigned program official will approve the training curriculum content, facts, delivery mode, pre- and post-assessments, and evaluation before any materials are printed and the training is conducted. (3) The IHS assigned program official will review and approve all of the final draft products before they are published and distributed. B. Grantee Cooperative Agreement Award Activities The awardee must comply with relevant Office of Management and Budget (OMB) Circular provisions regarding lobbying, any applicable lobbying restrictions provided under E:\FR\FM\25JYN1.SGM 25JYN1 mstockstill on DSK3G9T082PROD with NOTICES Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices other law, and any applicable restriction on the use of appropriated funds for lobbying activities. Awardees are expected to: (1) Foster collaboration across the Indian health care system to encourage and facilitate an open exchange of ideas and open communication regarding training and technical assistance on the ACA and IHCIA provisions. (2) Conduct training and technical assistance on the ACA and IHCIA and the changes and requirements that will affect AI/ANs either independently or jointly via a partnership as described previously. The purpose of this IHS cooperative agreement announcement is to encourage national and regional Indian organizations and IHS and Tribal (I/T) partners to work together to conduct ACA/IHCIA training and technical assistance throughout Indian Country. The project goals are three-fold for the IHS and the selected entities: (i) Materials—Develop and disseminate (upon IHS approval) training materials about the ACA/IHCIA impact on the Indian health care system including: Educating consumers on the health care insurance options available, educating the I/T system on the process for enrollment (with a special focus on the Certified Application Counselor (CAC) and Hardship Exemption requirements) and eligibility determinations, and maximizing revenue opportunities. (ii) Training—Develop and implement an ACA/IHCIA implementation training plan and individual training sessions aimed at educating all Indian health care system stakeholders on health care system impact and changes, specifically implementation in the different types of marketplaces, the role of Health Insurance Marketplace assisters (special emphasis on CAC), Navigators, and the Hardship Exemption for AI/ANs. Collaborate and partner with other national organizations to identify ways to take full advantage of the health care coverage options offered through the Health Insurance Marketplace. (iii) Technical Assistance—Provide technical assistance to I/T on the ACA/ IHCIA implementation. Work with these entities to assess the training needs, identify innovations in ACA/IHCIA implementation, including technology, and promote the dissemination and replication of solutions to the challenges faced by I/T in implementing the ACA/ IHCIA through the identification and promotion of best practices. Summary of Tasks To Be Performed The project will conduct the following major activities: VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 1. Develop and implement a communications strategy for each FY as follows: a. Applicant 1—$75,000 per FY totaling $225,000 for all three years. i. Educate AI/ANs on the available health coverage options under the ACA; ii. Focus on the needs of Direct Services Tribes, including: Providing policy review and analysis of health care issues, training Tribal leaders on the health insurance options available under the ACA and sharing outreach and education best practices among Direct Service Tribes. iii. Develop a technical assistance plan and provide technical assistance to NIHOE Health Reform partners, Tribal leaders, Tribal employers and Direct Service Tribes on ACA/IHCIA implementation across the Indian health care system. iv. Work with NIHOE Health Reform partners and Direct Service Tribes to achieve economies of scale and reduce duplication of AI/AN training and outreach and education materials, including the development of crosscutting ACA/IHCIA content specific to the Indian health care system. v. Work with NIHOE Health Reform partners and Direct Service Tribes to enhance collaboration with other Federal agency programs, local, state, Tribal and national partners. b. Applicant 2—$125,000 per FY totaling $375,000 for all three years. i. Educate Tribal leaders and Tribal employers on the health insurance options under the ACA including the Small Business Health Options Program and Tribal self-insurance; and ii. Develop a technical assistance plan and provide technical assistance to NIHOE Health Reform partners, Tribal leaders, Tribal employers and Direct Service Tribes on ACA/IHCIA implementation across the Indian health care system. The following key components need to be addressed in the work plan: Develop a national coordination strategy for the Health Reform project to ensure a shared vision and mission amongst all partners and convene partners on a regular basis. Applicants should describe plans for addressing the following: Outreach and Education • The awardee shall coordinate and develop a multiple strategy education and outreach training approach for I/T that reaches the widest audience possible in a timely fashion, appropriately tailored to the needs of AI/AN communities. • The awardee shall conduct regional and national ACA/IHCIA education and PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 48429 outreach focusing on four consumer groups: (1) Consumers; (2) Tribal Leadership and Membership; (3) Tribal Employers; and (4) Indian Health Facility Administrators. • The awardee shall provide measurable outcomes and performance improvement activities for ACA/IHCIA outreach and education actions. • The awardee shall share information, innovative ideas, challenges and solutions, and provide progress reports. Policy Analysis • The awardee shall develop, monitor and review ACA review metrics that provide indicators of AI/AN participation in marketplace plans and I/T participation as network providers in the marketplace and disseminate ACA policy information at national conferences and through IHS advisory committees. • The awardee shall review and coordinate ACA/IHCIA policy recommendations and strategies by the I/T. • The awardee shall ensure the training curriculum content addresses all new regulations and operations for implementing the ACA/IHCIA requirements. Information Sharing and Technical Assistance • The awardee shall collaborate and coordinate to ensure training and educational materials are widely distributed to Tribal leaders and frontline enrollment personnel. • The awardee shall conduct and record monthly meetings with NIHOE Health Reform national and regional principals to share information, share best practices, and provide progress reports. • The awardee shall plan communication around key moments or events through the grant period to increase education efforts. • The awardees shall identify I/T audiences that may have challenges with enrollments and tailor outreach efforts accordingly. • The awardees shall develop communications vehicles to showcase positive impact stories of I/T with ACA/ IHCIA. • The awardee shall develop and provide templates for Tribal, IHS, and community outreach and education. • The awardee shall conduct workshops and/or presentations including, but not limited to, the successes of the ACA/IHCIA promising practices and/or best practices of I/T programs at three national conferences (venue and content of presentations to E:\FR\FM\25JYN1.SGM 25JYN1 48430 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices be agreed upon in advance by the awardee and the IHS assigned program official). • The awardee will provide postings on ACA/IHCIA outreach and education related information for appropriate Web site dissemination. • The awardee will develop and/or maintain a comprehensive list of ACA/ IHCIA outreach and education program development and business practice guidelines for use by I/T programs. • The awardee shall act as a resource broker and identify subject matter experts to conduct trainings and technical assistance for implementation of the ACA enrollments. • The awardee shall provide quarterly articles for national and local media outlets and I/T news information sources, focusing on the successful impact and outcomes of ACA/IHCIA in Tribal communities, available resources, and funding opportunities. • The awardee shall meet with stakeholders to identify their needs from a community level and monitor level of access to education and outreach materials (i.e., pharmacy bags, palm cards, posters, payroll inserts, etc.). mstockstill on DSK3G9T082PROD with NOTICES Training • The awardee shall re-evaluate all ACA/IHCIA training material available for AI/AN, present findings to IHS, and mutually decide on new materials. • The awardee shall record training sessions and make the recordings available to the I/T and AI/AN community on the Web sites of the national Indian organizations and partners. • The awardee shall provide focused ACA/IHCIA education that translates in everyday language explaining the benefits of the ACA and the special provisions for Indians. The awardee, because involvement of community based partners and local leadership from all I/T levels is an important factor in the success of any enrollment process, shall develop modified training briefs for Tribal health directors, chief executive officers, health care professionals, and Tribal leaders to assist with outreach efforts. • The awardee shall provide ongoing AI/AN consumers training on tools developed for State Based Marketplace (SBM) implementation. Reporting • The awardee shall provide semiannual reports documenting and describing progress and accomplishment of the activities specified above, attaching any necessary documentation to adequately document accomplishments. VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 • The awardee shall attend regularly scheduled, in-person and conference call meetings with the IHS assigned program official team to discuss the awardee’s services and outreach and education related issues. The awardee must provide meeting minutes that highlight the awardee’s specific involvement and participation. • The awardee shall obtain approval from the IHS assigned program official for all PowerPoint presentations, electronic content, and other materials, including mass emails, developed by awardee pursuant to this award and any supplemental awards prior to the presentation or dissemination of such materials to any party, allowing for a reasonable amount of time for IHS review. • The awardee shall conduct and record monthly meetings with NIHOE national and regional principals to share information and provide progress reports. • The awardee shall assess and provide measurable outcomes and performance improvement activities for ACA/IHCIA outreach and education actions both quantitative and qualitative. 1. The awardee shall monitor and track I/T facility enrollment data and identify challenges and opportunities for outreach and education activities and report findings on a regular basis. 2. Identify successes and gaps in enrollment and develop future enrollment campaigns and report findings on a regular basis. Requirements • Attendance at regularly scheduled meetings between awardee and the IHS assigned program official, evidenced by meeting minutes which highlight the awardee’s specific involvement and participation. • Participation on outreach and education conference calls identified by the IHS assigned program official, evidenced by meeting agenda and minutes as needed. • Report of outcomes at conferences (meeting booths, workshops and/or presentations provided): 1. National Advisory Committee conference calls and meetings. 2. IHS area conference calls. 3. IHS area and national webinars. 