Office of Urban Indian Health Programs; 4-in-1 Grant Programs, 17843-17851 [2019-08414]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 84, Number 81 (Friday, April 26, 2019)]
[Notices]
[Pages 17843-17851]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-08414]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Office of Urban Indian Health Programs; 4-in-1 Grant Programs

    Announcement Type: New and Competing Continuation.
    Funding Announcement Number: HHS-2019-IHS-UIHP2-0002.
    Assistance Listing (Catalog of Federal Domestic Assistance or CFDA) 
Number: 93.193.

Key Dates

    Application Deadline Date: May 30, 2019.
    Earliest Anticipated Start Date: July 1, 2019.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) Office of Urban Indian Health 
Programs (OUIHP) is accepting applications for competitive grants for 
the Fiscal Year (FY) 2019 4-in-1 for Urban Indian Organizations. This 
program is authorized under the Snyder Act, 25 U.S.C. 13, Public Law 
(Pub. L.) 67-85, and Title V of the Indian Health Care Improvement Act 
(IHCIA), Public Law 94-437, as amended, specifically the provisions 
codified at 25 U.S.C. 1653(c)-(e) (authorizing grants for health 
promotion and disease prevention services, immunization services and 
mental health services), and Sec.  1660a (authorizing grants for 
alcohol and substance abuse related services). This program is 
described in the Catalog of Federal Domestic Assistance (CFDA) under 
93.193.

Background

    In the late 1960s, Urban Indian community leaders began advocating 
at the local, State and Federal levels to address the unmet health care 
needs of Urban Indians, and requested health care services and 
programs. These efforts resulted in an increase of preventative, 
medical, and behavioral health services, but there was growing 
recognition of challenges preventing Urban Indians in seeking health 
care services. To address these barriers, advocacy focused on the 
development of culturally appropriate activities that were unique to 
the social, cultural and spiritual needs of American Indians and Alaska 
Natives residing in urban settings. Programs developed at that time 
were staffed by volunteers in storefront settings with limited budgets 
offering primary care and outreach and referral-type services.
    In response to efforts of the Urban Indian community leaders, 
Congress appropriated funds in 1966, through the IHS, for a pilot urban 
clinic in Rapid City, South Dakota. In 1973, Congress appropriated 
funds to study unmet Urban Indian health needs in Minneapolis, 
Minnesota. The findings of this study documented cultural, economic, 
and access barriers to health care and led to congressional 
appropriations under the Snyder Act to support emerging Urban Indian 
clinics in several Bureau of Indian Affairs relocation cities, e.g., 
Seattle, San Francisco, Tulsa, and Dallas. In 1976, Congress passed the 
IHCIA, Public Law 94-437, establishing the Urban Indian health program 
under Title V. Congress reauthorized the IHCIA in 2010 under Public Law 
111-148 (2010). This law is considered health care reform legislation 
to improve the health and well-being of all American Indians and Alaska 
Natives, including Urban Indians. Title V-specific funding is 
authorized for the development of programs for Urban Indians residing 
in urban areas. These areas include health promotion and disease 
prevention (HP/DP) services, immunization services, alcohol and 
substance abuse related services, and mental health services, hereafter 
referred to as ``4-in-1,'' health programs or services.

Purpose

    The purpose of this IHS grant announcement is to award funding to 
Urban Indian Organizations to ensure the highest possible health status 
for Urban Indians. Funding will be used to support the 4-in-1 health 
program objectives. Specifically, the four health programs are: (1) HP/
DP services, (2) immunization services, (3) alcohol and substance abuse 
related services, and (4) mental health services. These programs are 
integral components of the IHS health care delivery system. Funds from 
this effort will ensure that comprehensive, culturally acceptable 
personal and public health services are available and accessible to 
Urban Indians.

II. Award Information

Type of Awards

    Grants.

Estimated Funds Available

    The total amount of funding identified for FY 2019 is approximately 
$980,000. Total funding available for competitive new and competing 
continuation awards issued under this announcement is subject to the 
availability of appropriations and budgetary priorities of the Agency. 
The IHS is under no obligation to make awards that are selected for 
funding under this announcement.
    New applicants are eligible to apply for funding, up to $200,000 
per budget year, under this funding announcement. Current 4-in-1 
grantees are eligible to apply for competing continuation funding under 
this announcement and must demonstrate that they have complied with 
previous terms and conditions of the 4-in-1 grant in order to receive 
funding under this announcement. Current 4-in-1 grantees may request 
annual funds up to the total cost amount approved in the last 
noncompeting award.

Anticipated Number of Awards

    Approximately 9 grants will be issued under this program 
announcement.

Project Period

    The project period is for three years.

