Notice2023-01150
4-in-1 Grant Program-Urban Indian Health
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
January 23, 2023
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Full Text
<html>
<head>
<title>Federal Register, Volume 88 Issue 14 (Monday, January 23, 2023)</title>
</head>
<body><pre>
[Federal Register Volume 88, Number 14 (Monday, January 23, 2023)]
[Notices]
[Pages 4002-4010]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-01150]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
4-in-1 Grant Program--Urban Indian Health
Announcement Type: New and Competing Continuation.
Funding Announcement Number: HHS-2023-IHS-UIHP2-0001.
Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
Number: 93.193.
Key Dates
Application Deadline Date: February 21, 2023.
Earliest Anticipated Start Date: April 1, 2023.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS) is accepting applications for
grants for the 4-in-1 Grant Program. This program is authorized under
the Snyder Act, 25 U.S.C. 13; the Transfer Act, 42 U.S.C. 2001(a); and
Title V of the Indian Health Care Improvement Act (IHCIA), at 25 U.S.C.
1653(c)-(e) (authorizing grants for Health Promotion and Disease
Prevention (HP/DP) services, Immunization services, and Mental Health
services), and 1660a (authorizing grants for Alcohol and Substance
Abuse related services). 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
Catalog of Federal Domestic Assistance) under 93.193.
Background
In the late 1960s, Urban Indian community leaders began advocating
at the local, state, and Federal levels to address the unmet health
care needs of Urban Indians, and requested health care services and
programs. These efforts resulted in an increase of preventative,
medical, and behavioral health services, but there was growing
recognition of challenges preventing Urban Indians in seeking health
care services. To address these barriers, advocacy focused on the
development of culturally appropriate activities that were unique to
the social, cultural, and spiritual needs of American Indians and
Alaska Natives residing in urban settings. Programs developed at that
time were staffed by volunteers in storefront settings, with limited
budgets, offering primary care, outreach, and referral services.
In response to efforts of the Urban Indian community leaders,
Congress appropriated funds in 1966 through the IHS for a pilot urban
clinic in Rapid City, South Dakota. In 1973, Congress appropriated
funds to study unmet Urban Indian health needs in Minneapolis,
Minnesota. The findings of this study documented cultural, economic,
and access barriers to health care and led to congressional
appropriations to support emerging Urban Indian clinics in several
Bureau of Indian Affairs relocation cities, e.g., Seattle, San
Francisco, Tulsa, and Dallas. In 1976, Congress passed the IHCIA
establishing the Urban Indian health program, and reauthorized the
IHCIA in 2010 to improve the health and well-being of all American
Indians and Alaska Natives, including Urban Indians. The development of
programs for Urban Indians residing in urban areas include HP/DP
services, immunization services, alcohol and substance abuse related
services, and mental health services, hereafter referred to as the ``4-
in-1 health program.''
Purpose
The purpose of this program is to ensure the highest possible
health status for Urban Indians. Funding will be used to support the 4-
in-1 health program objectives. These programs are integral components
of the IHS health care delivery system. Funds from this effort will
ensure that comprehensive, culturally acceptable personal and public
health services are available and accessible to Urban Indians.
Required, Optional, and Allowable Activities
Each awardee shall provide health care services under this award
only to eligible Urban Indians living within the urban center in which
the Urban Indian Organization (UIO) is situated. An ``Urban Indian''
eligible for services, as codified at 25 U.S.C. 1603(13), (27), and
(28), includes any individual who:
1. Resides in an urban center, which is any community that has a
sufficient Urban Indian population with unmet health needs to warrant
assistance under the IHCIA, as determined by the Secretary, Health and
Human Services (HHS), and who meets one or more of the following
criteria:
a. Irrespective of whether he or she lives on or near a
reservation, is a member of a Tribe, band, or other organized group of
Indians, including:
i. those Tribes, bands, or groups terminated since 1940, and
ii. those recognized now or in the future by the state in which
they reside, or
b. Is a descendant, in the first or second degree, of any such
member described in 1.a.; or
c. Is an Eskimo, or Aleut, or other Alaska Native; or
d. Is a California Indian; \1\ or
---------------------------------------------------------------------------
\1\ Consistent with 25 U.S.C. 1603(3), (13), (28), and 1679,
eligibility of California Indians may be demonstrated by
documentation that the individual:
1. Is a descendant of an Indian who was residing in the State of
California on June 1, 1852;
2. Holds trust interests in public domain, national forest, or
Indian reservation allotments; or
3. Is listed on the plans for distribution of assets of
California Rancherias and reservations under the Act of August 18,
1958 (72 Stat. 619), or is the descendant of such an individual.