4. Other AI/AN national conferences. • Completed programmatic reviews of semi and annual progress reports of outreach and education projects, in order to identify projects that require technical assistance. [Note: This review is not to replace IHS review of outreach and education programs. The programmatic reviews to be conducted PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 by grantee are secondary reviews intended solely to identify programs in need of technical assistance.] Æ The awardee shall help the IHS assigned program official identify challenges faced by participating I/T and assist in developing solutions. • Copies of educational and practicebased information provided to I/T programs (electronic form and one hard copy). • Copies of all promotional and educational materials provided to I/T programs and other projects (electronic form and one hard copy). • Copies of all promotional materials provided to media and other outlets (electronic form and one hard copy). • Copies of all articles published (electronic form and one hard copy). Submit semi-annual and annual progress reports to ORAP and ODSCT, due no later than 30 days after the reporting cycle, attaching any necessary documentation. For example: Meeting minutes, correspondence with I/T programs, samples of all written materials developed including brochures, news articles, videos, and radio and television ads to adequately document accomplishments. • The awardee will submit a deliverable schedule to the program official not later than 30 days after the start date. The IHS will provide guidance and assistance as needed. Copies of all requirements must be submitted to the IHS ODSCT; IHS ORAP; and IHS Deputy Director. A. Collaboration and Coordination To Ensure Training and Materials Are Widely Distributed 1. Evaluate all available ACA/IHCIA training material available for AI/AN and create additional materials as needed that are related to ACA/IHCIA. 2. Record, track, and coordinate information sharing activities (enrollments, trainings, information shared, meetings, updates, etc.) with IHS Offices: ODSCT, ORAP and 11 IHS area offices including Albuquerque Area, Bemidji Area, Billings Area, California Area, Great Plains Area, Nashville Area, Navajo Area, Oklahoma City Area, Phoenix Area, Portland Area and Tucson Area. 3. Record training sessions and describe how they will be made available on the Web sites of the national Indian organizations and partners. 4. Describe how to ensure the training curriculum content addresses all new regulations implementing the ACA and IHCIA requirements. E:\FR\FM\25JYN1.SGM 25JYN1 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices 5. Participate in monthly meetings with NIHOE Health Reform national and regional principals to share information and provide progress reports. 6. Provide ongoing training on tools developed for SBM implementation. 7. Because involvement of community based partners and local leadership from all I/T levels is an important factor in the success of any enrollment process, develop modified training briefs for other community leaders to assist with outreach efforts. B. Work Plan 1. Provide a Work Plan that describes the sequence of specific activities and steps that will be used to carry out each of the objectives, including updates about progress implementing the ACA. 2. Report the number of CAC staff trained and employed, network contracts, additional consumers enrolled in Medicaid, Children’s Health Insurance Program (CHIP) or marketplace plan, and in-network contracts with a Qualified Health Plans (QHP) in the Marketplace using the Model QHP Addendum for Indian Health Care Providers. Describe outreach and enrollment activities, partnerships, and planning. 3. Include a detailed time line that links activities to project objectives for every 12-month budget period for the three years of funding. 4. Identify challenges, both opportunities and barriers that are likely to be encountered in designing and implementing the activities and approaches that will be used to address such challenges. 5. Describe communication methods with partners including plans for improving communication. C. Evaluation 1. Provide a plan for assessing the achievement of the project’s objectives and for evaluating changes in the specific problems and contributing factors. 2. Identify performance measures by which the project will track its progress over time. 3. Secure agreement with IHS on evaluation methods and deadlines. mstockstill on DSK3G9T082PROD with NOTICES D. Budget Provide a functional categorically itemized budget and program narrative justification that supports accomplishing the program objectives, activities, and outcomes within the timeframes specified. III. Eligibility Information I. VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 1. Eligibility To be eligible for this ‘‘New Limited competition Announcement’’, an applicant must be a 501(c)(3) non-profit entity who meets the following criteria: Eligible applicants that can apply for this funding opportunity are national Indian organizations. The national Indian organizations must have the infrastructure in place to accomplish the work under the proposed program. Eligible entities must have demonstrated expertise in the following areas: • Representing all Tribal governments and providing a variety of services to Tribes, area health boards, Tribal organizations, and Federal agencies, and playing a major role in focusing attention on Indian health care needs, resulting in improved health outcomes for AI/ANs. • Promoting and supporting Indian health care education and coordinating efforts to inform AI/AN of Federal decisions that affect Tribal government interests including the improvement of Indian health care. • Administering national health policy and health programs. • Maintaining a national AI/AN constituency and clearly supporting critical services and activities within the IHS mission of improving the quality of health care for AI/AN people. • Supporting improved health care in Indian Country. • Providing education and outreach on a national scale (the applicant must provide evidence of at least ten years of experience in this area). 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 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. PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 48431 The following documentation is required: 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 http://www.Grants.gov or http://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. • 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 for each of the two components). Æ Background information on the 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 letters of support (Optional). • Letter of support from organization’s board of directors. • 501(c)(3) Certificate (if applicable). • Position descriptions of key personnel. • Resumes of key personnel. • Contractor/Consultant resumes or qualifications and scope of work. E:\FR\FM\25JYN1.SGM 25JYN1 48432 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices • Disclosure of Lobbying Activities (SF–LLL). • Certification Regarding Lobbying (GG-Lobbying Form). • Copy of current Negotiated Indirect Cost rate (IDC) agreement (required) in order to receive IDC. • Organizational Chart (optional). • Documentation of current OMB A– 133 required Financial Audit (if applicable). Acceptable forms of documentation include: Æ Email confirmation from Federal Audit Clearinghouse (FAC) that audits were submitted; or Æ Face sheets from audit reports. These can be found on the FAC Web site: http://harvester.census.gov/sac/ dissem/accessoptions.html?submit=Go +To+Database. mstockstill on DSK3G9T082PROD with NOTICES 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 for each of the two components for a total of 20 pages: $600,000 to conduct ACA/IHCIA education and outreach training and technical assistance for three consecutive years. Project narrative 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″ 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 cooperative agreement award. If the narrative exceeds the page limit, only the first ten pages of each component will be reviewed. The ten-page limit for the narrative does not include the work plan, standard forms, table of contents, budget, budget justifications, narratives, and/or other appendix items. There are three parts to the narrative: Part A—Program Information; Part B— Program Planning and Evaluation; and Part C—Program Report. See below for VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 additional details about what must be included in the narrative. Part A: Program Information (4 Page Limitation for Each Component) Section 1: Needs Describe how the national Indian organization(s) has the experience to provide outreach and education efforts regarding the pertinent changes and updates in health care listed herein. Part B: Program Planning and Evaluation (4 Page Limitation for Each Component) Section 1: Program Plans Describe fully and clearly the direction the national Indian organization plans to address the NIHOE III Health Reform requirements, including how the national Indian organization plans to demonstrate improved health education and outreach services to all 567 Federallyrecognized Tribes. Include proposed timelines as appropriate and applicable. Section 2: Program Evaluation Describe fully and clearly how the outreach and education efforts will impact changes in knowledge and awareness in Tribes and Tribal organizations to encourage appropriate changes by increasing knowledge and awareness resulting in informed choices. Identify anticipated or expected benefits for the Tribal constituency. Part C: Program Report (2 Page Limitation for Each Component) Section 1: Describe major accomplishments over the last 36 months. Identify and describe significant program achievements associated with the delivery of quality health outreach and education. Provide a comparison of the actual accomplishments to the goals established for the project period, or if applicable, provide justification for the lack of progress. Section 2: Describe major activities over the last 36 months. Please provide an overview of significant program activities and impacts (meaningful changes made), associated with the delivery of quality health outreach and education. This section should address significant program activities and impacts 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 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 match the scope of work described in the project narrative. The budget narrative 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 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 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 E:\FR\FM\25JYN1.SGM 25JYN1 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices 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. mstockstill on DSK3G9T082PROD with NOTICES 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. • IHS will not acknowledge receipt of applications. 6. Electronic Submission Requirements All applications must be submitted electronically. Please use the http:// 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 http:// 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 http:// 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 http://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). VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 • 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 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 http:// 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. PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 48433 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: http://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 ten page narrative for each component should include only the first year of activities; information for multi-year projects should be included as an appendix. See ‘‘Multiyear 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: E:\FR\FM\25JYN1.SGM 25JYN1 48434 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices 1. Criteria A. Introduction and Need for Assistance (15 Points) mstockstill on DSK3G9T082PROD with NOTICES (1) Describe the individual entity’s and/or partnering entities’ (as applicable) current health, education and technical assistance operations as related to the broad spectrum of health needs of the AI/AN community. Include what programs and services are currently provided (i.e., Federally funded, State funded, etc.), any memorandums of agreement with other national, area or local Indian health board organizations, HHS agencies that rely on the applicant as the primary gateway organization that is capable of providing the dissemination of health information, information regarding technologies currently used (i.e., hardware, software, services, etc.), and identify the source(s) of technical support for those technologies (i.e., inhouse staff, contractors, vendors, etc.). Include information regarding how long the applicant has been operating and its length of association/partnerships with area health boards, etc. [historical collaboration]. (2) Describe the organization’s current technical assistance ability. Include