Notice2023-03341
The Special Diabetes Program for Indians Nashville Area Technical Assistance and Support Program
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
February 17, 2023
Issuing agencies
Health and Human Services DepartmentIndian Health Service
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<title>Federal Register, Volume 88 Issue 33 (Friday, February 17, 2023)</title>
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[Federal Register Volume 88, Number 33 (Friday, February 17, 2023)]
[Notices]
[Pages 10359-10366]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-03341]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
The Special Diabetes Program for Indians Nashville Area Technical
Assistance and Support Program
Announcement Type: New Single Source.
Funding Announcement Number: HHS-2023-IHS-SDPI-0002.
Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
Number: 93.237.
Key Dates
Application Deadline Date: April 3, 2023.
Earliest Anticipated Start Date: April 18, 2023.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS) is accepting an application for a
single source cooperative agreement with United South and Eastern
Tribes, Inc. (USET) to continue the Special Diabetes Program for
Indians (SDPI) Nashville Area technical assistance and support. These
services are authorized under the Snyder Act, 25 U.S.C. 13; the
Transfer Act, 42 U.S.C. 2001(a); and Section 330C of the Public Health
Service Act, codified at 42 U.S.C. 254c-3. This program is described in
the Assistance Listings located at <a href="https://sam.gov/content/home/">https://sam.gov/content/home/</a>
(formerly known as the CFDA) under 93.237.
Background
Diabetes is a complex and costly chronic disease that requires
tremendous long-term efforts to prevent and treat. Although diabetes is
a nationwide public health problem, American Indian and Alaska Native
(AI/AN) people are disproportionately affected. In 2019, 14.5 percent
of AI/AN people aged 18 years or older had diagnosed diabetes, compared
to 7.4 percent of non-Hispanic white people [CDC, 2021. <a href="https://www.cdc.gov/diabetes/data/statistics-report/diagnosed-diabetes.html">https://www.cdc.gov/diabetes/data/statistics-report/diagnosed-diabetes.html</a>].
In addition, AI/AN people have higher rates of diabetes-related
morbidity and mortality than the general U.S. population [O'Connell,
2010 (<a href="https://diabetesjournals.org/care/article/33/7/1463/39326/Racial-Disparities-in-Health-StatusA-comparison-of">https://diabetesjournals.org/care/article/33/7/1463/39326/Racial-Disparities-in-Health-StatusA-comparison-of</a>); Cho, 2014 (<a href="https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2014.301968">https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2014.301968</a>)].
Strategies to address the prevention and treatment of diabetes in AI/AN
communities are urgently needed.
In response to the burgeoning diabetes epidemic among AI/AN people,
Congress established the SDPI through the Balanced Budget Act of 1997.
This grant program was developed to provide diabetes treatment and/or
prevention activities and/or services (also referred to as
``activities/services'') for AI/AN communities. There are currently 302
SDPI grant programs that are dispersed throughout each of the 12 IHS
Areas. Each of the IHS Areas contain SDPI programs (primary grantees or
subgrantees) that implement the mandatory requirements of the grant
management process, including, but not limited to, the grant
application, budgetary requirements, data collection/analysis,
reporting, training, etc. Of the 12 IHS Areas, 9 of them have elected
to fund a mechanism to provide technical support for their SDPI
programs within their Area. Since the inception of SDPI, the Nashville
Area, IHS, has received technical assistance and SDPI program support
from USET via an SDPI grant mechanism. It has been determined that in
2023, support for the Nashville Area SDPI programs would need to be
supported by USET via an IHS cooperative agreement.
Purpose
The purpose of this program is to allow USET to continue to provide
technical assistance and SDPI program support for the SDPI grant
programs in the Nashville Area. The focus of this assistance and
support would be in the areas of grant management, program capacity
building, budget development, and grant reporting to ensure the
Nashville Area SDPI programs are meeting all of the grant requirements
and deliverables in a timely manner. To do this, USET must meet the
following objectives:
<bullet> Provide culturally-appropriate training and technical
assistance to Nashville SDPI programs using diabetes-specific tools,
the Resource and Patient Management System (RPMS), and other electronic
health record (EHR) systems.
<bullet> Continue to refine and provide practical and innovative
diabetes project tools.