---------------------------------------------------------------------------
e. Is considered by the Secretary of the Department of the Interior
to be an Indian for any purpose; or
f. Is determined to be an Indian under regulations pertaining to
Urban Indian health that are promulgated by the Secretary, HHS.
[[Page 4003]]
Each awardee is responsible for taking reasonable steps to confirm
that the individual is eligible for IHS services as an Urban Indian.
II. Award Information
Funding Instrument--Grant
Estimated Funds Available
The total funding identified for fiscal year (FY) 2023 is
approximately $450,000. Individual award amounts for the first budget
year are anticipated to be between $160,000 and $249,360. New
applicants may apply for funding up to $200,000; current 4-in-1 health
program awardees may apply for funding up to the amount approved in the
last noncompeting award and must demonstrate that they have complied
with previous terms and conditions of their award. 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 two awards will be issued under this program
announcement.
Period of Performance
The period of performance is for 4 years.
III. Eligibility Information
1. Eligibility
<bullet> To be eligible for this funding opportunity, an applicant
must be an Urban Indian organization, as defined by 25 U.S.C. 1603(29),
that is currently administering a contract or receiving a grant
pursuant to 25 U.S.C. 1653. The term ``Urban Indian organization''
means a nonprofit corporate body situated in an urban center, governed
by an Urban Indian controlled board of directors, and providing for the
maximum participation of all interested Indian groups and individuals,
which body is capable of legally cooperating with other public and
private entities for the purpose of performing the activities described
in 25 U.S.C. 1653(a). Applicants must provide proof of nonprofit status
with the application, e.g., 501(c)(3).
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 proof of nonprofit status.
2. Cost Sharing or Matching
The IHS does not require cost sharing or matching funds 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
Documentation of Support
The UIO must submit a letter of support from their organization's
board of directors.
Proof of Nonprofit Status
Organizations claiming nonprofit status must submit a current copy
of the 501(c)(3) Certificate with the application.
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 single file. Creating a
single file 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#75313238351c1d065b121a03"><span class="__cf_email__" data-cfemail="f6b2b1bbb69f9e85d8919980">[email protected]</span></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. Each of
the 4-in-1 health program areas (HP/DP, immunization, alcohol and
substance abuse, and mental health), should be addressed in a separate
Grant Program Function or Activity row/column of the SF-424A.
3. SF-424B, Assurances--Non-Construction Programs.
4. Project Abstract Summary form.
<bullet> Project Narrative (not to exceed 20 pages). See Section
IV.2.A, Project Narrative for instructions.
<bullet> Budget Justification and Narrative (not to exceed five
pages). See Section IV.2.B, Budget Narrative for instructions.
<bullet> Letter of Support from the UIO's board of directors.
<bullet> 501(c)(3) Certificate.
<bullet> Biographical sketches for all Key Personnel (not to exceed
one page each).
<bullet> Contractor/Consultant proposed scope of work and letter of
commitment (not to exceed one page each, if applicable).
<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 rate (IDC)
agreement (required in order to receive IDC).
<bullet> Organizational Chart or written information that shows
where the 4-in-1 health program areas fit into the larger organization.
<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>.
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 20 pages and must: (1)
[[Page 4004]]
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 page limit, the application will be considered not
responsive and will not be reviewed. The 20-page limit for the
narrative does not include the standard forms, budget, budget
justification, narrative, 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 Capacity. See below for additional details about what
must be included in the narrative.
Part 1: Program Information
Section 1: Needs
The statement of need describes the history and urban center
currently served by the applicant. The statement of need also provides
the facts and evidence that support the need for each of the 4-in-1
health program areas and establishes that the UIO understands the
problems and can reasonably address them.
