Federal Register / Vol. 83, No. 158 / Wednesday, August 15, 2018 / Notices 40525 

‘‘THIS DOCUMENT CONTAINS 

CONFIDENTIAL INFORMATION.’’ The 

Agency will review this copy, including 

the claimed confidential information, in 

its consideration of comments. The 

second copy, which will have the 

claimed confidential information 

redacted/blacked out, will be available 

for public viewing and posted on 

https://www.regulations.gov. Submit 

both copies to the Dockets Management 

Staff. If you do not wish your name and 

contact information to be made publicly 

available, you can provide this 

information on the cover sheet and not 

in the body of your comments and you 

must identify this information as 

‘‘confidential.’’ Any information marked 

as ‘‘confidential’’ will not be disclosed 

except in accordance with 21 CFR 10.20 

and other applicable disclosure law. For 

more information about FDA’s posting 

of comments to public dockets, see 80 

FR 56469, September 18, 2015, or access 

the information at: https://www.gpo.gov/ 

fdsys/pkg/FR-2015-09-18/pdf/2015- 

23389.pdf. 

Docket: For access to the docket to 

read background documents or the 

electronic and written/paper comments 

received, go to https://

www.regulations.gov and insert the 

docket number, found in brackets in the 

heading of this document, into the 

‘‘Search’’ box and follow the prompts 

and/or go to the Dockets Management 

Staff, 5630 Fishers Lane, Rm. 1061, 

Rockville, MD 20852. 

You may submit comments on any 

guidance at any time (see 21 CFR 

10.115(g)(5)). Submit written requests 

for single copies of the draft guidance to 

the Policy and Regulations Staff (HFV– 

6), Center for Veterinary Medicine, Food 

and Drug Administration, 7500 Standish 

Pl., Rockville, MD 20855. Send one selfaddressed adhesive label to assist that 

office in processing your requests. See 

the SUPPLEMENTARY INFORMATION section 

for electronic access to the draft 

guidance document. 

FOR FURTHER INFORMATION CONTACT: 

Michael Brent, Center for Veterinary 

Medicine (HFV–140), Food and Drug 

Administration, 7500 Standish Pl., 

Rockville, MD 20855, 240–402–0647, 

michael.brent@fda.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In the Federal Register of March 27, 

2018, FDA published a notice of 

availability with a 60-day comment 

period to request comments on draft GFI 

#255 entitled ‘‘Elemental Impurities in 

Animal Drug Products—Questions and 

Answers.’’ 

This level 1 draft guidance is being 

issued consistent with FDA’s good 

guidance practices regulation (21 CFR 

10.115). The draft guidance, when 

finalized, will represent the current 

thinking of FDA on ‘‘Elemental 

Impurities in Animal Drug Products— 

Questions and Answers’’, providing 

recommendations to sponsors regarding 

the control of elemental impurities in 

animal drug products, including all 

dosage forms and routes of 

administration. It does not establish any 

rights for any person and is not binding 

on FDA or the public. You can use an 

alternative approach if it satisfies the 

requirements of the applicable statutes 

and regulations. This guidance is not 

subject to Executive Order 12866. 

The Agency received two requests for 

an extension of the comment period for 

the draft guidance. The requestors 

indicated they needed more time to 

complete development of comments to 

submit in response to the draft 

guidance. 

FDA has considered the requests and 

is reopening the comment period for the 

draft guidance for 60 days, until October 

15, 2018. The Agency believes that a 60- 

day reopening of the comment period 

allows adequate time for interested 

persons to submit comments to ensure 

that the Agency can consider the 

comments on this draft guidance before 

it begins work on the final version of the 

guidance. 

II. Electronic Access 

Persons with access to the internet 

may obtain the draft guidance at either 

https://www.fda.gov/AnimalVeterinary/ 

GuidanceComplianceEnforcement/ 

GuidanceforIndustry/default.htm or 

https://www.regulations.gov. 

Dated: August 9, 2018. 

Leslie Kux, 

Associate Commissioner for Policy. 

