Federal Register / Vol. 83, No. 129 / Thursday, July 5, 2018 / Notices 31401 

Federal Advisory Committee Act 

(5 U.S.C. App. 2, section 10(a)(1) and 

(a)(2)). Topics of the Meeting: The 

Advisory Council will spend the 

majority of the July meeting considering 

recommendations made by each of the 

three subcommittees to present to the 

Secretary of HHS and Congress. 

Additional presentations in the 

afternoon will include a presentation on 

a recent study by RAND on the health 

care infrastructure, the CDC/ 

Alzheimer’s Association’s joint Healthy 

Brain Initiative Roadmap, federal 

workgroup updates, and updates on 

work by the non-federal members. 

Procedure and Agenda: This meeting 

is open to the public. Please allow 30 

minutes to go through security and walk 

to the meeting room. The meeting will 

also be webcast at www.hhs.gov/live. 

Authority: 42 U.S.C. 11225; Section 2(e)(3) 

of the National Alzheimer’s Project Act. The 

panel is governed by provisions of Public 

Law 92–463, as amended (5 U.S.C. Appendix 

2), which sets forth standards for the 

formation and use of advisory committees. 

Dated: June 28, 2018. 

Brenda Destro, 

Deputy Assistant Secretary for Planning and 

Evaluation, Office of Human Services Policy. 

[FR Doc. 2018–14376 Filed 7–3–18; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Office of Direct Service and 

Contracting Tribes; Tribal Management 

Grant Program 

Announcement Type: New and 

Competing Continuation. 

Funding Announcement Number: 

HHS–2018–IHS–TMD–0001. 

Catalog of Federal Domestic 

Assistance Number (CFDA): 93.228. 

Key Dates 

Application Deadline Date: August 

17, 2018. 

Review Date: August 20–24, 2018. 

Earliest Anticipated Start Date: 

September 1, 2018. 

Signed Tribal Resolutions Due Date: 

August 17, 2018. 

Proof of Non-Profit Status Due Date: 

August 17, 2018. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting competitive grant applications 

for the Tribal Management Grant (TMG) 

Program. This program is authorized 

under 25 U.S.C. § 5322(b)(2) and 25 

U.S.C. § 5322(e) of the Indian SelfDetermination and Education 

Assistance Act (ISDEAA), Public Law 

(P.L.) 93–638, as amended. This 

program is described in the Catalog of 

Federal Domestic Assistance (CFDA) 

under 93.228. 

Background 

The TMG Program is a competitive 

grant program that is capacity building 

and developmental in nature and has 

been available for federally recognized 

Indian Tribes and Tribal Organizations 

(T/TOs) since shortly after enactment of 

the ISDEAA in 1975. The TMG Program 

was established to assist T/TOs to 

prepare for assuming all or part of 

existing IHS programs, functions, 

services, and activities (PFSAs) and 

further develop and improve Tribal 

health management capabilities. The 

TMG Program provides competitive 

grants to T/TOs to establish goals and 

performance measures for current health 

programs; assess current management 

capacity to determine if new 

components are appropriate; analyze 

programs to determine if a Tribe or 

Tribal Organization’s management is 

practicable; and develop infrastructure 

systems to manage or organize PFSAs. 

Purpose 

The purpose of this IHS grant 

announcement is to announce the 

availability of the TMG Program to 

enhance and develop health 

management infrastructure and assist T/ 

TOs in assuming all or part of existing 

IHS PFSAs through a Title I contract 

and assist established Title I contractors 

and Title V compactors to further 

develop and improve management 

capability. In addition, Tribal 

Management Grants are available to T/ 

TOs under the authority of 25 U.S.C. 

5322(e) for the following: (1) Obtaining 

technical assistance from providers 

designated by the Tribe/Tribal 

Organization (including T/TOs that 

operate mature contracts) for the 

purposes of program planning and 

evaluation, including the development 

of any management systems necessary 

for contract management, and the 

development of cost allocation plans for 

indirect cost rates; and (2) planning, 

designing, monitoring, and evaluating 

Federal programs serving T/TOs, 

including Federal administrative 

functions. 

II. Award Information 

Type of Award 

Grant. 

Estimated Funds Available 

The total amount of funding 

identified for the current fiscal year (FY) 

2018 is approximately $2,412,000. 

Individual award amounts are 

anticipated to be between $50,000 and 

$100,000. The amount of funding 

available for new and competing 

continuation awards issued under this 

grant 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 grant announcement. 

Anticipated Number of Awards 

Approximately 16–18 awards will be 

issued under this grant announcement. 

Period of Performance 

The Tribal Management Grant (TMG 

Project) period of performance vary 

based on the project type selected. 

Period of performance could run from 1 

to 3 years and will run consecutively 

from the earliest anticipated start date of 

September 1, 2018 through August 31, 

2019, for 1-year projects; September 1, 

2018, through August 31, 2020, for 2- 

year projects; and September 1, 2018, 

through August 31, 2021, for 3-year 

projects. Please refer to ‘‘Eligible TMG 

Project Types, Maximum Funding 

Levels, and Periods of Performance,’’ for 

additional details. State the number of 

years for the period of performance and 

include the exact dates. 

III. Eligibility Information 

I. 

1. Eligibility 

Eligible Applicants: ‘‘Indian Tribes’’ 

and ‘‘Tribal Organizations’’ (T/TOs) as 

defined by the ISDEAA are eligible to 

apply for the TMG Program. The 

definitions for each entity type are 

outlined below. Only one application 

per Tribe/Tribal organization is allowed. 

Definitions: ‘‘Indian Tribe’’ means any 

Indian tribe, band, nation, or other 

organized group or community, 

including any Alaska Native village 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. 25 U.S.C. 5304(e). 

‘‘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 


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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. 25 

U.S.C. 5304(l). 

A Tribal Organization must provide 

proof of non-profit status. 

Eligible TMG Project Types, 

Maximum Funding Levels, and Project 

Periods: The TMG Program consists of 

four project types: (1) Feasibility study; 

(2) planning; (3) evaluation study; and 

(4) health management structure. Tribal 

applicants may submit applications for 

one project type only. An application 

must state the project type selected. Any 

application that address more than one 

project type will be considered 

ineligible and will not be reviewed. The 

maximum funding levels noted must 

include both direct and indirect costs. 

Application budgets may not exceed the 

maximum funding level or period of 

performance identified for a project 

type. Any application with a budget or 

period of performance that exceeds the 

maximum funding level or period of 

performance will be considered 

ineligible and will not be reviewed. 

Please refer to Section IV.5, ‘‘Funding 

Restrictions,’’ for further information 

regarding ineligible project activities. 

1. FEASIBILITY STUDY (Maximum 

funding/project period: $70,000/12 

months). 

A Feasibility Study must include a 

study of a specific IHS program or 

segment of a program to determine if 

Tribal management of the program is 

possible. The study shall present the 

planned approach, training, and 

resources required to assume Tribal 

management of the program. The study 

must include the following four 

components: 

• Health needs and health care 

service assessments that identify 

existing health care services and 

delivery systems, program divisibility 

issues, health status indicators, unmet 

needs, volume projections, and demand 

analysis. 

• Management analysis of existing 

management structures, proposed 

management structures, implementation 

plans and requirements, and personnel 

staffing requirements and recruitment 

barriers. 

