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Notice2022-26480

Tribal Management Grant Program

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Published

December 6, 2022

Issuing agencies

Health and Human Services DepartmentIndian Health Service

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<title>Federal Register, Volume 87 Issue 233 (Tuesday, December 6, 2022)</title>
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[Federal Register Volume 87, Number 233 (Tuesday, December 6, 2022)]
[Notices]
[Pages 74638-74647]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-26480]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

Tribal Management Grant Program

Announcement Type: New.
Funding Announcement Number: HHS-2023-IHS-TMD-0001.

[[Page 74639]]

Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
Number: 93.228.

Key Dates

Application Deadline Date: March 6, 2023.
Earliest Anticipated Start Date: April 20, 2023.

I. Funding Opportunity Description

Statutory Authority
The Indian Health Service (IHS) is accepting applications for
grants for the Tribal Management Grant (TMG) Program. This program is
authorized under the Snyder Act, 25 U.S.C. 13; the Transfer Act, 42
U.S.C. 2001(a); and the Indian Self-Determination and Education
Assistance Act (ISDEAA), Public Law 93-638, as amended, 25 U.S.C.
5322(b)(2) and 25 U.S.C. 5322(e). This program is described in the
Assistance Listings located at <a href="https://sam.gov/content/home">https://sam.gov/content/home</a> (formerly
known as the CFDA) under 93.228.
Background
The TMG Program is a competitive grant program that is capacity
building and developmental in nature and has been available for
federally recognized Indian Tribes and Tribal Organizations (T/TOs)
since shortly after enactment of the ISDEAA in 1975. The TMG Program
was established to assist T/TOs to prepare for assuming all or part of
existing IHS programs, functions, services, and activities (PFSAs) and
further develop and improve Tribal health management capabilities. The
TMG Program provides competitive grants to T/TOs to establish goals and
performance measures for current health programs, assess current
management capacity to determine if new components are appropriate,
analyze programs to determine if a T/TO's management is practicable,
and develop infrastructure systems to manage or organize PFSAs.
Purpose
The purpose of this program is to enhance and develop health
management infrastructure and assist T/TOs in assuming all or part of
existing IHS PFSAs through a Title I ISDEAA contract and assist
established Title I ISDEAA contractors and Title V ISDEAA compactors to
further develop and improve management capability. In addition, Tribal
Management Grants are available to T/TOs under the authority of 25
U.S.C. 5322(e) for the following:
1. Obtaining technical assistance from providers designated by the
T/TOs (including T/TOs that operate mature contracts) for the purposes
of program planning and evaluation, including the development of any
management systems necessary for contract management, and the
development of cost allocation plans for indirect cost rates.
2. Planning, designing, monitoring, and evaluating Federal programs
serving T/TOs, including Federal administrative functions.

II. Award Information

Funding Instrument--Grant
Estimated Funds Available
The total funding identified for fiscal year (FY) 2023 is
approximately $2,465,000. Individual award amounts for the first budget
year are anticipated to be between $50,000 and $150,000. 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 awards that are selected for funding under this announcement.
Anticipated Number of Awards
Approximately 14-16 awards will be issued under this program
announcement.
Period of Performance
The TMG Project period of performance varies based on the project
type selected. Period of performance is from 1 to 3 years. Please see
the next section for additional details.
Eligible TMG Project Types, Maximum Funding Levels, and Periods of
Performance
The TMG Program consists of four project types:
1. Feasibility study.
2. Planning.
3. Evaluation study.
4. Health management structure.
Applicants may submit applications for one project type only. An
application must state the project type selected. Any application that
addresses more than one project type will be considered ineligible and
will not be reviewed. The maximum funding levels noted must include
both direct and indirect costs. Application budgets may not exceed the
maximum funding level or period of performance identified for a project
type. Any application with a budget or period of performance that
exceeds the maximum funding level or period of performance will be
considered ineligible and will not be reviewed. Please refer to Section
IV.5, ``Funding Restrictions,'' for further information regarding
ineligible project activities.
1. FEASIBILITY STUDY (Maximum funding/project period: $70,000/12
months) A feasibility study must include a study of a specific IHS
program or segment of a program to determine if Tribal management of
the program is possible. The study shall present the planned approach,
training, and resources required to assume Tribal management of the
program. The study must include the following four components:
<bullet> Health needs and health care service assessments that
identify existing health care services and delivery systems, program
divisibility issues, health status indicators, unmet needs, volume
projections, and demand analysis.
<bullet> Management analysis of existing management structures,
proposed management structures, implementation plans and requirements,
and personnel staffing requirements and recruitment barriers.
<bullet> Financial analysis of historical trends data, financial
projections, new resource requirements for program management costs,
and analysis of potential revenues from Federal/non-Federal sources.
<bullet> Decision statement/report that incorporates findings
(sustainability, etc.), conclusions, and recommendations. The study and
recommendations report is to be presented to the Tribal governing body
for determination regarding whether Tribal program assumption is
desirable or warranted.
2. PLANNING (Maximum funding/project period: $50,000/12 months)
Planning projects involve data collection to establish goals and
performance measures for health programs operation or anticipated PFSAs
under a Title I contract. Planning projects will specify the design of
health programs and the management systems (including appropriate
policies and procedures) to accomplish the health priorities of the T/
TO. For example, planning projects could include the development of a
Tribe-specific health plan or a strategic health plan, etc. Please note
that updated Healthy People information and Healthy People 2020
objectives are available in electronic format at <a href="https://www.healthypeople.gov/2020/topics-objectives">https://www.healthypeople.gov/2020/topics-objectives</a>. The United States (U.S.)
Public Health Service encourages applicants submitting strategic health
plans to address specific objectives of Healthy People 2020.
3. EVALUATION STUDY (Maximum funding/project period: $50,000/12