[FR Doc. 2018–17525 Filed 8–14–18; 8:45 am] 

BILLING CODE 4164–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Division of Epidemiology and Disease 

Prevention Epidemiology Program for 

American Indian/Alaska Native Tribes 

and Urban Indian Communities 

Announcement Type: Competing 

Supplement 

Funding Announcement Number: HHS– 

2018–IHS–EPI–0002 

Catalog of Federal Domestic Assistance 

Number: 93.231 

Key Dates 

Application Deadline Date: September 

12, 2018 

Review Date: September 14–18, 2018 

Earliest Anticipated Start Date: 

September 30, 2018 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) 

Office of Public Health Support, 

Division of Epidemiology and Disease 

Prevention (DEDP), is accepting 

applications for a cooperative agreement 

for competitive supplemental funds to 

enhance activities in the Epidemiology 

Program for American Indian/Alaska 

Native (AI/AN) Tribes and Urban Indian 

communities. 

This program is authorized under: 

Section 317(k)(2) of the Public Health 

Service Act [42 U.S.C. 247(b)(k)(2), as 

amended]. Funding for this award will 

be provided by: The Centers for Disease 

Control and Prevention’s (CDC) National 

Center for Emerging and Zoonotic 

Infectious Diseases (NCEZID). The 

authorities will be exercised by CDC 

and through an Intra-Departmental 

Delegation of Authority (IDDA) with 

IHS to create a supplemental funding 

opportunity for Tribal Epidemiology 

Centers. The administration will be 

carried out through an Intra-agency 

Agreement (IAA) between CDC and IHS. 

This program is described in the Catalog 

of Federal Domestic Assistance (CFDA) 

under 93.231. 

Background 

The Tribal Epidemiology Center (TEC) 

program was authorized by Congress in 

1998 as a way to provide public health 

support to multiple Tribes and Urban 

Indian communities in each of the IHS 

Areas. Only current TEC grantees 

serving Arizona Indian Tribes or Urban 

Indian communities with confirmed 

cases of Rocky Mountain spotted fever 

(RMSF) between 2003–2017 are eligible 

to apply for the competing 

supplemental funding under this 

announcement and must demonstrate 

that they have complied with previous 

terms and conditions of the TEC 

program. 

Positioned uniquely within Tribes 

and Tribal or Urban Organizations, 

TECs are able to conduct disease 

surveillance, research, prevention and 

control of disease, injury, or disability. 

This allows them to assess the 

effectiveness of AI/AN public health 

programs. In addition, they can fill gaps 

in data needed for the relevant 

Government Performance and Results 

Act and Healthy People 2020 measures. 

Some of the existing TECs have already 


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40526 Federal Register / Vol. 83, No. 158 / Wednesday, August 15, 2018 / Notices 

developed innovative strategies to 

monitor the health status of Tribes and 

Urban Indian communities, including 

development of Tribal health registries 

and use of sophisticated record linkage 

computer software to correct existing 

state data sets for racial 

misclassification. Tribal Epidemiology 

Centers work in partnership with IHS 

DEDP to provide a more accurate 

national picture of Indian health status. 

To further the goals of the partnership, 

a new CDC funding opportunity will be 

made available to TECs to implement 

cancer projects in Indian Country, 

designed to help decrease these 

disparities and lessen the burden of 

cancer in this population. For 

administrative purposes, this new 

funding opportunity will be packaged 

with the existing IHS cooperative 

agreements. 

RMSF is a life-threatening tickborne 

disease. RMSF has been an emerging 

threat to Tribal communities in Arizona 

since 2003, with more than 388 cases 

and 23 deaths—a case fatality rate 15 

times higher than the national rate. 

Epidemics in Arizona Tribal 

communities are driven by large 

populations of brown dog ticks and freeroaming dog populations, and thus 

require control of the animal and vector 

population. Effective control strategies 

have been identified through evidencebased research with Tribal, Federal, 

state, and private partners in an 

innovative project called the RMSF 

Rodeo. This project demonstrated that 

integrated pest management techniques 

including use of tick preventives on 

dogs, environmental pesticide and 

community education could effectively 

reduce the number of ticks on dogs, in 

the environment, and more importantly, 

reduced the incidence of RMSF in 

Tribal communities. Cases in the project 

area were reduced by 43%. While these 

effective techniques have been 

identified and successfully 

implemented, they require fundamental 

infrastructure in vector control and 

animal control, which are often lacking 

in Tribal communities. 

Many of the impacted Tribal 

communities are small (fewer than 

15,000 residents), rural communities 

where resources for vector and animal 

control may not be available. 

