The Special Diabetes Program for Indians Nashville Area Technical Assistance and Support Program, 10359-10366 [2023-03341]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 88, Number 33 (Friday, February 17, 2023)]
[Notices]
[Pages 10359-10366]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-03341]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


The Special Diabetes Program for Indians Nashville Area Technical 
Assistance and Support Program

    Announcement Type: New Single Source.
    Funding Announcement Number: HHS-2023-IHS-SDPI-0002.
    Assistance Listing (Catalog of Federal Domestic Assistance or CFDA) 
Number: 93.237.

Key Dates

    Application Deadline Date: April 3, 2023.
    Earliest Anticipated Start Date: April 18, 2023.

I. Funding Opportunity Description

Statutory Authority

    The Indian Health Service (IHS) is accepting an application for a 
single source cooperative agreement with United South and Eastern 
Tribes, Inc. (USET) to continue the Special Diabetes Program for 
Indians (SDPI) Nashville Area technical assistance and support. These 
services are authorized under the Snyder Act, 25 U.S.C. 13; the 
Transfer Act, 42 U.S.C. 2001(a); and Section 330C of the Public Health 
Service Act, codified at 42 U.S.C. 254c-3. This program is described in 
the Assistance Listings located at https://sam.gov/content/home/ 
(formerly known as the CFDA) under 93.237.

Background

    Diabetes is a complex and costly chronic disease that requires 
tremendous long-term efforts to prevent and treat. Although diabetes is 
a nationwide public health problem, American Indian and Alaska Native 
(AI/AN) people are disproportionately affected. In 2019, 14.5 percent 
of AI/AN people aged 18 years or older had diagnosed diabetes, compared 
to 7.4 percent of non-Hispanic white people [CDC, 2021. https://www.cdc.gov/diabetes/data/statistics-report/diagnosed-diabetes.html]. 
In addition, AI/AN people have higher rates of diabetes-related 
morbidity and mortality than the general U.S. population [O'Connell, 
2010 (https://diabetesjournals.org/care/article/33/7/1463/39326/Racial-Disparities-in-Health-StatusA-comparison-of); Cho, 2014 (https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2014.301968)]. 
Strategies to address the prevention and treatment of diabetes in AI/AN 
communities are urgently needed.
    In response to the burgeoning diabetes epidemic among AI/AN people, 
Congress established the SDPI through the Balanced Budget Act of 1997. 
This grant program was developed to provide diabetes treatment and/or 
prevention activities and/or services (also referred to as 
``activities/services'') for AI/AN communities. There are currently 302 
SDPI grant programs that are dispersed throughout each of the 12 IHS 
Areas. Each of the IHS Areas contain SDPI programs (primary grantees or 
subgrantees) that implement the mandatory requirements of the grant 
management process, including, but not limited to, the grant 
application, budgetary requirements, data collection/analysis, 
reporting, training, etc. Of the 12 IHS Areas, 9 of them have elected 
to fund a mechanism to provide technical support for their SDPI 
programs within their Area. Since the inception of SDPI, the Nashville 
Area, IHS, has received technical assistance and SDPI program support 
from USET via an SDPI grant mechanism. It has been determined that in 
2023, support for the Nashville Area SDPI programs would need to be 
supported by USET via an IHS cooperative agreement.

Purpose

    The purpose of this program is to allow USET to continue to provide 
technical assistance and SDPI program support for the SDPI grant 
programs in the Nashville Area. The focus of this assistance and 
support would be in the areas of grant management, program capacity 
building, budget development, and grant reporting to ensure the 
Nashville Area SDPI programs are meeting all of the grant requirements 
and deliverables in a timely manner. To do this, USET must meet the 
following objectives:
     Provide culturally-appropriate training and technical 
assistance to Nashville SDPI programs using diabetes-specific tools, 
the Resource and Patient Management System (RPMS), and other electronic 
health record (EHR) systems.
     Continue to refine and provide practical and innovative 
diabetes project tools.
     Build partnerships and collaboration for the expansion of 
resources and services to Tribal diabetes programs.
     Demonstrate and provide culturally appropriate training to 
Tribal programs on various Best Practices and topics, such as tobacco 
cessation, nutrition, physical activity, eye exams, motivational 
interviewing, Healthy Heart and Diabetes Prevention Program curricula, 
traditional foods/gardens, and motivational interviewing.