<bullet> Describe the current service gaps, including disconnection
between available services and unmet needs of Urban Indians. This
should include services at the UIO and in communities where Urban
Indians reside.
<bullet> Describe the need for an enhanced infrastructure to
increase the capacity to implement, sustain, and improve effective
health care services offered to Urban Indians and any other service
gaps and problems related to the need for infrastructure development
within the UIO.
Part 2: Program Planning and Evaluation
Section 1: Program Plans
State the purpose, goals, and objectives of your proposed projects.
Clearly state how proposed activities address the needs detailed in the
statement of need. Describe fully and clearly plans to meet each of the
4-in-1 health program areas of this funding announcement. Each
objective should be addressed with a corresponding time frame. Provide
a work plan for the first budget period (1 year) that details expected
key activities, accomplishments, and includes responsible staff for
each of the 4-in-1 health program areas.
Section 2: Program Evaluation
This section of the narrative should describe efforts to collect
and report project data that will support and demonstrate grant
activities for each of the 4-in-1 health program areas. Awardees will
be required to participate in a national evaluation of the 4-in-1 grant
program. Awardees will also be required to collect and report data
pertaining to activities, processes, and outcomes. Data sources should
include clinical Government Performance and Results Act (GRPA)
measures, National Immunization Reporting System (NIRS) data, and
standardized data sets from the Uniform Data System (UDS). Data
collection activities from GRPA, NIRS, and UDS should capture and
document program activities conducted throughout awarded years,
including activities that will contribute to relevant project impact
and improvements. This section should also describe the applicant's
plan to evaluate program activities, including any implemented
practice-based and evidence-based prevention or treatment programs and
how practicing culture correlates with an improvement in health
outcomes. The evaluation plan should describe expected results and any
identified metrics to support program effectiveness. Evaluation plans
should incorporate questions related to outcomes and processes,
including documentation of lessons learned.
<bullet> Describe in a brief narrative a plan to monitor activities
under each of the 4-in-1 health program areas to demonstrate progress
towards program outcomes and inform future program decisions over the
4-year project period.
<bullet> Describe proposed evaluation methods, including
performance measures and other data relevant to evaluation outcomes,
including intended results (e.g., impact and outcomes). Include any
partners who will assist in evaluation efforts if separate from the
primary applicant.
Part 3: Organizational Capacity
Section 1: This section should describe your organizational
capacity for each of the 4-in-1 health program areas. Current staff and
future positions for the four program components should also be
outlined.
<bullet> Identify qualified professionals who will implement and
administer the proposed grant activities, including progress and
financial reports.
<bullet> Identify a contact person to maintain open and consistent
communication with the IHS program official on any programmatic
barriers to meeting the requirements of the award.
<bullet> Describe the organization's current system and ability to
develop partnerships with service providers and community programs,
including families and support systems of Urban Indians.
<bullet> Describe potential project partners and community
resources in the urban center.
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#e2b283978ecca58796969b91a28b8a91cc858d94"><span class="__cf_email__" data-cfemail="8adaebffe6a4cdeffefef3f9cae3e2f9a4ede5fc">[email protected]</span></a>), Deputy Director, DGM, IHS, 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.
[[Page 4005]]
5. Funding Restrictions
<bullet> Pre-award costs are not allowable.
<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. You must submit
your waiver request by email to <a href="/cdn-cgi/l/email-protection#db9f9c969bb2b3a8f5bcb4ad"><span class="__cf_email__" data-cfemail="084c4f454861607b266f677e">[email protected]</span></a>, with a copy to Mr. Paul
Gettys, Deputy Director, DGM, IHS, at <a href="/cdn-cgi/l/email-protection#91c1f0e4fdbfd6f4e5e5e8e2d1f8f9e2bff6fee7"><span class="__cf_email__" data-cfemail="277746524b09604253535e54674e4f5409404851">[email protected]</span></a>. 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 <a href="http://Grants.gov">Grants.gov</a>
without an approved waiver.
If 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 DGM. Applications that do not include a copy of the signed
waiver from the Deputy Director of DGM will not be reviewed. The Grants
Management Officer of 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, the applicant 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>.