[[Page 74640]]

months) An evaluation study must include a systematic collection,
analysis, and interpretation of data for the purpose of determining the
impact of a program. The extent of the evaluation study could relate to
the goals and objectives, policies and procedures, or programs
regarding targeted groups. The evaluation study could also be used to
determine the effectiveness and efficiency of a T/TO's program
operations (i.e., direct services, financial management, personnel,
data collection and analysis, third-party billing, etc.), as well as to
determine the appropriateness of new components of a T/TO's program
operations that will assist efforts to improve Tribal health care
delivery systems.
4. HEALTH MANAGEMENT STRUCTURE (Average funding/project period:
$100,000/12 months; maximum funding/project period: $300,000/36 months)
The first year funding level is limited to $150,000 for multi-year
projects. The Health Management Structure component allows for
implementation of systems to manage or organize PFSAs. Management
structures include health department organizations, health boards, and
financial management systems, including systems for accounting,
personnel, third-party billing, medical records, management information
systems, etc. This includes the design, improvement, and correction of
management systems that address weaknesses identified through quality
control measures, internal control reviews, and audit report findings
under required financial audits and ISDEAA requirements.
For the minimum standards for the management systems used by a T/TO
when carrying out Self-Determination contracts, please see 25 CFR part
900, Contracts Under the ISDEAA, Subpart F--``Standards for Tribal or
Tribal Organization Management Systems,'' 900.35-900.60. For
operational provisions applicable to carrying out Self-Governance
compacts, please see 42 CFR part 137, Tribal Self-Governance, Subpart
I,--``Operational Provisions,'' 137.160-137.220.

III. Eligibility Information

1. Eligibility

``Indian Tribes'' and ``Tribal Organizations'', as defined by the
Indian Health Care Improvement Act (IHCIA), are eligible to apply for
the TMG Program. The definitions for each entity type are outlined
below. To be eligible for this funding opportunity for ``New Applicants
Only,'' an applicant cannot be an existing TMG awardee under this
program.
<bullet> A federally recognized Indian Tribe as defined by 25
U.S.C. 1603(14). The term ``Indian Tribe'' means any Indian Tribe,
band, nation, or other organized group or community, including any
Alaska Native village or group, or regional or village corporation as
defined in or established pursuant to the Alaska Native Claims
Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is
recognized as eligible for the special programs and services provided
by the United States to Indians because of their status as Indians.
<bullet> A Tribal organization as defined by 25 U.S.C. 1603(26).
The term ``Tribal organization'' has the meaning given the term in
section 4 of the ISDEAA (25 U.S.C. 5304(l)): ``Tribal organization''
means the recognized governing body of any Indian Tribe; any legally
established organization of Indians which is controlled, sanctioned, or
chartered by such governing body or which is democratically elected by
the adult members of the Indian community to be served by such
organization and which includes the maximum participation of Indians in
all phases of its activities: provided that, in any case where a
contract is let or grant made to an organization to perform services
benefiting more than one Indian Tribe, the approval of each such Indian
Tribe shall be a prerequisite to the letting or making of such contract
or grant. Applicant shall submit Tribal Resolutions from the Tribes to
be served.
Please note that Tribes prohibited from contracting pursuant to the
ISDEAA are not eligible for the TMG program. See section 424(a) of the
Consolidated Appropriations Act, 2014, Public Law 113-76, as amended by
section 428 of the Consolidated Appropriations Act, 2018, Public Law
115-141, and section 1201 of the Consolidated Appropriations Act, 2021,
Public Law 116-260.
The Division of Grants Management (DGM) will notify any applicants
deemed ineligible.
Note: Please refer to Section IV.2 (Application and Submission
Information/Subsection 2, Content and Form of Application Submission)
for additional proof of applicant status documents required, such as
Tribal Resolutions, proof of 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