• Financial analysis of historical 

trends data, financial projections, and 

new resource requirements for program 

management costs and analysis of 

potential revenues from Federal/nonFederal sources. 

• Decision statement/report that 

incorporates findings; conclusions; and 

recommendations; the presentation of 

the study and recommendations to the 

Tribal governing body for determination 

regarding whether Tribal program 

assumption is desirable or warranted. 

2. PLANNING (Maximum funding/ 

project period: $50,000/12 months). 

Planning projects involve data 

collection to establish goals and 

performance measures for health 

programs operation or anticipated 

PFSAs under a Title I contract. Planning 

projects will specify the design of health 

programs and the management systems 

(including appropriate policies and 

procedures) to accomplish the health 

priorities of the Tribe or Tribal 

Organization. For example, planning 

projects could include the development 

of a Tribe-specific Health Plan or a 

Strategic Health Plan, etc. Please note 

that updated Healthy People 

information and Healthy People 2020 

objectives are available in electronic 

format at the following website: http:// 

www.health.gov/healthypeople/ 

publications. The United States (U.S.) 

Public Health Service (PHS) encourages 

applicants submitting strategic health 

plans to address specific objectives of 

Healthy People 2020. 

3. EVALUATION STUDY (Maximum 

funding/project period: $50,000/12 

months). 

An Evaluation Study must include a 

systematic collection, analysis, and 

interpretation of data for the purpose of 

determining the value of a program. The 

extent of the evaluation study could 

relate to the goals and objectives, 

policies and procedures, or programs 

regarding targeted groups. The 

evaluation study could also be used to 

determine the effectiveness and 

efficiency of a Tribe or Tribal 

Organization’s program operations (i.e., 

direct services, financial management, 

personnel, data collection and analysis, 

third-party billing, etc.), as well as to 

determine the appropriateness of new 

components of a Tribe or Tribal 

Organization’s program operations that 

will assist efforts to improve Tribal 

health care delivery systems. 

4. HEALTH MANAGEMENT 

STRUCTURE (Average funding/project 

period: $100,000/12 months; maximum 

funding/project period: $300,000/36 

months). 

The first year maximum funding level 

is limited to $150,000 for multi-year 

projects. The Health Management 

Structure component allows for 

implementation of systems to manage or 

organize PFSAs. Management structures 

include health department 

organizations, health boards, and 

financial management systems, 

including systems for accounting, 

personnel, third-party billing, medical 

records, management information 

systems, etc. This includes the design, 

improvement, and correction of 

management systems that address 

weaknesses identified through quality 

control measures, internal control 

reviews, and audit report findings under 

required financial audits and ISDEAA 

requirements. 

For the minimum standards for the 

management systems used by a Tribe or 

Tribal Organization when carrying out 

Self-Determination contracts, please see 

25 CFR part 900, Contracts Under the 

Indian Self-Determination and 

Education Assistance Act, Subpart F— 

‘‘Standards for Tribal or Tribal 

Organization Management Systems,’’ 

§§ 900.35–900.60. For operational 

provisions applicable to carrying out 

Self-Governance compacts, please see 

42 CFR part 137, Tribal SelfGovernance, Subpart I,—‘‘Operational 

Provisions,’’ §§ 137.160–137.220. 

Please refer to Section IV, 

‘‘Application and Submission 

Information,’’ for information on how to 

obtain a copy of the TMG application 

package. 

Note: Please refer to Section IV, 

(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 non-profit 

status, etc. 

2. Cost Sharing or Matching 

The IHS does not require matching 

funds or cost sharing for grants or 

cooperative agreements. 

3. Other Requirements 

If the application budget exceeds the 

highest dollar amount outlined under 

the ‘‘Estimated Funds Available’’ 

section within this grant announcement, 

the application will be considered 

ineligible and will not be reviewed. If 

deemed ineligible, the IHS will not 

return the application. The applicant 

will be notified by email by the IHS 

Division of Grants Management (DGM) 

of this decision. 

The following documentation is 

required. 

Tribal Resolution 

A. An Indian Tribe or Tribal 

Organization that is proposing a project 

affecting another Tribe must include 

Tribal Resolutions from each affected 

Tribe served. Applications by Tribal 

Organizations will not require a specific 

Tribal Resolution if the current Tribal 

Resolution(s) under which they operate 

would encompass the proposed grant 

activities. 

A signed Tribal Resolution must be 

received by the IHS DGM prior to a 

Notice of Award being issued to any 


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applicant selected for funding. 

However, if a signed Tribal Resolution 

cannot be submitted with the electronic 

application submission prior to the 

official application deadline date, a 

draft Tribal Resolution must be 

submitted by the application deadline 

for the application to be considered 

complete and eligible for review. The 

draft Tribal Resolution is not in lieu of 

the required signed Tribal Resolution, 

but is acceptable until a signed Tribal 

Resolution is received. If a signed Tribal 

Resolution is not received by IHS DGM 

when funding decisions are made, then 

a Notice of Award will not be issued to 

that applicant and they will not receive 

any IHS funds until such time as they 

have submitted a signed Tribal 

Resolution to the Grants Management 

Specialist listed in this grant 

announcement. 

B. Tribal Organizations applying for 

technical assistance and/or training 

grants must provide written notice that 

the Tribal Organization is applying 

upon the request of the Indian Tribe 

and/or Tribes it intends to serve. 

C. Documentation for Priority I 

participation requires a copy of the 

Federal Register notice or letter from 

the Bureau of Indian Affairs verifying 

establishment of recognized Tribal 

status within the past 5 years. The date 

on the documentation must reflect that 

Federal recognition was received during 

or after March 2013. 

D. Documentation for Priority II 

participation requires a copy of the most 

current transmittal letter and 

Attachment A from the Department of 

Health and Human Services (HHS), 

Office of Inspector General (OIG), 

National External Audit Review Center 

(NEAR). See ‘‘Funding Priorities’’ for 

more information. If an applicant is 

unable to provide a copy of the most 

recent transmittal letter or needs 

assistance with audit issues; 

information or technical assistance may 

be obtained by contacting the IHS Office 

of Finance and Accounting, Division of 

Audit by telephone at (301) 443–1270, 

or toll-free at the NEAR help line at 

(800) 732–0679 or (816) 426–7720. 

Recognized Indian Tribes or Tribal 

Organizations not subject to Single 

Audit Act requirements must provide a 

financial statement identifying the 

Federal dollars received in the 

footnotes. The financial statement must 

also identify specific weaknesses/ 

recommendations that will be addressed 

in the TMG proposal and that are 

related to 25 CFR part 900, subpart F— 

‘‘Standards for Tribal or Tribal 

Organization Management Systems.’’ 

E. Documentation of Consortium 

participation—If an applicant is a 

member of an eligible intertribal 

consortium, the Tribe must: 

—Identify the consortium. 

—Indicate if any of the consortium 

member Tribes intend to submit a 

TMG application. 

—Demonstrate that the Tribe’s 

application does not duplicate or 

overlap any objectives of the 

consortium’s application. 

—Identify all consortium member 

Tribes. 

—Identify if any of the consortium 

member Tribes intend to submit a 

TMG application of their own. 