United States (U.S.) organizations will also need to provide an
Employer Identification Number from the Internal Revenue Service that
may take an additional 2-5 weeks to become active. Please see <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
Applications will be reviewed and scored according to the quality
of responses to the required application components in Sections A-E
outlined below. In developing the required sections of this
application, use the instructions provided for each section, which have
been tailored to this program. The application must use the five
sections listed below (Sections A-E) in developing the narratives. The
applicant must place the required information in the correct section to
ensure it will be properly scored. The application will be scored
according to how well the applicant addresses the requirements for each
section listed below. The number of points after each section heading
is the maximum number of points the Objective Review Committee (ORC)
may assign to that section. Although scoring weights are not assigned
to individual bullets, each bullet is assessed deriving the overall
section score.
A. Introduction and Need for Assistance (25 Points)
1. Identify the proposed urban center and provide demographic
information on the population(s) to receive services. Describe the
stakeholders and resources
[[Page 4006]]
in the urban center that can help implement activities for each of the
4-in-1 health program areas.
2. Based on the information and/or data currently available,
document the need to implement, sustain, and improve health care
services offered to Urban Indians.
3. Based on available data, describe the service gaps and other
problems related to the needs of Urban Indians. Identify the source of
the data. Documentation of need may come from a variety of qualitative
and quantitative sources. Examples of data sources for the quantitative
data that could be used are local epidemiologic data, such as Tribal
Epidemiology Centers, or IHS Area Offices, state data from state needs
assessments, and/or national data from the Substance Abuse and Mental
Health Services Administration's (SAMHSA) National Survey on Drug Use
and Health, or from the National Center for Health Statistics/Centers
for Disease Control and Prevention, and U.S. Census data (American
Community Survey, etc.). This list is not exhaustive. Applicants may
submit other valid data, as appropriate, for the applicant's programs.
B. Project Objective(s), Work Plan, and Approach (30 Points)
1. Describe the purpose of the proposed project, including a clear
statement of goals and objectives. The project narrative is required to
address each of the 4-in-1 health program areas.
a. HP/DP: Applicants are encouraged to use evidence-based and
promising strategies that can be found at the IHS best practice
database at <a href="https://www.ihs.gov/hpdp/">https://www.ihs.gov/hpdp/</a>, SAMHSA Evidence-based Practices
Resource Center at <a href="https://www.samhsa.gov/resource-search/ebp">https://www.samhsa.gov/resource-search/ebp</a>, and the
Guide to Community Preventive Services at <a href="https://www.thecommunityguide.org/about/about-community-guide">https://www.thecommunityguide.org/about/about-community-guide</a>. Applicants are
encouraged to work collaboratively with their assigned Area HP/DP
Coordinator.
b. Immunization: Applicants are encouraged to participate in the
Vaccines for Children program (if applicable). Applicants are
encouraged to research capability with state/regional immunization
registry (where applicable). For sites using the IHS Resource and
Patient Management System (RPMS), provide training sessions to
providers and data entry clerks on the RPMS Immunization package.
Establish a process for immunization data entry into RPMS (e.g., point
of service, or through standard data entry). Utilize the RPMS
Immunization package to identify 3- to 27-month-old children whose
immunization records are not up to date and that generate reminder/
recall letters. Applicants are encouraged to work collaboratively with
their assigned Area Immunization Coordinator.
c. Alcohol and Substance Abuse: Describe services to be provided,
e.g., residential, detoxification, halfway house, counseling, outreach,
and referral, etc. Describe substance abuse prevention and education
efforts to increase access to services, outreach, education,
prevention, and treatment of substance abuse-related issues. Applicants
are encouraged to work collaboratively with their assigned Area
Behavioral Health Consultant.
d. Mental Health: Identify services to be provided, e.g., community
outreach and referral, prevention, training sessions, evaluations,
schools, domestic violence programs, child abuse programs, etc.
Describe mental health prevention and education program efforts to
increase access to services, outreach, referral, education, prevention,
and treatment of mental health-related issues. Applicants are
encouraged to work collaboratively with their assigned Area Behavioral
Health Consultant.