Required, Optional, and Allowable Activities

    (1) Complete a needs assessment survey to help plan program 
activities and prioritize site visits throughout the Nashville Area, 
IHS.
    (2) The project contracts diabetes program coordinators to offer 
technical assistance and training and discuss the site's needs.

[[Page 10360]]

    (3) Responds to community meetings and health fairs invitations to 
gather community input on needs in conjunction with data and technical 
assistance.
    (4) Technical assistance, site visits, and online video calls.
    (5) Assistance with patient listings on the diabetes register.
    (6) QMan, VGEN, PGEN, GEN RPMS reports for WebAudit, register 
cleanup, and interim audit reports.
    (7) Audit logic assistance for diabetes indicators in RPMS EHR.
    (8) Virtual and onsite sessions for training using Visual Diabetes 
Management System (DMS), QMan, and Patient Care Component (PCC) 
Management Reports.
    (9) Provide a minimum of four RPMS training in the DMS and other 
electronic tools for managing patient information.
    (a) This is a 2.5-to-3 day training session.
    (i) Inclusive components are hands-on instruction in the Diabetes 
Management System package for the EHR in both the ``roll and scroll'' 
interface and the Visual DMS graphical user interface (GUI). Topics 
include: building and maintaining diabetes and pre-diabetes registers, 
editing patient information, and running register and quality assurance 
reports. Additional topics include:
    (1) Using QMAN for custom searches to meet the needs that commonly 
arise for diabetes programs;
    (2) Creating panels of patients in iCare; and
    (3) Performing the annual IHS Diabetes Audit with WebAudit.
    (a) Instruction is hands-on using a training server with mock 
patient data.
    (10) Prepare and distribute Tribe-specific and aggregate summary 
reports.
    (11) Provide additional data analysis and reports at the request of 
the Tribal diabetes programs.
    (12) Reports include the ``Diabetes Report,'' an annual Nashville 
Area, IHS ``Aggregate Report'' summarizing the Annual Diabetes Care and 
Outcomes Audit.
    (13) Modify current tools and materials utilized by the project in 
response to changing Tribal practices, software developments, and 
updated standards of care.
    (14) Distribute the Diabetes Screening Toolkit to Tribes upon 
request for implementation of community diabetes screening.
    (15) Host a series of quarterly ``Best Practices'' diabetes 
training.
    (16) Expand related technical assistance and training services 
provided to Tribal diabetes programs.

Sole Source Justification

    The USET is identified as a single source for this cooperative 
agreement. The USET has effectively supported the Nashville Area SDPI 
grant programs since the inception of SDPI (for 25 years). In the 
previous SDPI grant cycle, the USET supported the work of 24 tribes in 
implementing SDPI. They did this by helping SDPI grantees submit 
applications and reports to ensure grant requirements are completed and 
submitted on time. They have developed an expertise in this area and 
developed a unique relationship with the Nashville Area, IHS grantees. 
The USET has played a significant and unique role in supporting Tribes 
in implementing curative measures throughout the Nashville Area, IHS. 
Their technical assistance and support in grant management, program 
capacity building, budget development, and grant reporting is a 
catalyst for positive change in diabetes treatment and prevention 
interventions across the Nashville Area, IHS. In addition, they have 
offered Tribes administrative grant oversight and support, limiting 
strain on staff and allowing more focus on program development and 
community outreach. The IHS is interested in USET continuing this 
successful work to support the SDPI grantees in the Nashville Area, IHS 
with their unique expertise.

