Notice2023-08614
Produce Prescription Pilot 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
April 24, 2023
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Full Text
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<title>Federal Register, Volume 88 Issue 78 (Monday, April 24, 2023)</title>
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[Federal Register Volume 88, Number 78 (Monday, April 24, 2023)]
[Notices]
[Pages 24812-24821]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-08614]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Produce Prescription Pilot Program
Announcement Type: New.
Funding Announcement Number: HHS-2023-IHS-PPPP-0001.
Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
Number: 93.933.
Key Dates
Application Deadline Date: June 8, 2023.
Earliest Anticipated Start Date: June 23, 2023.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS) is accepting applications for a
cooperative agreement for the Produce Prescription Pilot Program (P4).
This program is authorized under the Snyder Act, 25 U.S.C. 13; the
Transfer Act, 42 U.S.C. 2001(a); and the Consolidated Appropriations
Act, 2022, Public Law 117-103, 136 Stat. 49, 398 (2022). The Assistance
Listings section of <a href="http://SAM.gov">SAM.gov</a> (<a href="https://sam.gov/content/home">https://sam.gov/content/home</a>) describes
this program under 93.933.
Background
Social determinants of health (SDOH) are the conditions in the
environments where individuals are born, live, learn, work, play,
worship, and age, that affect health and quality of life risks and
outcomes. One of the SDOH that can contribute significantly to various
health disparities and inequities is access to nutritious foods. If
people or communities do not have nutrition
[[Page 24813]]
security, they are less likely to have good nutrition, placing them at
risk for health problems, such as heart disease, diabetes, and obesity
(<a href="https://health.gov/healthypeople/priority-areas/social-determinants-health">https://health.gov/healthypeople/priority-areas/social-determinants-health</a>). Studies have shown that people and communities of color,
families with children, and people who live in remote areas, including
Tribal communities, have a higher rate of diet-related chronic diseases
(<a href="https://www.usda.gov/media/press-releases/2022/03/17/usda-announces-actions-nutrition-security">https://www.usda.gov/media/press-releases/2022/03/17/usda-announces-actions-nutrition-security</a>). For example, according to the 2022 Centers
for Disease Control National Diabetes Statistics Report, the prevalence
of diagnosed diabetes was highest among American Indians and Alaska
Natives (14.5 percent), followed by non-Hispanic Blacks (12.1 percent),
people of Hispanic origin (11.8 percent), non-Hispanic Asians (9.5
percent) and non-Hispanic Whites (7.4 percent), compared to 8.7 percent
of the United States (U.S.) population (<a href="https://www.cdc.gov/diabetes/data/statistics-report/index.html">https://www.cdc.gov/diabetes/data/statistics-report/index.html</a>).
The food security survey conducted in 2021 by the U.S. Department
of Agriculture (USDA) found 10.2 percent (13.5 million) of U.S.
households were food insecure (<a href="https://www.ers.usda.gov/webdocs/publications/104656/err-309.pdf?v=8250.2">https://www.ers.usda.gov/webdocs/publications/104656/err-309.pdf?v=8250.2</a>). American Indian and Alaskan
Native (AI/AN) people are at a greater risk for food insecurity than
White Americans, Black Americans, or Hispanic Americans. About one in
four AI/AN people experience food insecurity, compared to 1 in 9
Americans overall, and 1 in 12 White/non-Hispanic individuals. The
higher rates of food insecurity among AI/AN people have been attributed
to limited income, employment, and resources, such as lack of access to
full-service grocery stores or living in food deserts (https://
moveforhunger.org/native-americans-food-
insecure#:~:text=About%20one%20in%20four%20Native,access%20to%20sufficie
nt%2C%20affordable%20food). Other SDOH in Tribal communities, such as
education, transportation, income etc., contribute to food insecurity.
This forces many AI/AN people to choose cheaper foods that have a long
shelf life instead of buying fresh foods, which are more expensive and
harder to access. To help address food insecurity, many AI/AN
communities utilize federally funded food programs, such as the
Supplemental Nutrition Assistance Program (SNAP) and the USDA Food
Distribution Program on Indian Reservations (FDPIR). Despite these
assistance programs, AI/AN communities continue to struggle with high
rates of food insecurity and diet-related chronic diseases.