—Demonstrate that the consortium’s 

application does not duplicate or 

overlap any objectives of other 

consortium members who may be 

submitting their own TMG 

application. 

Funding Priorities: The IHS has 

established the following funding 

priorities for TMG awards: 

• PRIORITY I—Any Indian Tribe that 

has received Federal recognition 

(including restored, funded, or 

unfunded) within the past 5 years, 

specifically received during or after 

March 2013, will be considered Priority 

I. 

• PRIORITY II—Federally recognized 

Indian T/TOs submitting a new 

application or a competing continuation 

application for the sole purpose of 

addressing audit material weaknesses 

will be considered Priority II. Priority II 

participation is only applicable to the 

Health Management Structure project 

type. For more information, see 

‘‘Eligible TMG Project Types, Maximum 

Funding Levels, and Project Periods,’’ in 

Section II. 

• PRIORITY III—Eligible Direct 

Service and Title I recognized Indian T/ 

TOs submitting a new application or a 

competing continuation application will 

be considered Priority III. 

• PRIORITY IV—Eligible Title V SelfGovernance recognized Indian T/TOs 

submitting a new application or a 

competing continuation application will 

be considered Priority IV. 

The funding of approved Priority I 

applicants will occur before the funding 

of approved Priority II applicants. 

Priority II applicants will be funded 

before approved Priority III applicants. 

Priority III applicants will be funded 

before approved Priority IV applicants. 

Funds will be distributed until 

depleted. 

The following definitions are 

applicable to the PRIORITY II category: 

Audit finding—deficiencies that the 

auditor is required by 45 CFR § 75.516, 

to report in the schedule of findings and 

questioned costs. 

Material weakness—‘‘Statements on 

Auditing Standards 115’’ defines 

material weakness as a deficiency, or 

combination of deficiencies, in internal 

control, such that there is a reasonable 

possibility that a material misstatement 

of the entity’s financial statements will 

not be prevented, or detected and 

corrected on a timely basis. 

Significant deficiency—‘‘Statements 

on Auditing Standards 115,’’ defines 

significant deficiency as a deficiency, or 

a combination of deficiencies, in 

internal control that is less severe than 

a material weakness, yet important 

enough to merit attention by those 

charged with governance. 

The audit findings are identified in 

Attachment A of the transmittal letter 

received from the HHS/OIG/NEAR. 

Please identify the material weaknesses 

to be addressed by underlining the 

item(s) listed in Attachment A. 

Federally Recognized T/TOs not 

subject to Single Audit Act 

requirements must provide a financial 

statement identifying the Federal dollars 

received in the footnotes. The financial 

statement should also identify specific 

weaknesses/recommendations that will 

be addressed in the TMG proposal and 

that are related to 25 CFR part 900, 

‘‘Subpart F, ‘‘Standards for Tribal and 

Tribal Organization Management 

Systems.’’ 

Proof of Non-Profit Status 

Organizations claiming non-profit 

status must submit proof. A copy of the 

501(c)(3) Certificate must be received 

with the application submission by the 

Application Deadline Date listed under 

the Key Dates section on the first page 

of this announcement. 

An applicant submitting any of the 

above additional documentation after 

the initial application submission due 

date is required to ensure the 

information was received by the IHS 

DGM by obtaining documentation 

confirming delivery (e.g., FedEx 

tracking, postal return receipt, etc.) 

Note: A decision to award a TMG does not 

represent a determination from the IHS 

regarding the T/TO’s eligibility to contract for 

a specific PFSA under the ISDEAA. An 

application for a TMG does not constitute a 

contract proposal. 

IV. Application and Submission 

Information 

1. Obtaining Application Materials 

The TMG application package and 

detailed instructions for this 

announcement can be found at http://

www.Grants.gov or https://www.ihs.gov/ 

dgm/funding/. 


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Questions regarding the electronic 

application process may be directed to 

Mr. Paul Gettys by telephone at (301) 

443–2114 or (301) 443–5204. 

2. Content and Form of Application 

Submission 

Each applicant must include the 

project narrative as an attachment to the 

TMG application package. Mandatory 

documents for all applicants include: 

• Table of contents. 

• Abstract (1 page) summarizing the 

project. 

• Application forms: 

Æ SF–424, Application for Federal 

Assistance. 

Æ SF–424A, Budget Information— 

Non-Construction Programs. 

Æ SF–424B, Assurances—NonConstruction Programs. 

• Budget Justification and Narrative 

(must be single spaced and not exceed 

5 pages). 

• Project Narrative (must be single 

spaced and not exceed 15 pages). 

Æ Background information on the 

organization. 

Æ Proposed scope of work, objectives, 

and activities that provide a description 

of what will be accomplished, including 

a 1-page Timeframe Chart. 

• Tribal Resolution(s). 

• 501(c)(3) Certificate (if applicable). 

• Position descriptions for key 

personnel. 

• Contractor/Consultant resumes or 

qualifications and scope of work. 

• Disclosure of Lobbying Activities 

(SF–LLL). 

• Certification Regarding Lobbying 

(GG-Lobbying Form). 

• Copy of current Negotiated Indirect 

Cost (IDC) rate agreement (required) in 

order to receive Indirect Cost. 

• Organizational Chart (optional). 

• Documentation of current Office of 

Management and Budget (OMB) 

Financial Audit (if applicable). 

Æ Email confirmation from the 

Federal Audit Clearinghouse (FAC) that 

audits were submitted; or 

Æ Face sheets from audit reports. 

These can be found on the FAC Website 

at https://harvester.census.gov/ 

facdissem/Main.aspx. 

Public Policy Requirements 

All Federal public policies apply to 

IHS grants and cooperative agreements, 

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 15 pages and must 

be: Single-spaced, type written, have 

consecutively numbered pages, use 

black type not smaller than 12-point 

font, and be printed on one side only of 

standard size 8–1⁄2 by 11 inch paper. 

Be sure to succinctly answer all 

questions listed under the evaluation 

criteria (refer to Section V.1, 

‘‘Evaluation criteria’’ in this grant 

announcement) and place all responses 

and required information in the correct 

section (noted below), or the application 

shall be considered ineligible and will 

not be reviewed. These narratives will 

assist the Objective Review Committee 

(ORC) in becoming familiar with the 

applicant’s activities and 

accomplishments prior to this possible 

grant award. If the narrative exceeds the 

page limit, only the first 15 pages will 

be reviewed. The 15-page limit for the 

narrative does not include the work 

plan, standard forms, Tribal 

Resolution(s), table of contents, budget, 

budget justifications, narratives, and/or 

other appendix items. 

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 (2-Page 

Limit) 

Section 1: Needs. 

Describe how the T/TO has 

determined the need to either enhance 

or develop Tribal management 

capability to either assume PFSAs or not 

in the interest of Self-Determination. 

Note the progression of previous TMG 

projects/awards if applicable. 

Part B: Program Planning and 

Evaluation (11-Page Limit) 

Section 1: Program Plans. 

Describe fully and clearly the 

direction the Tribe or Tribal 

Organization plans to take with the 

selected TMG Project type in addressing 

their health management infrastructure, 

including how the T/TO’s plans to 

demonstrate improved health and 

services to the community or 

communities it serves. Include proposed 

timelines. 