Applications with budget requests that exceed the highest dollar
amount outlined under Section II Award Information, Estimated Funds
Available, or exceed the period of performance outlined under Section
II Award Information, Period of Performance, are considered not
responsive and will not be reviewed. The DGM will notify the applicant.
Additional Required Documentation
Tribal Resolution
The DGM must receive an official, signed Tribal Resolution prior to
issuing a Notice of Award (NoA) to any Tribe or Tribal organization
selected for funding. An applicant that is proposing a project
affecting another Indian Tribe must include resolutions from all
affected Tribes to be served. However, if an official signed Tribal
Resolution cannot be submitted with the application prior to the
application deadline date, a draft Tribal Resolution must be submitted
with the application by the deadline date in order for the application
to be considered complete and eligible for review. The draft Tribal
Resolution is not in lieu of the required signed resolution but is
acceptable until a signed resolution is received. If an application
without a signed Tribal Resolution is selected for funding, the
applicant will be contacted by the Grants Management Specialist (GMS)
listed in this funding announcement and given 90 days to submit an
official signed Tribal Resolution to the GMS. If the signed Tribal
Resolution is not received within 90 days, the award will be forfeited.
Applicants organized with a governing structure other than a Tribal
council may submit an equivalent document commensurate with their
governing organization.
Proof of Nonprofit Status
Organizations claiming nonprofit status must submit a current copy
of the 501(c)(3) Certificate with the application.
Additional Required Documentation for Specific TMG Project Types
A. Federally recognized Indian Tribes applying for technical
assistance and/or training grants must provide a Tribal Resolution; or
a designated Tribal Organization applying on behalf of the Indian Tribe
and/or Tribes it intends to serve must also provide a Tribal
Resolution.
B. Documentation for Priority I participation requires a copy of
the Federal Register notice or letter from

[[Page 74641]]

the Bureau of Indian Affairs verifying establishment of recognized
Tribal status within the past 5 years. The date on the documentation
must reflect that Federal recognition was received during or after
March 2016.
C. Documentation for Priority II participation requires a copy of
the most current transmittal letter and Attachment A from the
Department of Health and Human Services (HHS), Office of Inspector
General (OIG), National External Audit Review Center (NEAR). See
``Funding Priorities'' for more information. If an applicant is unable
to provide a copy of the most recent transmittal letter or needs
assistance with audit issues, information or technical assistance may
be obtained by contacting the IHS Office of Finance and Accounting,
Division of Audit by telephone at (301) 443-1270, or toll-free at the
NEAR help line at (800) 732-0679 or (816) 426-7720. Recognized T/TOs
not subject to Single Audit Act requirements must provide a financial
statement identifying the Federal dollars received in the footnotes.
The financial statement must also identify specific weaknesses/
recommendations that will be addressed in the TMG proposal and that are
related to 25 CFR part 900, subpart F--Standards for Tribal or Tribal
Organization Management Systems.
D. Documentation of Consortium participation--If an applicant is a
member of an eligible intertribal consortium, the Tribe must:
1. Identify the consortium.
2. Demonstrate that the Tribe's application does not duplicate or
overlap any objectives of the consortium's application.
3. Identify all consortium member Tribes.
4. Identify if any of the consortium member Tribes intend to submit
a TMG application of their own.
5. Demonstrate that the consortium's application does not duplicate
or overlap any objectives of other consortium members who may be
submitting their own TMG application.
Funding Priorities: The IHS has established the following funding
priorities for TMG awards:
<bullet> PRIORITY I--Any Indian Tribe, or Tribal Organization
representing that Indian Tribe, that has received Federal recognition
(including restored, funded, or unfunded) within the past 5 years,
specifically received during or after March 2016, will be considered
Priority I.
<bullet> PRIORITY II--Indian Tribes and Tribal Organizations
submitting a new application or a competing continuation application
for the sole purpose of addressing audit material weaknesses will be
considered Priority II. Priority II participation is only applicable to
the Health Management Structure project type. For more information, see
``Eligible TMG Project Types, Maximum Funding Levels, and Project
Periods,'' in Section II.
<bullet> PRIORITY III--Eligible Direct Service and T/TOs with a
Title I ISDEAA contract with the IHS submitting a new application or a
competing continuation application will be considered Priority III.
<bullet> PRIORITY IV--Eligible T/TOs with a Title V ISDEAA compact
with the IHS submitting a new application or a competing continuation
application will be considered Priority IV.
The funding of approved Priority I applicants will occur before the
funding of approved Priority II applicants. Priority II applicants will
be funded before approved Priority III applicants. Priority III
applicants will be funded before approved Priority IV applicants. Funds
will be distributed until depleted.
The following definitions are applicable to the PRIORITY II
category:
Audit finding--deficiencies that the auditor is required by 45 CFR
75.516 to report in the schedule of findings and questioned costs.
Material weakness--``Statements on Auditing Standards 115'' defines
material weakness as a deficiency, or combination of deficiencies, in
internal control, such that there is a reasonable possibility that a
material misstatement of the entity's financial statements will not be
prevented, or detected and corrected on a timely basis.
Significant deficiency--``Statements on Auditing Standards 115,''
defines significant deficiency as a deficiency, or a combination of
deficiencies, in internal control that is less severe than a material
weakness, yet important enough to merit attention by those charged with
governance.
The audit findings are identified in Attachment A of the
transmittal letter received from the HHS/OIG/NEAR. Please identify the
material weaknesses to be addressed by underlining the item(s) listed
in Attachment A.
Indian Tribes and Tribal Organizations not subject to Single Audit
Act requirements must provide a financial statement identifying the
Federal dollars received in the footnotes. The financial statement
should also identify specific weaknesses/recommendations that will be
addressed in the TMG proposal and that are related to 25 CFR part 900,
subpart F, Standards for Tribal and Tribal Organization Management
Systems.
Note: A decision to award a TMG does not represent a determination
from the IHS regarding the T/TO's eligibility to contract for a
specific PFSA under the ISDEAA. An application for a TMG does not
constitute a contract proposal.