According to the National Produce Prescription Collaborative
(2021), Produce Prescription Programs have been shown to increase
access to nutritious foods in communities at risk for food insecurity
(<a href="https://www.nppc.health/">https://www.nppc.health/</a>). Produce Prescription Programs help
individuals/families who are experiencing food insecurity and/or diet-
related health problems more easily obtain fresh fruits and vegetables
by obtaining a prescription from a health care provider. Individuals/
families obtain a prescription from their health care provider for
fresh fruits and vegetables that is filled by food retailers with
produce. When appropriately implemented, Produce Prescription Programs
improve health care outcomes, optimize medical spending, and increase
patient engagement and satisfaction.
Congress has authorized funding for the IHS to create a Produce
Prescription Pilot Program (P4) to increase access to produce and
traditional foods within AI/AN communities. This pilot program is part
of the IHS's efforts to implement the Administration's National
Strategy on Hunger, Nutrition, and Health (<a href="https://www.whitehouse.gov/wp-content/uploads/2022/09/White-House-National-Strategy-on-Hunger-Nutrition-and-Health-FINAL.pdf">https://www.whitehouse.gov/wp-content/uploads/2022/09/White-House-National-Strategy-on-Hunger-Nutrition-and-Health-FINAL.pdf</a>), which aims to end hunger and increase
healthy eating and physical activity by 2030 so fewer Americans
experience diet-related diseases, while also reducing disparities (such
as those seen in AI/AN communities). The program provides an
opportunity to engage Tribal communities in addressing food insecurity
and decreasing the risk for diet-related illness. By including
traditional foods, it also provides an opportunity to deliver
culturally appropriate nutrition education.
Purpose
The purpose of this program is to help establish Produce
Prescription Programs through collaborations with stakeholders from
various health care and food industries in Tribal communities. The P4
will help increase access to fruits, vegetables, and healthy
traditional foods for AI/AN people by allowing eligible individuals to
receive a fruit and vegetable voucher from a participating health care
provider to redeem at a local market. The goal of this pilot is to
demonstrate and evaluate the impact of Produce Prescription Programs on
AI/AN people and their families, specifically by:
1. Reducing food insecurity;
2. Improving overall dietary health by increasing fruits,
vegetables, and traditional food consumption; and
3. Improving health care outcomes.
Required Activities
(1) All recipients must implement a P4 in their communities, by:
(a) Developing the infrastructure to implement and maintain a
Produce Prescription Program that fosters ongoing collaboration with
one or more Tribal, Federal, or urban health care facilities and local
markets/organizations/services that provide fresh fruits and vegetables
and/or traditional foods (stores, markets, farmers, mobile unit, etc.);
(b) Identifying an eligible AI/AN population or Urban Indian
Organization (e.g., people with diabetes or individuals with Body Mass
Index (BMI)>30) that can be significantly impacted. Indicating how many
eligible individuals and their families can be served with the current
budget and services available.
(i) Using the U.S. Adult Food Security Survey Module (<a href="https://www.ers.usda.gov/media/8279/ad2012.pdf">https://www.ers.usda.gov/media/8279/ad2012.pdf</a>) to identify eligible
participants to be enrolled in this program. Participants must be food
insecure at baseline to participate, as defined by the U.S. Adult Food
Security Survey Module.
(c) Implementing a nutrition education program that teaches program
participants about proper nutrition and the impact it has on disease
risk reduction and overall health. A nutrition education program should
include information on cultivation and preparation for consumption of
traditional foods; and
(d) Developing an evaluation plan that tracks and trends data to
demonstrate the impact P4 has on the community. Data must show:
(i) Measurement of food insecurity over time using the U.S. Adult
Food Security Survey Module (<a href="https://www.ers.usda.gov/media/8279/ad2012.pdf">https://www.ers.usda.gov/media/8279/ad2012.pdf</a>). Did food insecurity rates decrease, increase, or remain
unchanged by participating in P4?