Section 2: Program Evaluation. 

Describe fully and clearly the 

improvements that will be made by the 

Tribe or Tribal Organization that will 

impact their management capability or 

prepare them for future improvements 

to their organization that will allow 

them to manage their health care system 

and identify the anticipated or expected 

benefits for the Tribe. 

Part C: Program Report (2-Page Limit) 

Section 1: Describe major 

accomplishments over the past 24 

months. 

Please identify and describe 

significant program achievements 

associated with the delivery of quality 

health services. Provide a comparison of 

the actual accomplishments to the goals 

established for the project period, or if 

applicable, provide justification for the 

lack of progress. 

Section 2: Describe major activities 

over the past 24 months. 

Please identify and summarize recent 

significant health related project 

activities of the work done during the 

project period. 

B. Budget Narrative (5-Page Limit) 

This narrative must include a line 

item budget, with a justification for all 

expenditures that identify reasonable, 

allowable, and/or allocable costs 

necessary to accomplish the goals and 

objectives as outlined in the project 

narrative. Budget should match the 

scope of work described in the project 

narrative. 

3. Submission Dates and Times 

Applications must be submitted 

electronically through Grants.gov by 

11:59 p.m., Eastern Daylight Time (EDT) 

on the Application Deadline Date listed 

in the Key Dates section on page 1 of 

this announcement. Any application 

received after the application deadline 

will not be accepted for processing, nor 

will it be given further consideration for 

funding. Grants.gov will notify the 

applicant via email if the application is 

rejected. 

If technical challenges arise and 

assistance is required with the 

electronic application process, contact 

Grants.gov Customer Support via email 

at support@grants.gov or toll-free at 

(800) 518–4726. Customer Support is 

available to address questions 24 hours 

per day, 7 days per week (except on 

Federal holidays). If problems persist, 

contact Mr. Gettys (Paul.Gettys@

ihs.gov), DGM Grant Systems 

Coordinator, by telephone at (301) 443– 

2114 or (301) 443–5204. 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 Grants.gov tracking number. 

In the event you are not able to obtain 

a tracking number, call the DGM as soon 

as possible. 

4. Intergovernmental Review 

Executive Order 12372 requiring 

intergovernmental review is not 

applicable to this program. 


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5. Funding Restrictions 

• Pre-award costs are not allowable. 

• The available funds are inclusive of 

direct and appropriate indirect costs. 

• Only one grant will be awarded per 

applicant. 

• The IHS will not acknowledge 

receipt of applications. 

• The TMG may not be used to 

support recurring operational programs 

or to replace existing public and private 

resources. Funding received under a 

recurring Public Law 93–638 contract 

cannot be totally supplanted or totally 

replaced. Exception is allowed to charge 

a portion or percentage of salaries of 

existing staff positions involved in 

implementing the TMG grant, if 

applicable. However, this percentage of 

TMG funding must reflect 

supplementation of funding for the 

project and not supplantation of existing 

ISDEAA contract funds. 

Supplementation is defined as ‘‘adding 

to a program’’ whereas supplantation is 

defined as ‘‘taking the place of’’ funds. 

An entity cannot use the TMG funds to 

supplant the ISDEAA contract or 

recurring funding. 

• Ineligible Project Activities—The 

inclusion of the following projects or 

activities in an application will render 

the application ineligible. 

Æ Planning and negotiating activities 

associated with the intent of a Tribe to 

enter the IHS Self-Governance Project. A 

separate grant program is administered 

by the IHS for this purpose. If you are 

interested in this program, please 

contact Mr. Jeremy Marshall, Policy 

Analyst, Office of Tribal SelfGovernance, or Ms. Roxanne Houston, 

Program Analyst, Office of Tribal SelfGovernance, Indian Health Service, 

5600 Fishers Lane, Mail Stop 08E05, 

Rockville, MD, 20857, (301) 443–7821, 

and request information concerning the 

‘‘Tribal Self-Governance Program 

Planning Cooperative Agreement 

Announcement’’ or the ‘‘Negotiation 

Cooperative Agreement 

Announcement.’’ 

Æ Projects related to water, sanitation, 

and waste management. 

Æ Projects that include direct patient 

care and/or equipment to provide those 

medical services to be used to establish, 

or augment, or continue direct patient 

clinical care. Medical equipment that is 

allowable under the Special Diabetes 

Program for Indians is not allowable 

under the TMG Program. 

Æ Projects that include recruitment 

efforts for direct patient care services. 

Æ Projects that include long-term care 

or provision of any direct services. 

Æ Projects that include tuition, fees, 

or stipends for certification or training 

of staff to provide direct services. 

Æ Projects that include pre-planning, 

design, and planning of construction for 

facilities, including activities relating to 

program justification documents. 

Æ Projects that propose more than one 

project type. Refer to Section II, ‘‘Award 

Information,’’ specifically ‘‘Eligible 

TMG Project Types, Maximum Funding 

Levels, and Project Periods,’’ for more 

information. An example of a proposal 

with more than one project type that 

would be considered ineligible may 

include the creation of a strategic health 

plan (defined by TMG as a planning 

project type) and improving third-party 

billing structures (defined by TMG as a 

health management structure project 

type). Multi-year applications that 

include in the first year planning, 

evaluation, or feasibility activities with 

the remainder of the project years 

addressing management structure are 

also deemed ineligible. 

Æ Any Alaska Native Village that is 

neither a Title I nor a Title V 

organization and does not have the legal 

authority to contract services under the 

ISDEAA as it is affiliated with one of the 

Alaska health corporations as a 

consortium member and has all of its 

IHS funding for the Village 

administered through an Alaska health 

corporation, a Title V compactor, is not 

eligible for consideration under the 

TMG program. 

Moreover, Congress has reenacted its 

moratorium in Alaska on new 

contracting under the ISDEAA with 

Alaska Native Tribes that do not already 

have contracts or compacts with the IHS 

under this Act. See the Consolidated 

Appropriations Act, 2014 (Jan. 17, 

2014), Public Law 113–76, 128 Stat. 5, 

343–44: § 424. (a) Notwithstanding any 

other provision of law, and until 

October 1, 2018, the IHS may not 

disburse funds for the provision of 

health care services pursuant to Public 

Law 93–638 (25 U.S.C. 5301 et seq.) to 

any Alaska Native Village or Alaska 

Native Village corporation that is 

located within the area served by an 

Alaska Native regional health entity. 

Consequently, Alaska Native Villages 

will not have any opportunity to enter 

into an ISDEAA contract with the IHS 

unless this law lapses on October 1, 

2018, due to congressional inaction. 

• Other Limitations—A current TMG 

recipient cannot be awarded a new, 

renewal, or competing continuation 

grant for any of the following reasons: 

Æ The grantee will be administering 

two TMGs at the same time or have 

overlapping project/budget periods; 

Æ The current project is not 

progressing in a satisfactory manner; 

Æ The current project is not in 

compliance with program and financial 

reporting requirements; or 

Æ The applicant has an outstanding 

delinquent Federal debt. No award shall 

be made until either: 

D The delinquent account is paid in 

full; or 

D A negotiated repayment schedule is 

established and at least one payment is 

received. 