what programs and services are currently provided, programs and services projected to be provided, etc. (3) Describe the population to be served by the proposed project. Include a description of the number of Tribes and Tribal members who currently benefit from the technical assistance provided by the applicant. (4) State how previous cooperative agreement funds facilitated education, training and technical assistance nationwide for AI/ANs and relate the progression of health care information delivery and development relative to the current proposed project. (Copies of reports will not be accepted.) (5) Describe collaborative and supportive efforts with national, area and local Indian health boards. (6) Describe how the project relates to the purpose of the cooperative agreement by addressing the following: Identify how the proposed project will address the changes and requirements of the Acts. B. Project Objective(s), Work Plan and Approach (45 Points) (1) Proposed project objectives must be: a. Measurable and (if applicable) quantifiable. b. Results oriented. c. Time-limited. VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 (2) Submit a work plan in the appendix which includes the following information: a. Provide the action steps on a timeline for accomplishing the proposed project objective(s). b. Identify who will perform the action steps. c. Identify who will supervise the action steps taken. d. Identify what tangible products will be produced during and at the end of the proposed project objective(s). e. Identify who will accept and/or approve work products during the duration of the proposed project and at the end of the proposed project. f. Include any training that will take place during the proposed project and who will be attending the training. g. Include evaluation activities planned. (3) 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): a. Educational requirements. b. Desired qualifications and work experience. c. Expected work products to be delivered on a timeline. d. If a potential consultant/contractor has already been identified, please include a resume in the Appendix. C. Program Evaluation (15 Points) Each proposed objective requires an evaluation component to assess its progression and ensure its completion. Also, include the evaluation activities in the work plan. Describe the proposed plan to evaluate both outcomes and process. Outcome evaluation relates to the results identified in the objectives, and process evaluation relates to the work plan and activities of the project. (1) For outcome evaluation, describe: a. What the criteria will be for determining success of each objective. b. What data will be collected to determine whether the objective was met. c. At what intervals will data be collected. d. Who will collect the data and their qualifications. e. How the data will be analyzed. f. How the results will be used. (2) For process evaluation, describe: a. How the project will be monitored and assessed for potential problems and needed quality improvements. b. Who will be responsible for monitoring and managing project improvements based on results of ongoing process improvements and their qualifications. PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 c. How ongoing monitoring will be used to improve the project. d. Any products, such as manuals or policies, that might be developed and how they might lend themselves to replication by others. (3) Describe how the project will document what is learned throughout the project period. Describe any evaluation efforts that are planned to occur after the grant periods ends. (4) Describe the ultimate benefit for the AI/ANs that will be derived from this project. D. Organizational Capabilities, Key Personnel and Qualifications (15 Points) (1) Describe the organizational structure of the organization. (2) Describe the ability of the organization to manage the proposed project. Include information regarding similarly sized projects in scope and financial assistance as well as other cooperative agreements/grants and projects successfully completed. (3) Describe what equipment (i.e., fax machine, phone, computer, etc.) and facility space (i.e., office space) will be available for use during the proposed project. (4) List key personnel who will work on the project. Include title used 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 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. E. Categorical Budget and Budget Justification (10 Points) (1) Provide a categorical budget for 12-month budget period 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 line item is necessary/relevant to the proposed project. Include sufficient cost and other details to facilitate the determination of cost allowability (i.e., equipment specifications, etc.). Multi-Year Project Requirements Projects requiring a second and/or third year must include a brief project narrative and budget (one additional page per year) addressing the E:\FR\FM\25JYN1.SGM 25JYN1 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices developmental plans for each additional year of the project. 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 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 mstockstill on DSK3G9T082PROD with NOTICES 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 VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 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 or more, 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 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: • 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: PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 48435 • 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 (IDC) 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/finance/indirect-CostServices/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 E:\FR\FM\25JYN1.SGM 25JYN1 48436 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices 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. mstockstill on DSK3G9T082PROD with NOTICES 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: http:// 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 firsttier 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 VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 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: http:// 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 http://www.hhs.gov/civil-rights/forindividuals/special-topics/limitedenglish-proficiency/guidance-federalfinancial-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 http://www.hhs.gov/civilrights/for-individuals/section-1557/ index.html; and http://www.hhs.gov/ civil-rights/index.html. Recipients of FFA also have specific legal obligations for serving qualified individuals with disabilities. Please see http:// www.hhs.gov/civil-rights/forindividuals/disability/index.html. Please contact the HHS OCR for more information about obligations and prohibitions under federal civil rights laws at http://www.hhs.gov/civil-rights/ for-individuals/disability/index.html 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 http:// PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 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: http://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. E. Federal Awardee Performance and Integrity Information System (FAPIIS) The 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 IHS 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. E:\FR\FM\25JYN1.SGM 25JYN1 Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices mstockstill on DSK3G9T082PROD with NOTICES Submission is required for all applicants and recipients, in writing, to the IHS and to the HHS Office of Inspector General 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 20852. (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: http://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: Ms. Michelle EagleHawk, Deputy Director, ODSCT, 5600 Fishers Lane, Mail Stop: O8E17, Rockville, Maryland 20857, Telephone: (301) 443–1104, E-Mail: Michelle.EagleHawk@ihs.gov. 2. Questions on grants management and fiscal matters may be directed to: Ms. Patience Musikikongo, Grants Management Specialist, DGM, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Telephone: (301) 443–2059, Fax: (301) 594–0899, E-Mail: Patience.Musikikongo@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, E-Mail: Paul.Gettys@ ihs.gov. VIII. Other Information The Public Health Service strongly encourages all cooperative agreement and contract recipients to provide a VerDate Sep<11>2014 18:27 Jul 22, 2016 Jkt 238001 smoke-free workplace and promote the non-use of all tobacco products. In addition, Pub. L. 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 18, 2016. Elizabeth A. Fowler, Deputy Director for Management Operations, Indian Health Service. [FR Doc. 2016–17500 Filed 7–22–16; 8:45 am] BILLING CODE 4165–16–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 60 Day Proposed Information Collection: Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest Indian Health Service, HHS. Notice AGENCY: ACTION: In compliance with the Paperwork Reduction Act of 1995 which requires 60 days advance opportunity for public comment on proposed information collection projects, the Indian Health Service (IHS) is publishing for comment a summary of proposed information collection to be submitted to the Office of Management and Budget (OMB) for review. Proposed Collection: Proposed Collection: Title: 0917–NEW, ‘‘Indian Health Service Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest.’’ Type of Information Collection Request: Three year approval of this new information collection, 0917–NEW, ‘‘Indian Health Service Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest.’’ Form(s): Child Care Center Director Questionnaire and Pesticide Applicator Questionnaire. DATES: Comment Due Date: September 23, 2016. Your comments regarding this information collection are best assured of having full effect if received within 60 days of the date of this publication. ADDRESSES: Send your written comments, requests for more information on the collection, or requests to obtain a copy of the data collection instrument and instructions SUMMARY: PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 48437 to Ms. Celeste Davis by one of the following methods: • Mail: Ms. Celeste Davis, Director, Division of Environmental Health Services/Emergency Management Coordinator, U.S. DHHS/Indian Health Service, 1414 NW Northrup St., 800, Portland, OR 97209. • Phone: 503–414–7774. • Email: Celeste.Davis@ihs.gov. • Fax: 503–414–7776. SUPPLEMENTARY INFORMATION: The Division is submitting the proposed information collection to OMB for review, as required by the Paperwork Reduction Act of 1995. This Notice is soliciting comments from members of the public and affected agencies concerning the proposed collection of information to: (1) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility: (2) Evaluate the accuracy of the agency’s estimate of the burden of the proposed collection of information; (3) Enhance the quality, utility, and clarity of the information to be collected; and (4) Minimize the burden of the collection of information on those who are to respond; including through the use of appropriate automated collection techniques of other forms of information technology, e.g., permitting electronic submission of responses. Title of Proposal: Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest. OMB Control Number: To be assigned. Need for the Information and Proposed Use: The Portland Area IHS and EPA seek to conduct an environmental health assessment of tribal child care centers in Portland Area Indian Country (in the states of Washington, Oregon, and Idaho). There is a significant data gap regarding the levels of lead, allergens, pesticides, and polychlorinated biphenyls (PCBs) in child care centers within Portland Area Indian country. This research will help us understand the potential for exposure to these chemicals among children who attend. For example, Eliminating Childhood Lead Poisoning: A Federal Strategy Targeting Lead Paint Hazards, produced by the President’s Task Force on Environmental Health Risks and Safety Risks to Children discusses the need for more data on lead levels in licensed child care facilities. Also, data is limited on the interrelationships between exposure factors, building factors, and community factors and their combined impact on children’s exposures from chemical agents in child E:\FR\FM\25JYN1.SGM 25JYN1