IV. Application and Submission Information

<a href="http://Grants.gov">Grants.gov</a> 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 <a href="https://www.Grants.gov">https://www.Grants.gov</a>.
Please direct questions regarding the application process to
<a href="/cdn-cgi/l/email-protection#783c3f353811100b561f170e">[email&#160;protected]</a>.

2. Content and Form Application Submission

Mandatory documents for all applicants include:
<bullet> 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.
<bullet> Project Narrative (not to exceed 15 pages). See Section
IV.2.A, Project Narrative for instructions.
<bullet> Budget Justification and Narrative (not to exceed 5
pages). See Section IV.2.B, Budget Narrative for instructions.
<bullet> One-page Timeframe Chart.
<bullet> Tribal Resolution(s) as described in Section III,
Eligibility.
<bullet> Letters of Support from organization's Board of Directors
(if applicable).
<bullet> 501(c)(3) Certificate (if applicable).
<bullet> Biographical sketches for all Key Personnel.
<bullet> Contractor/Consultant resumes or qualifications and scope
of work.

[[Page 74642]]

<bullet> Disclosure of Lobbying Activities (SF-LLL), if applicant
conducts reportable lobbying.
<bullet> Certification Regarding Lobbying (GG-Lobbying Form).
<bullet> Copy of current Negotiated Indirect Cost (IDC) rate
agreement (required in order to receive IDC).
<bullet> Organizational Chart (optional).
<bullet> 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 <a href="https://facdissem.census.gov/">https://facdissem.census.gov/</a> 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 <a href="https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html">https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html</a>.
Requirements for Project and Budget Narratives
A. Project Narrative: This narrative should be a separate document
that is no more than 15 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 reviewers will be directed to
ignore any content beyond the page limit. The 15-page limit for the
narrative does not include the work plan, standard forms, Tribal
Resolutions, budget, budget justifications, 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--
Program Report. 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--2 Pages)
Section 1: Needs.
Describe how the T/TO has determined the need to either enhance or
develop Tribal management capability to either assume PFSAs or not in
the interest of Self-Determination. Note the progression of previous
TMG projects/awards if applicable.
Part 2: Program Planning and Evaluation (Limit--11 Pages)
Section 1: Program Plans.
Describe fully and clearly the direction the T/TO plans to take
with the selected TMG Project type in addressing their health
management infrastructure, including how the T/TO plans to demonstrate
improved health and services to the community or communities it serves.
Include proposed timelines.
Section 2: Program Evaluation.
Describe fully and clearly the improvements that will be made by
the T/TO that will impact their management capability or prepare them
for future improvements to their organization that will allow them to
manage their health care system and identify the anticipated or
expected benefits for the Tribe.
Part 3: Program Report (Limit--2 Pages)
Section 1: Describe your organization's significant program
activities and accomplishments over the past 5 years associated with
the goals of this announcement.
Please identify and describe significant program achievements
associated with the delivery of quality health services. Provide a
comparison of the actual accomplishments to the goals established for
the project period, or if applicable, provide justification for the
lack of progress.
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 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
Applications must be submitted through <a href="http://Grants.gov">Grants.gov</a> by 11:59 p.m.
Eastern Time on the Application Deadline Date. Any application received
after the application deadline will not be accepted for review.
<a href="http://Grants.gov">Grants.gov</a> will notify the applicant via email if the application is
rejected.
If technical challenges arise and assistance is required with the
application process, contact <a href="http://Grants.gov">Grants.gov</a> Customer Support (see contact
information at <a href="https://www.Grants.gov">https://www.Grants.gov</a>). If problems persist, contact
Mr. Paul Gettys (<a href="/cdn-cgi/l/email-protection#aafacbdfc684edcfdeded3d9eac3c2d984cdc5dc">[email&#160;protected]</a>), Deputy Director, DGM, by
telephone at (301) 443-2114. Please be sure to contact Mr. Gettys at
least 10 days prior to the application deadline. Please do not contact
the DGM until you have received a <a href="http://Grants.gov">Grants.gov</a> 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
<bullet> Pre-award costs are allowable up to 90 days before the
start date of the award provided the costs are otherwise allowable if
awarded. Pre-award costs are incurred at the risk of the applicant.
<bullet> The available funds are inclusive of direct and indirect
costs.
<bullet> Only one grant may be awarded per applicant.
6. Electronic Submission Requirements
All applications must be submitted via <a href="http://Grants.gov">Grants.gov</a>. Please use the
<a href="https://www.Grants.gov">https://www.Grants.gov</a> 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 <a href="http://Grants.gov">Grants.gov</a>, you must
request a waiver prior to the application due date. This contact must
be initiated prior to the application due date or your waiver request
will be denied. Prior approval must be requested and obtained from Mr.
Paul Gettys, Deputy Director, DGM. You must send a written waiver
request to <a href="/cdn-cgi/l/email-protection#2266656f624b4a510c454d54">[email&#160;protected]</a> with a copy to <a href="/cdn-cgi/l/email-protection#7828190d14563f1d0c0c010b3811100b561f170e">[email&#160;protected]</a>. The waiver
request must be documented in writing (emails

