[Federal Register Volume 75, Number 34 (Monday, February 22, 2010)]
[Notices]
[Pages 7610-7615]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-3352]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Office of Urban Indian Health Programs; Title V HIV/AIDS 
Competing Continuation Grants

    Announcement Type: Title V HIV/AIDS Competing Continuation Grants.
    Funding Opportunity Number: HHS-2010-IHS-UIHP-0001.
    Catalog of Federal Domestic Assistance Number: 93.193.
    Key Dates:
    Application Deadline Date: March 1, 2010.
    Review Date: April 1, 2010.
    Earliest Anticipated Start Date: July 1, 2010.

I. Funding Opportunity Description

Statuary Authority

    The Indian Health Service (IHS), Office of Urban Indian Health 
Programs (OUIHP) announces competing continuations for the 4-in-1 Title 
V grants responding to an Office of HIV/AIDS Policy (OHAP), Minority 
AIDS (Acquired Immunodeficiency Syndrome) Initiative (MAI). This 
program is authorized under the authority of the Snyder Act, Public Law 
67-85 and 25 U.S.C. 1652, 1653 of the Indian Health Care Improvement 
Act, Public Law 94-437, as amended. This program is described at 93.193 
in the Catalog of Federal Domestic Assistance (CFDA).

Background

    This competitive continuation seeks to expand OUIHP's existing 
Title V grants to increase the number of American Indian/Alaska Natives 
(AI/AN) with awareness of his/her HIV status. This will provide routine 
and/or rapid HIV screening, prevention, and pre- and post-test 
counseling (when appropriate). Enhancement of urban Indian health 
program HIV/AIDS activities is necessary to reduce the incidence of 
HIV/AIDS in the urban Indian health communities by increasing access to 
HIV related services, reducing stigma, and making testing routine.

Purpose

    These competing continuation grants will be used to enhance HIV 
testing, including rapid testing and/or standard HIV antibody testing 
and to provide a more focused effort to address HIV/AIDS prevention, 
targeting some of the largest urban Indian populations in the United 
States. The grantees will attempt to provide routine HIV screening for

[[Page 7611]]

adults as per 2006 Centers for Disease Control and Prevention (CDC) 
guidelines and pre- and post-test counseling (when appropriate). These 
grants will be used to identify best practices to enhance HIV testing, 
including rapid testing and/or conventional HIV antibody testing, and 
to provide a more focused effort to address HIV/AIDS prevention in AI/
AN populations in the United States.
    The nature of these projects will require collaboration with the 
OUIHP to: (1) Coordinate activities with the IHS National HIV Program; 
(2) participate in projects in other operating divisions of the 
Department of Health and Human Services (HHS) such as the CDC, 
Substance Abuse and Mental Health Services Administration, Health 
Resource and Services Administration and the Office of HIV/AIDS Policy; 
and (3) submit and share anonymous, non-identifiable data on HIV/AIDS 
testing, treatment, and education.
    These grants are also intended to encourage development of 
sustainable, routine HIV screening programs in urban facilities that 
are aligned with 2006 CDC HIV Screening guidelines (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5514a1.htm). Key features include streamlined 
consent and counseling procedures (verbal consent, opt-out), a clear 
HIV screening policy, identifying and implementing any necessary staff 
training, community awareness, and a clear followup protocol for HIV 
positive results including linkages to care. Grantees may choose to 
bundle HIV tests with sexually transmitted disease (STD) screening.

II. Award Information

    Type of Award: Title V Competitive Continuation Grants.
    Estimated Funds Available: The total amount identified for Fiscal 
Year (FY) 2010 is five awards totaling $75,000. Individual awards must 
include one project evaluation and provide administrative support of 
the project. All future awards under this announcement are subject to 
the availability of funds. Hence, the agency has no obligation to award 
additional funding beyond the first year.
    Anticipated Number of Awards: Five grant awards will be made under 
the program.
    Project Period: July 1, 2010-June 30, 2012.
    Award Amount: $75,000.