II. Award Information

Funding Instrument--Cooperative Agreement

Estimated Funds Available
    The total funding identified for the first budget year, starting in 
fiscal year (FY) 2023 is approximately $130,001. The funding available 
for competing and subsequent 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 an award that is selected for funding under this announcement.
Anticipated Number of Awards
    One application will be accepted under this announcement for USET 
and only one award will be issued.
Period of Performance
    The project period is for 5 years.
Cooperative Agreement
    Cooperative agreements awarded by the Department of Health and 
Human Services (HHS) are administered under the same policies as 
grants. However, the funding agency, IHS, is anticipated to have 
substantial programmatic involvement in the project during the entire 
period of performance. Below is a detailed description of the level of 
involvement required of the IHS.
Substantial Agency Involvement Description for Cooperative Agreement
    (1) Identify a core group of IHS staff to work with the awardee in 
providing technical assistance and guidance.
    (2) Meet with the awardee to review awardee work plan and provide 
guidance on implementation, program evaluation, and data collection 
strategy and tools.
    (3) Participate in quarterly conference calls. Work with the 
awardee to display the results of this project by publishing on shared 
websites as well as in jointly authored publications.
    (4) Use the evidence-based program(s), framework(s), and data 
collection requirement(s) to develop an Evaluation Plan to collect 
national program aggregate and local evidence-based practice (EBP) 
fidelity data.

III. Eligibility Information

1. Eligibility

    The award is offered as a single source cooperative agreement to 
the USET.
    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 nonprofit 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 the application is submitted with a budget request that exceeds 
the highest dollar amount outlined under Section II Award Information, 
Estimated Funds Available, or exceeds the period of performance 
outlined under Section II Award Information, Period of Performance, it 
will be considered not responsive and will not be reviewed. The 
Division of Grants Management (DGM), IHS will notify the applicant.
    The following documentation is required (if applicable):

Proof of Nonprofit Status

    If the organization claims nonprofit status, it must submit a 
current copy of the 501(c)(3) Certificate with the application.

[[Page 10361]]

IV. Application and Submission Information

    Grants.gov uses a Workspace model for accepting applications. The 
Workspace consists of several online forms and three forms in which to 
upload documents--Project Narrative, Budget Narrative, and Other 
Documents. Give your files brief descriptive names. The filenames are 
key in finding specific documents during the objective review and in 
processing awards. Upload all requested and optional documents 
individually, rather than combining them into a package. Creating a 
package creates confusion when trying to find specific documents. Such 
confusion can contribute to delays in processing awards, and could lead 
to lower scores during the objective review.

1. Obtaining Application Materials

    The application package and detailed instructions for this 
announcement are available at https://www.Grants.gov.
    Please direct questions regarding the application process to 
[email protected].

2. Content and Form Application Submission

    Mandatory documents include:
     Application forms:
    1. SF-424, Application for Federal Assistance.
    2. SF-424A, Budget Information--Non-Construction Programs.
    3. SF-424B, Assurances--Non-Construction Programs.
    4. Project Abstract Summary form.
     Project Narrative (not to exceed 25 pages). See Section 
IV.2.A, Project Narrative for instructions.
     Budget Justification/Narrative (not to exceed 5 pages). 
See Section IV.2.B, Budget Narrative for instructions.
     501(c)(3) Certificate, if applicable.
     Biographical sketches for all Key Personnel.
     Contractor/Consultant resumes or qualifications and scope 
of work.
     Disclosure of Lobbying Activities (SF-LLL), if applicant 
conducts reportable lobbying.
     Certification Regarding Lobbying (GG-Lobbying Form).
     Copy of current Negotiated Indirect Cost (IDC) rate 
agreement (required in order to receive IDC).
     Documentation of current Office of Management and Budget 
(OMB) Financial Audit (if applicable).
    Acceptable forms of documentation include:
    1. Email confirmation from Federal Audit Clearinghouse (FAC) that 
audits were submitted; or
    2. Face sheets from audit reports. Applicants can find these on the 
FAC website at https://facdissem.census.gov/ gov/.