[[Page 74643]]

are acceptable) before submitting an application by some other method,
and must include clear justification for the need to deviate from the
required application submission process.
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. Applications that do not include a copy of the
signed waiver from the Deputy Director of the DGM will not be reviewed.
The Grants Management Officer of the DGM will notify the applicant via
email of this decision. Applications 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. Applicants that do not register for both the System for
Award Management (SAM) and <a href="http://Grants.gov">Grants.gov</a> 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:
<bullet> Please search for the application package in <a href="https://www.Grants.gov">https://www.Grants.gov</a> by entering the Assistance Listing (CFDA) number or the
Funding Opportunity Number. Both numbers are located in the header of
this announcement.
<bullet> If you experience technical challenges while submitting
your application, please contact <a href="http://Grants.gov">Grants.gov</a> Customer Support (see
contact information at <a href="https://www.Grants.gov">https://www.Grants.gov</a>).
<bullet> Upon contacting <a href="http://Grants.gov">Grants.gov</a>, 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.
<bullet> Applicants are strongly encouraged not to wait until the
deadline date to begin the application process through <a href="http://Grants.gov">Grants.gov</a> as
the registration process for SAM and <a href="http://Grants.gov">Grants.gov</a> could take up to 20
working days.
<bullet> Please follow the instructions on <a href="http://Grants.gov">Grants.gov</a> to include
additional documentation that may be requested by this funding
announcement.
<bullet> Applicants must comply with any page limits described in
this funding announcement.
<bullet> After submitting the application, you will receive an
automatic acknowledgment from <a href="http://Grants.gov">Grants.gov</a> that contains a <a href="http://Grants.gov">Grants.gov</a>
tracking number. The IHS will not notify you that the application has
been received.
System for Award Management (SAM)
Organizations that are not registered with SAM must access the SAM
online registration through the SAM home page at <a href="https://sam.gov">https://sam.gov</a>.
Organizations in the U.S. 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 <a href="http://SAM.gov">SAM.gov</a> 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 <a href="https://sam.gov">https://sam.gov</a>.
Unique Entity Identifier
Your <a href="http://SAM.gov">SAM.gov</a> registration now includes a Unique Entity Identifier
(UEI), generated by <a href="http://SAM.gov">SAM.gov</a>, which replaces the DUNS number obtained
from Dun and Bradstreet. <a href="http://SAM.gov">SAM.gov</a> registration no longer requires a DUNS
number.
Check your organization's <a href="http://SAM.gov">SAM.gov</a> registration as soon as you
decide to apply for this program. If your <a href="http://SAM.gov">SAM.gov</a> 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 <a href="http://Grants.gov">Grants.gov</a> registration. Registration and role
assignments in <a href="http://Grants.gov">Grants.gov</a> 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 <a href="https://www.ihs.gov/dgm/policytopics/">https://www.ihs.gov/dgm/policytopics/</a>.