III. Eligibility Information

1. Eligibility

    To be eligible for this New and Competing Continuation Funding 
Opportunity, applicants must be an Urban Indian Organization (UIO) 
administering a contract or grant under 25 U.S.C. 1653. Urban Indian 
Organizations are defined by 25 U.S.C. 1603(29) as a nonprofit 
corporate body situated in an urban center, governed by an Urban Indian 
controlled board of directors, and providing for the maximum 
participation of all interested Indian groups and individuals, which 
body is capable of legally cooperating with other public and private 
entities for the purpose of performing the activities described in 25 
U.S.C. 1653(a). Applicants must provide proof of nonprofit status with 
the application such as 501(c)(3) Certificate.
    Current 4-in-1 grantees awarded in FY 2019 under announcement HHS-
2019-IHS-UIHP2-0001 are not eligible to apply for this New and 
Competing Continuation Funding Opportunity.

    Note:  Please refer to Section IV (Application and Submission 
Information/Subsection 2, Content and Form of Application 
Submission) for additional proof of applicant status documents 
required, such as, 501(c)(3) Certificate, copy of current Negotiated 
Indirect Cost Rate agreement, etc.


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2. Cost Sharing or Matching

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

3. Other Requirements

    Application budget requests that exceed the highest dollar amount 
outlined under the ``Estimated Funds Available'' section will be 
considered nonresponsive and will not be reviewed. The applicant will 
be notified by the IHS Division of Grants Management (DGM).

    Note:  The highest dollar amount new applicants are eligible to 
apply for funding is up to $200,000 per budget year. The highest 
dollar amount current 4-in-1 grantees are eligible to apply for 
funding is up to the total cost amount approved in the last 
noncompeting award per budget period.

    Each grantee shall provide health care services to eligible Urban 
Indians living within the urban center in which the UIO is situated. An 
``Urban Indian'' eligible for services, as codified at 25 U.S.C. 
1603(13), (27), and (28), includes any individual who:
    1. Resides in an urban center, which is any community that has a 
sufficient Urban Indian population with unmet health needs to warrant 
assistance under the IHCIA, as determined by the Secretary, HHS; and 
who meets one or more of the following criteria:
    a. Irrespective of whether he or she lives on or near a 
reservation, is a member of a Tribe, band, or other organized group of 
Indians, including:
    i. Those Tribes, bands, or groups terminated since 1940, and
    ii. those recognized now or in the future by the State in which 
they reside, or
    b. Is a descendant, in the first or second degree, of any such 
member described in 1.a.; or
    c. Is an Eskimo, or Aleut, or other Alaska Native; or
    d. Is a California Indian; \1\ or
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    \1\ Consistent with 25 U.S.C. 1603(3), (13), (28), and 1679, 
eligibility of California Indians may be demonstrated by 
documentation that the individual:
    1. Is a descendant of an Indian who was residing in the State of 
California on June 1, 1852;
    2. Holds trust interests in public domain, national forest, or 
Indian reservation allotments; or
    3. Is listed on the plans for distribution of assets of 
California Rancherias and reservations under the Act of August 18, 
1958 (72 Stat. 619), or is the descendant of such an individual.
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    e. Is considered by the Secretary of the Department of the Interior 
to be an Indian for any purpose; or
    f. Is determined to be an Indian under regulations pertaining to 
Urban Indian health that are promulgated by the Secretary, HHS.
    Each grantee is responsible for taking reasonable steps to confirm 
that the individual is eligible for IHS services as an Urban Indian.
Documentation of Support
    The UIO must submit a letter of support from their organization's 
board of directors.
Proof of Non-Profit Status
    The UIO claiming nonprofit status must submit proof. A copy of the 
501(c)(3) Certificate must be submitted with the application by the 
Application Deadline Date.

IV. Application and Submission Information

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement are found online at https://www.Grants.gov or https://www.ihs.gov/dgm/funding/.
    Please direct questions regarding the application process to Mr. 
Paul Gettys at (301) 443-2114 or (301) 443-5204.