<bullet> Build partnerships and collaboration for the expansion of
resources and services to Tribal diabetes programs.
<bullet> Demonstrate and provide culturally appropriate training to
Tribal programs on various Best Practices and topics, such as tobacco
cessation, nutrition, physical activity, eye exams, motivational
interviewing, Healthy Heart and Diabetes Prevention Program curricula,
traditional foods/gardens, and motivational interviewing.
Required, Optional, and Allowable Activities
(1) Complete a needs assessment survey to help plan program
activities and prioritize site visits throughout the Nashville Area,
IHS.
(2) The project contracts diabetes program coordinators to offer
technical assistance and training and discuss the site's needs.
[[Page 10360]]
(3) Responds to community meetings and health fairs invitations to
gather community input on needs in conjunction with data and technical
assistance.
(4) Technical assistance, site visits, and online video calls.
(5) Assistance with patient listings on the diabetes register.
(6) QMan, VGEN, PGEN, GEN RPMS reports for WebAudit, register
cleanup, and interim audit reports.
(7) Audit logic assistance for diabetes indicators in RPMS EHR.
(8) Virtual and onsite sessions for training using Visual Diabetes
Management System (DMS), QMan, and Patient Care Component (PCC)
Management Reports.
(9) Provide a minimum of four RPMS training in the DMS and other
electronic tools for managing patient information.
(a) This is a 2.5-to-3 day training session.
(i) Inclusive components are hands-on instruction in the Diabetes
Management System package for the EHR in both the ``roll and scroll''
interface and the Visual DMS graphical user interface (GUI). Topics
include: building and maintaining diabetes and pre-diabetes registers,
editing patient information, and running register and quality assurance
reports. Additional topics include:
(1) Using QMAN for custom searches to meet the needs that commonly
arise for diabetes programs;
(2) Creating panels of patients in iCare; and
(3) Performing the annual IHS Diabetes Audit with WebAudit.
(a) Instruction is hands-on using a training server with mock
patient data.
(10) Prepare and distribute Tribe-specific and aggregate summary
reports.
(11) Provide additional data analysis and reports at the request of
the Tribal diabetes programs.
(12) Reports include the ``Diabetes Report,'' an annual Nashville
Area, IHS ``Aggregate Report'' summarizing the Annual Diabetes Care and
Outcomes Audit.
(13) Modify current tools and materials utilized by the project in
response to changing Tribal practices, software developments, and
updated standards of care.
(14) Distribute the Diabetes Screening Toolkit to Tribes upon
request for implementation of community diabetes screening.
(15) Host a series of quarterly ``Best Practices'' diabetes
training.
(16) Expand related technical assistance and training services
provided to Tribal diabetes programs.
Sole Source Justification
The USET is identified as a single source for this cooperative
agreement. The USET has effectively supported the Nashville Area SDPI
grant programs since the inception of SDPI (for 25 years). In the
previous SDPI grant cycle, the USET supported the work of 24 tribes in
implementing SDPI. They did this by helping SDPI grantees submit
applications and reports to ensure grant requirements are completed and
submitted on time. They have developed an expertise in this area and
developed a unique relationship with the Nashville Area, IHS grantees.
The USET has played a significant and unique role in supporting Tribes
in implementing curative measures throughout the Nashville Area, IHS.
Their technical assistance and support in grant management, program
capacity building, budget development, and grant reporting is a
catalyst for positive change in diabetes treatment and prevention
interventions across the Nashville Area, IHS. In addition, they have
offered Tribes administrative grant oversight and support, limiting
strain on staff and allowing more focus on program development and
community outreach. The IHS is interested in USET continuing this
successful work to support the SDPI grantees in the Nashville Area, IHS
with their unique expertise.
II. Award Information
Funding Instrument--Cooperative Agreement
Estimated Funds Available
The total funding identified for the first budget year, starting in
fiscal year (FY) 2023 is approximately $130,001. The funding available
for competing and subsequent continuation awards issued under this
announcement is subject to the availability of appropriations and
budgetary priorities of the Agency. The IHS is under no obligation to
make an award that is selected for funding under this announcement.
Anticipated Number of Awards
One application will be accepted under this announcement for USET
and only one award will be issued.
Period of Performance
The project period is for 5 years.