Agencies

[Federal Register Volume 81, Number 142 (Monday, July 25, 2016)]
[Notices]
[Pages 48427-48437]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-17500]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Office of Direct Service and Contracting Tribes National Indian 
Health Outreach and Education--Health Reform Funding Opportunity

    Announcement Type: New Limited Competition.
    Funding Announcement Number: HHS-2016-IHS-NIHOE-3-Health-Reform-
0001.
    Catalog of Federal Domestic Assistance Number: 93.933.

Key Dates

    Application Deadline Date: August 25, 2016.
    Review Date: August 29, 2016.
    Earliest Anticipated Start Date: September 15, 2016.
    Proof of Non-Profit Status Due Date: August 25, 2016.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) Office of Direct Service and 
Contracting Tribes (ODSCT) and the Office of Resource Access and 
Partnerships (ORAP) is accepting cooperative agreement applications for 
the National Indian Health Outreach and Education III (NIHOE-III)-
Health Reform funding opportunity that includes outreach and education 
activities on the following: The Patient Protection and Affordable Care 
Act, Public Law 111-148, as amended by the Health Care and Education 
Reconciliation Act of 2010, Public Law 111-152, collectively known as 
the Affordable Care Act (ACA), and the Indian Health Care Improvement 
Act (IHCIA), as amended. This program is authorized under the Snyder 
Act, codified at 25 U.S.C. 13, and the Transfer Act, codified at 42 
U.S.C. 2001(a). This program is described in the Catalog of Federal 
Domestic Assistance under 93.933.