2. Content and Form of Application Submission

    The application 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. Each 
of the 4 health program objectives (HP/DP services, immunization 
services, alcohol and substance abuse related services, and mental 
health services), should be addressed in a separate Grant Program 
Function or Activity row/column in the SF-424A.
    [cir] SF-424B, Assurances--Non-Construction Programs.
     Project Narrative (not to exceed 20 pages).
    [cir] Includes the statement of need, proposed scope of work, 
required objectives, activities that provide a description of what will 
be accomplished, and evaluation and performance measurement plan.
     Budget Justification and Narrative (not to exceed 5 
pages).
     501(c)(3) Certificate.
     Letters of support from the UIO's board of directors.
     Biographical sketches for all Key Personnel (not to exceed 
one page each).
     Contractor/Consultant proposed scope of work and letter of 
commitment (not to exceed one page each, if applicable).
     Disclosure of Lobbying Activities (SF-LLL).
     Certification Regarding Lobbying (GG-Lobbying Form).
     Copy of current Negotiated Indirect Cost (IDC) Rate 
agreement (required in order to receive indirect costs).
     Organizational chart or written information that shows 
where the HP/DP services, immunization services, alcohol and substance 
abuse related services, and mental health services fit into the larger 
organization.
     Documentation of current Office of Management and Budget 
(OMB) 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 
Website at https://harvester.census.gov/facdissem/Main.aspx.
Public Policy Requirements
    All Federal-wide public policies apply to IHS grants, with 
exception of the Discrimination policy.
Requirements for Project and Budget Narratives
    The project narrative (Parts A through D listed below) should be a 
separate document not to exceed 20 pages that must: (1) Have 
consecutively numbered pages; (2) use black text no smaller than 12-
point font; (3) and be formatted to fit standard letter paper (8\1/2\ x 
11 inches).
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation criteria in this 
announcement) and place all responses and required information in the 
correct section. Applications not organized as noted below will not be 
considered or scored. These narratives will assist the Objective Review 
Committee (ORC) in becoming familiar with the applicant's activities. 
Applications with narratives exceeding the page limit may be deemed 
nonresponsive. The 20-page limit for the project narrative does not 
include the table of contents, abstract, standard forms, and/or other 
appendix items.
A. Project Narrative:
    There are four parts to the project narrative:
    Part A--Statement of Need;
    Part B--Program Information/Proposed Approach;
    Part C--Organizational Capacity and Staffing/Administration; and,
    Part D--Performance Measurement Plan and Evaluation.

[[Page 17845]]

    See below for additional details about the content for inclusion in 
the project narrative.
    Part A: Statement of Need--Corresponds to Evaluation Criteria 
(Section V. 1.A.).
    The statement of need describes the history and urban center 
currently served by the applicant. The statement of need provides the 
facts and evidence that support the need for these projects (HP/DP 
services, immunization services, alcohol and substance abuse related 
services, and mental health services) and establishes that the UIO 
understands the problems and can reasonably address them.
     Describe the current service gaps, including disconnection 
between available services and unmet needs of Urban Indians. This 
should include services at the UIO and in communities where Urban 
Indians reside.
     Describe the need for an enhanced infrastructure to 
increase the capacity to implement, sustain, and improve effective 
health care services offered to Urban Indians and any other service 
gaps and problems related to the need for infrastructure development 
within the UIO.
    Part B: Program Information/Proposed Approach--Corresponds to 
Evaluation Criteria (Section V.1.B.).
    State the purpose, goals, and objectives of your proposed projects. 
Clearly state how proposed activities address the needs detailed in the 
statement of need. Describe fully and clearly plans to meet these 
projects (HP/DP services, immunization services, alcohol and substance 
abuse related services, and mental health services) of this funding 
announcement. Each objective should be addressed with a corresponding 
time frame. Provide a work plan for year one budget period that details 
expected key activities, accomplishments, and includes responsible 
staff for each of these projects (HP/DP services, immunization 
services, alcohol and substance abuse related services, and mental 
health services).
    Part C: Organizational Capacity and Staffing/Administration--
Corresponds to Evaluation Criteria (Section V.1.C.).
    This section should describe your organizational capacity for each 
of these projects (HP/DP services, immunization services, alcohol and 
substance abuse related services, and mental health services). Current 
staff and future positions for the four program components should also 
be outlined.
     Identify qualified professionals who will implement and 
administer the proposed grant activities, including progress and 
financial reports.
     Identify contact person to maintain open and consistent 
communication with the IHS program official on any financial or 
programmatic barriers to meeting the requirements of the award.
     Describe the organization's current system and ability to 
develop partnerships with service providers and community programs, 
including families and support systems of Urban Indians.
     Describe potential project partners and community 
resources in the urban center.
    Part D: Performance Measurement Plan and Evaluation--Corresponds to 
Evaluation Criteria (Section V.1.D.).
    This section of the application should describe efforts to collect 
and report project data that will support and demonstrate grant 
activities for each of these projects (HP/DP services, immunization 
services, alcohol and substance abuse related services, and mental 
health services). Grantees will be required to participate in a 
national evaluation of the 4-in-1 grant program. Grantees will also be 
required to collect and report data pertaining to activities, 
processes, and outcomes. Data collection activities should capture and 
document actions conducted throughout awarded years, including 
activities that will contribute to relevant project impact. This 
section should also describe the applicant's plan to evaluate program 
activities, including any evidence-based prevention or treatment 
programs implemented. The evaluation plan should describe expected 
results and any identified metrics to support program effectiveness. 
Evaluation plans should incorporate questions related to outcomes and 
processes, including documentation of lessons learned.
     Describe in a brief narrative a plan to monitor activities 
under each of these projects (HP/DP services, immunization services, 
alcohol and substance abuse related services, and mental health 
services) to demonstrate progress towards program outcomes and inform 
future program decisions over the three-year project period.
     Describe proposed evaluation methods, including 
performance measures and other data relevant to evaluation outcomes, 
including intended results (e.g., impact and outcomes). Include any 
partners who will assist in evaluation efforts if separate from the 
primary applicant.
    B. Budget and Budget Narrative--Corresponds to Evaluation Criteria 
(Section V.1.E.).
    This narrative must include a line item budget for these projects 
(HP/DP services, immunization services, alcohol and substance abuse 
related services, and mental health services) with a narrative 
justification for all expenditures identifying reasonable allowable, 
allocable costs necessary to accomplish the goals and objectives as 
outlined in the project narrative. The budget should match the scope of 
work described in the project narrative. The budget and budget 
narrative should be no longer than five pages. For subsequent budget 
years, the narrative should highlight the changes from year one, or 
clearly indicate that there are no substantive budget changes during 
the period of performance. Do not use the budget narrative to expand 
the project narrative.
    This section must succinctly but completely address the items 
listed under the Evaluation criteria in Section V.1.E. Budget and 
Budget Narrative.