Consolidation of resources by region can 

ensure prudent use of funds where 

individual positions cannot be 

supported. Tribal Epidemiology Centers 

have a unique appreciation and 

understanding of these factors and 

ensure that health priorities and 

program interventions are culturally 

competent, appropriate, and locally 

minded. Tribal Epidemiology Centers 

provide technical assistance by way of 

program management, epidemiologic 

support and project design. These 

resources are often provided to one or 

more Tribal nations in the region and 

can serve as a regional support for area 

Tribes. 

For the purpose of this Notice of 

Funding Opportunity (NOFO), technical 

assistance to support prevention of 

RMSF should be locally tailored and 

evidence-based. Recommended 

prevention practices could focus on 

material resources for vector control, 

environmental cleanup or animal 

control, training and staff development 

relating to RMSF prevention, or 

developing educational materials to 

educate the public and providers about 

issues relating to RMSF. All assistance 

with educational materials needs to 

ensure those that are used are culturally 

appropriate and locally-minded. 

Awardees are expected to provide 

support for applicant-identified 

outcomes from the following: Improve 

RMSF prevention practices to support 

the health of targeted Tribal 

communities at risk for RMSF, 

disseminate lessons learned on proven 

interventions of RMSF, and create 

sustainable RMSF prevention programs. 

Purpose 

The purpose of this IHS cooperative 

agreement is to build capacity for RMSF 

prevention in Arizona’s Tribes. RMSF 

prevention is a multidisciplinary 

problem, requiring technical resources 

across public health, veterinary, clinical 

medicine, vector control, environmental 

health and sanitation. This NOFO will 

support Tribes, through the technical 

assistance and trainings of regional 

TECs, in providing training for staff, 

purchasing equipment, building 

facilities, developing communications 

materials, and establishing partnerships 

that will sustain RMSF prevention in 

the long term. 

Limited Competition Justification 

The IHS enters into cooperative 

agreements with TECs under the 

authority of Section 214(a)(1) of the 

Indian Health Care Improvement Act, 

Public Law 94–437, as amended by 

Public Law 102–573. Tribal 

Epidemiology Centers carry out a list of 

functions specified in statute. These 

functions include data collection and 

analysis; evaluation of existing delivery 

systems, data systems, and other 

systems that impact the improvement of 

Indian health; making recommendations 

for the targeting of services; and 

provision of requested technical 

assistance to Indian Tribes, Tribal 

organizations, and Urban Indian 

organizations [25 U.S.C. 1621m(b)]. 

Other organizations do not have the 

capacity to provide this support. With 

respect to access to information, TECs 

are treated as public health authorities 

for the purpose of the Health Insurance 

Portability and Accountability Act of 

1996 (Pub. L. 104–191). Unlike their 

counterparts, they have no (or little) 

funding from their jurisdictional 

governments to perform these public 

functions. 

The limited-eligibility NOFO will 

allow direct support of RMSF 

prevention to TECs serving Arizona 

Indian Tribes and Urban Indian 

Organizations with confirmed cases of 

RMSF between 2003–2017. Utilization 

of TECs allows for the consolidation of 

regional resources across Tribal 

boundaries. TECs already possess 

technical expertise in program 

management, community-based 

interventions and educational tool 

development. Tribal Epidemiology 

Centers must have demonstrated their 

ability to methodically and effectively 

reach Tribal members and efficiently 

work with AI/AN populations on their 

public health capacity building. 

Selected organizations that have 

previous experience working effectively 

with Tribal governments will help 

ensure that interventions and 

infrastructure are culturally appropriate 

and locally minded. 

II. Award Information 

Type of Award 

Cooperative Agreement. 

Estimated Funds Available 

The total amount of funding 

identified for the current fiscal year (FY) 

2018 is approximately $300,000. 

Individual award amounts are 

anticipated to be between $100,000 and 

$300,000. The amount of funding 

available for competing and 

continuation awards issued under this 

announcement are subject to the 

availability of appropriations and 

budgetary priorities of the Agency. The 

IHS is under no obligation to make 

awards that are selected for funding 

under this announcement. 

Anticipated Number of Awards 

Approximately two awards will be 

issued under this program 

announcement. 

Period of Performance 

The period of performance is for three 

years and will run consecutively from 

September 30, 2018 to September 29, 

2021. 