Background

    The NIHOE III--Health Reform program carries out health program

[[Page 48428]]

objectives in the American Indian/Alaska Native (AI/AN) community in 
the interest of improving the quality of and access to health care for 
all 567 Federally-recognized Tribes including Tribal governments 
operating their own health care delivery systems through self-
determination contracts and compacts with the IHS and Tribes that 
continue to receive health care directly from the IHS. This program 
addresses health policy and health program issues and disseminates 
educational information to all AI/AN Tribes and villages. These Health 
Reform awards require that public forums be held at Tribal educational 
consumer conferences to disseminate changes and updates on the latest 
health care information. These awards also require that regional and 
national meetings be coordinated for information dissemination as well 
as for the inclusion of planning and technical assistance and health 
care recommendations on behalf of participating Tribes to ultimately 
inform IHS and the Department of Health and Human Services (HHS) based 
on Tribal input through a broad based consumer network.

Purpose

    The purpose of this IHS cooperative agreement announcement is to 
encourage national Indian organizations, IHS, and Tribal partners to 
work together to conduct ACA/IHCIA training and technical assistance 
throughout Indian Country. Under the Limited Competition NIHOE Health 
Reform Cooperative Agreement program, the overall program objective is 
to improve Indian health care by conducting training and technical 
assistance across AI/AN communities to ensure that the Indian health 
care system and all AI/ANs are prepared to take advantage of the new 
health insurance coverage options which will improve the quality of and 
access to health care services and increase resources for AI/AN health 
care. The goal of this program announcement is to coordinate and 
conduct training and technical assistance on a national scale for the 
567 Federally-recognized Tribes and Tribal organizations on the 
changes, improvements and authorities of the ACA and IHCIA and the 
health insurance options available to AI/AN through the Health 
Insurance Marketplace.

Limited Competition Justification

    Competition for the award included in this announcement is limited 
to national Indian organizations with at least ten years of experience 
providing training, education and outreach on a national scale. This 
limitation ensures that the awardee will have (1) a national 
information-sharing infrastructure which will facilitate the timely 
exchange of information between the HHS, Tribes, and Tribal 
organizations on a broad scale; (2) a national perspective on the needs 
of AI/AN communities that will ensure that the information developed 
and disseminated through the projects is culturally appropriate, useful 
and addresses the most pressing needs of AI/AN communities; and (3) 
established relationships with Tribes and Tribal organizations that 
will foster open and honest participation by AI/AN communities. 
Regional and local organizations will not have the mechanisms in place 
to conduct communication on a national level, nor will they have an 
accurate picture of the health care needs facing AI/ANs nationwide. 
Organizations with less experience will lack the established 
relationships with Tribes and Tribal organizations throughout the 
country that will facilitate participation and the open and honest 
exchange of information between Tribes and HHS. However, awardees will 
be expected to work with regional and local organizations to achieve 
the goals herein. With the limited funds available for these health 
reform projects, HHS must ensure that the training, education and 
outreach efforts described in this announcement reach the widest 
audience possible in a timely fashion, are appropriately tailored to 
the needs of AI/AN communities throughout the country, and come from a 
source that AI/ANs recognize and trust. For these reasons, this is a 
limited competition announcement.

II. Award Information

Type of Award

    Cooperative Agreement.

Estimated Funds Available

    The total amount of funding identified for the current funding 
cycle which covers fiscal years (FY) 2016-2018 is approximately 
$600,000. Individual award amounts are anticipated to be $200,000 per 
FY, respectively, if awarded to two entities applying separately. 
Further details are provided in the applicable section components. The 
amount of funding available for both competing and 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.
    Two entities applying separately to accomplish appropriately 
divided program activities:
    1. One entity will apply for $75,000 per FY or $225,000 total.
    2. The second entity will apply for the remaining $125,000 per FY 
or $375,000 total.

Anticipated Number of Awards

    Approximately two awards will be issued under this program 
announcement.

Project Period

    The project period will be for three years and will run 
consecutively from September 15, 2016 to September 14, 2019.

Cooperative Agreement

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

Substantial Involvement Description for Cooperative Agreement

A. IHS Programmatic Involvement

    (1) The IHS assigned program official will work in partnership with 
the awardee in all decisions involving strategy, hiring of consultants, 
deployment of resources, release of public information materials, 
quality assurance, coordination of activities, any training activities, 
reports, budget and evaluation. Collaboration includes data analysis, 
interpretation of findings and reporting.
    (2) The IHS assigned program official will approve the training 
curriculum content, facts, delivery mode, pre- and post-assessments, 
and evaluation before any materials are printed and the training is 
conducted.
    (3) The IHS assigned program official will review and approve all 
of the final draft products before they are published and distributed.

B. Grantee Cooperative Agreement Award Activities

    The awardee must comply with relevant Office of Management and 
Budget (OMB) Circular provisions regarding lobbying, any applicable 
lobbying restrictions provided under

[[Page 48429]]

other law, and any applicable restriction on the use of appropriated 
funds for lobbying activities. Awardees are expected to:
    (1) Foster collaboration across the Indian health care system to 
encourage and facilitate an open exchange of ideas and open 
communication regarding training and technical assistance on the ACA 
and IHCIA provisions.
    (2) Conduct training and technical assistance on the ACA and IHCIA 
and the changes and requirements that will affect AI/ANs either 
independently or jointly via a partnership as described previously. The 
purpose of this IHS cooperative agreement announcement is to encourage 
national and regional Indian organizations and IHS and Tribal (I/T) 
partners to work together to conduct ACA/IHCIA training and technical 
assistance throughout Indian Country. The project goals are three-fold 
for the IHS and the selected entities:
    (i) Materials--Develop and disseminate (upon IHS approval) training 
materials about the ACA/IHCIA impact on the Indian health care system 
including: Educating consumers on the health care insurance options 
available, educating the I/T system on the process for enrollment (with 
a special focus on the Certified Application Counselor (CAC) and 
Hardship Exemption requirements) and eligibility determinations, and 
maximizing revenue opportunities.
    (ii) Training--Develop and implement an ACA/IHCIA implementation 
training plan and individual training sessions aimed at educating all 
Indian health care system stakeholders on health care system impact and 
changes, specifically implementation in the different types of 
marketplaces, the role of Health Insurance Marketplace assisters 
(special emphasis on CAC), Navigators, and the Hardship Exemption for 
AI/ANs. Collaborate and partner with other national organizations to 
identify ways to take full advantage of the health care coverage 
options offered through the Health Insurance Marketplace.
    (iii) Technical Assistance--Provide technical assistance to I/T on 
the ACA/IHCIA implementation. Work with these entities to assess the 
training needs, identify innovations in ACA/IHCIA implementation, 
including technology, and promote the dissemination and replication of 
solutions to the challenges faced by I/T in implementing the ACA/IHCIA 
through the identification and promotion of best practices.