A. Requirements of Recipient Activities

    In FY 2010, each grantee's attempted goal shall include screening 
as many individuals as possible; however, each funded program's 
attempted goal will be to increase screening to a minimum of 300 AI/AN 
tested per program funded, for a total of 1,500 AI/AN tested. This 
reflects an MAI requirement to maintain the actual cost per MAI fund 
HIV testing client below the medical care inflation rate. This does not 
include counts of re-testing individuals in the same year. Each program 
shall also collect evidence, as part of the testing process, to 
document lessons learned, best practices, and barriers to increased 
routine HIV screening within this population.

III. Eligibility Information

1. Eligibility

    This funding announcement is limited to Urban Indian organizations, 
as defined by 25 U.S.C. 1603(h), and is limited to urban Indian 
organizations which meet the following criteria:
    <bullet> Received State certification to conduct HIV rapid testing 
(where needed);
    <bullet> Health professionals and staff have been trained in the 
HIV/AIDS screening tools, education, prevention, counseling, and other 
interventions for AI/ANs;
    <bullet> Developed programs to address community and group support 
to sustain risk-reduction skills;
    <bullet> Implemented HIV/AIDS quality assurance and improvement 
programs; and
    <bullet> Must provide proof of non-profit status with the 
application.
    Urban Indian organization means a non-profit corporate body of any 
Indian tribe or any legally established organization of Indians which 
is controlled by one or more such bodies or by a board of directors 
elected or selected by one or more such bodies (or elected by the 
Indian population to be served by such organization) and which includes 
the maximum participation of Indians in all phases of its activities. 
25 U.S.C. 1603(h).

2. Cost Sharing or Matching

    The OUIHP does not require matching funds or cost sharing.

3. Other Requirements

    If application budget exceeds the stated dollar amount that is 
outlined within this announcement, it will not be considered for 
funding.

IV. Application and Submission Information

1. Obtaining Application Materials

    Applicant package may be found on Grants.gov (http://www.grants.gov) or at: http://www.ihs.gov/NonMedicalPrograms/gogp/.

2. Content and Form Application Submission

    The applicant must include the project narrative as an attachment 
to the application package.
    Mandatory documents for all applicants include:
    <bullet> Application forms:
    [cir] SF-424.
    [cir] SF-424A.
    [cir] SF-424B.
    <bullet> Budget Narrative (must be single spaced).
    <bullet> Project Narrative (must not exceed 10 pages).
    <bullet> Tribal Resolution or Tribal Letter of Support (Tribal 
Organizations only).
    <bullet> Letter of Support from organization's Board of Directors 
(Title V Urban Indian Health Programs only).
    <bullet> 501(c) (3) Certificate (Title V Urban Indian Health 
Programs only).
    <bullet> Biographical sketches for all key personnel.
    <bullet> Disclosure of Lobbying Activities (SF-LLL) (if 
applicable).
    <bullet> Documentation of current OMB A-133 required Financial 
Audit, if applicable. Acceptable forms of documentation include:
    [cir] E-mail confirmation from Federal Audit Clearinghouse (FAC) 
that audits were submitted; or
    [cir] Face sheets from audit reports. These can be found on the FAC 
Web site: http://harvester.census.gov/fac/dissem/accessoptions.html?submit=Retrieve+Records
    Public Policy Requirements:
    All Federal-wide public policies apply to IHS grants with exception 
of the Discrimination policy.
    Requirements for Project and Budget Narratives:
    A. Project Narrative: This narrative should be a separate Word 
document that is no longer than 10 pages (see page limitations for each 
Part noted below) with consecutively numbered pages. Be sure to place 
all responses and required information in the correct section or they 
will not be considered or scored. If the narrative exceeds the page 
limit, only the first 10 pages will be reviewed. There are three parts 
to the narrative: Part A--Program Information; Part B--Program Planning 
and Evaluation; and Part C--Program Report. See below for additional 
details about what must be included in the narrative.
    Part A: Program Information (page limitation)
    Section 1: Needs
    Part B: Program Planning and Evaluation (page limitation)
    Section 1: Program Plans
    Section 2: Program Evaluation
    Part C: Program Report (page limitation)

[[Page 7612]]

    Section 1: Describe major Accomplishments over the last 24 months.
    Section 2: Describe major Activities over the last 24 months.
    B. Budget Narrative: This narrative must describe the budget 
requested and match the scope of work described in the project 
narrative. The page limitation should not exceed three pages.