6. Electronic Submission Requirements 

All applications must be submitted 

electronically. Please use the http://

www.Grants.gov website to submit an 

application electronically and select the 

‘‘Find Grant Opportunities’’ link on the 

homepage. Follow the instructions for 

submitting an application under the 

Package tab. Electronic copies of the 

application may not be submitted as 

attachments to email messages 

addressed to IHS employees or offices. 

If the applicant needs to submit a 

paper application instead of submitting 

electronically through Grants.gov, a 

waiver must be requested. Prior 

approval must be requested and 

obtained from Mr. Robert Tarwater, 

Director, DGM, IHS (see Section IV.6 

below for additional information). A 

written waiver request must be sent to 

GrantsPolicy@ihs.gov with a copy to 

Robert.Tarwater@ihs.gov. The waiver 

must: (1) Be documented in writing 

(emails are acceptable), before 

submitting a paper application; and (2) 

include clear justification for the need 

to deviate from the required electronic 

grants submission process. 

Once the waiver request has been 

approved, the applicant will receive a 

confirmation of approval email 

containing submission instructions and 

the mailing address to submit the 

application. A copy of the written 

waiver must be submitted along with 

the copy of the application that is 

mailed to DGM. Paper applications that 

are submitted without a copy of the 

signed waiver from the Director, DGM, 

will not be reviewed or considered for 

funding. The applicant will be notified 

via email of this decision by the Grants 

Management Officer of the DGM. Paper 

applications must be received by the 

DGM no later than 5:00 p.m., EDT, on 

the Application Deadline Date listed in 

the Key Dates section on page 1 of this 

announcement. Late applications will 

not be accepted for processing or 

considered for funding. An applicant 

who does not adhere to the timelines for 

System for Award Management (SAM) 

and/or http://www.Grants.gov 

registration or who fails to request 

timely assistance with technical issues 


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will not be considered for a waiver to 

submit a paper application. 

Please be aware of the following: 

• Please search for the application 

package in http://www.Grants.gov by 

entering the CFDA number or the 

Funding Announcement Number. Both 

numbers are located in the header of 

this announcement. 

• If you experience technical 

challenges while submitting your 

application electronically, please 

contact Grants.gov support directly at: 

support@grants.gov or toll-free at (800) 

518–4726. Customer Support is 

available to address questions 24 hours 

per day, 7 days per week (except on 

Federal holidays). 

• Upon contacting http://

www.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. 

• Applicants are strongly encouraged 

not to wait until the deadline date to 

begin the application process through 

http://www.Grants.gov as the 

registration process for SAM and http:// 

www.Grants.gov could take up to 15 

working days. 

• Please use the optional attachment 

feature in http://www.Grants.gov to 

attach additional documentation that 

may be requested by the DGM. 

• All applicants must comply with 

any page limitation requirements 

described in this funding 

announcement. 

• After electronically submitting the 

application, the applicant will receive 

an automatic acknowledgment from 

http://www.Grants.gov that contains a 

tracking number. The DGM will 

download the application from http://

www.Grants.gov and provide necessary 

copies to the appropriate Agency 

officials. Neither the DGM, nor the IHS 

Office of Direct Service and Contracting 

Tribes (ODSCT) will notify the 

applicant that the application has been 

received. 

• Email applications will not be 

accepted under this announcement. 

Dun and Bradstreet (D&B) Data 

Universal Numbering System (DUNS) 

All IHS applicants and grantee 

organizations are required to obtain a 

DUNS number and maintain an active 

registration in the SAM database. The 

DUNS number is a unique 9-digit 

identification number provided by D&B 

that uniquely identifies each 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, you 

may access it through http://

fedgov.dnb.com/webform, or to expedite 

the process, call (866) 705–5711. 

All HHS recipients are required by the 

Federal Funding Accountability and 

Transparency Act of 2006, as amended 

(Transparency Act), to report 

information on sub-awards. 

Accordingly, all IHS grantees must 

notify potential first-tier sub-recipients 

that no entity may receive a first-tier 

sub-award unless the entity has 

provided its DUNS number to the prime 

grantee 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. 

System for Award Management (SAM) 

Organizations that were not registered 

with Central Contractor Registration and 

have not registered with SAM will need 

to obtain a DUNS number first and then 

access the SAM online registration 

through the SAM home page at https:// 

www.sam.gov (U.S. organizations will 

also need to provide an Employer 

Identification Number from the Internal 

Revenue Service that may take an 

additional 2–5 weeks to become active). 

Completing and submitting the 

registration takes approximately one 

hour to complete and SAM registration 

will take 3–5 business days to process. 

Registration with the SAM is free of 

charge. Applicants may register online 

at https://www.sam.gov. 

Additional information on 

implementing the Transparency Act, 

including the specific requirements for 

DUNS and the SAM, can be found on 

the IHS Grants Management, Grants 

Policy website at https://www.ihs.gov/ 

dgm/policytopics/. 

V. Application Review Information 

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 15-page narrative 

should include only the first year of 

activities; information for multi-year 

projects should be included as an 

appendix. See ‘‘Multi-Year Project 

Requirements,’’ at the end of this 

section for more information. The 

narrative section should be written in a 

manner that is clear to outside reviewers 

unfamiliar with prior related activities 

of the applicant. It should be wellorganized, succinct, and contain all 

information necessary for reviewers to 

understand the project fully. Points will 

be assigned to each evaluation criteria 

adding up to a total of 100 points. A 

minimum score of 70 points is required 

for funding. Points are assigned as 

follows: 

1. Criteria 

A. Introduction and Need for Assistance 

(20 Points) 

(1) Describe the Tribe or Tribal 

Organization’s current health operation. 

Include a list of programs and services 

that are currently provided (e.g., 

federally funded, State-funded, etc.), 

information regarding technologies 

currently used (e.g., hardware, software, 

services, etc.), and identify the source(s) 

of technical support for those 

technologies (i.e., Tribal staff, Area 

office IHS, vendor, etc.). Include 

information regarding whether the Tribe 

or Tribal Organization has a health 

department and/or health board and 

how long it has been operating. 

(2) Describe the population to be 

served by the proposed project. Include 

the total number of eligible IHS 

beneficiaries currently using the 

services. 

(3) Describe the geographic location of 

the proposed project, including any 

geographic barriers to health care users 

in the area to be served. 

(4) Identify all TMGs received since 

FY 2013, dates of funding, and a 

summary of project accomplishments. 

State how previous TMG funds 

facilitated the progression of health 

development relative to the current 

proposed project. (Copies of reports will 

not be accepted.) 

(5) Identify the eligible project type 

and priority group of the applicant. 

(6) Explain the need or reason for the 

proposed TMG project. Identify specific 

weaknesses and gaps in service or 

infrastructure that will be addressed by 

the proposal. Explain how these gaps 

and weaknesses will be assessed. 

(7) If the proposed TMG project 

includes information technology (i.e., 

hardware, software, etc.), provide 

further information regarding measures 

that have occurred or will occur to 

ensure the proposed project will not 

create other gaps in services or 

infrastructure (e.g., negatively affect or 

impact IHS interface capability, 

Government Performance and Results 

Act reporting requirements, contract 

reporting requirements, Information 

Technology (IT) compatibility, etc.) if 

applicable. 