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Cooperative Agreement 

Cooperative agreements awarded by 

the Department of Health and Human 

Services (HHS) are administered under 

the same policies as a grant. However, 

the funding agency (CDC) is required to 

have substantial programmatic 

involvement in the project during the 

entire award segment. Below is a 

detailed description of the level of 

involvement required for both the CDC 

and the grantee. The CDC per the 

Memorandum of Understanding (MOU) 

between the IHS and the CDC, will be 

responsible for activities listed under 

section A and the grantee will be 

responsible for activities listed under 

section B as stated: 

Substantial Involvement Description for 

Cooperative Agreement 

A. IHS and CDC Programmatic 

Involvement 

(1) IHS will compete funds for TEC’s 

using a NOFO. The IHS will be 

responsible for convening an Objective 

Review Committee (ORC) and selecting 

eligible applicants as detailed above. 

(2) The IHS and the CDC will be 

involved with ongoing consultation and 

technical assistance to plan, implement, 

and evaluate each component as 

described under Recipient Activities. 

Consultation and technical assistance 

may include, but not be limited to, the 

following areas: 

(i) Interpretation of current scientific 

literature related to epidemiology, 

statistics, surveillance, and other public 

health issues relating to RMSF; 

(ii) Technical assistance on the design 

and implementation of each program 

component such as surveillance, 

epidemiologic analysis, outbreak 

investigation, development of 

epidemiologic studies, development of 

disease control programs, coordination 

of activities, and training of study staff; 

(iii) Participating in the presentation 

of results in publications, if applicable; 

and 

(iv) Technical assistance on overall 

operational planning and program 

management. 

(3) Conduct site visits to TECs and/or 

coordinate TEC visits to IHS and/or CDC 

headquarters to assess work plans and 

ensure data security, confirm 

compliance with applicable laws and 

regulations, assess program activities, 

and to mutually resolve problems, as 

needed. 

B. Grantee Cooperative Agreement 

Award Activities 

(1) Build Tribal capacity to provide 

animal control, vector control or 

environmental cleanup, by providing 

technical assistance to the Tribe and/or 

Urban Indian Organization (UIO) in the 

purchase or rental of equipment, hiring 

of staff and training of staff in safe and 

effective vector control, animal control, 

and environmental cleanup practices. 

(2) Assist Tribes with conducting 

evidence-based RMSF prevention 

activities in communities at risk. Rocky 

Mountain spotted fever prevention 

activities can include (but are not 

limited to) cleanup of solid waste in and 

around homes, spay and neuter 

activities, and tick prevention 

campaigns. 

(3) Provide assistance to Tribes to 

conduct community education about 

RMSF, including the signs and 

symptoms, prevention, importance of 

early treatment and confirmatory 

testing. 

III. Eligibility Information 

1. Eligibility 

Only current Arizona TEC grantees 

serving Tribes with previously reported 

cases of RMSF are eligible to apply for 

the competing supplemental funding 

under this announcement. They must 

demonstrate that they have complied 

with previous terms and conditions of 

the TEC program. 

Rocky Mountain spotted fever is a 

life-threatening tickborne disease. An 

ongoing epidemic of RMSF affects 

Tribal lands in Arizona with more than 

388 cases and 23 deaths since 2003—a 

case fatality rate 15 times higher than 

that national rate. All deaths from 

locally acquired RMSF in Arizona have 

occurred among Native peoples. Six 

Tribes in the Arizona area have 

experienced epidemic rates of RMSF 

transmitted by this tick vector. Only 

Arizona TECs serving Tribes with 

previously reported cases of RMSF will 

be eligible to apply for this cooperative 

agreement. To avoid redundancy for 

funded activities, applicants must 

disclose any other federal funds from 

the current FY that have been received 

or applied specifically for RMSF 

prevention. 

No Supplanting of Funds 

The applicant must certify that: (1) 

The TEC RMSF Competing 

Supplemental Funds, if awarded, will 

not supplant expenditures from other 

Federal, State, or local sources or funds 

independently generated by the grantee; 

and (2) the TEC RMSF Competing 

Supplemental Funds, if awarded, will 

not supplant any leverage related to this 

grant, if any (that is, the grantee must 

have pursued and secured leverage to 

the fullest extent possible in order to 

ensure that expenditures from other 

Federal, State, or local sources or funds 

independently generated by the grantee 

are not supplanted). 

Note: Please refer to Section IV.2 

(Application and Submission Information/ 

Subsection 2, Content and Form of 

Application Submission) for additional proof 

of applicant status and documents required. 