(ii) Participant's use of services offered by the program. How is
the implementation of P4 measured? What percentage of participants
redeem the produce vouchers? How is consumption of produce measured and
what percentage of participants consume the produce? How much fruit and
vegetables are consumed at baseline and how did that amount change over
time,
[[Page 24814]]
in comparison to the number of vouchers prescribed by the health care
provider? Did the participants attend the education program?
(iii) Evidence of improvement in health outcomes. Are healthcare
facility records available and accessible, in accordance with privacy
laws, to track changes in participant's clinical parameters such as A1C
and lipid levels? Are anthropometric measures also available through
the healthcare facility or measured in separate facilities and made
available for analysis?
(iv) Changes in access to healthy and traditional foods.
(2) Recipients must:
(a) Consult with and accept guidance from the IHS Division of
Diabetes Treatment and Prevention (DDTP), the IHS Division of Grants
Management (DGM), and their Federal Program Officer(s) and/or
designated assignee(s);
(b) Attend quarterly conference calls established by DDTP, and
provide update on the progress of P4 implementation;
(c) Respond promptly to requests for information;
(d) Provide short presentations on their processes and successes,
as requested;
(e) Keep DDTP informed of emerging issues, developments, and
challenges that may affect the recipient's ability to comply with the
award Terms and Conditions and/or any requirements;
(f) Have an officially approved Project Director (approved by the
Grants Management Officer in consultation with the Program Official) to
plan/initiate and maintain the P4, who has the following
qualifications:
(i) Relevant health or wellness education and/or experience;
(ii) Experience with award program management, including skills in
program coordination, budgeting, reporting, and staff supervision; and
(iii) Working knowledge of nutrition and nutrition challenges in
AI/AN communities.
(g) Complete and submit an annual progress report to the IHS by
attaching it as a Grant Note in GrantSolutions. Instructions,
template(s), and other information will be provided;
(h) Submit baseline, semi-annual, and annual/final data to the IHS;
and
(i) Participate in trainings provided by DDTP.
II. Award Information
Funding Instrument--Cooperative Agreement
Estimated Funds Available
The total funding identified for fiscal year (FY) 2023 is
approximately $2.5 million. This $2.5 million will be divided into
individual award amounts. Each of these award amounts are anticipated
to be less than $500,000 per year (applications requesting more than
$500,000 will be rejected). The applicant, based on capacity, need,
size of target AI/AN population, and proposed program, will request an
individual award amount of $500,000 or less. For example, smaller
programs will request less funding than their larger counterparts. 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. Selections will be made based on community needs,
objectives, and outcomes that align with the goals of this pilot
program.
Anticipated Number of Awards
The IHS anticipates issuing approximately six to eight awards under
this program announcement.
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 recipient
in providing technical assistance and guidance.
(2) Regularly meet with the recipient to review P4 work plan and
provide guidance and feedback on implementation, program evaluation,
and data collection strategy and tools.
(3) Establish and convene quarterly conference calls to provide P4
updates and discuss recipient progress.
(4) Work with the recipient to display the results of this project
by publishing on shared websites as well as in jointly authored
publications.
(5) 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 fidelity
data.
III. Eligibility Information
1. Eligibility
To be eligible for this funding opportunity, an applicant must be
one of the following as defined under 25 U.S.C. 1603:
<bullet> A federally recognized Indian Tribe as defined by 25
U.S.C. 1603(14). The term ``Indian Tribe'' means any Indian Tribe,
band, nation, or other organized group or community, including any
Alaska Native village or group, or regional or village corporation, as
defined in or established pursuant to the Alaska Native Claims
Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is
recognized as eligible for the special programs and services provided
by the United States to Indians because of their status as Indians.
<bullet> A Tribal organization as defined by 25 U.S.C. 1603(26).
The term ``Tribal organization'' has the meaning given in section 4 of
the Indian Self-Determination and Education Assistance Act (25 U.S.C.