2. Describe how project activities will increase the capacity of
the UIO to improve access to and quality of care for Urban Indians.
3. Describe anticipated barriers and how these barriers will be
addressed.
4. Describe how the proposed project will address issues of
diversity for Urban Indians, including race/ethnicity, gender, culture/
cultural identity, language, sexual orientation, disability, and
literacy.
5. Describe how Urban Indians may receive services for each of the
4-in-1 health program areas and how they will be involved in the
planning and implementation of the grant.
6. Describe how the efforts of the proposed project will be
coordinated with any other related Federal grants, including the IHS,
Centers for Disease Control and Prevention, SAMHSA, or Health Resources
and Services Administration, etc. (if applicable).
7. Provide a work plan for the first year budget period that
details expected key activities, accomplishments, and includes
responsible staff for each of the 4-in-1 health program areas.
C. Program Evaluation (20 Points)
Describe plans to monitor activities under each of the 4-in-1
health program areas, demonstrate progress towards program outcomes,
and inform future program decisions over the 4-year project period.
Applications should address the following points:
1. Describe proposed data collection efforts (performance measures
and associated data) and how you will use the data to answer evaluation
questions. This should include data collection method, data source,
data measurement tool, identified staff for data management, and data
collection timeline.
2. Identify key program partners and describe how they will
participate in the implementation of the evaluation plan (e.g., Tribal
Epidemiology Centers, universities, etc.).
3. Describe data collection and evaluation of any proposed
practice-based and/or evidence-based care programs (e.g., how
practicing culture correlates with an improvement in health)
implemented throughout awarded years.
4. Describe how evaluation findings will be used at the applicant
level. Discuss how data collected (e.g., performance measurement data)
will be used and shared by the key program partners.
5. Discuss any barriers or challenges expected for implementing the
plan, collecting data (e.g., responding to performance measures), and
reporting on evaluation results. Describe how these potential barriers
would be overcome. In addition, applicants may also describe other
measures to be developed or additional data sources and data collection
methods that will be used.
D. Organizational Capabilities, Key Personnel, and Qualifications (15
Points)
1. Describe the management capability of the UIO and other
participating organizations in administering similar projects.
2. Identify staff to maintain open and consistent communication
with the IHS program official on any financial or programmatic barriers
to meeting the requirements of the award.
3. Identify the department(s) and/or division(s) that will
administer each of the 4-in-1 health program areas. Include a
description of these department(s) and/or division(s), their functions,
and their placement within the UIO and their direct link to management.
4. Discuss the UIO's experience and capacity to provide culturally
appropriate and competent services to the community and specific
populations of focus.
5. Describe the resources available for the proposed project (e.g.,
facilities, equipment, information technology
[[Page 4007]]
systems, and financial management systems).
6. Identify other organization(s) that will participate in the
proposed project. Describe their roles and responsibilities and
demonstrate their commitment to each of the 4-in-1 health program
areas.
7. Describe how project continuity will be maintained if there is a
change in the operational environment (e.g., staff turnover, change in
project leadership, etc.) to ensure project stability over the life of
the grant.
8. Provide a list of staff positions for the project and other key
personnel, showing the role of each and their level of effort and
qualifications for each of the 4-in-1 health program areas. Key
personnel include the Chief Executive Officer or Executive Director,
Chief Financial Officer, Medical Director, and Chief Information
Officer.
9. Demonstrate successful project implementation for the level of
effort budgeted for the project staff and other key staff.
10. Include position descriptions (upload as Other Attachments) for
all key personnel. Position descriptions should not exceed one page
each. Reviewers will not consider information past one page.
11. For individuals who are currently on staff, include a
biographical sketch with their name (do not include personally
identifiable information such as Social Security Number (SSN), date of
birth, or place of birth) for each individual who will be listed as
project staff and other key positions. Describe the experience of
identified staff in each of the 4-in-1 health program areas. Upload
each biographical sketch in the Other Attachments form in your
<a href="http://Grants.gov">Grants.gov</a> application Workspace. Biographical sketches should not
exceed one page per staff member. Reviewers will not consider
information past one page. Do not include any of the following:
a. Personally Identifiable Information (SSN, date of birth, or
place of birth);
b. Resumes; or
c. Curriculum Vitae.