2. Cost Sharing or Matching 

The IHS does not require matching 

funds or cost sharing for grants or 

cooperative agreements. 

3. Other Requirements 

If application budgets exceed the 

highest dollar amount outlined under 

the Estimated Funds Available section 

within this funding announcement, the 

application will be considered ineligible 

and will not be reviewed for further 

consideration. If deemed ineligible, the 

IHS will not return the application. The 

applicant will be notified by email by 

the Division of Grants Management 

(DGM) of this decision. 

IV. Application and Submission 

Information 

1. Obtaining Application Materials 

The application package and detailed 

instructions for this announcement can 

be found at http://www.Grants.gov or 

http://www.ihs.gov/dgm/funding/. 

Questions regarding the electronic 

application process may be directed to 

Mr. Paul Gettys at (301) 443–2114 or 

(301) 443–5204. 

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: 

• Table of contents. 

• Abstract (one 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 singlespaced and not exceed 10 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 one-page Timeframe Chart. 

• Letters of Support from 

organization’s Board of Directors. 


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40528 Federal Register / Vol. 83, No. 158 / Wednesday, August 15, 2018 / Notices 

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

• Biographical sketches for all Key 

Personnel. 

• Contractor or 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 rate (IDC) agreement (required in 

order to receive IDC). 

• Organizational Chart (optional). 

• Documentation of current Office of 

Management and Budget (OMB) 

Financial Audit (if applicable). 

Acceptable forms of documentation 

include: 

Æ Email confirmation from Federal 

Audit Clearinghouse (FAC) that audits 

were submitted; or 

Æ Face sheets from audit reports. 

These can be found on the FAC website: 

https://harvester.census.gov/facdissem/ 

Main.aspx. 

Public Policy Requirements: All 

Federal-wide 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 10 pages and 

must: Be single-spaced, type written, 

have consecutively numbered pages, use 

black type not smaller than 12 points, 

and be printed on one side only of 

standard size 81⁄2′′ x 11′′ paper. 

Be sure to succinctly answer all 

questions listed under the evaluation 

criteria (refer to Section V.1, Evaluation 

criteria in this announcement) and place 

all responses and required information 

in the correct section (noted below), or 

they will not be considered or scored. 

These narratives will assist the ORC in 

becoming familiar with the applicant’s 

activities and accomplishments prior to 

this possible cooperative agreement 

award. If the narrative exceeds the page 

limit, only the first 10 pages will be 

reviewed. The 10-page limit for the 

narrative does not include the work 

plan, standard forms, 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. 

The page limitations below are for 

each narrative and budget submitted. 

Part A: Program Information 3 Page 

Limit 

Section 1: Needs. 

Describe applicant’s current health 

program activities relating to RMSF 

prevention, including elements of vector 

control, animal control and solid waste 

cleanup, how long each element has 

been operating, what programs or 

services are currently being provided 

and identify any current partnerships 

supporting current Tribal programs. 

Describe the TEC’s administrative 

infrastructure to support the assumption 

of program goals and accomplishments. 

Part B: Program Planning and 

Evaluation 5 Page Limit 

Section 1: Program Plans. 

Fully and clearly describe the TEC’s 

plans to demonstrate improved health 

and services to the community it serves. 

Include proposed timelines for 

negotiations and deliverables. Please 

note any partnerships you plan to 

utilize as part of program 

implementation. Please discuss any 

prioritization of RMSF prevention 

elements or justification for not 

addressing any of the key RMSF 

prevention tenets (animal control, 

vector control, education, or 

environmental cleanup). 

Section 2: Program Evaluation. 

Describe fully and clearly the 

improvements that will be made by the 

TEC to RMSF and identify the 

anticipated or expected benefits for 

Tribal communities they serve. Describe 

the outcomes that you plan to achieve 

within the funding period and how you 

plan to collect outcome and 

performance measures. 

Part C: Program Report 2 Page Limit 

Describe your organization’s 

significant program activities and 

accomplishments over the past five 

years associated with the goals of this 

announcement. 

Please identify and describe 

significant program activities and 

achievements associated with RMSF. 

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. 

B. Budget Narrative 5 Page Limit 

This narrative must include a line 

item budget with a narrative 

justification for all expenditures 

identifying reasonable allowable, 

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 one 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 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 Mr. Paul 

Gettys (Paul.Gettys@ihs.gov), Grant 

Systems Coordinator, DGM, by 

telephone at (301) 443–2114 or (301) 

443–5204. Please contact Mr. Gettys at 

least ten 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. 