5304(l)): ``Tribal organization'' means the recognized governing body
of any Indian Tribe; any legally established organization of Indians
which is controlled, sanctioned, or chartered by such governing body or
which is democratically elected by the adult members of the Indian
community to be served by such organization and which includes the
maximum participation of Indians in all phases of its activities:
provided that, in any case where a contract is let or grant made to an
organization to perform services benefiting more than one Indian Tribe,
the approval of each such Indian Tribe shall be a prerequisite to the
letting or making of such contract or grant. Applicants shall submit
letters of support and/or Tribal Resolutions from the Tribes to be
served.
<bullet> An Urban Indian organization, as defined by 25 U.S.C.
1603(29). 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 DGM will notify any applicants deemed ineligible.
[[Page 24815]]
2. Additional Information on Eligibility
The IHS does not fund concurrent projects. If an applicant is
successful under this announcement, any subsequent applications in
response to other P4 announcements from the same applicant will not be
funded. Applications on behalf of individuals (including sole
proprietorships) and foreign organizations are not eligible and will be
disqualified from competitive review and funding under this funding
opportunity.
Note: Please refer to Section IV.2 (Application and Submission
Information/Subsection 2, Content and Form of Application
Submission) for additional proof of applicant status documents
required, such as Tribal Resolutions, proof of nonprofit status,
etc.
3. Cost Sharing or Matching
The IHS does not require matching funds or cost sharing for grants
or cooperative agreements.
4. Other Requirements
Applications with budget requests that exceed $500,000 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.
The following documentation is required (if applicable):
Tribal Resolution
The DGM must receive an official, signed Tribal Resolution prior to
issuing a Notice of Award (NoA) to any Tribe or Tribal organization
selected for funding. An applicant that is proposing a project
affecting another Indian Tribe must include resolutions from all
affected Tribes to be served. However, if an official signed Tribal
Resolution cannot be submitted with the application prior to the
application deadline date, a draft Tribal Resolution must be submitted
with the application by the deadline date in order for the application
to be considered complete and eligible for review. The draft Tribal
Resolution is not in lieu of the required signed resolution but is
acceptable until a signed resolution is received. If an application
without a signed Tribal Resolution is selected for funding, the
applicant will be contacted by the Grants Management Specialist (GMS)
listed in this funding announcement and given 90 days to submit an
official signed Tribal Resolution to the GMS. If the signed Tribal
Resolution is not received within 90 days, the award will be forfeited.
Applicants organized with a governing structure other than a Tribal
council may submit an equivalent document commensurate with their
governing organization.
Proof of Nonprofit Status
Organizations claiming nonprofit status must submit a current copy
of the 501(c)(3) Certificate with the application.
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 merit 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 merit 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#d99d9e9499b0b1aaf7beb6af"><span class="__cf_email__" data-cfemail="f1b5b6bcb1989982df969e87">[email protected]</span></a>.
2. Content and Form Application Submission
Mandatory documents for all applicants include:
a. 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.
b. Project Narrative (not to exceed 25 pages). See Section IV.2.A,
Project Narrative for instructions.
c. Budget Justification/Narrative (not to exceed 5 pages). See
Section IV.2.B, Budget Narrative for instructions.
d. Tribal Resolution(s) as described in Section III, Eligibility.
e. 501(c)(3) Certificate, if applicable.
f. Biographical sketches for all Key Personnel.
g. Contractor/Consultant resumes or qualifications and scope of
work.
h. Disclosure of Lobbying Activities (SF-LLL), if applicant
conducts reportable lobbying.
i. Certification Regarding Lobbying (GG-Lobbying Form).
j. Copy of current Negotiated Indirect Cost (IDC) rate agreement
(required in order to receive IDC).
k. 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
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 reviewers will be directed to
ignore any content beyond the page limit. The 25-page limit for the
project narrative does not include standard forms, Tribal Resolutions,
budget, budget narratives, and/or other items. Page limits for each
section within the project narrative are guidelines, not hard limits.
There are four parts to the project narrative: Part 1--Needs
Assessment; Part 2--Program Description/Operational Plan; Part 3--
Evaluation; and Part 4--Organizational Capabilities. See below for
details about what to include in each section, and suggested page
limits for each section.