3. Submission Dates and Times

    Applications must be submitted through Grants.gov by 11:59 p.m., 
Eastern Daylight Time (EDT) on the Application Deadline Date. Any 
application received after the application deadline will not be 
accepted for review. Grants.gov will notify the applicant via email if 
the application is rejected.
    If technical challenges arise and assistance is required with the 
application process, contact Grants.gov Customer Support (see contact 
information at https://www.grants.gov). If problems persist, contact 
the Grant Systems Coordinator listed under Agency Contacts in Section 
VII. Please contact at least 10 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.
    The IHS will not acknowledge receipt of applications.

4. Intergovernmental Review

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

5. Funding Restrictions

     The available funds are inclusive of direct and indirect 
costs.
     Only one grant will be awarded per applicant.

6. Application Submission Requirements

    All applications must be submitted via the Grants.gov website at 
https://www.Grants.gov. Find the application by selecting the ``Search 
Grants'' link on the homepage. Application submission instructions can 
be found under the

[[Page 17846]]

Package Tab. No other method of application submission is acceptable.
    If the applicant cannot submit an application through Grants.gov, a 
waiver must be requested. Prior approval must be requested and obtained 
from Mr. Robert Tarwater, Director, DGM, IHS, (see Section IV.6 
described above for additional information). A written waiver request 
must be sent to [email protected] with a copy to 
[email protected]. The waiver must: (1) Be documented in writing 
(emails are acceptable) before submitting an application by some other 
method, and (2) include clear justification for the need to deviate 
from the required application submission process.
    If the waiver request is approved, the applicant will receive a 
confirmation of approval by email containing submission instructions. A 
copy of the written approval must be included with the application that 
is submitted to the DGM. Applications that are submitted without a copy 
of the signed waiver from Mr. Robert Tarwater, Director of the DGM will 
not be reviewed. The applicant will be notified via email of this 
decision by the DGM. Applications submitted under waiver must be 
received by the DGM no later than 5:00 p.m., EDT, on the Application 
Deadline. Late applications will not be accepted for processing. 
Applicants that do not register with both the System for Award 
Management (SAM) and Grants.gov and/or fail to request timely 
assistance with technical issues will not be considered for a waiver to 
submit an application via alternative method.
    Please be aware of the following:
     Please search for the application package in https://www.Grants.gov by entering the CFDA number or the Funding Opportunity 
Number. Both numbers are located in the header of this announcement.
     If you experience technical challenges while submitting 
your application, please contact Grants.gov Customer Support (see 
contact information at https://www.grants.gov).
     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.
     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 20 
working days.
     Please follow the instructions on Grants.gov to include 
additional documentation that may be requested by the funding 
announcement.
     Applicants must comply with any applicable page limits 
described in this funding announcement.
     After submitting the application, the applicant will 
receive an automatic acknowledgement from Grants.gov that contains a 
Grants.gov tracking number. The IHS will not notify the applicant 
whether the application has been received.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
    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 
that 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 the Government Customer support 
center request service through https://fedgov.dnb.com/webform, or call 
toll-free (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 are 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. 
Please see SAM.gov for details on the registration process and 
timeline. Registration with the SAM is free of charge, but can take 
several weeks to process. 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 DMG, Policy Topics website: https://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    Weights assigned to each section are noted in parentheses. The 20-
page project narrative and 5-page budget and budget narrative should 
include only the first year activities; information for multiyear 
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. Points are assigned as follows:

1. Evaluation Criteria

    Applications will be reviewed and scored according to the quality 
of responses to the required application components in Sections A-E 
outlined below. In developing the required sections of this 
application, use the instructions provided for each section, which have 
been tailored to this program. The application must use the five 
sections (Sections A-E) listed below in developing the narratives. The 
applicant must place the required information in the correct section or 
it will not be considered for review. The application will be scored 
according to how well the applicant addresses the requirements for each 
section listed below. The number of points after each section heading 
is the maximum number of points the review committee may assign to that 
section. Although scoring weights are not assigned to individual 
bullets, each bullet is assessed deriving the overall section score.
A. Statement of Need (25 Points)
    Applications will be evaluated based on following criteria:
    1. Identify the proposed urban center and provide demographic 
information on the population(s) to receive services. Describe the 
stakeholders and resources in the urban center that can help implement 
activities for these projects (HP/DP services, immunization services, 
alcohol and substance abuse related services, and mental health 
services).
    2. Based on the information and/or data currently available, 
document the need to implement, sustain, and improve health care 
services offered to Urban Indians.
    3. Based on available data, describe the service gaps and other 
problems related to the needs of Urban Indians.