5. Funding Restrictions 

• Pre-award costs are not allowable. 

• The available funds are inclusive of 

direct and appropriate indirect costs. 

• Only one grant or cooperative 

agreement will be awarded per 

applicant. 

• IHS will not acknowledge receipt of 

applications. 

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 

‘‘Search Grants’’ 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. 

Waiver Request 

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, (see Section IV.6 below 


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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 

approval must be submitted along with 

the hardcopy of the application that is 

mailed to DGM. Paper applications that 

are submitted without a copy of the 

signed waiver from the Director of the 

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 one of 

this announcement. Late applications 

will not be accepted for processing or 

considered for funding. Applicants that 

do not adhere to the timelines for 

System for Award Management (SAM) 

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

registration or that fail to request timely 

assistance with technical issues 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 Opportunity 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 (800) 518–4726. 

Customer Support is available to 

address questions 24 hours a day, 7 days 

a week (except on Federal holidays). 

• 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. 

• Applicants are strongly encouraged 

not to wait until the deadline date to 

begin the application process through 

Grants.gov as the registration process for 

SAM and Grants.gov could take up to 15 

working days. 

• Please use the optional attachment 

feature in 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 

Grants.gov that contains a Grants.gov 

tracking number. The DGM will 

download the application from 

Grants.gov and provide necessary copies 

to the appropriate agency officials. 

Neither the DGM nor the Division of 

Epidemiology and Disease Prevention 

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 

which 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 SAM, can be found on the 

IHS Grants Management, Grants Policy 

website: http://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 10 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 well 

organized, 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 65 points is required 

for funding. Points are assigned as 

follows: 

1. Criteria 

A. Introduction and Need for Assistance 

(10 Points) 

• Background and problem statement. 

Provide concise summary of RMSF in 

Tribal communities served by the TEC. 

Include information about: 

Æ Impacted Tribal communities. (1 

point) 

Æ Number of RMSF cases in Tribal 

communities. (1 point) 

Æ Tribal Epidemiology Center 

jurisdiction (which of the impacted 

Tribal communities are served by the 

TEC). (1 point) 

Æ Evidence of previous work with 

Tribal populations. (2 points) 

Æ Evidence of gaps in current Tribal 

RMSF response. (5 points) 

B. Project Objective(s), Work Plan and 

Approach (25 Points) 

• Clearly identify the objectives of the 

program to be fulfilled by the TEC. At 

least two objectives should be able to be 

completed within the program period 

(indicate these two objectives in bold). 

(10 points) 

• Outline approach for achieving 

above listed objectives in work plan or 


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logic model. Outline overarching 

activities, short-term and long termoutcomes. Make note of proposed 

timelines and partners who will be 

involved in each activity. (15 points) 

C. Program Evaluation (30 Points) 

• Clearly identify plans for program 

evaluation to ensure that objectives of 

the program are met at the conclusion 

of the funding period. (10 points) 

• Include SMART (Specific, 

measurable, achievable, realistic and 

time-bound) evaluation criteria. (10 

points) 

• Evaluation should minimally 

include summaries of activities in each 

of the key RMSF prevention tenants 

(animal control, vector control, 

education, or environmental cleanup). 

(10 points) 

D. Organizational Capabilities, Key 

Personnel and Qualifications (30 Points) 

• Include an organizational capacity 

statement which demonstrates the 

ability to execute program strategies 

within the program period. (10 points) 

• Project management and staffing 

plan. Detail that the organization has the 

current staffing and expertise to address 

each of the program activities. If current 

capacity does not exist please describe 

the actions that the TEC will take to 

fulfill this gap within a specified 

timeline. (10 points) 

• Demonstrate Tribal willingness to 

work with TEC on RMSF prevention 

efforts. (5 points) 

• Demonstrate that the TEC has 

previous successful experience 

providing technical or programmatic 

support to Tribal communities. (5 

points) 

E. Categorical Budget and Budget 

Justification (5 Points) 

• Provide a detailed budget and 

accompanying narrative to explain the 

activities being considered and how 

they are related to proposed program 

objectives. (5 points) 

Multi-Year Project Requirements 

Projects requiring a second, or third 

year must include a brief project 

narrative and budget (one additional 

page per year) addressing the 

developmental plans for each additional 

year of the project. 