Part 1: Needs Assessment (Limit--5 Pages)
Provide a description of the need for a Produce Prescription
Program for the
[[Page 24816]]
community to be served. Applicant should describe the:
(1) Profile of community socioeconomic and demographic
characteristics;
(2) Profile of community diet-related health status and diseases,
if available. For example, is there a higher rate of diabetes, obesity,
cardiac disease, etc. in the community, due potentially to the lack of
access to nutritious food;
(3) Profile of community food resources;
(4) Assessment of food resource accessibility; and
(5) Assessment of food availability, affordability, and insecurity.
Part 2: Program Description/Operational Plan (Limit--10 Pages)
Applicant should describe:
(1) The health care facility being used for this program (can be
more than one facility or collective of health care providers);
(2) The local markets/organizations/services/vendors providing
fresh fruits and vegetables and/or traditional foods;
(3) The screening and enrollment process--how will the participants
be selected? Who (e.g., participants with diabetes, only pregnant moms,
only adults, youth/adults/both, etc.) and how many will be eligible?
(a) What is the recruitment process for participants into P4? Based
on estimates, how many participants can be accommodated during the
budget year?
(b) What will the prescription/voucher look like? Vouchers or
actual fresh produce or other means? How long is the prescription/
voucher for and what is the dollar value?
(c) How will the prescription be filled? Is it a voucher redemption
at a participating vendor? Or a Farmer's Market arrangement with weekly
pick up or delivery? How are the participating vendors reimbursed?
(4) What are the plans for encouraging and providing fruits and
vegetables and traditional foods in P4? Are there resources that can
provide bulk supplies or will participants seek these foods on their
own? What are the plans to provide fruits and vegetables, along with
traditional foods, to help ensure a balance of both?
(5) The implementation process--how will participants navigate the
system? What is required of each participant that enrolls in the
program? What will the nutrition education program look like? Will it
be individual and/or group sessions? Who will conduct the training and
how often? Will there be a pre-test/post-test for the participants and
what will it include? If not, how will effectiveness of the education
program be measured over time?
(6) Participant and staff nutrition training process;
(7) Duration of program; and is there a participant retention plan?
(8) Staffing plan; and
(9) Anticipated barriers/challenges and possible solutions--
geographic accessibility/food deserts, considerations for disability,
transportation, etc.
Part 3: Evaluation (Limit--5 Pages)
Program Evaluation
Describe the plan for collecting data, monitoring, and assuring
quality and quantity of data and the plan for evaluating and reporting
the program's outcomes.
(1) Evaluation plan should include tracking and trending outcome
data, such as (but not limited to):
(a) Prescription redemption and dollar amount or other value;
(b) Fruit and vegetable consumption (at baseline and at regular
intervals throughout the participants involvement);
(c) Participant recruitment and retention;
(d) Food security, based on the outcomes of the U.S. Adult Food
Security Survey Module (<a href="https://www.ers.usda.gov/media/8279/ad2012.pdf">https://www.ers.usda.gov/media/8279/ad2012.pdf</a>);
(e) Patient experience/satisfaction;
(f) Nutrition knowledge assessments over time;
(g) Implementation cost;
(h) Health outcomes/clinical markers (e.g. HbA1c, blood pressure,
BMI, waist circumference, etc.) at baseline and then annually; and
(i) Health care utilization patterns.
Part 4: Organizational Capabilities (Limit--5 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 awards and projects successfully
completed;
(4) Description of national experience in providing administrative
and support services to Tribal 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
nutrition concerns);
(5) Description of equipment and space available for use during the
proposed project; and
(6) Description of specialized experience working with Produce
Prescription 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 narrative). The budget narrative
should specifically describe how each item would 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, Deputy Director, DGM, by email at <a href="/cdn-cgi/l/email-protection#93d7d4ded3fafbe0bdf4fce5"><span class="__cf_email__" data-cfemail="04404349446d6c772a636b72">[email protected]</span></a>. Please
be sure to contact Mr. Gettys at least 10 days prior to the application
deadline. Please do not contact the DGM until you have received a
<a href="http://Grants.gov">Grants.gov</a> tracking number. In the event you are not able to obtain a
tracking number, call the DGM as soon as possible.