E. Categorical Budget and Budget Justification (10 Points)
1. Include a line item budget for each of the 4-in-1 health program
areas for all expenditures identifying reasonable and allowable costs
necessary to accomplish the goals and objectives as outlined in the
project narrative for the first budget year only.
2. Provide a categorized budget for each of the 4-in-1 health
program areas.
3. Applicants should ensure that the budget and budget narrative
are aligned with the project narrative. The budget and budget narrative
the applicant provides will be considered by reviewers in assessing the
applicant's submission, along with the material in the project
narrative. Questions to address include: What resources are needed to
successfully carry out and manage the project? What other resources are
available from the organization? Will new staff be recruited? Will
outside consultants be required?
4. For any outside consultants, include the total cost broken down
by activity.
5. If indirect costs are claimed, indicate and apply the current
negotiated rate to the budget. Include a copy of the current negotiated
IDC rate agreement in the Other Attachments form in the application
Workspace.
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 (not to exceed one
page each).
<bullet> Biographical sketch of key staff that reflects current
duties (not to exceed one page each).
<bullet> Consultant or contractor proposed scope of work and letter
of commitment (not to exceed one page each) (if applicable).
<bullet> Current IDC 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 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 Urban Indian Health Programs within 30 days of the
conclusion of the ORC outlining the strengths and weaknesses of their
application. The summary statement will be sent to the Authorizing
Official identified on the face page (SF-424) of the application.
A. Award Notices for Funded Applications
The Notice of Award (NoA) is the authorizing document for which
funds are dispersed to the approved entities and reflects the amount of
Federal funds awarded, the purpose of the grant, the terms and
conditions of the award, the effective date of the award, and the
budget 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>.
[[Page 4008]]
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 awardees 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 IDC 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 only applies to
applicants that have never received an approved negotiated IDC 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 <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#d89c9f9598b1b0abf6bfb7ae"><span class="__cf_email__" data-cfemail="f5b1b2b8b59c9d86db929a83">[email protected]</span></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 quarterly. The progress
reports are due within 30 days after the reporting period ends
(specific dates will be listed in the NoA Terms and Conditions).
Awardees have the option to use the 4-in-1 Grant Reporting Template
instead of developing their own format. The template is available at
the 4-in-1 Grant web page at <a href="https://www.ihs.gov/urban/4-in-1-grant-program/">https://www.ihs.gov/urban/4-in-1-grant-program/</a>.
The quarterly Progress Report shall demonstrate actual goals and
objectives were met against established target measures, a summation of
the program approach, and report on integrated cultural interventions
and implementation of practice-based and/or evidence-based approaches,
including a concise summary narrative of the program's impact on the
Urban Indian service population. If applicable, program changes for the
next reporting period may be included.
To comply with statutory requirements consistent with 25 U.S.C.
1653(a), 1655, and 1657(a), the Progress Reporting Template includes a
section for the awardee to report their unmet needs, or the awardee may
use their own format to report their unmet needs. This includes
information gathered by the awardee to: (1) identify gaps between unmet
health needs of Urban Indians and the resources available to meet such
needs; and (2) make recommendations to the Secretary and Federal,
state, local, and other resource agencies on methods of improving
health services to meet the needs of Urban Indians.
The final end of year and fourth quarter 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. 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. Data Collection and Reporting
1. Government Performance and Results Act Reporting (GPRA)
The GPRA data period shall be the Federal fiscal year of October 1
through September 30. GPRA data shall be submitted electronically to
the National Data Warehouse (NDW). All GPRA data submitted shall be
verifiable and based upon criteria set forth for each GPRA performance
standard. Monthly registration and workload data shall be
[[Page 4009]]
exported to the NDW. All data shall be exported by the cutoff date for
that fiscal year. A GPRA Developmental Report shall be run at the end
of the second and fourth quarters and sent to the National GPRA Support
Team at <a href="/cdn-cgi/l/email-protection#b3d0d2dcd4c3c1d2f3dadbc09dd4dcc5"><span class="__cf_email__" data-cfemail="086b69676f787a694861607b266f677e">[email protected]</span></a> by the required due dates.