Public Policy Requirements

    All Federal public policies apply to IHS grants and cooperative 
agreements. Pursuant to 45 CFR 80.3(d), an individual shall not be 
deemed subjected to discrimination by reason of their exclusion from 
benefits limited by Federal law to individuals eligible for benefits 
and services from the IHS. See https://www.hhs.gov/grants/grants/grants-policies-regulations/.
Requirements for Project and Budget Narratives
A. Project Narrative
    This narrative should be a separate document that is no more than 
25 pages and must: (1) have consecutively numbered pages; (2) use black 
font 12 points or larger (applicants may use 10 point font for tables); 
(3) be single-spaced; and (4) be formatted to fit standard letter paper 
(8\1/2\ x 11 inches).
    Do not combine this document with any others.
    Be sure to succinctly answer all questions listed under the 
evaluation criteria (refer to Section V.1, Evaluation Criteria) and 
place all responses and required information in the correct section 
noted below or they will not be considered or scored. If the narrative 
exceeds the overall page limit, the application will be considered not 
responsive and will not be reviewed. The 25-page limit for the project 
narrative does not include the work plan, standard forms, budget, 
budget narratives, and/or other items. Page limits for each section 
within the project narrative are guidelines, not hard limits.
    There are three parts to the narrative: Part 1--Program 
Information; Part 2--Program Planning and Evaluation; and Part 3--
Organizational Capabilities. See below for additional details about 
what must be included in the narrative.
    The page limits below are for each narrative and budget submitted.
Part 1: Program Information (Limit--5 Pages)
Section 1: Needs
    Please provide a description of the need for assistance with 
offering this program. Applicant should demonstrate knowledge of: 
health concerns for AI/AN people in the Nashville Area, IHS; diabetes 
treatment and prevention activities in Tribal Nations; and working with 
Tribes and Tribal organizations that implement or have implemented an 
SDPI program.
Part 2: Program Planning and Evaluation (Limit--10 Pages)
Section 1: Program Plans
    This section should demonstrate the soundness and effectiveness of 
the proposal. The work plan should be designed to describe how and when 
technical assistance and support will be provided to the Nashville Area 
SDPI programs; describe how the SDPI programs will be trained and 
supported throughout the grants management process; and describe how 
sites will be provided technical assistance with their data collection 
and analysis via their specific EHR.
Section 2: Program Evaluation
    Describe the plan for collecting data, monitoring, and assuring 
quality and quantity of data and the plan for evaluating and reporting 
SDPI program results.
Part 3: Organizational Capabilities (Limit--10 Pages)
    Describe the broader capacity of the organization to complete the 
project outlined in the work plan, including: (1) identification and 
biosketches for key personnel responsible for completing tasks; (2) 
description of the structure of the organization and chain of 
responsibility for successful completion of the project outline in the 
work plan; (3) description of financial and project management 
capacity, including information regarding similarly sized projects in 
scope and financial assistance as well as other grants and projects 
successfully completed; (4) description of national experience in 
providing administrative and support services to Tribal SDPI programs, 
education agencies, and other Tribal programs for the benefit of AI/AN 
people and Tribal communities (indicate experience in national 
partnerships or national support efforts on behalf of AI/AN communities 
especially as it pertains to health concerns); (5) description of 
equipment and space available for use during the proposed project; and 
(6) description of specialized experience working with SDPI programs.
B. Budget Narrative (Limit--5 Pages)
    Provide a budget narrative that explains the amounts requested for 
each line item of the budget from the SF-424A (Budget Information for 
Non-Construction Programs) for the first year of the project. The 
applicant can submit with the budget narrative a more detailed 
spreadsheet than is provided by the SF-424A (the spreadsheet will not 
be considered part of the budget

[[Page 10362]]

narrative). The budget narrative should specifically describe how each 
item will support the achievement of proposed objectives. Be very 
careful about showing how each item in the ``Other'' category is 
justified. Do NOT use the budget narrative to expand the project 
narrative.

3. Submission Dates and Times

    The application must be submitted through Grants.gov by 11:59 p.m. 
Eastern Time on the Application Deadline Date. If the application is 
received after the application deadline it 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 
DGM by email at [email protected]. Please be sure to contact DGM 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 does not acknowledge receipt of applications.

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 indirect 
costs.
     Only one cooperative agreement may be awarded per 
applicant.