Cooperative Agreement
Cooperative agreements awarded by the Department of Health and
Human Services (HHS) are administered under the same policies as
grants. However, the funding agency, IHS, is anticipated to have
substantial programmatic involvement in the project during the entire
period of performance. Below is a detailed description of the level of
involvement required of the IHS.
Substantial Agency Involvement Description for Cooperative Agreement
(1) Identify a core group of IHS staff to work with the awardee in
providing technical assistance and guidance.
(2) Meet with the awardee to review awardee work plan and provide
guidance on implementation, program evaluation, and data collection
strategy and tools.
(3) Participate in quarterly conference calls. Work with the
awardee to display the results of this project by publishing on shared
websites as well as in jointly authored publications.
(4) Use the evidence-based program(s), framework(s), and data
collection requirement(s) to develop an Evaluation Plan to collect
national program aggregate and local evidence-based practice (EBP)
fidelity data.
III. Eligibility Information
1. Eligibility
The award is offered as a single source cooperative agreement to
the USET.
Note: Please refer to Section IV.2 (Application and Submission
Information/Subsection 2, Content and Form of Application Submission)
for additional proof of applicant status documents required, such as
proof of nonprofit status, etc.
2. Cost Sharing or Matching
The IHS does not require matching funds or cost sharing for grants
or cooperative agreements.
3. Other Requirements
If the application is submitted with a budget request that exceeds
the highest dollar amount outlined under Section II Award Information,
Estimated Funds Available, or exceeds the period of performance
outlined under Section II Award Information, Period of Performance, it
will be considered not responsive and will not be reviewed. The
Division of Grants Management (DGM), IHS will notify the applicant.
The following documentation is required (if applicable):
Proof of Nonprofit Status
If the organization claims nonprofit status, it must submit a
current copy of the 501(c)(3) Certificate with the application.
[[Page 10361]]
IV. Application and Submission Information
<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#89cdcec4c9e0e1faa7eee6ff"><span class="__cf_email__" data-cfemail="a0e4e7ede0c9c8d38ec7cfd6">[email protected]</span></a>.
2. Content and Form Application Submission
Mandatory documents 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 25 pages). See Section
IV.2.A, Project Narrative for instructions.
<bullet> Budget Justification/Narrative (not to exceed 5 pages).
See Section IV.2.B, Budget Narrative for instructions.
<bullet> 501(c)(3) Certificate, if applicable.
<bullet> Biographical sketches for all Key Personnel.
<bullet> Contractor/Consultant resumes or qualifications and scope
of work.
<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> 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
25 pages and must: (1) have consecutively numbered pages; (2) use black
font 12 points or larger (applicants may use 10 point font for tables);
(3) be single-spaced; and (4) be formatted to fit standard letter paper
(8\1/2\ x 11 inches).
Do not combine this document with any others.
Be sure to succinctly answer all questions listed under the
evaluation criteria (refer to Section V.1, Evaluation Criteria) and
place all responses and required information in the correct section
noted below or they will not be considered or scored. If the narrative
exceeds the overall page limit, the application will be considered not
responsive and will not be reviewed. The 25-page limit for the project
narrative does not include the work plan, standard forms, budget,
budget narratives, and/or other items. Page limits for each section
within the project narrative are guidelines, not hard limits.
There are three parts to the narrative: Part 1--Program
Information; Part 2--Program Planning and Evaluation; and Part 3--
Organizational Capabilities. See below for additional details about
what must be included in the narrative.
The page limits below are for each narrative and budget submitted.
Part 1: Program Information (Limit--5 Pages)
Section 1: Needs
Please provide a description of the need for assistance with
offering this program. Applicant should demonstrate knowledge of:
health concerns for AI/AN people in the Nashville Area, IHS; diabetes
treatment and prevention activities in Tribal Nations; and working with
Tribes and Tribal organizations that implement or have implemented an
SDPI program.
Part 2: Program Planning and Evaluation (Limit--10 Pages)
Section 1: Program Plans
This section should demonstrate the soundness and effectiveness of
the proposal. The work plan should be designed to describe how and when
technical assistance and support will be provided to the Nashville Area
SDPI programs; describe how the SDPI programs will be trained and
supported throughout the grants management process; and describe how
sites will be provided technical assistance with their data collection
and analysis via their specific EHR.