[[Page 17847]]

Identify the source of the data. Documentation of need may come from a 
variety of qualitative and quantitative sources. Examples of data 
sources for the quantitative data that could be used are local 
epidemiologic data such as Tribal Epidemiology Centers or IHS Area 
Offices, state data from state needs assessments, and/or national data 
from the Substance Abuse and Mental Health Services Administration's 
National Survey on Drug Use and Health or from the National Center for 
Health Statistics/Centers for Disease Control, and census data. This 
list is not exhaustive. Applicants may submit other valid data, as 
appropriate for the applicant's programs.
B. Program Information/Proposed Approach (30 Points)
    Applications will be evaluated based on following criteria:
     Describe the purpose of the proposed project, including a 
clear statement of goals and objectives. The proposed project narrative 
is required to address all four projects of the 4-in-1 grant program, 
including: (1) HP/DP services, (2) immunization services, (3) alcohol 
and substance abuse related services, and (4) mental health.
    [cir] HP/DP: Applicants are encouraged to use evidence-based and 
promising strategies which can be found at the IHS best practice 
database https://www.ihs.gov/hpdp/, the National Registry for Effective 
Programs at https://www.nrepp.samhsa.gov/, and the Guide to Community 
Preventive Services at https://www.thecommunityguide.org/about/conclusionreport.html. Applicants are encouraged to work 
collaboratively with their assigned Area HP/DP Coordinator.
    [cir] Immunization: Applicants are encouraged to participate in the 
Vaccines for Children program (if applicable). Applicants are 
encouraged to research capability with State/regional immunization 
registry (where applicable). For sites using the IHS Resource and 
Patient Measurement System (RPMS), provide training sessions to 
providers and data entry clerks on the RPMS Immunization package. 
Establish a process for immunization data entry into RPMS (e.g., point 
of service or through standard data entry). Utilize RPMS Immunization 
package to identify 3- to 27-month-old children whose immunization 
records are not up to date that generates reminder/recall letters. 
Applicants are encouraged to work collaboratively with their assigned 
Area Immunization Coordinator.
    [cir] Alcohol and Substance Abuse: Describe services to be 
provided, e.g., residential, detox, halfway house, counseling, outreach 
and referral, etc. Describe substance abuse prevention and education 
efforts to increase access to services, outreach, education, 
prevention, and treatment of substance abuse-related issues. Applicants 
are encouraged to work collaboratively with their assigned Area 
Behavioral Health Consultant.
    [cir] Mental Health: Identify services to be provided, e.g., 
community outreach and referral, prevention, training sessions, 
evaluations, schools, domestic violence programs, child abuse programs, 
etc. Describe mental health prevention and education program efforts to 
increase access to services, outreach, referral, education, prevention, 
and treatment of mental health related issues. Applicants are 
encouraged to work collaboratively with their assigned Area Behavioral 
Health Consultant.
     Describe how project activities will increase the capacity 
of the UIO to improve access to and quality of care for Urban Indians.
     Describe anticipated barriers and how these barriers will 
be addressed.
     Describe how the proposed project will address issues of 
diversity for Urban Indians, including race/ethnicity, gender, culture/
cultural identity, language, sexual orientation, disability, and 
literacy.
     Describe how Urban Indians may receive services in these 
projects (HP/DP services, immunization services, alcohol and substance 
abuse related services, and mental health services) and how they will 
be involved in the planning and implementation of the grant.
     Describe how the efforts of the proposed project will be 
coordinated with any other related Federal grants, including IHS, 
SAMHSA, or Health Resources and Services Administration, etc. (if 
applicable).
     Provide a work plan for year one project period that 
details expected key activities, accomplishments, and includes 
responsible staff for each of these projects (HP/DP services, 
immunization services, alcohol and substance abuse services, and mental 
health services).
C. Organizational Capacity and Staffing/Administration (15 Points)
    Applications will be evaluated based on following criteria:
     Describe the management capability of the UIO and other 
participating organizations in administering similar projects.
     Identify staff to maintain open and consistent 
communication with the IHS program official on any financial or 
programmatic barriers to meeting the requirements of the award.
     Identify the department(s) and/or division(s) that will 
administer these projects (HP/DP services, immunization services, 
alcohol and substance abuse related services, and mental health 
services). Include a description of these department(s) and/or 
division(s), their functions, and their placement within the UIO and 
their direct link to management.
     Discuss the UIO's experience and capacity to provide 
culturally appropriate and competent services to the community and 
specific populations of focus.
     Describe the resources available for the proposed project 
(e.g., facilities, equipment, information technology systems, and 
financial management systems).
     Identify other organization(s) that will participate in 
the proposed project. Describe their roles and responsibilities and 
demonstrate their commitment to these projects (HP/DP services, 
immunization services, alcohol and substance abuse related services, 
and mental health services).
     Describe how project continuity will be maintained if 
there is a change in the operational environment (e.g., staff turnover, 
change in project leadership, etc.) to ensure project stability over 
the life of the grant.
     Provide a list of staff positions for the project and 
other key personnel, showing the role of each and their level of effort 
and qualifications for these projects (HP/DP services, immunization 
services, alcohol and substance abuse related services, and mental 
health services). Key personnel include the Chief Executive Officer or 
Executive Director, Chief Financial Officer, Medical Director, and 
Information Officer.
     Demonstrate successful project implementation for the 
level of effort budgeted for the project staff and other key staff.
     Include position descriptions as attachments to the 
application for all key personnel. Position descriptions should not 
exceed one page each. Reviewers will not consider information past one 
page. Note: Attachments will not count against the 20-page maximum.
     For individuals who are currently on staff, include a 
biographical sketch with their name (do not include personally 
identifiable information such as social security number or date and 
place of birth) for each individual that will be listed as the project 
staff and other key positions. Describe the experience of identified 
staff in these