6. Electronic Submission Requirements

    All applications must be submitted via Grants.gov. Please use the 
https://www.Grants.gov website to submit an application. Find the 
application by selecting the ``Search Grants'' link on the homepage. 
Follow the instructions for submitting an application under the Package 
tab. No other method of application submission is acceptable.
    If you cannot submit an application through Grants.gov, you must 
request a waiver prior to the application due date. You must submit 
your waiver request by email to [email protected]. Your waiver request must 
include clear justification for the need to deviate from the required 
application submission process. The IHS will not accept any 
applications submitted through any means outside of Grants.gov without 
an approved waiver.
    If the DGM approves your waiver request, you will receive a 
confirmation of approval email containing submission instructions. You 
must include a copy of the written approval with the application 
submitted to the DGM. An application that does not include a copy of 
the signed waiver from the DGM will not be reviewed. The Grants 
Management Officer of the DGM will notify the applicant via email of 
this decision. An application submitted under waiver must be received 
by the DGM no later than 5:00 p.m. Eastern Time on the Application 
Deadline Date. Late applications will not be accepted for processing. 
If the applicant does not register for both the System for Award 
Management (SAM) and Grants.gov and/or fails 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 Assistance Listing (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.
     The applicant is 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 this funding 
announcement.
     The applicant must comply with any page limits described 
in this funding announcement.
     After submitting the application, you will receive an 
automatic acknowledgment from Grants.gov that contains a Grants.gov 
tracking number. The IHS will not notify you that the application has 
been received.
System for Award Management
    An organization not registered with SAM must access the SAM online 
registration through the SAM home page at https://sam.gov. United 
States organizations will also need to provide an Employer 
Identification Number from the Internal Revenue Service that may take 
an additional 2 to 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://sam.gov.
Unique Entity Identifier
    Your SAM.gov registration now includes a Unique Entity Identifier 
(UEI), generated by SAM.gov, which replaces the DUNS number obtained 
from Dun and Bradstreet. SAM.gov registration no longer requires a DUNS 
number. Check your organization's SAM.gov registration as soon as you 
decide to apply for this program. If your SAM.gov registration is 
expired, you will not be able to submit an application. It can take 
several weeks to renew it or resolve any issues with your registration, 
so do not wait.
    Check your Grants.gov registration. Registration and role 
assignments in Grants.gov are self-serve functions. One user for your 
organization will have the authority to approve role assignments, and 
these must be approved for active users in order to ensure someone in 
your organization has the necessary access to submit an application.
    The Federal Funding Accountability and Transparency Act of 2006, as 
amended (``Transparency Act''), requires all HHS awardees to report 
information on sub-awards. Accordingly, all IHS awardees must notify 
potential first-tier sub-awardees that no entity may receive a first-
tier sub-award unless the entity has provided its UEI number to the 
prime awardee 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.
    Additional information on implementing the Transparency Act, 
including the specific requirements for SAM, are available on the DGM 
Grants Management, Policy Topics web page at https://www.ihs.gov/dgm/policytopics/.

V. Application Review Information

    Possible points assigned to each section are noted in parentheses. 
The project narrative and budget narrative should include only the 
first year of activities. The project narrative 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 fully understand the 
project. Attachments requested in the

[[Page 10363]]

criteria do not count toward the page limit for the narratives. Points 
will be assigned to each evaluation criteria adding up to a total of 
100 possible points. Points are assigned as follows:

1. Evaluation Criteria

A. Introduction and Need for Assistance (20 Points)
    This section should demonstrate knowledge of health concerns and 
issues regarding AI/AN people in the Nashville Area, IHS; diabetes 
treatment and prevention activities in Tribal Nations; and working with 
Tribes and Tribal organizations that implement or have implemented an 
SDPI program.
B. Work Plan (30 Points)
    This section should demonstrate a sound and effective annual work 
plan that will support accomplishment of deliverables and milestones of 
the SDPI Nashville Area Technical Assistance and Support Program.
    The work plan should be designed to:
    a. Describe how and when technical assistance and support will be 
provided to the Nashville SDPI programs;
    b. Describe how the SDPI programs will be trained and supported 
throughout the grants management process; and
    c. Describe how sites will be provided technical assistance with 
their data collection and analysis via their specific EHR.
C. Organizational Capabilities (40 Points)
    This section should outline the broader capacity of the 
organization to complete the project outlined in the work plan. It 
includes the identification of personnel responsible for completing 
tasks and the chain of responsibility for successful completion of the 
project outline in the work plan. The section should:
    a. Describe the structure of the organization.
    b. Describe the ability of the organization to manage the proposed 
project and include information regarding similarly sized projects in 
scope and financial assistance as well as other grants and projects 
successfully completed.
    c. Describe what equipment (i.e., phone, websites, etc.) and 
facility space (i.e., office space) will be available for use during 
the proposed project. Include information about any equipment not 
currently available that will be purchased throughout the agreement.
    d. List and provide bios for key personnel who will work on the 
project.
    e. The section should demonstrate knowledge in:
    i. Providing administrative and support services to Tribal SDPI 
programs, education agencies, and other Tribal programs for the benefit 
of AI/AN people and Tribal communities (indicate experience in national 
partnerships or national support efforts on behalf of AI/AN communities 
especially as it pertains to health concerns);
    ii. Financial and project management; and
    iii. Local and national evaluation, including data collection and 
analysis.
D. Categorical Budget and Budget Justification (10 Points)
    This section should provide a clear estimate of the project program 
costs and justification for expenses for the entire cooperative 
agreement period. The budget and budget justification should be 
consistent with the tasks identified in the work plan.
    a. Categorical budget (Form SF-424A, Budget Information Non 
Construction Programs) completed for the first budget period.
    b. Narrative justification for all costs, explaining why each line 
item is necessary or relevant to the proposed project. Include 
sufficient details to facilitate the determination of allowable costs.
    c. Indication of any special start-up costs.
    d. Budget justification should include a description of the planned 
costs and how they relate to or support the proposed project 
activities.
    Additional documents can be uploaded as Other Attachments in 
Grants.gov. These can include:
     Work plan, and/or timeline 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 Rate Agreement.
     Map of area identifying project location(s).
     Additional documents to support narrative (i.e., data 
tables, key news articles, etc.).