Section 2: Program Evaluation
Describe the plan for collecting data, monitoring, and assuring
quality and quantity of data and the plan for evaluating and reporting
SDPI program results.
Part 3: Organizational Capabilities (Limit--10 Pages)
Describe the broader capacity of the organization to complete the
project outlined in the work plan, including: (1) identification and
biosketches for key personnel responsible for completing tasks; (2)
description of the structure of the organization and chain of
responsibility for successful completion of the project outline in the
work plan; (3) description of financial and project management
capacity, including information regarding similarly sized projects in
scope and financial assistance as well as other grants and projects
successfully completed; (4) description of national experience in
providing administrative and support services to Tribal SDPI programs,
education agencies, and other Tribal programs for the benefit of AI/AN
people and Tribal communities (indicate experience in national
partnerships or national support efforts on behalf of AI/AN communities
especially as it pertains to health concerns); (5) description of
equipment and space available for use during the proposed project; and
(6) description of specialized experience working with SDPI programs.
B. Budget Narrative (Limit--5 Pages)
Provide a budget narrative that explains the amounts requested for
each line item of the budget from the SF-424A (Budget Information for
Non-Construction Programs) for the first year of the project. The
applicant can submit with the budget narrative a more detailed
spreadsheet than is provided by the SF-424A (the spreadsheet will not
be considered part of the budget
[[Page 10362]]
narrative). The budget narrative should specifically describe how each
item will support the achievement of proposed objectives. Be very
careful about showing how each item in the ``Other'' category is
justified. Do NOT use the budget narrative to expand the project
narrative.
3. Submission Dates and Times
The application must be submitted through <a href="http://Grants.gov">Grants.gov</a> by 11:59 p.m.
Eastern Time on the Application Deadline Date. If the application is
received after the application deadline it will not be accepted for
review. <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
DGM by email at <a href="/cdn-cgi/l/email-protection#c783808a87aeafb4e9a0a8b1"><span class="__cf_email__" data-cfemail="82c6c5cfc2ebeaf1ace5edf4">[email protected]</span></a>. Please be sure to contact DGM at least 10
days prior to the application deadline. Please do not contact the DGM
until you have received a <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 does 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 not allowable.
<bullet> The available funds are inclusive of direct and indirect
costs.
<bullet> Only one cooperative agreement 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#6125262c210809124f060e17"><span class="__cf_email__" data-cfemail="195d5e545970716a377e766f">[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 the DGM approves your waiver request, you will receive a
confirmation of approval email containing submission instructions. You
must include a copy of the written approval with the application
submitted to the DGM. An application that does not include a copy of
the signed waiver from the DGM will not be reviewed. The Grants
Management Officer of the DGM will notify the applicant via email of
this decision. An application submitted under waiver must be received
by the DGM no later than 5:00 p.m. Eastern Time on the Application
Deadline Date. Late applications will not be accepted for processing.
If the applicant does not register for both the System for Award
Management (SAM) and <a href="http://Grants.gov">Grants.gov</a> and/or fails to request timely
assistance with technical issues will not be considered for a waiver to
submit an application via alternative method.
Please be aware of the following:
<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> The applicant is 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> The applicant 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
An organization 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 organizations will also need to provide an Employer
Identification Number from the Internal Revenue Service that may take
an additional 2 to 5 weeks to become active. Please see <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
[[Page 10363]]
criteria do not count toward the page limit for the narratives. Points
will be assigned to each evaluation criteria adding up to a total of
100 possible points. Points are assigned as follows:
1. Evaluation Criteria
A. Introduction and Need for Assistance (20 Points)
This section should demonstrate knowledge of health concerns and
issues regarding AI/AN people in the Nashville Area, IHS; diabetes
treatment and prevention activities in Tribal Nations; and working with
Tribes and Tribal organizations that implement or have implemented an
SDPI program.
B. Work Plan (30 Points)
This section should demonstrate a sound and effective annual work
plan that will support accomplishment of deliverables and milestones of
the SDPI Nashville Area Technical Assistance and Support Program.