(8) Describe the effect of the proposed 

TMG project on current programs (e.g., 

federally funded, State-funded, etc.), 

and if applicable, on current equipment 

(e.g., hardware, software, services, etc.). 

Include the effect of the proposed 

project on planned or anticipated 

programs and equipment. 


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(9) Address how the proposed TMG 

project relates to the purpose of the 

TMG Program by addressing the 

appropriate description that follows: 

• Identify whether the Tribe or Tribal 

Organization is an IHS Title I contractor. 

Address if the Self-Determination 

contract is a master contract of several 

programs or if individual contracts are 

used for each program. Include 

information regarding whether or not 

the Tribe or Tribal Organization 

participates in a consortium contract 

(i.e., more than one Tribe participating 

in a contract). Address what programs 

are currently provided through those 

contracts and how the proposed TMG 

project will enhance the organization’s 

capacity to manage the contracts 

currently in place. 

• Identify if the Tribe or Tribal 

Organization is not a Title I 

organization. Address how the proposed 

TMG project will enhance the 

organization’s management capabilities, 

what programs and services the 

organization is currently seeking to 

contract and an anticipated date for 

contract. 

• Identify if the Tribe or Tribal 

Organization is an IHS Title V 

compactor. Address when the Tribe or 

Tribal Organization entered into the 

compact and how the proposed project 

will further enhance the organization’s 

management capabilities. 

B. Project Objectives, Work Plan, and 

Approach (40 Points) 

(1) The proposed project objectives 

must be: 

• Measureable and (if applicable) 

quantifiable. 

• Results-oriented. 

• Time-limited. 

Example: By installing new thirdparty billing software, the Tribe 

proposes to increase the number of 

claims processed by 15 percent within 

12 months. 

(2) For each objective address how the 

proposed TMG project will result in 

change or improvement in program 

operations or processes. Also address 

what tangible products are expected 

from the project (i.e., policies and 

procedures manual, health plan, etc.) 

(3) Address the extent to which the 

proposed project will build local 

capacity to provide, improve, or expand 

services that address the needs of the 

target population. 

(4) Submit a work plan in the 

Appendix that includes the following: 

• Provide action steps on a timeline 

for accomplishing the proposed project 

objectives. 

• Identify who will perform the 

action steps. 

• Identify who will supervise the 

action steps taken. 

• Identify tangible products that will 

be produced during and at the end of 

the proposed project. 

• Identify who will accept and/or 

approve work products during the 

duration of the proposed TMG project 

and at the end of the proposed project. 

• Include a description of any 

training activities proposed. This 

description will identify the target 

audience and training personnel. 

• Include work plan evaluation 

activities 

(5) If consultants or contractors will 

be used during the proposed project, 

please complete the following 

information in their scope of work. (If 

consultants or contractors will not be 

used, please make note in this section): 

• Educational requirements. 

• Desired qualifications and work 

experience. 

• Expected work products to be 

delivered, including a timeline. 

If potential consultants or contractors 

have already been identified, please 

include a resume for each consultant or 

contractor in the Appendix. 

(6) Describe updates that will be 

required for the continued success of 

the proposed TMG project (i.e., revision 

of policies/procedures, upgrades, 

technical support, etc.) Include a 

timeline of anticipated updates and 

source of funding to conduct the update 

and/or maintenance. 

C. Program Evaluation (20 Points) 

Each proposed objective requires an 

evaluation activity to assess its 

progression and ensure completion. 

This should be included in the work 

plan. 

Describe the proposal’s plan to 

evaluate project processes and 

outcomes. Outcome evaluation relates to 

the results identified in the objectives, 

and process evaluation relates to the 

work plan and activities of the project. 

(1) For outcome evaluation, describe: 

• The criteria for determining 

whether or not each objective was met. 

• The data to be collected to 

determine whether the objective was 

met. 

• Data collection intervals. 

• Who will be responsible for 

collecting the data and their 

qualifications. 

• Data analysis method. 

• How the results will be used. 

(2) For process evaluation, describe: 

• The process for monitoring and 

assessing potential problems, then 

identifying quality improvements. 

• Who will be responsible for 

monitoring and managing project 

improvements based on results of 

ongoing process improvements and 

their qualifications. 

• Provide details with regards to the 

ways ongoing monitoring will be used 

to improve the project. 

• Describe any products, such as 

manuals or policies, that might be 

developed and how they might lend 

themselves to replication by others. 

• How the Tribe or Tribal 

Organization will document what is 

learned throughout the project period. 

(3) Describe any additional evaluation 

efforts planned after the grant period 

has ended. 

(4) Describe the ultimate benefit to the 

Tribe or Tribal Organization that is 

expected to result from this project. An 

example would be a Tribe or Tribal 

Organization’s ability to expand 

preventive health services because of 

increased billing and third-party 

payments. 

D. Organizational Capabilities, Key 

Personnel, and Qualifications (15 

Points) 

This section outlines the Tribe or 

Tribal Organization’s capacity to 

complete the proposal outlined in the 

work plan. It includes the identification 

of personnel responsible for completing 

tasks and the chain of responsibility for 

completion of the proposed plan. 

(1) Provide the organizational 

structure of the Tribe or Tribal 

Organization. 

(2) Provide information regarding 

plans to obtain management systems if 

a Tribe or Tribal Organization does not 

have an established management system 

currently in place that complies with 25 

CFR part 900, subpart F, ‘‘Standards for 

Tribal or Tribal Organization 

Management Systems.’’ State if 

management systems are already in 

place and how long the systems have 

been in place. 

(3) Describe the ability of the Tribe or 

Tribal 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. 

(4) Describe equipment (e.g., fax 

machine, telephone, computer, 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 through the grant. 

(5) List key project personnel and 

their titles in the work plan. Provide the 

position descriptions and resumes for 

all key personnel in the Appendix. The 

included position descriptions should: 

(1) Clearly describe each position’s 


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duties; and (2) indicate desired 

qualifications and project associated 

experience. Each resume must include a 

statement indicating that the proposed 

key personnel is explicitly qualified to 

carry out the proposed project activities. 

If no current candidate for a position 

exists please provide a statement to that 

effect in the Appendix. 

(6) If an individual is partially funded 

by this grant, indicate the percentage of 

his or her time to be allocated to the 

project and identify the resources used 

to fund the remainder of that 

individual’s salary. 

(7) Address how the Tribe/Tribal 

Organization will sustain the proposal 

created positions after the grant expires. 

Please indicate if the project requires 

additional personnel (i.e., IT support, 

etc.) If no additional personnel is 

required please indicate that in this 

section. 

E. Categorical Budget and Budget 

Justification (5 Points) 

(1) Provide a categorical budget for 

each of the 12-month budget periods 

requested. 

(2) If indirect costs are claimed, 

indicate and apply the current 

negotiated rate to the budget. Include a 

copy of the rate agreement in the 

Appendix. 

(3) Provide a narrative justification 

explaining why each categorical budget 

line item is necessary and relevant to 

the proposed project. Include sufficient 

cost and other details to facilitate the 

determination of cost allowability (e.g., 

equipment specifications, etc.) 