The IHS will not acknowledge receipt of applications.
4. Intergovernmental Review
Executive Order 12372 requiring intergovernmental review is not
applicable to this program.
5. Funding Restrictions
<bullet> Pre-award costs are not allowable.
<bullet> The available funds are inclusive of direct and indirect
costs.
[[Page 24817]]
<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#54101319143d3c277a333b22"><span class="__cf_email__" data-cfemail="d397949e93babba0fdb4bca5">[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. Applications that do not include a copy of the
waiver approval from the DGM will not be reviewed. The Grants
Management Officer of the DGM will notify the applicant via email of
this decision. Applications submitted under waiver must be received by
the DGM no later than 5:00 p.m. Eastern Time on the Application
Deadline Date. Late applications will not be accepted for processing.
Applicants that do not register for both the System for Award
Management (SAM) and <a href="http://Grants.gov">Grants.gov</a> and/or fail to request timely
assistance with technical issues will not be considered for a waiver to
submit an application via alternative method.
Please be aware of the following:
<bullet> Please search for the application package in <a href="https://www.Grants.gov">https://www.Grants.gov</a> by entering the Assistance Listing number or the Funding
Opportunity Number. Both numbers are located in the header of this
announcement.
<bullet> If you experience technical challenges while submitting
your application, please contact <a href="http://Grants.gov">Grants.gov</a> Customer Support (see
contact information at <a href="https://www.Grants.gov">https://www.Grants.gov</a>).
<bullet> Upon contacting <a href="http://Grants.gov">Grants.gov</a>, obtain a tracking number as
proof of contact. The tracking number is helpful if there are technical
issues that cannot be resolved and a waiver from the agency must be
obtained.
<bullet> Applicants are strongly encouraged not to wait until the
deadline date to begin the application process through <a href="http://Grants.gov">Grants.gov</a> as
the registration process for SAM and <a href="http://Grants.gov">Grants.gov</a> could take up to 20
working days.
<bullet> Please follow the instructions on <a href="http://Grants.gov">Grants.gov</a> to include
additional documentation that may be requested by this funding
announcement.
<bullet> Applicants must comply with any page limits described in
this funding announcement.
<bullet> After submitting the application, you will receive an
automatic acknowledgment from <a href="http://Grants.gov">Grants.gov</a> that contains a <a href="http://Grants.gov">Grants.gov</a>
tracking number. The IHS will not notify you that the application has
been received.
System for Award Management
Organizations that are not registered with the System for Award
Management (SAM) must access the SAM online registration through the
SAM home page at <a href="https://sam.gov">https://sam.gov</a>. Organizations based in the U.S. 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 recipients to report
information on sub-awards. Accordingly, all IHS recipients must notify
potential first-tier sub-recipients that no entity may receive a first-
tier sub-award unless the entity has provided its UEI number to the
prime recipient 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 100 possible points. Points are
assigned as follows:
1. Evaluation Criteria
A. Introduction and Needs Assessment (20 Points)
This section should provide a clear description of the need for a
Produce Prescription Program in the AI/AN community.
(1) Did the applicant describe the profile of community
socioeconomic and demographic and diet-related health illness
characteristics, as well as the community food resources?
(2) Did the applicant provide information about food resource
accessibility, availability, and affordability?
B. Program Description and Operational Plan (30 Points)
This section should demonstrate a sound and effective program
operational plan that will support accomplishment of deliverables and
milestones of the P4. A clear and concise description of the following
should be provided:
(1) The health care facility and local markets, organizations,
services, and/or vendors providing fresh fruits and vegetables and/or
traditional foods;
(2) The recruitment, screening, and enrollment process;
(3) The program implementation of prescribing by health care
providers and redeeming fresh fruits and vegetables and/or traditional
foods (if applicable) by participants (the target group);
(4) The staffing plan to implement the program as well as the
process for
[[Page 24818]]
nutrition training and education to participants and program staff; and
(5) Anticipated barriers/challenges and possible solutions.