2. Review and Selection

    Your application will be prescreened for eligibility and 
completeness as outlined in the funding announcement. An application 
that meets the eligibility criteria shall be reviewed for merit by the 
Objective Review Committee (ORC) based on evaluation criteria. If the 
application is incomplete or is not responsive to the administrative 
thresholds (budget limit, period of performance limit) will not be 
referred to the ORC and will not be funded. The program office will 
notify the applicant of this determination.
    The applicant must address all program requirements and provide all 
required documentation.

3. Notifications of Disposition

    The applicant will receive an Executive Summary Statement from the 
IHS Division of Diabetes Treatment and Prevention 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 Notice for Funded Application
    The Notice of Award (NoA) is the authorizing document for which 
funds are dispersed to the approved entity and reflects the amount of 
Federal funds awarded, the purpose of the award, the terms and 
conditions of the award, the effective date of the award, the budget 
period, and period of performance. The 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.
    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

    The award issued under this announcement is subject to, and is 
administered in accordance with, the following regulations and 
policies:
    A. The criteria as outlined in this program announcement.
    B. Administrative Regulations for Grants:
     Uniform Administrative Requirements, Cost Principles, and 
Audit Requirements for HHS Awards currently in effect or implemented 
during the period of award, other Department regulations and policies 
in effect at the time of award, and applicable statutory provisions. At 
the time of publication, this includes 45 CFR part 75, at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75.pdf.
     Please review all HHS regulatory provisions for 
Termination at 45 CFR

[[Page 10364]]

75.372, at the time of this publication located at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-sec75-372.pdf.
    C. Grants Policy:
     HHS Grants Policy Statement, Revised January 2007, at 
https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf.
    D. Cost Principles:
     Uniform Administrative Requirements for HHS Awards, ``Cost 
Principles,'' at 45 CFR part 75 subpart E, at the time of this 
publication located at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartE.pdf.
    E. Audit Requirements:
     Uniform Administrative Requirements for HHS Awards, 
``Audit Requirements,'' at 45 CFR part 75 subpart F, at the time of 
this publication located at https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartF.pdf.
    F. As of August 13, 2020, 2 CFR 200 was updated to include a 
prohibition on certain telecommunications and video surveillance 
services or equipment. This prohibition is described in 2 CFR 200.216. 
This will also be described in the terms and conditions of every IHS 
grant and cooperative agreement awarded on or after August 13, 2020.