Summary of Tasks To Be Performed

    The project will conduct the following major activities:
    1. Develop and implement a communications strategy for each FY as 
follows:
    a. Applicant 1--$75,000 per FY totaling $225,000 for all three 
years.
    i. Educate AI/ANs on the available health coverage options under 
the ACA;
    ii. Focus on the needs of Direct Services Tribes, including: 
Providing policy review and analysis of health care issues, training 
Tribal leaders on the health insurance options available under the ACA 
and sharing outreach and education best practices among Direct Service 
Tribes.
    iii. Develop a technical assistance plan and provide technical 
assistance to NIHOE Health Reform partners, Tribal leaders, Tribal 
employers and Direct Service Tribes on ACA/IHCIA implementation across 
the Indian health care system.
    iv. Work with NIHOE Health Reform partners and Direct Service 
Tribes to achieve economies of scale and reduce duplication of AI/AN 
training and outreach and education materials, including the 
development of cross-cutting ACA/IHCIA content specific to the Indian 
health care system.
    v. Work with NIHOE Health Reform partners and Direct Service Tribes 
to enhance collaboration with other Federal agency programs, local, 
state, Tribal and national partners.
    b. Applicant 2--$125,000 per FY totaling $375,000 for all three 
years.
    i. Educate Tribal leaders and Tribal employers on the health 
insurance options under the ACA including the Small Business Health 
Options Program and Tribal self-insurance; and
    ii. Develop a technical assistance plan and provide technical 
assistance to NIHOE Health Reform partners, Tribal leaders, Tribal 
employers and Direct Service Tribes on ACA/IHCIA implementation across 
the Indian health care system.
    The following key components need to be addressed in the work plan:
    Develop a national coordination strategy for the Health Reform 
project to ensure a shared vision and mission amongst all partners and 
convene partners on a regular basis.
    Applicants should describe plans for addressing the following:

Outreach and Education

     The awardee shall coordinate and develop a multiple 
strategy education and outreach training approach for I/T that reaches 
the widest audience possible in a timely fashion, appropriately 
tailored to the needs of AI/AN communities.
     The awardee shall conduct regional and national ACA/IHCIA 
education and outreach focusing on four consumer groups: (1) Consumers; 
(2) Tribal Leadership and Membership; (3) Tribal Employers; and (4) 
Indian Health Facility Administrators.
     The awardee shall provide measurable outcomes and 
performance improvement activities for ACA/IHCIA outreach and education 
actions.
     The awardee shall share information, innovative ideas, 
challenges and solutions, and provide progress reports.

Policy Analysis

     The awardee shall develop, monitor and review ACA review 
metrics that provide indicators of AI/AN participation in marketplace 
plans and I/T participation as network providers in the marketplace and 
disseminate ACA policy information at national conferences and through 
IHS advisory committees.
     The awardee shall review and coordinate ACA/IHCIA policy 
recommendations and strategies by the I/T.
     The awardee shall ensure the training curriculum content 
addresses all new regulations and operations for implementing the ACA/
IHCIA requirements.

Information Sharing and Technical Assistance

     The awardee shall collaborate and coordinate to ensure 
training and educational materials are widely distributed to Tribal 
leaders and frontline enrollment personnel.
     The awardee shall conduct and record monthly meetings with 
NIHOE Health Reform national and regional principals to share 
information, share best practices, and provide progress reports.
     The awardee shall plan communication around key moments or 
events through the grant period to increase education efforts.
     The awardees shall identify I/T audiences that may have 
challenges with enrollments and tailor outreach efforts accordingly.
     The awardees shall develop communications vehicles to 
showcase positive impact stories of I/T with ACA/IHCIA.
     The awardee shall develop and provide templates for 
Tribal, IHS, and community outreach and education.
     The awardee shall conduct workshops and/or presentations 
including, but not limited to, the successes of the ACA/IHCIA promising 
practices and/or best practices of I/T programs at three national 
conferences (venue and content of presentations to

[[Page 48430]]

be agreed upon in advance by the awardee and the IHS assigned program 
official).
     The awardee will provide postings on ACA/IHCIA outreach 
and education related information for appropriate Web site 
dissemination.
     The awardee will develop and/or maintain a comprehensive 
list of ACA/IHCIA outreach and education program development and 
business practice guidelines for use by I/T programs.
     The awardee shall act as a resource broker and identify 
subject matter experts to conduct trainings and technical assistance 
for implementation of the ACA enrollments.
     The awardee shall provide quarterly articles for national 
and local media outlets and I/T news information sources, focusing on 
the successful impact and outcomes of ACA/IHCIA in Tribal communities, 
available resources, and funding opportunities.
     The awardee shall meet with stakeholders to identify their 
needs from a community level and monitor level of access to education 
and outreach materials (i.e., pharmacy bags, palm cards, posters, 
payroll inserts, etc.).

Training

     The awardee shall re-evaluate all ACA/IHCIA training 
material available for AI/AN, present findings to IHS, and mutually 
decide on new materials.
     The awardee shall record training sessions and make the 
recordings available to the I/T and AI/AN community on the Web sites of 
the national Indian organizations and partners.
     The awardee shall provide focused ACA/IHCIA education that 
translates in everyday language explaining the benefits of the ACA and 
the special provisions for Indians. The awardee, because involvement of 
community based partners and local leadership from all I/T levels is an 
important factor in the success of any enrollment process, shall 
develop modified training briefs for Tribal health directors, chief 
executive officers, health care professionals, and Tribal leaders to 
assist with outreach efforts.
     The awardee shall provide ongoing AI/AN consumers training 
on tools developed for State Based Marketplace (SBM) implementation.

Reporting

     The awardee shall provide semi-annual reports documenting 
and describing progress and accomplishment of the activities specified 
above, attaching any necessary documentation to adequately document 
accomplishments.
     The awardee shall attend regularly scheduled, in-person 
and conference call meetings with the IHS assigned program official 
team to discuss the awardee's services and outreach and education 
related issues. The awardee must provide meeting minutes that highlight 
the awardee's specific involvement and participation.
     The awardee shall obtain approval from the IHS assigned 
program official for all PowerPoint presentations, electronic content, 
and other materials, including mass emails, developed by awardee 
pursuant to this award and any supplemental awards prior to the 
presentation or dissemination of such materials to any party, allowing 
for a reasonable amount of time for IHS review.
     The awardee shall conduct and record monthly meetings with 
NIHOE national and regional principals to share information and provide 
progress reports.
     The awardee shall assess and provide measurable outcomes 
and performance improvement activities for ACA/IHCIA outreach and 
education actions both quantitative and qualitative.
    1. The awardee shall monitor and track I/T facility enrollment data 
and identify challenges and opportunities for outreach and education 
activities and report findings on a regular basis.
    2. Identify successes and gaps in enrollment and develop future 
enrollment campaigns and report findings on a regular basis.