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 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)
1. Describe the T/TO's current health operation. Include a list of
programs and services that are currently provided (e.g., federally
funded, state funded, etc.), information regarding technologies
currently used (e.g., hardware, software, services, etc.), and identify
the source(s) of technical support for those technologies (i.e., Tribal
staff, Area office IHS, vendor, etc.). Include information regarding
whether the T/TO has a health department and/or health board and how
long it has been operating.
2. Describe the population to be served by the proposed project.
Include the total number of eligible IHS beneficiaries currently using
the services.
3. Describe the geographic location of the proposed project,
including any geographic barriers to health care users in the area to
be served.
4. Identify all TMGs received since FY 2013, dates of funding, and
a summary of project accomplishments. State how previous TMG funds
facilitated the progression of health development relative to the
current proposed project. (Copies of reports will not be accepted.)
5. Identify the eligible project type and priority group of the
applicant.
6. Explain the need or reason for the proposed TMG project.
Identify specific weaknesses and gaps in service or infrastructure that
will be addressed by the proposal. Explain how these gaps and
weaknesses will be assessed.
7. If the proposed TMG project includes information technology
(i.e., hardware, software, etc.), provide further information regarding
measures that have occurred or will occur to ensure the proposed
project will not create other gaps in services or infrastructure (e.g.,
negatively affect or impact IHS interface capability, Government
Performance and Results Act reporting requirements, contract reporting
requirements, Information

[[Page 74644]]

Technology (IT) compatibility, etc.), if applicable.
8. Describe the effect of the proposed TMG project on current
programs (e.g., federally funded, state funded, etc.), and, if
applicable, on current equipment (e.g., hardware, software, services,
etc.). Include the effect of the proposed project on planned or
anticipated programs and equipment.
9. Address how the proposed TMG project relates to the purpose of
the TMG Program by addressing the appropriate description that follows:
a. Identify whether the T/TO is an IHS Title I contractor. Address
if the Self-Determination contract is a master contract of several
programs or if individual contracts are used for each program. Include
information regarding whether or not the T/TO participates in a
consortium contract (i.e., more than one Tribe participating in a
contract). Address what programs are currently provided through those
contracts and how the proposed TMG project will enhance the
organization's capacity to manage the contracts currently in place.
b. Identify if the T/TO is not an IHS Title I contractor. Address
how the proposed TMG project will enhance the organization's management
capabilities, what programs and services the organization is currently
seeking to contract, and an anticipated date for contract.
c. Identify if the T/TO is an IHS Title V compactor. Address when
the T/TO entered into the compact and how the proposed project will
further enhance the organization's management capabilities.
B. Project Objective(s), Work Plan, and Approach (40 Points)
1. The proposed project objectives must be:
a. measureable and (if applicable) quantifiable;
b. results-oriented;
c. time-limited.
Example: By installing new third-party billing software, the Tribe
proposes to increase the number of claims processed by 15 percent
within 12 months.
2. For each objective, address how the proposed TMG project will
result in change or improvement in program operations or processes.
Also, address what tangible products are expected from the project
(i.e., policies and procedures manual, health plan, etc.).
3. Address the extent to which the proposed project will build
local capacity to provide, improve, or expand services that address the
needs of the target population.
4. Submit a work plan in the Other Attachments that includes the
following:
a. Provide action steps on a timeline for accomplishing the
proposed project objectives.
b. Identify who will perform the action steps.
c. Identify who will supervise the action steps taken.
d. Identify tangible products that will be produced during and at
the end of the proposed project.
e. Identify who will accept and/or approve work products during the
duration of the proposed TMG project and at the end of the proposed
project.
f. Include a description of any training activities proposed. This
description will identify the target audience and training personnel.
g. Include work plan evaluation activities.
5. If consultants or contractors will be used during the proposed
project, please complete the following information in their scope of
work. (If consultants or contractors will not be used, please make note
in this section):
a. Educational requirements.
b. Desired qualifications and work experience.
c. Expected work products to be delivered, including a timeline.
If potential consultants or contractors have already been
identified, please upload a resume for each consultant or contractor in
the Other Attachments in <a href="http://Grants.gov">Grants.gov</a>.
6. Describe updates that will be required for the continued success
of the proposed TMG project (i.e., revision of policies/procedures,
upgrades, technical support, etc.). Include a timeline of anticipated
updates and source of funding to conduct the update and/or maintenance.
C. Program Evaluation (20 Points)
Each proposed objective requires an evaluation activity (such as a
logic model) to assess its progression and ensure completion. This
should be included in the work plan.
Describe the proposal's plan to evaluate project processes and
outcomes. Outcome evaluation relates to the results identified in the
objectives. Process evaluation relates to the work plan and activities
of the project.
1. For outcome evaluation, describe:
a. The criteria for determining whether each objective was met.
b. The data to be collected to determine whether the objective was
met.
c. Data collection intervals.
d. Who will be responsible for collecting the data and their
qualifications.
e. Data analysis method.
f. How the results will be used.
2. For process evaluation, describe:
a. The process for monitoring and assessing potential problems,
then identifying quality improvements.
b. Who will be responsible for monitoring and managing project
improvements based on results of ongoing process improvements and their
qualifications.
c. Provide details with regards to the ways ongoing monitoring will
be used to improve the project.
d. Describe any products, such as manuals or policies, that might
be developed and how they might lend themselves to replication by
others.
e. How the T/TO will document what is learned throughout the
project period.
3. Describe any additional evaluation efforts planned after the
grant period has ended.
4. Describe the ultimate benefit to the T/TO that is expected to
result from this project. An example would be a T/TO's ability to
expand preventive health services because of increased billing and
third-party payments.
D. Organizational Capabilities, Key Personnel, and Qualifications (15
Points)
This section outlines the T/TO's capacity to complete the proposal
outlined in the work plan. It includes the identification of personnel
responsible for completing tasks and the chain of responsibility for
completion of the proposed plan.
1. Provide the organizational structure of the T/TO.
2. Provide information regarding plans to obtain management systems
if a T/TO does not have an established management system currently in
place that complies with 25 CFR part 900, subpart F, Standards for
Tribal or Tribal Organization Management Systems. State if management
systems are already in place and how long the systems have been in
place.
3. Describe the ability of the T/TO to manage the proposed project.
Include information regarding similarly sized projects in scope and
financial assistance as well as other grants and projects successfully
completed.
4. Describe equipment (e.g., fax machine, telephone, computer,
etc.) and facility space (i.e., office space) that will be available
for use during the proposed project. Include information about any
equipment not currently available that will be purchased through the
grant.
5. List key project personnel and their titles in the work plan.
6. Provide the position descriptions and resumes for all key
personnel as