C. Evaluation Plan (20 Points)
This section should describe the plan for collecting data,
monitoring, and assuring quality and quantity of data, and the plan for
evaluating and reporting the program's outcomes.
D. Organizational Capabilities (20 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 clearly described
the following:
(1) The structure of the organization;
(2) The ability of the organization to manage the proposed project
and included information regarding similarly sized projects in scope
and financial assistance as well as other awards and projects
successfully completed;
(3) What equipment (e.g., phone, websites, etc.) and facility space
(e.g., 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;
(4) Provide a list and biographical sketches for key personnel who
will work on the project; and
(5) Demonstrate knowledge in:
(i) Providing administrative and support services to Tribal
programs, education agencies, and other 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); and
(ii) Financial and project management.
E. 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.
(1) Categorical budget (Form SF-424A, Budget Information Non-
Construction Programs) completed for the first budget period.
(2) 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 cost
allowability.
(3) Indication of any special start-up costs.
(4) Budget justification should include a description of the
planned costs and how those costs 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> Timeline for proposed objectives.
<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.).
<bullet> Additional letters of support and assistance
<bullet> Financial statements
<bullet> Other similar project documents (e.g., budgets)
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 Review
Committee (RC) based on the 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 RC and will not be funded. The DGM 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 DDTP within 30 days of the conclusion of the RC outlining the
strengths and weaknesses of their application. The summary statement
will be sent to the Authorizing Official identified on the face page
(SF-424) of the application.
A. Award Notices for Funded Applications
The NoA is the authorizing document for which funds are dispersed
to the approved entities and reflects the amount of Federal funds
awarded, the purpose of the award, the terms and conditions of the
award, the effective date of the award, the budget period, and period
of performance. Each entity approved for funding must have a user
account in GrantSolutions in order to retrieve the NoA. Please see the
Agency Contacts list in Section VII for the systems contact
information.
B. Approved But Unfunded Applications
Approved applications not funded due to lack of available funds
will be held for 1 year. If funding becomes available during the course
of the year, the application may be reconsidered.
Note: Any correspondence, other than the official NoA executed
by an IHS grants management official announcing to the project
director that an award has been made to their organization, is not
an authorization to implement their program on behalf of the IHS.
VI. Award Administration Information
1. Administrative Requirements
Awards issued under this announcement are subject to, and are
administered in accordance with, the following regulations and
policies:
A. The criteria as outlined in this program announcement.
B. Administrative Regulations for Grants:
<bullet> Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for HHS Awards currently in effect or implemented
during the period of award, other Department regulations and policies
in effect at the time of award, and applicable statutory provisions. At
the time of publication, this includes 45 CFR part 75, at <a href="https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75.pdf">https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-part75.pdf</a>.
<bullet> Please review all HHS regulatory provisions for
Termination at 45 CFR 75.372, at the time of this publication located
at <a href="https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-sec75-372.pdf">https://www.govinfo.gov/content/pkg/CFR-2021-title45-vol1/pdf/CFR-2021-title45-vol1-sec75-372.pdf</a>.
C. Grants Policy:
<bullet> HHS Grants Policy Statement, Revised January 2007, at
<a href="https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf">https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf</a>.
D. Cost Principles:
<bullet> Uniform Administrative Requirements for HHS Awards, ``Cost
Principles,'' 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 https://www.govinfo.gov/content/pkg/CFR-
2021-title45-vol1/pdf/
[[Page 24819]]
CFR-2021-title45-vol1-part75-subpartF.pdf.
F. As of August 13, 2020, 2 CFR part 200 was updated to include a
prohibition on certain telecommunications and video surveillance
services or equipment. This prohibition is described in 2 CFR 200.216.
This will also be described in the terms and conditions of every IHS
grant and cooperative agreement awarded on or after August 13, 2020.
2. Indirect Costs
This section applies to all recipients that request reimbursement
of IDC in their application budget. In accordance with HHS Grants
Policy Statement, Part II-27, the IHS requires applicants to obtain a
current IDC rate agreement and submit it to the DGM prior to the DGM
issuing an award. The rate agreement must be prepared in accordance
with the applicable cost principles and guidance as provided by the
cognizant agency or office. A current rate covers the applicable award
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 2 CFR 200.414(f) Indirect (F&A) costs,
any non-Federal entity (NFE) [i.e., applicant] that does not have a
current negotiated 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 200.403, 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
award.