The work plan should be designed to:
a. Describe how and when technical assistance and support will be
provided to the Nashville SDPI programs;
b. Describe how the SDPI programs will be trained and supported
throughout the grants management process; and
c. Describe how sites will be provided technical assistance with
their data collection and analysis via their specific EHR.
C. Organizational Capabilities (40 Points)
This section should outline the broader capacity of the
organization to complete the project outlined in the work plan. It
includes the identification of personnel responsible for completing
tasks and the chain of responsibility for successful completion of the
project outline in the work plan. The section should:
a. Describe the structure of the organization.
b. Describe the ability of the organization to manage the proposed
project and include information regarding similarly sized projects in
scope and financial assistance as well as other grants and projects
successfully completed.
c. Describe what equipment (i.e., phone, websites, etc.) and
facility space (i.e., office space) will be available for use during
the proposed project. Include information about any equipment not
currently available that will be purchased throughout the agreement.
d. List and provide bios for key personnel who will work on the
project.
e. The section should demonstrate knowledge in:
i. Providing administrative and support services to Tribal SDPI
programs, education agencies, and other Tribal programs for the benefit
of AI/AN people and Tribal communities (indicate experience in national
partnerships or national support efforts on behalf of AI/AN communities
especially as it pertains to health concerns);
ii. Financial and project management; and
iii. Local and national evaluation, including data collection and
analysis.
D. Categorical Budget and Budget Justification (10 Points)
This section should provide a clear estimate of the project program
costs and justification for expenses for the entire cooperative
agreement period. The budget and budget justification should be
consistent with the tasks identified in the work plan.
a. Categorical budget (Form SF-424A, Budget Information Non
Construction Programs) completed for the first budget period.
b. Narrative justification for all costs, explaining why each line
item is necessary or relevant to the proposed project. Include
sufficient details to facilitate the determination of allowable costs.
c. Indication of any special start-up costs.
d. Budget justification should include a description of the planned
costs and how they relate to or support the proposed project
activities.
Additional documents can be uploaded as Other Attachments in
<a href="http://Grants.gov">Grants.gov</a>. These can include:
<bullet> Work plan, 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> 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
Your application will be prescreened for eligibility and
completeness as outlined in the funding announcement. An application
that meets the eligibility criteria shall be reviewed for merit by the
Objective Review Committee (ORC) based on evaluation criteria. If the
application is incomplete or is not responsive to the administrative
thresholds (budget limit, period of performance limit) will not be
referred to the ORC and will not be funded. The program office will
notify the applicant of this determination.
The applicant must address all program requirements and provide all
required documentation.
3. Notifications of Disposition
The applicant will receive an Executive Summary Statement from the
IHS Division of Diabetes Treatment and Prevention within 30 days of the
conclusion of the ORC outlining the strengths and weaknesses of their
application. The summary statement will be sent to the Authorizing
Official identified on the face page (SF-424) of the application.
A. Award Notice for Funded Application
The Notice of Award (NoA) is the authorizing document for which
funds are dispersed to the approved entity and reflects the amount of
Federal funds awarded, the purpose of the award, the terms and
conditions of the award, the effective date of the award, the budget
period, and period of performance. The entity approved for funding must
have a user account in GrantSolutions in order to retrieve the NoA.
Please see the Agency Contacts list in Section VII for the systems
contact information.
Note: Any correspondence, other than the official NoA executed by
an IHS grants management official announcing to the project director
that an award has been made to their organization, is not an
authorization to implement their program on behalf of the IHS.
VI. Award Administration Information
1. Administrative Requirements
The award issued under this announcement is subject to, and is
administered in accordance with, the following regulations and
policies:
A. The criteria as outlined in this program announcement.
B. Administrative Regulations for Grants:
<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
[[Page 10364]]
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,'' 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,'' 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 if the awardee requests reimbursement of IDC
in their application budget. In accordance with HHS Grants Policy
Statement, Part II-27, the IHS requires applicants to obtain a current
IDC rate agreement and submit it to the DGM prior to the DGM issuing an
award. The rate agreement must be prepared in accordance with the
applicable cost principles and guidance as provided by the cognizant
agency or office. A current rate covers the applicable grant activities
under the current award's budget period. If the current rate agreement
is not on file with the DGM at the time of award, the IDC portion of
the budget will be restricted. The restrictions remain in place until
the current rate agreement is provided to the DGM.