[[Page 17848]]

projects (HP/DP services, immunization services, alcohol and substance 
abuse related services, and mental health services). Include each 
biographical sketch as attachments to the project proposal/application. 
Biographical sketches should not exceed one page per staff member. 
Reviewers will not consider information past one page. Note: The 
attachment will not count as part of the 20-page limit. Do not include 
any of the following:
    [cir] Personally Identifiable Information (social security number 
and date and place or birth);
    [cir] Resumes; or
    [cir] Curriculum Vitae.
D. Performance Measurement Plan and Evaluation (20 Points)
    Describe plans to monitor activities under each of these projects 
(HP/DP services, immunization services, alcohol and substance abuse 
related services, and mental health services), demonstrate progress 
towards program outcomes, and inform future program decisions over the 
3-year project period. Applications will be evaluated based on 
following criteria and should address the following points:
     Describe proposed data collection efforts (performance 
measures and associated data) and how you will use the data to answer 
evaluation questions. This should include (data collection method, data 
source, data measurement tool, identified staff for data management, 
and data collection timeline).
     Identify key program partners and describe how they will 
participate in the implementation of the evaluation plan (e.g., Tribal 
Epidemiology Centers, universities, etc.).
     Describe data collection and evaluation of any proposed 
evidence-based care programs implemented throughout awarded years.
     Describe how evaluating findings will be used at the 
applicant level. Discuss how data collected (e.g., performance 
measurement data) will be used and shared by the key program partners.
     Discuss any barriers or challenges expected for 
implementing the plan, collecting data (e.g., responding to performance 
measures), and reporting on evaluation results. Describe how these 
potential barriers would be overcome. In addition, applicants may also 
describe other measures to be developed or additional data sources and 
data collection methods that applicants will use.
E. Budget and Budget Narrative (10 Points)
    Applications will be evaluated based on following criteria:
     Include a line item budget for each of these projects (HP/
DP services, immunization services, alcohol and substance abuse related 
services, and mental health services) for all expenditures identifying 
reasonable and allowable costs necessary to accomplish the goals and 
objectives as outlined in the project narrative for Budget year one 
only.
     Provide a categorized budget for each of these projects 
(HP/DP services, immunization services, alcohol and substance abuse 
related services, and mental health services).
     Applicants should ensure that the budget and budget 
narrative are aligned with the project narrative. The budget and budget 
narrative the applicant provides will be considered by reviewers in 
assessing the applicant's submission, along with the material in the 
project narrative. Questions to address include: What resources are 
needed to successfully carry out and manage the project? What other 
resources are available from the organization? Will new staff be 
recruited? Will outside consultants be required?
     For any outside consultants, include the total cost broken 
down by activity.
     If indirect costs are claimed, indicate and apply the 
current negotiated rate to the budget. Include a copy of the current 
negotiated IDC rate agreement in the appendix.
Multi-Year Project Requirements
    Applications must include a brief project narrative and budget (one 
additional page per year) addressing the developmental plans for each 
additional year of the project. The attachment will not count as part 
of the 20-page project narrative and 5-page budget and budget 
narrative.
Additional Documents Can Be Uploaded as Appendix Items in Grant.gov
     Work Plan, logic model, and/or time line for proposed 
objectives.
     Position descriptions for key staff (not to exceed one 
page each).
     Biographical sketches for key staff (not to exceed one 
page each).
     Consultant or contractor proposed scope of work and letter 
of commitment (if applicable).
     Current Negotiated Indirect Cost Rate Agreement.
     Organizational chart.
     Additional documents to support narrative (data tables, 
key news articles, etc.).