3. Submission Dates and Times

    The application from each urban Indian organization must be 
submitted electronically through Grants.gov by 12 midnight Eastern 
Standard Time (EST) on March 1, 2010. Any application received after 
the application deadline will not be accepted for processing, and it 
will be returned to the applicant(s) without further consideration for 
funding.
    If technical challenges arise and assistance is required with the 
electronic application process, contact Grants.gov Customer Support via 
e-mail to <a href="/cdn-cgi/l/email-protection#ed9e989d9d829f99ad8a9f8c83999ec38a829b"><span class="__cf_email__" data-cfemail="f0838580809f8284b09782919e8483de979f86">[email protected]</span></a> or at (800) 518-4726. Customer Support is 
available to address questions 24 hours a day, 7 days a week (except on 
Federal holidays). If problems persist, contact Tammy Bagley, Division 
of Grants Policy (DGP) (<a href="/cdn-cgi/l/email-protection#1d697c707064337f7c7a7178645d74756e337a726b"><span class="__cf_email__" data-cfemail="d3a7b2bebeaafdb1b2b4bfb6aa93babba0fdb4bca5">[email protected]</span></a>) at (301) 443-5204. Please 
be sure to contact Ms. Bagley at least ten days prior to the 
application deadline. Please do not contact the DGP until you have 
received a Grants.gov tracking number. In the event you are not able to 
obtain a tracking number, call the DGP as soon as possible.
    If an applicant needs to submit a paper application instead of 
submitting electronically via Grants.gov, prior approval must be 
requested and obtained (see page 16 for additional information). The 
waiver must be documented in writing (e-mails are acceptable) before 
submitting a paper application. A copy of the written approval must be 
submitted along with the hardcopy that is mailed to the DGO (Refer to 
Section IV to obtain the mailing address). Paper applications that are 
submitted without a waiver will be returned to the applicant without 
review or further consideration. Late applications will not be accepted 
for processing, will be returned to the applicant and will not be 
considered for funding.

4. Intergovernmental Review

    Executive Order 12372 requiring intergovernmental review is not 
applicable to this program.

5. Funding Restrictions

    <bullet> Pre-award costs are allowable pending prior approval from 
the awarding agency. However, in accordance with 45 CFR part 74, all 
pre-award costs are incurred at the recipient's risk. The awarding 
office is under no obligation to reimburse such costs if for any reason 
any of the urban Indian organizations do not receive an award or if the 
award to the recipient is less than anticipated.
    <bullet> The available funds are inclusive of direct and 
appropriate indirect costs.
    <bullet> Only one competing continuation award will be issued to 
each organization.
    <bullet> IHS will not acknowledge receipt of the application.