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 recipients 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 write
to <a href="/cdn-cgi/l/email-protection#54101319143d3c277a333b22"><span class="__cf_email__" data-cfemail="e2a6a5afa28b8a91cc858d94">[email protected]</span></a>.
3. Reporting Requirements
The recipient 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
award, 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 recipient
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 90 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 120 days of expiration of the period of performance.
B. Financial Reports
Federal Financial Reports are due 90 days after the end of each
budget period, and a final report is due 120 days after the end of the
period of performance.
Recipients 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
The pilot program will develop their own unique plan for collecting
data, monitoring, and assuring quality and quantity of data and the
plan for evaluating and reporting the program's outcomes. The plan
should include tracking and trending outcome data at baseline,
semiannually, and annually. Data should include (but is not limited
to):
(1) Prescription redemption and dollar amounts;
(2) Fruit and vegetable consumption;
(3) Participant retention rates;
(4) Food security via a validated measurement tool/survey;
(5) Patient experience/satisfaction results;
(6) Nutrition knowledge assessments over time;
(7) Implementation cost;
(8) Health outcomes/clinical markers (e.g. HbA1c, blood pressure,
weight, BMI, waist circumference, etc.); and
(9) Health care utilization patterns.
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 awards 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>.
[[Page 24820]]
E. Non-Discrimination Legal Requirements for Awardees of Federal
Financial Assistance
The recipient must administer the project in compliance with
Federal civil rights laws, where applicable, that prohibit
discrimination on the basis of race, color, national origin,
disability, age, and comply with applicable conscience protections. The
recipient must comply with applicable laws that prohibit discrimination
on the basis of sex, which includes discrimination on the basis of
gender identity, sexual orientation, and pregnancy. Compliance with
these laws requires taking reasonable steps to provide meaningful
access to persons with limited English proficiency and providing
programs that are accessible to and usable by persons with
disabilities. The HHS Office for Civil Rights provides guidance on
complying with civil rights laws enforced by HHS. 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 recipients 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-
5204, Fax: (301) 594-0899, Email: <a href="/cdn-cgi/l/email-protection#7632313b361f1e0558111900"><span class="__cf_email__" data-cfemail="8cc8cbc1cce5e4ffa2ebe3fa">[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: <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#377a565953564358454e70455659435252735e44545b58444245524477585e50195f5f4419505841"><span class="__cf_email__" data-cfemail="e3ae828d8782978c919aa491828d978686a78a90808f8c9096918690a38c8a84cd8b8b90cd848c95">[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#64000d05060110011714160b03160509240d0c174a030b12"><span class="__cf_email__" data-cfemail="45212c24272031203635372a22372428052c2d366b222a33">[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: 09E70, Rockville, MD 20857, Email:
<a href="/cdn-cgi/l/email-protection#d99d9e9499b0b1aaf7beb6af"><span class="__cf_email__" data-cfemail="efaba8a2af86879cc1888099">[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#e4979194948b9690a48396858a9097ca838b92"><span class="__cf_email__" data-cfemail="25565055554a5751654257444b51560b424a53">[email protected]</span></a>.
4. For technical assistance with GrantSolutions, please contact the
GrantSolutions help desk at (866) 577-0771, or by email at
<a href="/cdn-cgi/l/email-protection#98f0fdf4e8d8ffeaf9f6ecebf7f4edecf1f7f6ebb6fff7ee"><span class="__cf_email__" data-cfemail="90f8f5fce0d0f7e2f1fee4e3fffce5e4f9fffee3bef7ffe6">[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
[[Page 24821]]
protect and advance the physical and mental health of the American
people.
P. Benjamin Smith,
Deputy Director, Indian Health Service.
[FR Doc. 2023-08614 Filed 4-21-23; 8:45 am]
BILLING CODE 4165-16-P
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</html>Indexed from Federal Register on April 24, 2023.
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