2. Review and Selection

    Each application will be screened 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 
the evaluation criteria. Incomplete applications and applications that 
are nonresponsive to not just administrative thresholds will not be 
referred to the ORC and will not be funded. The applicant will be 
notified of this determination.
    Applicants must address all program requirements and provide all 
required documentation.

3. Notifications of Disposition

    All applicants will receive an Executive Summary Statement from the 
IHS OUIHP within 30 days of the conclusion of the ORC outlining the 
strengths and weaknesses of their application. The summary statement 
will be sent to the Authorizing Official identified on the face page 
(SF-424) of the application.
A. Award Notices for Funded Applications
    The Notice of Award (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 and project period. Each entity approved for funding must have a 
user account in GrantSolutions in order to retrieve the NoA. Please see 
the Agency Contacts list in Section VII for the systems contact 
information.
B. Approved but Unfunded Applications
    Approved applications not funded due to lack of available funds 
will be held for 1 year. If funding becomes available during the course 
of the year, the application may be reconsidered.

    Note:  Any correspondence other than the official NoA executed 
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 the IHS.

VI. Award Administration Information

1. Administrative Requirements

    Grants are administered in accordance with the following 
regulations and policies:

[[Page 17849]]

    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.

2. Indirect Costs

    This section applies to all recipients requesting reimbursement of 
indirect costs (IDC) in their application budget. In accordance with 
HHS Grants Policy Statement, Part II-27, the IHS requires applicants to 
obtain a current negotiated 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 agreement is 
provided to the DGM.
    Generally, IDC rates for grantees are negotiated with the Division 
of Cost Allocation (DCA) https://rates.psc.gov/. For questions 
regarding the indirect cost policy, please call the Grants Management 
Specialist listed under Agency Contacts in Section VII or the main DGM 
office at (301) 443-5204.

3. 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 
at https://home.grantsolutions.gov/home/. Personnel responsible for 
submitting reports will be required to obtain a login and password for 
GrantSolutions. Please see the Agency Contacts list in Section VII for 
the systems contact information.
    The reporting requirements for this program are noted below.
A. Progress Reports
    The grantee shall, consistent with 25 U.S.C. 1655 and 1657, submit 
quarterly reports demonstrating compliance with the grant, including an 
explanation of activities conducted pursuant to the grant, information 
gathered, a brief comparison of actual accomplishments to the goals 
established for the period, a summary of progress to date, 
justification for the lack of progress (if applicable), and an 
accounting for the amounts and purposes for which Federal funds were 
expended, and such other information as the Government may request. The 
quarters are based on the start of the budget period. Quarterly reports 
are due 30 days after the end of each quarter. A final report must be 
submitted within 90 days of expiration of each budget period.
B. Financial Reports
    Federal Financial Report (FFR) (SF-425), Cash Transaction Reports 
are due 30 days after the close of every calendar quarter to the 
Payment Management Services, HHS, at https://pms.psc.gov. The applicant 
is also requested to upload a copy of the FFR SF-425 report into the 
grants management system, GrantSolutions. Failure to submit timely 
reports may result in adverse award actions blocking access to funds.
    Grantees are responsible and accountable for accurate information 
being reported on all required reports: The Progress Reports and 
Federal Financial Report.
C. Government Performance and Results Act and Uniform Data System 
Reporting
    Government Performance and Results Act (GPRA) data shall be 
submitted electronically to the National Data Warehouse (NDW). All GPRA 
data submitted shall be verifiable and based upon criteria set forth 
for each GPRA performance standard. The GPRA data period shall be the 
Federal fiscal year of October 1 through September 30. Monthly 
registration and workload data shall be exported to the NDW. All data 
shall be exported by the cutoff date for that fiscal year. A GPRA 
Developmental Report shall be run at the end of the second and fourth 
quarters and sent to the National GPRA Support Team at [email protected] 
by the required due dates.
    Uniform Data System (UDS) reporting period shall be by calendar 
year. The UDS reports shall be due in January for the previous calendar 
year.
D. Quarterly Immunization Report
    Quarterly Immunization Reports are required and submitted to the 
online National Immunization Reporting System (NIRS). Grantees are 
required to submit immunization coverage reports on children 3 to 27-
month-old, 2-year-old, Adolescent, and Adult and Influenza on a 
quarterly basis. For sites not using the IHS RPMS, visit the Division 
of Epidemiology and Disease Prevention (DEDP), Vaccine--Preventable 
Diseases Reports website to access non-RPMS quarterly reporting forms. 
An EXCEL spreadsheet with the required data elements can be found under 
the ``Non-RPMS Quarterly Reporting Forms'' section at: https://www.ihs.gov/epi/vaccine/reports/.
E. Quarterly Unmet Needs Report
    The grantee shall, consistent with 25 U.S.C. 1653(a), 1655, and 
1657(a), submit an unmet needs report quarterly. The report includes 
information gathered by the grantee to: (1) Identify gaps between unmet 
health needs of Urban Indians and the resources available to meet such 
needs; and (2) make recommendations to the Secretary and Federal, 
State, local, and other resource agencies on methods of improving 
health services to meet the needs of Urban Indians. The grantee shall 
upload the unmet needs report 30 days after the end of the quarter into 
GrantSolutions at https://home.grantsolutions.gov/home/.
F. 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.
    The IHS has implemented a Term of Award into all IHS Standard Terms 
and