Requirements

     Attendance at regularly scheduled meetings between awardee 
and the IHS assigned program official, evidenced by meeting minutes 
which highlight the awardee's specific involvement and participation.
     Participation on outreach and education conference calls 
identified by the IHS assigned program official, evidenced by meeting 
agenda and minutes as needed.
     Report of outcomes at conferences (meeting booths, 
workshops and/or presentations provided):
    1. National Advisory Committee conference calls and meetings.
    2. IHS area conference calls.
    3. IHS area and national webinars.
    4. Other AI/AN national conferences.
     Completed programmatic reviews of semi and annual progress 
reports of outreach and education projects, in order to identify 
projects that require technical assistance. [Note: This review is not 
to replace IHS review of outreach and education programs. The 
programmatic reviews to be conducted by grantee are secondary reviews 
intended solely to identify programs in need of technical assistance.]
    [cir] The awardee shall help the IHS assigned program official 
identify challenges faced by participating I/T and assist in developing 
solutions.
     Copies of educational and practice-based information 
provided to I/T programs (electronic form and one hard copy).
     Copies of all promotional and educational materials 
provided to I/T programs and other projects (electronic form and one 
hard copy).
     Copies of all promotional materials provided to media and 
other outlets (electronic form and one hard copy).
     Copies of all articles published (electronic form and one 
hard copy). Submit semi-annual and annual progress reports to ORAP and 
ODSCT, due no later than 30 days after the reporting cycle, attaching 
any necessary documentation. For example: Meeting minutes, 
correspondence with I/T programs, samples of all written materials 
developed including brochures, news articles, videos, and radio and 
television ads to adequately document accomplishments.
     The awardee will submit a deliverable schedule to the 
program official not later than 30 days after the start date.
    The IHS will provide guidance and assistance as needed. Copies of 
all requirements must be submitted to the IHS ODSCT; IHS ORAP; and IHS 
Deputy Director.
A. Collaboration and Coordination To Ensure Training and Materials Are 
Widely Distributed
    1. Evaluate all available ACA/IHCIA training material available for 
AI/AN and create additional materials as needed that are related to 
ACA/IHCIA.
    2. Record, track, and coordinate information sharing activities 
(enrollments, trainings, information shared, meetings, updates, etc.) 
with IHS Offices: ODSCT, ORAP and 11 IHS area offices including 
Albuquerque Area, Bemidji Area, Billings Area, California Area, Great 
Plains Area, Nashville Area, Navajo Area, Oklahoma City Area, Phoenix 
Area, Portland Area and Tucson Area.
    3. Record training sessions and describe how they will be made 
available on the Web sites of the national Indian organizations and 
partners.
    4. Describe how to ensure the training curriculum content addresses 
all new regulations implementing the ACA and IHCIA requirements.

[[Page 48431]]

    5. Participate in monthly meetings with NIHOE Health Reform 
national and regional principals to share information and provide 
progress reports.
    6. Provide ongoing training on tools developed for SBM 
implementation.
    7. Because involvement of community based partners and local 
leadership from all I/T levels is an important factor in the success of 
any enrollment process, develop modified training briefs for other 
community leaders to assist with outreach efforts.
B. Work Plan
    1. Provide a Work Plan that describes the sequence of specific 
activities and steps that will be used to carry out each of the 
objectives, including updates about progress implementing the ACA.
    2. Report the number of CAC staff trained and employed, network 
contracts, additional consumers enrolled in Medicaid, Children's Health 
Insurance Program (CHIP) or marketplace plan, and in-network contracts 
with a Qualified Health Plans (QHP) in the Marketplace using the Model 
QHP Addendum for Indian Health Care Providers. Describe outreach and 
enrollment activities, partnerships, and planning.
    3. Include a detailed time line that links activities to project 
objectives for every 12-month budget period for the three years of 
funding.
    4. Identify challenges, both opportunities and barriers that are 
likely to be encountered in designing and implementing the activities 
and approaches that will be used to address such challenges.
    5. Describe communication methods with partners including plans for 
improving communication.
C. Evaluation
    1. Provide a plan for assessing the achievement of the project's 
objectives and for evaluating changes in the specific problems and 
contributing factors.
    2. Identify performance measures by which the project will track 
its progress over time.
    3. Secure agreement with IHS on evaluation methods and deadlines.
D. Budget
    Provide a functional categorically itemized budget and program 
narrative justification that supports accomplishing the program 
objectives, activities, and outcomes within the timeframes specified.

III. Eligibility Information

    I.

1. Eligibility

    To be eligible for this ``New Limited competition Announcement'', 
an applicant must be a 501(c)(3) non-profit entity who meets the 
following criteria:
    Eligible applicants that can apply for this funding opportunity are 
national Indian organizations.
    The national Indian organizations must have the infrastructure in 
place to accomplish the work under the proposed program.
    Eligible entities must have demonstrated expertise in the following 
areas:
     Representing all Tribal governments and providing a 
variety of services to Tribes, area health boards, Tribal 
organizations, and Federal agencies, and playing a major role in 
focusing attention on Indian health care needs, resulting in improved 
health outcomes for AI/ANs.
     Promoting and supporting Indian health care education and 
coordinating efforts to inform AI/AN of Federal decisions that affect 
Tribal government interests including the improvement of Indian health 
care.
     Administering national health policy and health programs.
     Maintaining a national AI/AN constituency and clearly 
supporting critical services and activities within the IHS mission of 
improving the quality of health care for AI/AN people.
     Supporting improved health care in Indian Country.
     Providing education and outreach on a national scale (the 
applicant must provide evidence of at least ten years of experience in 
this area).
    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 
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:
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 http://www.Grants.gov or http://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.
     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 for each of the two components).
    [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 letters of support (Optional).
     Letter of support from organization's board of directors.
     501(c)(3) Certificate (if applicable).
     Position descriptions of key personnel.
     Resumes of key personnel.
     Contractor/Consultant resumes or qualifications and scope 
of work.

[[Page 48432]]

     Disclosure of Lobbying Activities (SF-LLL).
     Certification Regarding Lobbying (GG-Lobbying Form).
     Copy of current Negotiated Indirect Cost rate (IDC) 
agreement (required) in order to receive IDC.
     Organizational Chart (optional).
     Documentation of current OMB A-133 required Financial 
Audit (if applicable).
    Acceptable forms of documentation include:
    [cir] Email confirmation from Federal Audit Clearinghouse (FAC) 
that audits were submitted; or
    [cir] Face sheets from audit reports. These can be found on the FAC 
Web site: http://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 ten pages for each of the two 
components for a total of 20 pages: $600,000 to conduct ACA/IHCIA 
education and outreach training and technical assistance for three 
consecutive years. Project narrative 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 
cooperative agreement award. If the narrative exceeds the page limit, 
only the first ten pages of each component will be reviewed. The ten-
page limit for the narrative does not include the work plan, standard 
forms, table of contents, budget, budget justifications, narratives, 
and/or other appendix items.
    There are three parts to the narrative: Part A--Program 
Information; Part B--Program Planning and Evaluation; and Part C--
Program Report. See below for additional details about what must be 
included in the narrative.
Part A: Program Information (4 Page Limitation for Each Component)
    Section 1: Needs
    Describe how the national Indian organization(s) has the experience 
to provide outreach and education efforts regarding the pertinent 
changes and updates in health care listed herein.
Part B: Program Planning and Evaluation (4 Page Limitation for Each 
Component)
    Section 1: Program Plans
    Describe fully and clearly the direction the national Indian 
organization plans to address the NIHOE III Health Reform requirements, 
including how the national Indian organization plans to demonstrate 
improved health education and outreach services to all 567 Federally-
recognized Tribes. Include proposed timelines as appropriate and 
applicable.
    Section 2: Program Evaluation
    Describe fully and clearly how the outreach and education efforts 
will impact changes in knowledge and awareness in Tribes and Tribal 
organizations to encourage appropriate changes by increasing knowledge 
and awareness resulting in informed choices. Identify anticipated or 
expected benefits for the Tribal constituency.
Part C: Program Report (2 Page Limitation for Each Component)
    Section 1: Describe major accomplishments over the last 36 months.
    Identify and describe significant program achievements associated 
with the delivery of quality health outreach and education. Provide a 
comparison of the actual accomplishments to the goals established for 
the project period, or if applicable, provide justification for the 
lack of progress.
    Section 2: Describe major activities over the last 36 months.
    Please provide an overview of significant program activities and 
impacts (meaningful changes made), associated with the delivery of 
quality health outreach and education. This section should address 
significant program activities and impacts 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 budget 
narrative 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 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 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

[[Page 48433]]

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.
     IHS will not acknowledge receipt of applications.