2. Indirect Costs

    This section applies if the awardee requests reimbursement of IDC 
in their application budget. In accordance with HHS Grants Policy 
Statement, Part II-27, the IHS requires applicants to obtain a current 
IDC rate agreement and submit it to the DGM prior to the DGM issuing an 
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 agreement 
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.
    Per 45 CFR 75.414(f) Indirect (F&A) costs, ``any non-Federal entity 
(NFE) [i.e., applicant] that has never received a negotiated indirect 
cost rate, . . . may elect to charge a de minimis rate of 10 percent of 
modified total direct costs which may be used indefinitely. As 
described in Section 75.403, costs must be consistently charged as 
either indirect or direct costs, but may not be double charged or 
inconsistently charged as both. If chosen, this methodology once 
elected must be used consistently for all Federal awards until such 
time as the NFE chooses to negotiate for a rate, which the NFE may 
apply to do at any time.''
    Electing to charge a de minimis rate of 10 percent can be used by 
applicants that have received an approved negotiated indirect cost rate 
from HHS or another cognizant Federal agency. Applicants awaiting 
approval of their indirect cost proposal may request the 10 percent de 
minimis rate. When the applicant chooses this method, costs included in 
the indirect cost pool must not be charged as direct costs to the 
grant.
    Available funds are inclusive of direct and appropriate indirect 
costs. Approved indirect funds are awarded as part of the award amount, 
and no additional funds will be provided.
    Generally, IDC rates for IHS awardees are negotiated with the 
Division of Cost Allocation at https://rates.psc.gov/ or the Department 
of the Interior (Interior Business Center) at https://ibc.doi.gov/ICS/tribal. For questions regarding the indirect cost policy, please call 
the Grants Management Specialist listed under ``Agency Contacts'' or 
write to [email protected].

3. Reporting Requirements

    The awardee 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 the imposition of special award 
provisions and/or 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 awardee organization 
or the individual responsible for preparation of the reports. Per DGM 
policy, all reports must be submitted electronically by attaching them 
as a ``Grant Note'' in GrantSolutions. Personnel responsible for 
submitting reports will be required to obtain a login and password for 
GrantSolutions. Please use the form under the Recipient User section of 
https://www.grantsolutions.gov/home/getting-started-request-a-user-account/. Download the Recipient User Account Request Form, fill it out 
completely, and submit it as described on the web page and in the form.
    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports are required annually. The progress 
reports are due within 30 days after the reporting period ends 
(specific dates will be listed in the NoA Terms and Conditions). These 
reports must include a brief comparison of actual accomplishments to 
the goals established for the period, a summary of progress to date 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 period of performance.
B. Financial Reports
    Federal Financial Reports are due 30 days after the end of each 
budget period, and a final report is due 90 days after the end of the 
period of performance. The awardee is responsible and accountable for 
reporting accurate information on all required reports: the Progress 
Reports and the Federal Financial Report.
    Failure to submit timely reports may result in adverse award 
actions blocking access to funds.
C. Data Collection and Reporting
    The SDPI Nashville Area Technical Assistance and Support Program 
will ensure that each SDPI grant program in the Nashville Area, IHS is 
following the data collection/reporting requirements:
    SDPI Outcomes System (SOS) Required Key Measures (RKM) Data 
Requirements--Data for the selected Best Practice RKM will be submitted 
using the SOS. Awardees will submit results for their RKM for their 
selected Best Practice into this system at the start (baseline) and end 
(final) of the budget period, with the option to submit more 
frequently. The system will generate SOS RKM data reports to meet the 
SDPI outcomes reporting requirements. These results will be stored in 
the system and will be accessible to program staff, as needed. Awardees 
will need to appoint at least one person in their program to get access 
to and submit data into the SOS.
    i. Baseline data: Data is to be submitted into the SOS by the last 
business day of February each year (e.g., 2023 baseline data will be by 
Tuesday, February 28, 2023). A report from the SOS showing baseline 
data submission will be due with continuation applications.
    ii. Final data: Data for the prior budget period is to be submitted 
into the SOS by the last business day of January, each year (e.g., 2023 
final data will be