6. Electronic Submission Requirements

    Use the http://www.Grants.gov Web site to submit an application 
electronically and select the ``Apply for Grants'' link on the 
homepage. Download a copy of the application package, complete it 
offline, and then upload and submit the application via the Grants.gov 
Web site. Electronic copies of the application may not be submitted as 
attachments to e-mail messages addressed to IHS employees or offices.
    Applicants that receive a waiver to submit paper application 
documents must follow the rules and timelines that are noted below. The 
applicant must seek assistance at least ten days prior to the 
application deadline.
    Applicants that do not adhere to the timelines for Central 
Contractor Registry (CCR) and/or Grants.gov registration and/or request 
timely assistance with technical issues will not be considered for a 
waiver to submit a paper application.
    Please be aware of the following:
    <bullet> Please search for the application package in Grants.gov by 
entering the CFDA number or the Funding Opportunity Number. Both 
numbers are located in the header of this announcement.
    <bullet> Paper applications are not the preferred method for 
submitting applications. However, if you experience technical 
challenges while submitting your application electronically, please 
contact Grants.gov Support directly at: http://www.Grants.gov/CustomerSupport or (800) 518-4726. Customer Support is available to 
address questions 24 hours a day, 7 days a week (except on Federal 
holidays).
    <bullet> Upon contacting Grants.gov, obtain a tracking number as 
proof of contact. The tracking number is helpful if there are technical 
issues that cannot be resolved and a waiver from the agency must be 
obtained.
    <bullet> If it is determined that a waiver is needed, you must 
submit a request in writing (e-mails are acceptable) to 
<a href="/cdn-cgi/l/email-protection#d097a2b1bea4a380bfbcb9b3a990b9b8a3feb7bfa6"><span class="__cf_email__" data-cfemail="1651647778626546797a7f756f567f7e6538717960">[email protected]</span></a> with a copy to <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="a4f0c5c9c9dd8ae6c5c3c8c1dde4cdccd78ac3cbd2">[email protected]</a>. Please 
include a clear justification for the need to deviate from the standard 
electronic submission process.
    <bullet> If the waiver is approved, the application should be sent 
directly to the DGO by the deadline date of March 1, 2010.
    <bullet> Applicants are strongly encouraged not to wait until the 
deadline date to begin the application process through Grants.gov as 
the registration process for CCR and Grants.gov could take up to 
fifteen working days.
    <bullet> Please use the optional attachment feature in Grants.gov 
to attach additional documentation that may be requested by the DGO.
    <bullet> All applicants must comply with any page limitation 
requirements described in this Funding Announcement.
    <bullet> After electronically submitting the application, 
applicants will receive an automatic acknowledgment from Grants.gov 
that contains a Grants.gov tracking number. The DGO will download the 
application from Grants.gov and provide necessary copies to the 
appropriate agency officials. Neither the DGO nor the OUIHP will notify 
applicants that the application has been received.
    E-mail applications will not be accepted under this announcement.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
    Applicants are required to have a DUNS number to apply for a grant 
or cooperative agreement from the Federal Government. The DUNS number 
is a unique nine-digit identification number provided by D&B, which 
uniquely identifies an entity. The DUNS number is site specific; 
therefore each distinct performance site may be assigned a DUNS number. 
Obtaining a DUNS number is easy and there is no charge. To obtain a 
DUNS number, access is through the following Web site http://fedov.dnb.com/webform or to expedite the process call (866) 705-5711.
    Another important fact is that applicants must also be registered 
with the CCR and a DUNS number is required before an applicant can 
complete their CCR registration. Registration with the CCR is free of 
charge. Applicants may register online at http://www.ccr.gov. 
Additional information regarding the DUNS, CCR,

[[Page 7613]]

and Grants.gov processes can be found at: http://www.Grants.gov.
    Applicants may register by calling 1 (866) 606-8220. Please review 
and complete the CCR Registration worksheet located at http://www.ccr.gov.

V. Application Review Information

    Points will be assigned to each evaluation criteria adding up to a 
total of 100 points.