Additional Documents Can Be 

Uploaded as Appendix Items in 

Grants.gov 

• Work plan, logic model and/or time 

line 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. 

• Map of area identifying project 

location(s). 

• Additional documents to support 

narrative (i.e. data tables, key news 

articles, etc.). 

2. Review and Selection 

Each application will be prescreened 

by the DGM staff for eligibility and 

completeness as outlined in the funding 

announcement. Applications that meet 

the eligibility criteria shall be reviewed 

for merit by the ORC based on 

evaluation criteria 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 Grants Management Officer of the 

DGM. Applicants will be notified by 

DGM, via email, regarding minor 

missing components (i.e., budget 

narratives, audit documentation, key 

contact form) needed for an otherwise 

complete application. All missing 

documents must be sent to 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. 

VI. Award Administration Information 

1. Award Notices 

The Notice of Award (NoA) is a 

legally binding document signed by the 

Grants Management Officer and serves 

as the official notification of the grant 

award. The NoA will be initiated by the 

DGM in our grant system, 

GrantSolutions (https://

www.grantsolutions.gov). Each entity 

that is 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 or project period. 

Disapproved Applicants 

Applicants who received a score less 

than the recommended funding level for 

approval, 65, and were deemed to be 

disapproved by the ORC, will receive an 

Executive Summary Statement from the 

IHS program office within 30 days of the 

conclusion of the ORC outlining the 

strengths and weaknesses of their 

application. The summary statement 

will be sent to the Authorized 

Organizational Representative that is 

identified on the face page (SF–424) of 

the application. The IHS program office 

will also provide additional contact 

information as needed to address 

questions and concerns as well as 

provide technical assistance if desired. 

Approved But Unfunded Applicants 

Approved but unfunded applicants 

that met the minimum scoring range 

and were deemed by the ORC to be 

‘‘Approved,’’ but were not funded due 

to lack of funding, will have their 

applications retained by DGM for a 

period of one 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 

Cooperative agreements are 

administered in accordance with the 

following regulations and policies: 

A. The criteria as outlined in this 

program announcement. 

B. Administrative Regulations for 

Grants: 

• Uniform Administrative 

Requirements for HHS Awards, located 

at 45 CFR part 75. 

C. Grants Policy: 

• HHS Grants Policy Statement, 

Revised 01/07. 

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. 


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3. Indirect Costs 

This section applies to all grant 

recipients that request reimbursement of 

indirect costs (IDC) in their grant 

application. In accordance with HHS 

Grants Policy Statement, Part II–27, 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 Interior (Interior 

Business Center) https://www.doi.gov/ 

ibc/services/finance/indirect-CostServices/indian-tribes. For questions 

regarding the indirect cost policy, please 

call the Grants Management Specialist 

listed under ‘‘Agency Contacts’’ or the 

main DGM office at (301) 443–5204. 

4. Reporting Requirements 

The grantee must submit required 

reports consistent with the applicable 

deadlines. Failure to submit required 

reports within the time allowed may 

result in suspension or termination of 

an active grant, withholding of 

additional awards for the project, or 

other enforcement actions such as 

withholding of payments or converting 

to the reimbursement method of 

payment. Continued failure to submit 

required reports may result in 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. Per 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 the systems contact information. 

The reporting requirements for this 

program are noted below. 

A. Progress Reports 

Program progress reports are required 

annually, within 30 days after the 

budget period ends. These reports must 

include a brief comparison of actual 

accomplishments to the goals 

established for the period, a summary of 

progress to date or, if applicable, 

provide sound justification for the lack 

of progress, and other pertinent 

information as required. A final report 

must be submitted within 90 days of the 

expiration of the period of performance. 

B. Financial Reports 

Federal Financial Report (FFR or 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 Federal 

Financial Report. 

C. Federal Sub-Award Reporting System 

(FSRS) 

This award may be subject to the 

Transparency Act sub-award and 

executive compensation reporting 

requirements of 2 CFR part 170. 

The Transparency Act requires the 

OMB to establish a single searchable 

database, accessible to the public, with 

information on financial assistance 

awards made by Federal agencies. The 

Transparency Act also includes a 

requirement for recipients of Federal 

grants to report information about firsttier sub-awards and executive 

compensation under Federal assistance 

awards. 