[[Page 74645]]

Other Attachments in <a href="http://Grants.gov">Grants.gov</a>. The included position descriptions
should: (1) clearly describe each position's duties; and (2) indicate
desired qualifications and project associated experience. Each resume
must include a statement indicating that the proposed key personnel is
explicitly qualified to carry out the proposed project activities. If
no current candidate for a position exists, please provide a statement
to that effect in the Other Attachments.
7. If an individual is partially funded by this grant, indicate the
percentage of his or her time to be allocated to the project and
identify the resources used to fund the remainder of that individual's
salary.
8. Address how the T/TO will sustain the proposal created positions
after the grant expires. Please indicate if the project requires
additional personnel (i.e., IT support, etc.). If no additional
personnel are required, please indicate that in this section.
E. Categorical Budget and Budget Justification (5 Points)
1. Provide a categorical budget for the first budget period.
2. If indirect costs are claimed, indicate and apply the current
negotiated rate to the budget. Include a copy of the rate agreement in
the Other Attachments.
3. Provide a narrative justification explaining why each
categorical budget line item is necessary and relevant to the proposed
project. Include sufficient cost and other details to facilitate the
determination of cost allowability (e.g., equipment specifications,
etc.).
Additional documents can be uploaded as Other Attachments in
<a href="http://Grants.gov">Grants.gov</a>. These can include:
<bullet> Work plan, logic model, and/or timeline for proposed
objectives.
<bullet> Position descriptions for key staff.
<bullet> Resumes of key staff that reflect current duties.
<bullet> Consultant or contractor proposed scope of work and letter
of commitment (if applicable).
<bullet> Current Indirect Cost Rate Agreement.
<bullet> Organizational chart.
<bullet> Map of area identifying project location(s).
<bullet> Additional documents to support narrative (i.e. data
tables, key news articles, etc.).

2. Review and Selection

Each application will be prescreened for eligibility and
completeness as outlined in the funding announcement. Applications that
meet the eligibility criteria shall be reviewed for merit by the
Objective Review Committee (ORC) based on evaluation criteria.
Incomplete applications and applications that are 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.
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 Office of Direct Service and Contracting Tribes 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 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 award, the terms and conditions of the
award, the effective date of the award, the budget period, and period
of performance. 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

Awards issued under this announcement are subject to, and are
administered in accordance with, the following regulations and
policies:
A. The criteria as outlined in this program announcement.
B. Administrative Regulations for Grants:
<bullet> 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 <a href="https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75.pdf">https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75.pdf</a>.
<bullet> Please review all HHS regulatory provisions for
Termination at 45 CFR 75.372, at the time of this publication located
at <a href="https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-sec75-372.pdf">https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-sec75-372.pdf</a>.
C. Grants Policy:
<bullet> HHS Grants Policy Statement, Revised January 2007, at
<a href="https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf">https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf</a>.
D. Cost Principles:
<bullet> Uniform Administrative Requirements for HHS Awards, ``Cost
Principles,'' located at 45 CFR part 75 subpart E, at the time of this
publication located at <a href="https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartE.pdf">https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartE.pdf</a>.
E. Audit Requirements:
<bullet> Uniform Administrative Requirements for HHS Awards, Audit
Requirements, located at 45 CFR part 75 subpart F, at the time of this
publication located at <a href="https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartF.pdf">https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75-subpartF.pdf</a>.
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 to all recipients that request 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

[[Page 74646]]

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 only applies to
applicants that have never 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 grantees are negotiated with the
Division of Cost Allocation at <a href="https://rates.psc.gov/">https://rates.psc.gov/</a> or the Department
of the Interior (Interior Business Center) at <a href="https://ibc.doi.gov/ICS/tribal">https://ibc.doi.gov/ICS/tribal</a>. For questions regarding the indirect cost policy, please call
the Grants Management Specialist listed under ``Agency Contacts'' or
write to <a href="/cdn-cgi/l/email-protection#286c6f656841405b064f475e">[email&#160;protected]</a>.