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due by Wednesday, January 31, 2024). A report from the SOS showing 
baseline and final data submission will be due with the Annual Progress 
Report.
    Refer to the SDPI website (https://www.ihs.gov/sdpi/) for the 
latest information on report templates, due dates, webinars and 
submission instructions.
    Diabetes Care and Outcomes Audit Requirements--SDPI awardees are 
required to participate in the Annual Diabetes Audit (https://www.ihs.gov/diabetes/audit/). Awardees will submit data, review 
results, and provide a copy of their Annual Diabetes Audit Report with 
their annual SDPI applications. Diabetes Annual Audit data are to be 
submitted into the WebAudit each year around mid-March, (e.g., 2023 
Audit data collecting annual data will be due approximately March 15, 
2023). Non-clinical or community-based awardees, that are not able to 
directly participate in the Diabetes Audit, will need to obtain a copy 
of the Annual Diabetes Audit Report from their local facility or Area 
Diabetes Consultant (https://www.ihs.gov/diabetes/about-us/area-diabetes-consultants-adc/).
D. 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 awardees 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 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 threshold met for any specific reporting period.
    For the full IHS award term implementing this requirement and 
additional award applicability information, visit the DGM Grants 
Management website at https://www.ihs.gov/dgm/policytopics/.
E. Non-Discrimination Legal Requirements for Awardees of Federal 
Financial Assistance
    Should you successfully compete for an award, recipients of Federal 
financial assistance (FFA) from HHS must administer their programs in 
compliance with Federal civil rights laws, where applicable, that 
prohibit discrimination on the basis of race, color, national origin, 
disability, age and, in some circumstances, religion, conscience, and 
sex (including gender identity, sexual orientation, and pregnancy). 
This includes ensuring programs are accessible to persons with limited 
English proficiency and persons with disabilities. The HHS Office for 
Civil Rights provides guidance on complying with civil rights laws 
enforced by HHS. Please see https://www.hhs.gov/civil-rights/for-providers/provider-obligations/ and https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/.
     Recipients of FFA must ensure that their programs are 
accessible to persons with limited English proficiency. For guidance on 
meeting your legal obligation to take reasonable steps to ensure 
meaningful access to your programs or activities by limited English 
proficiency individuals, see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/ and https://www.lep.gov.
     For information on your specific legal obligations for 
serving qualified individuals with disabilities, including reasonable 
modifications and making services accessible to them, see https://www.hhs.gov/civil-rights/for-individuals/disability/.
     HHS funded health and education programs must be 
administered in an environment free of sexual harassment. See https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/.
     For guidance on administering your program in compliance 
with applicable Federal religious nondiscrimination laws and applicable 
Federal conscience protection and associated anti-discrimination laws, 
see https://www.hhs.gov/conscience/conscience-protections/ 
and https://www.hhs.gov/conscience/religious-freedom/.
     Pursuant to 45 CFR 80.3(d), an individual shall not be 
deemed subjected to discrimination by reason of their exclusion from 
benefits limited by Federal law to individuals eligible for benefits 
and services from the IHS.
F. 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 FAPIIS at https://www.fapiis.gov/fapiis/#/home before making any award in excess of the simplified acquisition 
threshold (currently $250,000) 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, 
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, the IHS must require an NFE 
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 gratuity violations 
potentially affecting the Federal award. All applicants and awardees 
must disclose in writing, in a timely manner, 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: Marsha Brookins, Director, 5600 
Fishers Lane, Mail Stop: 09E47, Rockville, MD 20857, (Include 
``Mandatory Grant Disclosures'' in 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, URL:

[[Page 10366]]

https://oig.hhs.gov/fraud/report-fraud/, (Include ``Mandatory Grant 
Disclosures'' in 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 part 180 and 2 CFR part 
376).

VII. Agency Contacts

    1. Questions on the programmatic issues may be directed to:

Ms. Carmen Licavoli Hardin, Director, Indian Health Service, Division 
of Diabetes Treatment and Prevention, 5600 Fishers Lane, Mail Stop: 
08N34A&B, Rockville, MD 20897, Phone: 1-844-IHS-DDTP (1-844-447-3387), 
Fax: 301-594-6213, Email: [email protected]

    2. Questions on grants management and fiscal matters may be 
directed to:

Indian Health Service, Division of Grants Management, 5600 Fishers 
Lane, Mail Stop: 09E47, Rockville, MD 20857, Email: [email protected]

    3. For technical assistance with Grants.gov, please contact the 
Grants.gov help desk at 800-518-4726, or by email at 
[email protected].

VIII. Other Information

    The Public Health Service strongly encourages all grant, 
cooperative agreement, and contract awardees to provide a smoke-free 
workplace and promote the non-use of all tobacco products. In addition, 
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities (or in some cases, any portion of the facility) in 
which regular or routine education, library, day care, health care, or 
early childhood development services are provided to children. This is 
consistent with the HHS mission to protect and advance the physical and 
mental health of the American people.

Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-03341 Filed 2-16-23; 8:45 am]
BILLING CODE 4165-16-P