1. Evaluation Criteria

    The instructions for preparing the application narrative also 
constitute the evaluation criteria for reviewing and scoring the 
application. Weights assigned to each section are noted in parentheses. 
The narrative should include all prior years of activity; information 
for multi-year projects should be included as an appendix (see E. 
``Categorical Budget and Budget Justification'' at the end of this 
section for more information). The narrative should be written in a 
manner that is clear to outside reviewers unfamiliar with prior related 
activities of the urban Indian organization. It should be well 
organized, succinct, and contain all information necessary for 
reviewers to understand the project fully.
A. Understanding of the Need and Necessary Capacity (15 Points)
1. Understanding of the Problem
    a. Define the project target population, identify their unique 
characteristics, and describe the impact of HIV on the population.
    b. Describe the gaps/barriers in HIV testing for the population.
    c. Describe the unique cultural or sociological barriers of the 
target population to adequate access for the described services.
2. Facility Capability
    a. Briefly describe your clinic programs and services and how this 
initiative will assist to commence, compliment and/or expand existing 
efforts.
    b. Describe your clinic's ability to conduct this initiative 
through:
    <bullet> Your clinic's present resources.
    <bullet> Collaboration with other providers.
    <bullet> Partnerships established to accept referrals for 
counseling, testing, and referral and confirmatory blood tests and/or 
social services for individuals who test HIV positive.
    <bullet> Linkages to treatment and care: partnerships established 
to refer out of your clinic for specialized treatment, care, 
confirmatory testing (if applicable) and counseling services.
B. Work Plan (40 Points)
1. Project Goal and Objectives
    Address all of the following program goals and objectives of the 
project. The objectives must be specific as well as quantitatively and 
qualitatively measurable to ensure achievement of goal(s).
<bullet> Implementation Plan
    a. Identify the proposed program activities and explain how these 
activities will increase and sustain HIV screening.
    b. Describe policy and procedure changes anticipated for 
implementation that include:
    (1) Support of the 2006 CDC Revised HIV Testing Recommendations.
    (2) Community awareness.
    (3) Age ranges of persons to be screened.
    (4) Bundling of HIV testing with STD tests.
    (5) Type of HIV Screen/Test (Rapid, Conventional, Western Blot) and 
who will perform test (in-house, send-out).
    c. Provide a clear timeline with quarterly milestones for project 
implementation.
    d. Certify that the program identified and agreed to follow the 
state regulations for HIV testing in their state and how the clinic 
will follow their state reporting guidelines for seropositive results.
    e. Describe how individuals will be selected for testing to 
identify selection criteria and which group(s)--if any--will you be 
able, via state regulations, to offer testing in an opt-out format.
    f. Describe how the program will ensure that clients receive their 
test results, particularly clients who test positive.
    g. Describe how the program will ensure that individuals with 
initial HIV-positive test results will receive confirmatory tests. If 
you do not provide confirmatory HIV testing, you must provide a letter 
of intent or Memorandum of Understanding with an external laboratory 
documenting the process through which initial HIV-positive test results 
will be confirmed.
    h. Describe the program strategies to linking potential 
seropositive patients to care.
    i. Describe the program quality assurance strategies.
    j. Describe how the program will train, support and retain staff 
providing counseling and testing.
    k. Describe how the program will ensure client confidentiality.
    l. Describe how the program will ensure that its services are 
culturally fluent and relevant.
    m. Describe how the program will attempt to streamline procedures 
so as to reduce the overall cost per test administered.
C. Project Evaluation (20 Points)
1. Evaluation Plan
    The grantee shall provide a plan for monitoring and evaluating the 
HIV rapid test and/or standard HIV antibody test.
2. Reporting Requirements
    The following quantitative and qualitative measures shall be 
addressed:
<bullet> Required Quantitative Indicators (Quantitative)
    a. Number of tests performed and number of test refusals.
    b. Number of clients learning of their serostatus for the first 
time via this testing initiative (unique patients, non-repeated tests).
    c. Number of reactive tests and confirmed seropositive (actual and 
proportion).
    d. Number of clients linked to care/treatment or referrals for 
prevention counseling.
    e. Number of individuals receiving their confirmatory test results.
<bullet> Required Qualitative Information
    a. Measures in place to protect confidentiality.
    b. Identify barriers of implementation as well as lessons learned 
for best practices to share with other IHS/Urban or Tribal entities.
    c. Sustainability plan and measures of ongoing testing in future 
years, after grant money has been spent.
    <bullet> Other quantitative indicators may be collected to improve 
clinic processes and add to information reported; however, they are not 
required.
    a. Number of clients who refused due to prior knowledge of status.
    b. Number of rapid versus standard antibody test.
    c. Number of false negatives and/or positives after confirmatory 
testing.
    <bullet> Develop a plan for obtaining knowledge, attitudes, and 
behavior data pending official approval of patient survey.
D. Organizational Capabilities and Qualifications (10 Points)
    This section outlines 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 
outlined in the work plan.
    1. Describe the organizational structure.

[[Page 7614]]

    2. Describe the ability of the organization to manage the proposed 
project. Include information regarding similarly sized projects in 
scope and financial assistance as well as other grants and projects 
successfully completed.
    3. Describe what equipment (i.e., phone, Web sites, 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.
    4. List key personnel who will work on the project.
    <bullet> Identify existing personnel and new program staff to be 
hired.
    <bullet> In the appendix, include position descriptions and resumes 
for all key personnel. Position descriptions should clearly describe 
each position and duties indicating desired qualifications, experience, 
and requirements related to the proposed project and how they will be 
supervised. Resumes must indicate that the proposed staff member is 
qualified to carry out the proposed project activities and who will 
determine if the work of a contractor is acceptable.
    <bullet> Note who will be writing the progress reports.
    <bullet> If a position is to be filled, indicate that information 
on the proposed position description.
    <bullet> If the project requires additional personnel beyond those 
covered by the supplemental grant (i.e., Information Technology 
support, volunteers, interviewers, etc.), note these and address how 
these positions will be filled and, if funds are required, the source 
of these funds.
    <bullet> If personnel are to be only partially funded by this 
supplemental grant, indicate the percentage of time to be allocated to 
this project and identify the resources used to fund the remainder of 
the individual's salary.
E. Categorical Budget and Budget Justification (15 Points)
    This section should provide a clear estimate of the project program 
costs and justification for expenses for the entire grant period. The 
budget and budget justification should be consistent with the tasks 
identified in the work plan. The budget focus should be on routinizing 
and sustaining HIV testing services as well as reducing the cost per 
person tested.
    1. Categorical budget (Form SF 424A, Budget Information Non-
Construction Programs) completing each of the budget periods requested.
    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. Budget justification should include a brief program narrative 
for the second and third years.
    4. If indirect costs are claimed, indicate and apply the current 
negotiated rate to the budget. Include a copy of the rate agreement in 
the appendix.