[[Page 17850]]

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 period of performance is made up of more than one 
budget period) and where: (1) The period of performance 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, Policy 
Topics web page at https://www.ihs.gov/dgm/policytopics/.
G. 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. The HHS provides guidance to recipients of 
FFA on meeting their legal obligation to take reasonable steps to 
provide meaningful access to their programs by persons with limited 
English proficiency. Please see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/guidance-federal-financial-assistance-recipients-title-VI/.
    The HHS Office for Civil Rights (OCR) also provides guidance on 
complying with civil rights laws enforced by HHS. Please see https://www.hhs.gov/civil-rights/for-individuals/section-1557/; and 
https://www.hhs.gov/civil-rights/. Recipients of FFA also have 
specific legal obligations for serving qualified individuals with 
disabilities. Please see https://www.hhs.gov/civil-rights/for-individuals/disability/. Please contact the HHS OCR for more 
information about obligations and prohibitions under federal civil 
rights laws at https://www.hhs.gov/ocr/about-us/contact-us/ 
or call (800) 368-1019 or TDD (800) 537-7697. Also note it is an HHS 
Departmental goal to ensure access to quality, culturally competent 
care, including long-term services and supports, for vulnerable 
populations. For further guidance on providing culturally and 
linguistically appropriate services, recipients should review the 
National Standards for Culturally and Linguistically Appropriate 
Services in Health and Health Care at https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
    Pursuant to 45 CFR 80.3(d), an individual shall not be deemed 
subjected to discrimination by reason of his/her exclusion from 
benefits limited by federal law to individuals eligible for benefits 
and services from the IHS.
    Recipients will be required to sign the HHS-690 Assurance of 
Compliance form, which can be obtained from the following website: 
https://www.hhs.gov/sites/default/files/forms/hhs-690.pdf, and send it 
directly to the: U.S. Department of Health and Human Services, Office 
of Civil Rights, 200 Independence Avenue SW, Washington, DC 20201.
H. 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) at https://www.fapiis.gov, 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. The 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 million 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.
    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 20857. (Include ``Mandatory Grant 
Disclosures'' in the subject line.)
    Office: (301) 443-5204.
    Fax: (301) 594-0899.
    Email: [email protected].

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.
    Website address: https://oig.hhs.gov/fraud/report-fraud/. (Include 
``Mandatory Grant Disclosures'' in the subject line.)
    Fax: (202) 205-0604 (Include ``Mandatory Grant Disclosures'' in 
subject line) or
    Email: [email protected].
    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 programmatic issues may be directed to: Shannon 
Beyale, Health Information Specialist, Office of Urban Indian Health 
Programs, 5600 Fishers Lane, Mail Stop: 08E65D, Rockville, MD 20857, 
Telephone: (301) 945-3657, Fax: (301) 443-4794, Email: 
[email protected].
    2. Questions on grants management and fiscal matters may be 
directed to: Pallop Chareonvootitam, Grants

[[Page 17851]]

Management Specialist, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, 
MD 20857, Telephone: (301) 443-5204, Fax: (301) 594-0899, Email: 
[email protected].
    3. Questions on systems matters may be directed to: Paul Gettys, 
Grant Systems Coordinator, 5600 Fishers Lane, Mail Stop: 09E70, 
Rockville, MD 20857, Telephone: (301) 443-2114; or the DGM main line 
(301) 443-5204, Fax: (301) 594-0899, Email: [email protected].

VIII. Other Information

    The U.S. Public Health Service strongly encourages all grant, 
cooperative agreement, and contract recipients to provide a smoke-free 
workplace and promote the non-use of all tobacco products. In addition, 
the Pro-Children Act of 1994, (Pub. L. 103-227), 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.

Michael D. Weahkee,
RADM, Assistant Surgeon General, U.S. Public Health Service, Principal 
Deputy Director, Indian Health Service.
[FR Doc. 2019-08414 Filed 4-25-19; 8:45 am]
 BILLING CODE 4165-16-P