Multi-Year Project Requirements 

For projects requiring a second and/ 

or third year, include only Year 2 and/ 

or Year 3 narrative sections (objectives, 

evaluation components, and work plan) 

that differ from those in Year 1. For 

every project year, include a full budget 

justification and a detailed, itemized 

categorical budget showing calculation 

methodologies for each item. The same 

weights and criteria that are used to 

evaluate a 1-year project or the first year 

of a multi-year project will be applied 

when evaluating the second and third 

years of a multi-year application. A 

weak second and/or third year 

submission could negatively impact the 

overall score of an application and 

result in elimination of the proposed 

second and/or third years with a 

recommendation for only a 1-year 

award. 

Additional documents can be uploaded 

as Appendix Items in http://

www.Grants.gov 

• Work plan, logic model, and/or 

timeline for proposed objectives. 

• Position descriptions for key staff. 

• Resumes of key staff that reflect 

current duties. 

• Consultant or contractor proposed 

scope of work and letter of commitment 

(if applicable). 

• Current Indirect Cost Agreement. 

• Organizational chart. 

• Additional documents to support 

narrative (e.g., data tables, key news 

articles, etc.). 

2. Review and Selection 

Each application will be prescreened 

by DGM staff for eligibility and 

completeness as outlined in this 

funding announcement. Applications 

that meet the eligibility criteria shall be 

reviewed for merit by the ORC based on 

evaluation criteria in this funding 

announcement. The ORC could be 

composed of both Tribal and Federal 

reviewers appointed by the IHS program 

to review and make recommendations 

on these applications. The technical 

review process ensures selection of 

quality projects in a national 

competition for limited funding. 

Incomplete applications and 

applications that are non-responsive to 

the eligibility criteria will not be 

referred to the ORC. The applicant will 

be notified via email of this decision by 

the DGM Grants Management Officer. 

Applicants will be notified by the DGM, 

via email, to outline minor missing 

components (e.g., budget narratives, 

audit documentation, key contact form, 

etc.) needed for an otherwise complete 

application. All missing documents 

must be sent to the DGM on or before 

the due date listed in the email of 

notification of missing documents 

required. 

To obtain a minimum score for 

funding by the ORC, applicants must 

address all program requirements and 

provide all required documentation. 

Please note that a decision to award 

a TMG does not represent a 

determination from the IHS regarding 

the Tribe or Tribal Organization’s 

eligibility to contract for a specific PFSA 

under the ISDEAA. An application for a 

TMG does not constitute a contract 

proposal. 

VI. Award Administration Information 

1. Award Notices 

The Notice of Award (NoA) is a 

legally binding document signed by the 

Grants Management Officer that serves 

as the official notification of the TMG 

award. The NoA will be initiated by the 

DGM in our grant system, 

GrantSolutions (https://

www.grantsolutions.gov). Each entity 

approved for funding under this 

announcement will need to request or 

have a user account in GrantSolutions 

in order to retrieve their NoA. 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 grant, the terms and conditions of 

the award, the effective date of the 

award, and the budget/project period. 

Disapproved Applications 

Applicants that received a score less 

than the recommended funding level for 

approval (70 points) and that are 

deemed to be disapproved by the ORC, 

will receive an Executive Summary 

Statement from the IHS ODSCT within 

30 days of the conclusion of the ORC, 

outlining the strengths and weaknesses 

of their application submitted. The 

summary statement will be sent to the 

Authorized Organizational 

Representative identified on the face 

page (SF–424) of the application. The 

IHS ODSCT will also provide additional 

contact information as needed to 

address questions and concerns, as well 

as provide technical assistance if 

desired. 

Approved but Unfunded Applications 

Approved but unfunded applications 

that met the minimum scoring range 

and that are deemed by the ORC to be 

‘‘Approved,’’ but were not funded due 

to lack of TMG funding, will have their 

applications held by DGM for a period 

of 1 year. If additional funding becomes 

available during the course of FY 2018, 

the approved, but unfunded application 

may be re-considered by the awarding 

program office for possible funding. The 

applicant will also receive an Executive 

Summary Statement from the IHS 

program office within 30 days of the 

conclusion of the ORC. 

Note: Any correspondence other than the 

official NoA signed 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 IHS. 

2. Administrative Requirements 

Grants are administered in accordance 

with the following regulations and 

policies: 

A. The criteria as outlined in this 

program announcement. 

B. Uniform Administrative 

Regulations for Grants: 


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• Uniform Administrative 

Requirements for HHS Awards, located 

at 45 CFR part 75. 

C. Grants Policy: 

• HHS Grants Policy Statement, 

Revised January 2007. 

D. Cost Principles: 

• Uniform Administrative 

Requirements for HHS Awards, ‘‘Cost 

Principles,’’ located at 45 CFR part 75, 

subpart E. 

E. Audit Requirements: 

• Uniform Administrative 

Requirements for HHS Awards, ‘‘Audit 

Requirements,’’ located at 45 CFR part 

75, subpart F. 

3. Indirect Costs 

This section applies to all TMG 

recipients who request reimbursement 

of IDC in their grant application. In 

accordance with HHS Grants Policy 

Statement, Part II–27, the IHS requires 

applicants to obtain a current IDC 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 DGM at the time of 

award, the IDC portion of the budget 

will be restricted. The restrictions 

remain in place until the current rate is 

provided to the DGM. 

Generally, IDC rates for IHS grantees 

are negotiated with the Division of Cost 

Allocation (DCA) https://rates.psc.gov/ 

and the Department of the Interior 

(Interior Business Center) https://

www.doi.gov/ibc/services/finance/ 

indirect-Cost-Services/indian-tribes. For 

questions regarding the IDC policy, 

please contact the Grants Management 

Specialist listed under ‘‘Agency 

Contacts,’’ or the main DGM office by 

telephone (301) 443–5204. 

4. Reporting Requirements 

The grantee must submit required 

reports consistent with the applicable 

TMG deadlines. Failure to submit 

required reports within the time 

allowed may result in suspension or 

termination of an active grant, 

withholding of additional awards for the 

project, or other enforcement actions, 

such as withholding 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/or (2) 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. Per IHS DGM policy, all 

reports are required to 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 

see the Agency Contacts list in Section 

VII for systems contact information. 

The reporting requirements for this 

program are noted below. 

A. Progress Reports 

Program progress reports are required 

semi-annually within 30 days after the 

budget period ends. These reports must 

include the following: A brief 

comparison of actual accomplishments 

to the goals established for the period, 

or, if applicable, provide sound 

justification for the lack of progress, and 

other pertinent information as required. 

A final report must be submitted within 

90 days of expiration of the budget/ 

project period. 

B. Financial Reports 

Federal Financial Report FFR (SF– 

425), Cash Transaction Reports are due 

30 days after the close of every calendar 

quarter to the Payment Management 

Services, HHS, at https://pms.psc.gov. It 

is recommended that the applicant also 

send a copy of the FFR (SF–425) report 

to the Grants Management Specialist. 

Failure to submit timely reports may 

cause a disruption in timely payments 

to the organization. 

Grantees are responsible and 

accountable for accurate information 

being reported on all required reports: 

The Progress Reports and FFR. 

C. Federal Sub-Award Reporting System 

(FSRS) 

This award may be subject to the 

Transparency Act sub-award and 

executive compensation reporting 

requirements at 2 CFR part 170. 