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
<a href="https://www.grantsolutions.gov/home/getting-started-request-a-user-account/">https://www.grantsolutions.gov/home/getting-started-request-a-user-account/</a>. 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 semi-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 90 days after the end of each
budget period, and a final report is due 90 days after the end of the
period of performance.
Awardees are 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. 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 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 <a href="https://www.ihs.gov/dgm/policytopics/">https://www.ihs.gov/dgm/policytopics/</a>.
D. 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 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 <a href="https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html">https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html</a> and <a href="https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html">https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html</a>.
<bullet> 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 <a href="https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/index.html">https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/index.html</a> and <a href="https://www.lep.gov">https://www.lep.gov</a>.
<bullet> For information on your specific legal obligations for
serving qualified individuals with disabilities, including reasonable
modifications and making services accessible to them, see <a href="https://www.hhs.gov/civil-rights/for-individuals/disability/index.html">https://www.hhs.gov/civil-rights/for-individuals/disability/index.html</a>.
<bullet> Health and education programs funded by the HHS must be
administered in an environment free of sexual harassment. See <a href="https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/index.html">https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/index.html</a>.
<bullet> 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 <a href="https://www.hhs.gov/conscience/conscience-protections/index.html">https://www.hhs.gov/conscience/conscience-protections/index.html</a>
and https://

[[Page 74647]]

www.hhs.gov/conscience/religious-freedom/index.html.
E. Federal Awardee Performance and Integrity Information System
(FAPIIS)
The IHS is required to review and consider any information about
the applicant that is in the FAPIIS at <a href="https://www.fapiis.gov/fapiis/#/home">https://www.fapiis.gov/fapiis/#/home</a> 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 recipients must disclose in writing, in a timely
manner, to the IHS and to the HHS OIG all information related to
violations of Federal criminal law involving fraud, bribery, or
gratuity violations potentially affecting the Federal award. 45 CFR
75.113.
Disclosures must be sent in writing to: U.S. Department of Health
and Human Services, Indian Health Service, Division of Grants
Management, Attn: Marsha Brookins, Director, 5600 Fishers Lane, Mail
Stop: 09E70, Rockville, MD 20857, (Include ``Mandatory Grant
Disclosures'' in subject line), Office: (301) 443-4750, Fax: (301) 594-
0899, email: <a href="/cdn-cgi/l/email-protection#1155565c517879623f767e67">[email&#160;protected]</a> 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: <a href="https://oig.hhs.gov/fraud/report-fraud/">https://oig.hhs.gov/fraud/report-fraud/</a>, (Include ``Mandatory Grant Disclosures'' in
subject line), Fax: (202) 205-0604 (Include ``Mandatory Grant
Disclosures'' in subject line) or email:
<a href="/cdn-cgi/l/email-protection#7e331f101a1f0a110c07390c1f100a1b1b3a170d1d12110d0b0c1b0d3e1117195016160d50191108">[email&#160;protected]</a>.
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: Terri
Schmidt, Director, Office of Direct Service and Contracting Tribes,
Indian Health Service, 5600 Fishers Lane, Mail Stop: 08E17, Rockville,
MD 20857, Phone: (301) 443-1104, email: <a href="/cdn-cgi/l/email-protection#285c4d5a5a41065b4b4045414c5c6841405b064f475e">[email&#160;protected]</a>.
2. Questions on grants management and fiscal matters may be
directed to: Sheila A.L. Miller, Grants Management Specialist, Indian
Health Service, Division of Grants Management, 5600 Fishers Lane, Mail
Stop: 09E70, Rockville, MD 20857, Phone: (240) 535-9308, email:
<a href="/cdn-cgi/l/email-protection#31425954585d501f5c585d5d5443715859421f565e47">[email&#160;protected]</a>.
3. Questions on systems matters may be directed to: Paul Gettys,
Deputy Director, Indian Health Service, Division of Grants Management,
5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301)
443-2114, email: <a href="/cdn-cgi/l/email-protection#45152430296b022031313c36052c2d366b222a33">[email&#160;protected]</a>.

VIII. Other Information

The 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,
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.

P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2022-26480 Filed 12-5-22; 8:45 am]
BILLING CODE 4165-16-P

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