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 (where the period of 

performance is made up of more than 

one budget period) and where: (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 http://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 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. This includes ensuring your 

programs are accessible to persons with 

limited English proficiency. HHS 

provides guidance to recipients of FFA 

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 complying 

with civil rights laws enforced by HHS. 

Please see http://www.hhs.gov/civilrights/for-individuals/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/civil-rights/forindividuals/disability/index.html. 

Please contact the HHS OCR for more 

information about obligations and 

prohibitions under Federal civil rights 

laws at https://www.hhs.gov/ocr/aboutus/contact-us/index.html or call (800) 

368–1019 or TDD (800) 537–7697. Also 

note it is an HHS Departmental 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 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 


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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 of Civil Rights, 200 

Independence Ave. SW, 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. IHS will consider 

any comments by the applicant, in 

addition to other information in FAPIIS 

in making a judgment about the 

applicant’s integrity, business ethics, 

and record of performance under 

Federal awards when completing the 

review of risk posed by applicants as 

described in 45 CFR 75.205. 

As required by 45 CFR part 75 

Appendix XII of the Uniform Guidance, 

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 gratuity 

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 all information 

related to violations of Federal criminal 

law involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 45 CFR 75.113. 

Disclosures must be sent in writing to: 

U.S. Department of Health and Human 

Services, Indian Health Service, 

Division of Grants Management, ATTN: 

Robert Tarwater, Director, 5600 Fishers 

Lane, Mail Stop: 09E70, Rockville, MD 

20857. 

(Include ‘‘Mandatory Grant 

Disclosures’’ in subject line) 

Office: (301) 443–5204. 

Fax: (301) 594–0899. 

Email: 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, URL: http://oig.hhs.gov/fraud/ 

report-fraud/index.asp. 

(Include ‘‘Mandatory 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 

parts 180 and 376 and 31 U.S.C. 3321). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Lisa C. Neel, 

Public Health Advisor, Office of Public 

Health Support, Division of 

Epidemiology & Disease Prevention, 

Indian Health Service, 5600 Fishers 

Lane, Mailstop: 09E17B, Rockville, MD 

20857, Phone: (301) 443–4305, EMail: 

Lisa.Neel@ihs.gov. 

2. Questions on grants management 

and fiscal matters may be directed to: 

John Hoffman, Senior Grants 

Management Specialist, 5600 Fishers 

Lane, Mail Stop: 09E70, Rockville, MD 

20857, Phone: (301) 443–2116, Fax: 

(301) 594–0899, Email: John.Hoffman@

ihs.gov. 

3. Questions on systems matters may 

be directed to: Paul Gettys, Grant 

Systems Coordinator, 5600 Fishers 

Lane, Mail Stop: 09E70, Rockville, MD 

20857, Phone: (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 cooperative agreement 

and contract recipients to provide a 

smoke-free workplace and promote the 

non-use of all tobacco products. In 

addition, Public Law 103–227, the 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: August 9, 2018. 

Michael D. Weahkee, 

Assistant Surgeon General, U.S. Public Health 

Service, Acting Director, Indian Health 

Service. 

[FR Doc. 2018–17515 Filed 8–14–18; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Division of Epidemiology and Disease 

Prevention; Epidemiology Program for 

American Indian/Alaska Native Tribes 

and Urban Indian Communities 

Announcement Type: Competing 

Supplement 

Funding Announcement Number: HHS– 

2018–IHS–EPI–0001 

Catalog of Federal Domestic Assistance 

Number: 93.231 

Key Dates 

Application Deadline Date: September 

12, 2018 

Review Date: September 14–18, 2018 

Earliest Anticipated Start Date: 

September 30, 2018 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) 

Office of Public Health Support, 

Division of Epidemiology and Disease 

Prevention (DEDP), is accepting 

applications for cooperative agreement 

for competitive supplemental funds to 

enhance activities in the Epidemiology 

Program for American Indian/Alaska 

Native (AI/AN) Tribes and Urban Indian 

communities. This program is 

authorized under: Section 317(k)(2) of 

the Public Health Service Act (42 U.S.C. 

Section 247b(k)), as amended. Funding 

for this award will be provided by: The 

Centers for Disease Control and 

Prevention’s (CDC) National Center for 

Chronic Disease Prevention and Health 

Promotion. The authorities will be 

exercised by CDC and through an IntraDepartmental Delegation of Authority 


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