2. Uniform Data System (UDS)
The UDS reporting period shall be by calendar year. The UDS reports
shall be due in January for the previous calendar year. The UDS data
collection activities should capture and document actions conducted
throughout awarded years, including activities that will contribute to
relevant project impact.
3. Quarterly Immunization Report
Quarterly Immunization Reports are required and submitted to the
online National Immunization Reporting System (NIRS) (<a href="https://www.ihs.gov/NonMedicalPrograms/ihpes/immunizations/index.cfm?module=immunizations&option=home">https://www.ihs.gov/NonMedicalPrograms/ihpes/immunizations/index.cfm?module=immunizations&option=home</a>). Awardees are required to
submit immunization coverage reports on children 3- to 27-months old,
2-year-old, Adolescent, Adult, and Influenza on a quarterly basis. For
sites not using the IHS RPMS, visit the Division of Epidemiology and
Disease Prevention (DEDP) Vaccine-Preventable Diseases Reports website
to access non-RPMS quarterly reporting forms. An Excel spreadsheet with
the required data elements can be found under the ``Non-RPMS Quarterly
Reporting Forms'' section at <a href="https://www.ihs.gov/epi/immunization-and-vaccine-preventable-diseases/statistics-and-reports/">https://www.ihs.gov/epi/immunization-and-vaccine-preventable-diseases/statistics-and-reports/</a>.
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 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 Term of Award 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>.
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 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> HHS funded health and education programs 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 <a href="https://www.hhs.gov/conscience/religious-freedom/index.html">https://www.hhs.gov/conscience/religious-freedom/index.html</a>.
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 <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 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: 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#5e1a19131e37362d70393128"><span class="__cf_email__" data-cfemail="692d2e242900011a470e061f">[email protected]</span></a>.
[[Page 4010]]
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#92dff3fcf6f3e6fde0ebd5e0f3fce6f7f7d6fbe1f1fefde1e7e0f7e1d2fdfbf5bcfafae1bcf5fde4"><span class="__cf_email__" data-cfemail="8ac7ebe4eeebfee5f8f3cdf8ebe4feefefcee3f9e9e6e5f9fff8eff9cae5e3eda4e2e2f9a4ede5fc">[email protected]</span></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: Debi
Nalwood, Health System Specialist, Indian Health Service, Office of
Urban Indian Health Programs, 5600 Fishers Lane, Mail Stop: 08E65D,
Rockville, MD 20857, Phone: (240) 701-0882, Email:
<a href="/cdn-cgi/l/email-protection#97d3f2f5fef6fbfbfee4f8f9b9d9f6fbe0f8f8f3d7feffe4b9f0f8e1"><span class="__cf_email__" data-cfemail="e0a4858289818c8c89938f8eceae818c978f8f84a0898893ce878f96">[email protected]</span></a>.
2. Questions on grants management and fiscal matters may be
directed to: Pallop Chareonvootitam, Grants Management Specialist,
Indian Health Service, Division of Grants Management, 5600 Fishers
Lane, Mail Stop: 09E70, Rockville, MD 20857, Phone: (301) 443-2195,
Email: <a href="/cdn-cgi/l/email-protection#3e6e5f5252514e107d565f4c5b51504851514a574a5f537e57564d10595148"><span class="__cf_email__" data-cfemail="feae9f9292918ed0bd969f8c9b91908891918a978a9f93be97968dd0999188">[email protected]</span></a>.
3. Questions on systems matters may be directed to: Paul Gettys,
Deputy Director, Division of Grants Management, Indian Health Service,
Division of Grants Management, 5600 Fishers Lane, Mail Stop: 09E70,
Rockville, MD 20857, Phone: (301) 443-2114; or the DGM main line (301)
443-5204, E-Mail: <a href="/cdn-cgi/l/email-protection#ce9eafbba2e089abbabab7bd8ea7a6bde0a9a1b8"><span class="__cf_email__" data-cfemail="267647534a08614352525f55664f4e5508414950">[email protected]</span></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. 2023-01150 Filed 1-20-23; 8:45 am]
BILLING CODE 4165-16-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on January 23, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.