Per 45 CFR 75.414(f) Indirect (F&A) costs, ``any non-Federal entity
(NFE) [i.e., applicant] that has never received a negotiated indirect
cost rate, . . . may elect to charge a de minimis rate of 10 percent of
modified total direct costs which may be used indefinitely. As
described in Section 75.403, costs must be consistently charged as
either indirect or direct costs, but may not be double charged or
inconsistently charged as both. If chosen, this methodology once
elected must be used consistently for all Federal awards until such
time as the NFE chooses to negotiate for a rate, which the NFE may
apply to do at any time.''
Electing to charge a de minimis rate of 10 percent can be used by
applicants that have received an approved negotiated indirect cost rate
from HHS or another cognizant Federal agency. Applicants awaiting
approval of their indirect cost proposal may request the 10 percent de
minimis rate. When the applicant chooses this method, costs included in
the indirect cost pool must not be charged as direct costs to the
grant.
Available funds are inclusive of direct and appropriate indirect
costs. Approved indirect funds are awarded as part of the award amount,
and no additional funds will be provided.
Generally, IDC rates for IHS awardees are negotiated with the
Division of Cost Allocation at <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#ffbbb8b2bf96978cd1989089"><span class="__cf_email__" data-cfemail="4602010b062f2e3568212930">[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 annually. The progress
reports are due within 30 days after the reporting period ends
(specific dates will be listed in the NoA Terms and Conditions). These
reports must include a brief comparison of actual accomplishments to
the goals established for the period, a summary of progress to date or,
if applicable, provide sound justification for the lack of progress,
and other pertinent information as required. A final report must be
submitted within 90 days of expiration of the period of performance.
B. Financial Reports
Federal Financial Reports are due 30 days after the end of each
budget period, and a final report is due 90 days after the end of the
period of performance. The awardee is responsible and accountable for
reporting accurate information on all required reports: the Progress
Reports and the Federal Financial Report.
Failure to submit timely reports may result in adverse award
actions blocking access to funds.
C. Data Collection and Reporting
The SDPI Nashville Area Technical Assistance and Support Program
will ensure that each SDPI grant program in the Nashville Area, IHS is
following the data collection/reporting requirements:
SDPI Outcomes System (SOS) Required Key Measures (RKM) Data
Requirements--Data for the selected Best Practice RKM will be submitted
using the SOS. Awardees will submit results for their RKM for their
selected Best Practice into this system at the start (baseline) and end
(final) of the budget period, with the option to submit more
frequently. The system will generate SOS RKM data reports to meet the
SDPI outcomes reporting requirements. These results will be stored in
the system and will be accessible to program staff, as needed. Awardees
will need to appoint at least one person in their program to get access
to and submit data into the SOS.
i. Baseline data: Data is to be submitted into the SOS by the last
business day of February each year (e.g., 2023 baseline data will be by
Tuesday, February 28, 2023). A report from the SOS showing baseline
data submission will be due with continuation applications.
ii. Final data: Data for the prior budget period is to be submitted
into the SOS by the last business day of January, each year (e.g., 2023
final data will be
[[Page 10365]]
due by Wednesday, January 31, 2024). A report from the SOS showing
baseline and final data submission will be due with the Annual Progress
Report.
Refer to the SDPI website (<a href="https://www.ihs.gov/sdpi/">https://www.ihs.gov/sdpi/</a>) for the
latest information on report templates, due dates, webinars and
submission instructions.
Diabetes Care and Outcomes Audit Requirements--SDPI awardees are
required to participate in the Annual Diabetes Audit (<a href="https://www.ihs.gov/diabetes/audit/">https://www.ihs.gov/diabetes/audit/</a>). Awardees will submit data, review
results, and provide a copy of their Annual Diabetes Audit Report with
their annual SDPI applications. Diabetes Annual Audit data are to be
submitted into the WebAudit each year around mid-March, (e.g., 2023
Audit data collecting annual data will be due approximately March 15,
2023). Non-clinical or community-based awardees, that are not able to
directly participate in the Diabetes Audit, will need to obtain a copy
of the Annual Diabetes Audit Report from their local facility or Area
Diabetes Consultant (<a href="https://www.ihs.gov/diabetes/about-us/area-diabetes-consultants-adc/">https://www.ihs.gov/diabetes/about-us/area-diabetes-consultants-adc/</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 awardees of Federal grants to
report information about first-tier sub-awards and executive
compensation under Federal assistance awards. The IHS has implemented a
Term of Award into all IHS Standard Terms and Conditions, NoAs, and
funding announcements regarding the FSRS reporting requirement. This
IHS Term of Award is applicable to all IHS grant and cooperative
agreements issued on or after October 1, 2010, with a $25,000 sub-award
obligation threshold met for any specific reporting period.