2. Review and Selection Process

    Each application will be prescreened by the DGO staff for 
eligibility and completeness as outlined in the funding announcement. 
Incomplete applications and applications that are non-responsive to the 
eligibility criteria will not be referred to the Objective Review 
Committee. Applicants will be notified by DGO, via letter, to outline 
the missing components of the application.
    To obtain a minimum score for funding, applicants must address all 
program requirements and provide all required documentation. Applicants 
that receive less than a minimum score will be informed via e-mail of 
their application's deficiencies. A summary statement outlining the 
strengths and weaknesses of the application will be provided to these 
applicants. The summary statement will be sent to the Authorized 
Organizational Representative that is identified on the face page of 
the application.
    In addition to the above criteria/requirements, the application 
will be considered according to the following:
    A. The submission deadline: March 1, 2010. The application 
submitted in advance of or by the deadline and verified by the postmark 
will undergo a preliminary review to determine that:
    <bullet> The applicant is eligible in accordance with this grant 
announcement.
    <bullet> The application is not a duplication of a previously 
funded project.
    <bullet> The application narrative, forms, and materials submitted 
meet the requirements of the announcement allowing the review panel to 
undertake an in-depth evaluation; otherwise, it may be returned.
    B. The Competitive Continuation Review date is April 1, 2010. 
Competitive Continuation applications that are complete, responsive, 
and conform to this program announcement will be reviewed for merit. 
Prior to review, the application will be screened by the DGO to 
determine eligibility. Programs proposed should be those in which the 
IHS has the authority to provide either directly or through funding 
agreements. These programs should be designed for the benefit of IHS 
beneficiaries. If an urban Indian organization does not meet these 
requirements, the application will not be reviewed. The application 
will be evaluated and rated on the basis of the evaluation criteria 
listed in Section V. 1. The criteria are used to evaluate the quality 
of a proposed project and determine the likelihood of success.
C. Anticipated Announcement and Award Dates
    Anticipated announcement date is June 1, 2010 with an Award Date of 
July 1, 2010.

VI. Award Administration Information

1. Award Notices

    The Notice of Award (NoA) will be initiated by the DGO and will be 
mailed via postal mail to the urban Indian organization. The NoA will 
be signed by the Grants Management Officer, and this is the authorizing 
document under which funds are dispersed to the approved entities. The 
NoA will serve as the official notification of the grant award and will 
reflect the amount of Federal funds awarded for the purpose of the 
grant, the terms and conditions of the award, the effective date of the 
award, and the budget/project period. The NoA is the legally binding 
document and is signed by an authorized grants official within the IHS.

2. Administrative Requirements

    Grants are administered in accordance with the following 
regulations, policies and OMB cost principles:
    A. The criteria as outlined in this Program Announcement.
    B. Administrative Regulations for Grants:
    <bullet> 45 CFR part 92, Uniform Administrative Requirements for 
Grants and Cooperative Agreements to State, Local and Tribal 
Governments.
    <bullet> 45 CFR part 74, Uniform Administrative Requirements for 
Grants and Agreements with Institutions of Higher Education, Hospitals, 
and other Non-profit Organizations.
    C. Grants Policy:
    <bullet> HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
    <bullet> Title 2: Grant and Agreements, Part 225--Cost Principles 
for State, Local, and Indian Tribal Governments (OMB A-87). Title 2: 
Grant and Agreements, Part 230--Cost Principles for Non-Profit 
Organizations (OMB Circular A-122).
    E. Audit Requirements:
    <bullet> OMB Circular A-133, Audits of States, Local Governments, 
and Non-profit Organizations.