6. Electronic Submission Requirements

    All applications must be submitted electronically. Please use the 
http://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 http://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 http://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 http://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 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 http://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: http://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 ten page narrative for each component 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:

[[Page 48434]]

1. Criteria

A. Introduction and Need for Assistance (15 Points)
    (1) Describe the individual entity's and/or partnering entities' 
(as applicable) current health, education and technical assistance 
operations as related to the broad spectrum of health needs of the AI/
AN community. Include what programs and services are currently provided 
(i.e., Federally funded, State funded, etc.), any memorandums of 
agreement with other national, area or local Indian health board 
organizations, HHS agencies that rely on the applicant as the primary 
gateway organization that is capable of providing the dissemination of 
health information, information regarding technologies currently used 
(i.e., hardware, software, services, etc.), and identify the source(s) 
of technical support for those technologies (i.e., in-house staff, 
contractors, vendors, etc.). Include information regarding how long the 
applicant has been operating and its length of association/partnerships 
with area health boards, etc. [historical collaboration].
    (2) Describe the organization's current technical assistance 
ability. Include what programs and services are currently provided, 
programs and services projected to be provided, etc.
    (3) Describe the population to be served by the proposed project. 
Include a description of the number of Tribes and Tribal members who 
currently benefit from the technical assistance provided by the 
applicant.
    (4) State how previous cooperative agreement funds facilitated 
education, training and technical assistance nation-wide for AI/ANs and 
relate the progression of health care information delivery and 
development relative to the current proposed project. (Copies of 
reports will not be accepted.)
    (5) Describe collaborative and supportive efforts with national, 
area and local Indian health boards.
    (6) Describe how the project relates to the purpose of the 
cooperative agreement by addressing the following: Identify how the 
proposed project will address the changes and requirements of the Acts.
B. Project Objective(s), Work Plan and Approach (45 Points)
    (1) Proposed project objectives must be:
    a. Measurable and (if applicable) quantifiable.
    b. Results oriented.
    c. Time-limited.
    (2) Submit a work plan in the appendix which includes the following 
information:
    a. Provide the action steps on a timeline for accomplishing the 
proposed project objective(s).
    b. Identify who will perform the action steps.
    c. Identify who will supervise the action steps taken.
    d. Identify what tangible products will be produced during and at 
the end of the proposed project objective(s).
    e. Identify who will accept and/or approve work products during the 
duration of the proposed project and at the end of the proposed 
project.
    f. Include any training that will take place during the proposed 
project and who will be attending the training.
    g. Include evaluation activities planned.
    (3) 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):
    a. Educational requirements.
    b. Desired qualifications and work experience.
    c. Expected work products to be delivered on a timeline.
    d. If a potential consultant/contractor has already been 
identified, please include a resume in the Appendix.
C. Program Evaluation (15 Points)
    Each proposed objective requires an evaluation component to assess 
its progression and ensure its completion. Also, include the evaluation 
activities in the work plan. Describe the proposed plan to evaluate 
both outcomes and process. Outcome evaluation relates to the results 
identified in the objectives, and process evaluation relates to the 
work plan and activities of the project.
    (1) For outcome evaluation, describe:
    a. What the criteria will be for determining success of each 
objective.
    b. What data will be collected to determine whether the objective 
was met.
    c. At what intervals will data be collected.
    d. Who will collect the data and their qualifications.
    e. How the data will be analyzed.
    f. How the results will be used.
    (2) For process evaluation, describe:
    a. How the project will be monitored and assessed for potential 
problems and needed quality improvements.
    b. Who will be responsible for monitoring and managing project 
improvements based on results of ongoing process improvements and their 
qualifications.
    c. How ongoing monitoring will be used to improve the project.
    d. Any products, such as manuals or policies, that might be 
developed and how they might lend themselves to replication by others.
    (3) Describe how the project will document what is learned 
throughout the project period. Describe any evaluation efforts that are 
planned to occur after the grant periods ends.
    (4) Describe the ultimate benefit for the AI/ANs that will be 
derived from this project.
D. Organizational Capabilities, Key Personnel and Qualifications (15 
Points)
    (1) Describe the organizational structure of the organization.
    (2) Describe the ability of the organization to manage the proposed 
project. Include information regarding similarly sized projects in 
scope and financial assistance as well as other cooperative agreements/
grants and projects successfully completed.
    (3) Describe what equipment (i.e., fax machine, phone, computer, 
etc.) and facility space (i.e., office space) will be available for use 
during the proposed project.
    (4) List key personnel who will work on the project. Include title 
used 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 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.
E. Categorical Budget and Budget Justification (10 Points)
    (1) Provide a categorical budget for 12-month budget period 
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 line item 
is necessary/relevant to the proposed project. Include sufficient cost 
and other details to facilitate the determination of cost allowability 
(i.e., equipment specifications, etc.).
Multi-Year Project Requirements
    Projects requiring a second and/or third year must include a brief 
project narrative and budget (one additional page per year) addressing 
the

[[Page 48435]]

developmental plans for each additional year of the project.
    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 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 or more, 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
    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:
     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 (IDC)

    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/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

[[Page 48436]]

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: http://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: http://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 http://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 http://www.hhs.gov/civil-rights/for-individuals/section-1557/index.html; and 
http://www.hhs.gov/civil-rights/index.html. Recipients of FFA also have 
specific legal obligations for serving qualified individuals with 
disabilities. Please see http://www.hhs.gov/civil-rights/for-individuals/disability/index.html. Please contact the HHS OCR for more 
information about obligations and prohibitions under federal civil 
rights laws at http://www.hhs.gov/civil-rights/for-individuals/disability/index.html 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 http://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: 
http://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.
E. Federal Awardee Performance and Integrity Information System 
(FAPIIS)
    The 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 IHS 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.

[[Page 48437]]

    Submission is required for all applicants and recipients, in 
writing, to the IHS and to the HHS Office of Inspector General 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 20852. (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: http://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: Ms. 
Michelle EagleHawk, Deputy Director, ODSCT, 5600 Fishers Lane, Mail 
Stop: O8E17, Rockville, Maryland 20857, Telephone: (301) 443-1104, E-
Mail: Michelle.EagleHawk@ihs.gov.
    2. Questions on grants management and fiscal matters may be 
directed to: Ms. Patience Musikikongo, Grants Management Specialist, 
DGM, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, 
Telephone: (301) 443-2059, Fax: (301) 594-0899, E-Mail: 
Patience.Musikikongo@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, 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, 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: July 18, 2016.
Elizabeth A. Fowler,
Deputy Director for Management Operations, Indian Health Service.
[FR Doc. 2016-17500 Filed 7-22-16; 8:45 am]
 BILLING CODE 4165-16-P