For the full IHS award term implementing this requirement and
additional award applicability information, visit the DGM Grants
Management website at <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, where applicable, that
prohibit discrimination on the basis of race, color, national origin,
disability, age and, in some circumstances, religion, conscience, and
sex (including gender identity, sexual orientation, and pregnancy).
This includes ensuring programs are accessible to persons with limited
English proficiency and persons with disabilities. The HHS Office for
Civil Rights provides guidance on complying with civil rights laws
enforced by HHS. Please see <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>.
<bullet> Pursuant to 45 CFR 80.3(d), an individual shall not be
deemed subjected to discrimination by reason of their exclusion from
benefits limited by Federal law to individuals eligible for benefits
and services from the IHS.
F. Federal Awardee Performance and Integrity Information System
(FAPIIS)
The IHS is required to review and consider any information about
the applicant that is in the FAPIIS at <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: 09E47, Rockville, MD 20857, (Include
``Mandatory Grant Disclosures'' in subject line), Office: (301) 443-
5204, Fax: (301) 594-0899, Email: <a href="/cdn-cgi/l/email-protection#2c686b616c45445f024b435a"><span class="__cf_email__" data-cfemail="bcf8fbf1fcd5d4cf92dbd3ca">[email protected]</span></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:
[[Page 10366]]
<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#6429050a0005100b161d2316050a100101200d1707080b1711160117240b0d034a0c0c174a030b12"><span class="__cf_email__" data-cfemail="286549464c495c475a516f5a49465c4d4d6c415b4b44475b5d5a4d5b6847414f0640405b064f475e">[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:
Ms. Carmen Licavoli Hardin, Director, Indian Health Service, Division
of Diabetes Treatment and Prevention, 5600 Fishers Lane, Mail Stop:
08N34A&B, Rockville, MD 20897, Phone: 1-844-IHS-DDTP (1-844-447-3387),
Fax: 301-594-6213, Email: <a href="/cdn-cgi/l/email-protection#d9bdb0b8bbbcadbcaaa9abb6beabb8b499b0b1aaf7beb6af"><span class="__cf_email__" data-cfemail="dcb8b5bdbeb9a8b9afacaeb3bbaebdb19cb5b4aff2bbb3aa">[email protected]</span></a>
2. Questions on grants management and fiscal matters may be
directed to:
Indian Health Service, Division of Grants Management, 5600 Fishers
Lane, Mail Stop: 09E47, Rockville, MD 20857, Email: <a href="/cdn-cgi/l/email-protection#e3a7a4aea38a8b90cd848c95"><span class="__cf_email__" data-cfemail="94d0d3d9d4fdfce7baf3fbe2">[email protected]</span></a>
3. For technical assistance with <a href="http://Grants.gov">Grants.gov</a>, please contact the
<a href="http://Grants.gov">Grants.gov</a> help desk at 800-518-4726, or by email at
<a href="/cdn-cgi/l/email-protection#36454346465944427651445758424518515940"><span class="__cf_email__" data-cfemail="21525451514e5355614653404f55520f464e57">[email protected]</span></a>.
VIII. Other Information
The Public Health Service strongly encourages all grant,
cooperative agreement, and contract awardees to provide a smoke-free
workplace and promote the non-use of all tobacco products. In addition,
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in
certain facilities (or in some cases, any portion of the facility) in
which regular or routine education, library, day care, health care, or
early childhood development services are provided to children. This is
consistent with the HHS mission to protect and advance the physical and
mental health of the American people.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-03341 Filed 2-16-23; 8:45 am]
BILLING CODE 4165-16-P
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</html>Indexed from Federal Register on February 17, 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.