The Transparency Act requires the 

OMB to establish a single searchable 

database, accessible to the public, with 

information on financial assistance 

awards made by Federal agencies. The 

Transparency Act also includes a 

requirement for recipients of Federal 

grants to report information about firsttier 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 dollar threshold 

met for any specific reporting period. 

Additionally, all new (discretionary) 

IHS awards (when the period of 

performance is made up of more than 

one budget period) and: (1) The period 

of performance start date was October 1, 

2010, or after; and (2) the primary 

awardee will have a $25,000 sub-award 

obligation dollar threshold during any 

specific reporting period will be 

required to address the FSRS reporting. 

For the full IHS award term 

implementing this requirement and 

additional award applicability 

information, visit the DGM Grants 

Policy website at https://www.ihs.gov/ 

dgm/policytopics/. 

D. Compliance With Executive Order 

13166 Implementation of Services 

Accessibility Provisions for All Grant 

Application Packages and Funding 

Opportunity Announcements 

Recipients of Federal financial 

assistance (FFA) from the HHS must 

administer their programs in 

compliance with Federal civil rights 

law. This means that recipients of HHS 

funds must ensure equal access to their 

programs without regard to a person’s 

race, color, national origin, disability, 

age and, in some circumstances, sex and 

religion. HHS provides guidance to FFA 

recipients on meeting their legal 

obligation to take reasonable steps to 

provide meaningful access to their 

programs by persons with limited 

English proficiency. Please see http://

www.hhs.gov/civil-rights/forindividuals/special-topics/limitedenglish-proficiency/guidance-federalfinancial-assistance-recipients-title-VI/. 

The HHS Office for Civil Rights (OCR) 

also provides guidance on civil rights 

law enforcement compliance. Please see 

http://www.hhs.gov/civil-rights/forindividuals/section-1557/index.html; 

and http://www.hhs.gov/civil-rights/ 

index.html. Recipients of FFA also have 

specific legal obligations for serving 

qualified individuals with disabilities. 

Please see http://www.hhs.gov/civilrights/for-individuals/disability/ 

index.html. Please contact the HHS OCR 

for additional information about 

obligations and prohibitions under 

Federal civil rights laws at https://

www.hhs.gov/ocr/about-us/contact-us/ 

index.html or toll-free by telephone at 

(800) 368–1019 or TDD (800) 537–7697. 

Also note it is an HHS goal to ensure 

access to quality, culturally competent 

care, including long-term services and 

supports, for vulnerable populations. 

For further guidance on providing 

culturally and linguistically appropriate 

services, recipients should review the 


amozie on DSK3GDR082PROD with NOTICES1
31410 Federal Register / Vol. 83, No. 129 / Thursday, July 5, 2018 / Notices 

National Standards for Culturally and 

Linguistically Appropriate Services in 

Health and Health Care at https://

minorityhealth.hhs.gov/omh/ 

browse.aspx?lvl=2&lvlid=53. 

Pursuant to 45 CFR 80.3(d), an 

individual shall not be deemed 

subjected to discrimination by reason of 

his or her exclusion from benefits 

limited by Federal law to individuals 

eligible for benefits and services from 

the IHS. 

Recipients will be required to sign the 

HHS–690 Assurance of Compliance 

form which can be obtained from the 

following website: http://www.hhs.gov/ 

sites/default/files/forms/hhs-690.pdf, 

and send it directly to the: U.S. 

Department of Health and Human 

Services, Office for Civil Rights, 200 

Independence Avenue SW, Room 509F, 

Washington, DC 20201. 

E. Federal Awardee Performance and 

Integrity Information System (FAPIIS) 

The IHS is required to review and 

consider any information about the 

applicant that is in the Federal Awardee 

Performance and Integrity Information 

System (FAPIIS) before making any 

award in excess of the simplified 

acquisition threshold (currently 

$150,000) 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 the applicant as described in 

45 CFR 75.205. 

As required by 45 CFR part 75 

Appendix XII of the Uniform Guidance, 

non-Federal entities (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 

$10,000,000 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, effective January 1, 2016, the IHS 

must require a non-Federal entity 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 gratutity 

violations potentially affecting the 

Federal award. 

Submission is required for all 

applicants and recipients, in writing, to 

the IHS and to the HHS Office of 

Inspector General. 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: 

Robert Tarwater, Director, 5600 Fishers 

Lane, Mailstop: 09E70, Rockville, MD 

20857. (Include ‘‘Mandatory Grant 

Disclosures’’ in subject line). 

Telephone: (301) 443–5204. 

Fax: (301) 594–0899. 

Email: Robert.Tarwater@ihs.gov. 

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. 

Website: http://oig.hhs.gov/fraud/ 

reportfraud/index.asp. (Include 

‘‘Manatory Grant Disclosures’’ in subject 

line). 

Fax: (202) 205–0604 (Include 

‘‘Mandatory Grant Disclosures’’ in 

subject line) or 

Email: 

MandatoryGranteeDisclosures@

oig.hhs.gov. 

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 Part 376, and 31 U.S.C. 

3321). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Ms. Roselyn 

Tso, Director, Office of Direct Service 

and Contracting Tribes, Indian Health 

Service, 5600 Fishers Lane, Mail Stop: 

08E17, Rockville, MD 20857, 

Telephone: (301) 443–1104, Email: 

roselyn.tso@ihs.gov. 

2. Questions on grants management 

and fiscal matters may be directed to: 

Ms. Vanietta Armstrong, Grants 

Management Specialist, Indian Health 

Service, OMS/DGM, 5600 Fishers Lane, 

Mail Stop: 09E70, Rockville, MD 20857, 

Telephone: (301) 443–4792, Fax: (301) 

594–0899, Email: vanietta.armstrong@

ihs.gov. 

3. Questions on technical systems 

matters may be directed to: Mr. Paul 

Gettys, Grant Systems Coordinator, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Telephone: (301) 

443–2114; or the DGM main line (301) 

443–5204, Fax: (301) 594–0899, Email: 

paul.gettys@ihs.gov. 

VIII. Other Information 

The Public Health Service strongly 

encourages all recipients of cooperative 

agreement and contracts provide a 

smoke-free workplace and promote the 

non-use of all tobacco products. In 

addition, Pubic Law 103–227, the ProChildren 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: June 26, 2018. 

Michael D. Weahkee, 

RADM, Assistant Surgeon General, USPHS, 

Acting Director, Indian Health Service. 

[FR Doc. 2018–14426 Filed 7–3–18; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Submission for OMB Review; 30-Day 

Comment Request; The Genetic 

Testing Registry 

AGENCY: National Institutes of Health, 

HHS. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

National Institutes of Health (NIH) has 

submitted to the Office of Management 

and Budget (OMB) a request for review 

and approval of the information 

collection listed below. 

DATES: Comments regarding this 

information collection are best assured 

of having their full effect if received 

within 30-days of the date of this 

publication. 

ADDRESSES: Written comments and/or 

suggestions regarding the item(s) 

contained in this notice, especially 

regarding the estimated public burden 

and associated response time, should be 

directed to the: Office of Management 

and Budget, Office of Regulatory Affairs, 

OIRA_submission@omb.eop.gov or by 

fax to 202–395–6974, Attention: Desk 

Officer for NIH. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 


amozie on DSK3GDR082PROD with NOTICES1