[[Page 7615]]

3. Indirect Costs

    This section applies to all grant recipients that request 
reimbursement of indirect costs in their grant application. In 
accordance with HHS Grants Policy Statement, Part II-27, IHS requires 
applicants to obtain a current indirect cost rate agreement prior to 
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 is not on 
file with the DGO at the time of award, the indirect cost portion of 
the budget will be restricted. The restrictions remain in place until 
the current rate is provided to the DGO.
    Generally, indirect costs rates for IHS grantees are negotiated 
with the Division of Cost Allocation http://rates.psc.gov/ and the 
Department of Interior (National Business Center) http://www.aqd.nbc.gov/indirect/indirect.asp. If your organization has 
questions regarding the indirect cost policy, please call (301) 443-
5204 to request assistance.

4. Reporting Requirements

    The reporting requirements for this program are noted below.
A. Progress Reports
    Program progress reports on number of tests performed and 
milestones are required semi-annually by the OUIHP in order to satisfy 
quarterly reports due to funding source at MAI. These reports will 
include a brief comparison of actual accomplishments to the goals 
established for the period, or if applicable, provide sound 
justification for lack of progress, reasons for unmet milestones (if 
applicable), and other pertinent information as required.
    B. A Final Assessment and Evaluation report must be submitted 
within 90 days of expiration of the budget/project period.
    C. Semi-annual Financial Status Reports (FSR) must be submitted 
within 30 days after the six months period ends. Refer to the terms and 
conditions of the grant award for details on submission times. Final 
FSRs are due within 90 days after the end of the project period. 
Standard Form 269 (long form for those reporting on program income; 
short form for all others) will be used for financial reporting.
    D. Participation in a minimum of two teleconferences. 
Teleconferences will be required semi-annually (unless further followup 
is needed) for technical assistance and information to be provided and 
progress to be shared among grantees with the OUIHP and National HIV 
Program Consultant.
    E. Federal Cash Transaction Reports are due every calendar quarter 
to the Division Payment Management, Payment Management Branch. Failure 
to submit timely reports may cause a disruption in timely payments to 
the grantee.
    Grantees are responsible and accountable for accurate reporting of 
the Progress Reports and Financial Status Reports which are generally 
due [semi-annually/annually]. Financial Status Reports (SF-269) are due 
90 days after each budget period and the final SF-269 must be verified 
from the grantee records on how the value was derived.
    Failure to submit required reports within the time allowed may 
result in suspension or termination of an active agreement, 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 one 
or both of the following: (1) The imposition of special award 
provisions; and (2) 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 grantee organization 
or the individual responsible for preparation of the reports.
    Telecommunication for the hearing impaired is available at: TTY 
(301) 443-6394.

VII. Agency Contacts

Grants (Business): Kimberly Pendleton, Grants Management Officer, 801 
Thompson Avenue, TMP Suite 360, Rockville, MD 20852, (301) 443-5204 or 
<a href="/cdn-cgi/l/email-protection#b7fcdedad5d2c5dbce99e7d2d9d3dbd2c3d8d9f7dedfc499d0d8c1"><span class="__cf_email__" data-cfemail="bff4d6d2dddacdd3c691efdad1dbd3dacbd0d1ffd6d7cc91d8d0c9">[email protected]</span></a>.
Program (Programmatic/Technical): Danielle Steward, Health Systems 
Specialist, Office of Urban Indian Health Programs, 801 Thompson 
Avenue, Suite 200, Rockville, MD 20852, (301) 443-4680 or 
<a href="/cdn-cgi/l/email-protection#3a5e5b54535f56565f14494e5f4d5b485e7a535249145d554c"><span class="__cf_email__" data-cfemail="3256535c5b575e5e571c41465745534056725b5a411c555d44">[email protected]</span></a>.

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

    Dated: February 2, 2010.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2010-3352 Filed 2-19-10; 8:45 am]
BILLING CODE 4165-16-P


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