22924 Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 

52The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96–420; H. Rept. 96–1353) includes the intent of Congress to fund and provide 

contract health services to the Passamaquoddy Tribe and the Penobscot Nation. 53The Passamaquoddy Tribe has two reservations: Indian Township and Pleasant Point. The PRCDA for the Passamaquoddy Tribe at Indian 

Township, ME, is Aroostook County, ME, Washington County, ME, and Hancock County, ME. The PRCDA for the Passamaquoddy Tribe at 

Pleasant Point, ME, is Washington County, ME, south of State Route 9, and Aroostook County, ME. 54The Passamaquoddy Tribe’s counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638. 55The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96–420; H. Rept. 96–1353) includes the intent of Congress to fund and provide 

PRC to the Passamaquoddy Tribe and the Penobscot Nation. 56 Counties in the Service Unit designated by Congress for the Poarch Band of Creek Indians (see H. Rept. 98–886, June 29, 1984; Cong. 

Record, October 10, 1984, Pg. H11929). 57Public Law 103–323 restored Federal recognition to the Pokagon Band of Potawatomi Indians, Michigan and Indiana, in 1994 and identified 

counties to serve as the SDA. 58The Ponca Restoration Act, Public Law 101–484, recognized members of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or 

Lancaster counties of Nebraska or Charles Mix county of South Dakota as residing on or near a reservation. Public Law 104–109 made technical 

corrections to laws relating to Native Americans and added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and 

Pottawatomie and Woodbury counties of Iowa to the Ponca Tribe of Nebraska SDA. 59Special programs have been established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is 

based on the legislative history of the appropriation of funds for the particular facility, rather than the eligibility regulations. Historically services 

have been provided at Rapid City (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d Sess.). 60The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed 

in the Recognition Act. 61 Historically part of Isabella Reservation Area for the Saginaw Chippewa Indian Tribe of Michigan and the Eastern Michigan Service Unit population since 1979. 62The Samish Indian Tribe Nation was Federally acknowledged in April 1996 as documented at 61 FR 15825, April 9, 1996. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the 

ISDEAA, Public Law 93–638. 63 CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians, Michigan, were designated by regulation (42 CFR 136.22(a)(4)). 64The Shinnecock Indian Nation was Federally acknowledged in June 2010 as documented at 75 FR 34760, June 18, 2010. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the 

ISDEAA, Public Law 93–638. 65 Lemhi County, ID, has historically been a part of the Fort Hall Service Unit population since 1979. 66The Snoqualmie Indian Tribe was Federally acknowledged in August 1997 as documented at 62 FR 45864, August 29, 1997. The counties 

listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the 

ISDEAA, Public Law 93–638. 67On December 30, 2011 the Office of Assistant Secretary-Indian Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe. Kern 

County, CA, was designated administratively as part of the Tribe’s CHSDA in addition to the CHSDA established by Congress for the State of 

California. Kern County was not covered when Congress originally established the State of California as a CHSDA excluding certain counties including Sacramento County (25 U.S.C. 1680). 68The counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program 

pursuant to the ISDEAA, Public Law 93–638. 69The Secretary acting through the Service is directed to provide contract health services to Turtle Mountain Band of Chippewa Indians that 

reside in Trenton Service Unit, North Dakota and Montana, in Divide, Mackenzie, and Williams counties in the state of North Dakota and the adjoining counties of Richland, Roosevelt, and Sheridan in the state of Montana (Sec. 815, Pub. L. 94–437). 70 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982. 71The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Upper 

Mattaponi Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in 

the Recognition Act. 72 according to Public Law 100–95, Sec. 12, members of the Wampanoag Tribe of Gay Head (Aquinnah) residing on Martha’s Vineyard are 

deemed to be living on or near an Indian reservation for the purposes of eligibility for Federal services. 73The counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638. 74The Wilton Rancheria, California had Federal recognition restored in July 2009 as documented at 74 FR 33468, July 13, 2009. Sacramento 

County, CA, was designated administratively as part of the Rancheria’s CHSDA in addition to the CHSDA established by Congress for the State 

of California. Sacramento County was not covered when Congress originally established the State of California as a CHSDA excluding certain 

counties including Sacramento County (25 U.S.C. 1680). 75Public Law 100–89, Restoration Act for Ysleta Del Sur and Alabama and Coushatta Tribes of Texas establishes service areas for ‘‘members 

of the Tribe’’ by sections 101(3) and 105(a) for the Pueblo and sections 201(3) and 206(a) respectively. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2022–08152 Filed 4–15–22; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Addressing Dementia in Indian 

Country: Models of Care 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2022–IHS–ALZ–0001. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.933. 

Key Dates 

Application Deadline Date: July 18, 

2022. 

Earliest Anticipated Start Date: 

August 31, 2022. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for cooperative 

agreements for Addressing Dementia in 

Indian Country. This program is 

authorized under the Snyder Act, 25 

U.S.C. 13; the Transfer Act, 42 U.S.C. 

2001(a); and the Indian Health Care 

Improvement Act, 25 U.S.C. 

1665a(c)(5)(F) and 1660e. This program 

is described in the Assistance Listings 

located at https://sam.gov/content/home 

(formerly known as the CFDA) under 

93.933. 

Background 

Alzheimer’s disease and Alzheimer’s 

disease-related dementias affect lives in 

every Tribal and Urban Indian 

community. Alzheimer’s disease is the 

most common cause of dementia—a 

progressive cognitive impairment that 

adversely affects function. Other forms 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 22925 

1National Academies of Sciences, Engineering, 

and Medicine. 2021. Meeting the challenge of 

caring for persons living with dementia and their 

care partners and caregivers: A way forward. 

Washington, DC: The National Academies Press. 

https://doi.org/10.17226/26026. 

2 Dementia Friendly America https://

www.dfamerica.org https://iasquared.org/newsrelease-ia2-is-now-a-national-dementia-friends-sublicensee-for-american-indian-and-alaska-nativetribal-communities/. 

3https://www.cdc.gov/aging/healthybrain/indiancountry-roadmap.html. 

of dementia include vascular dementia, 

Lewy-Body Disease, Fronto-Temporal 

Dementia, alcohol-related dementia, 

dementia related to traumatic brain 

injury, and mixed dementia (attributable 

to more than one cause of cognitive 

impairment). Age is the most significant 

risk factor for Alzheimer’s disease. 

Although the average age of American 

Indians and Alaska Natives (AI/AN) is 

younger than the population as a whole, 

the group age 65 and older is growing 

more rapidly than the United States 

(U.S.) population. The Centers for 

Disease Control and Prevention (CDC) 

notes that the number of AI/AN age 65 

and older is expected to triple in the 

next 30 years, with the oldest—those 85 

years and older—increasing even more 

rapidly. While age is the most 

substantial risk factor for Alzheimer’s 

disease, early-onset occurs in younger 

populations and in persons with Down 

Syndrome or Trisomy 21, who are at 

markedly increased risk for Alzheimer’s 

Disease. Conditions such as diabetes, 

cardiovascular disease, chronic kidney 

disease, chronic liver disease, and 

traumatic brain injury increase the risk 

of dementia and can lead to a more 

rapid worsening. 

Dementia of all types is underrecognized, underdiagnosed, and 

undertreated in all populations in the 

U.S., and anecdotal evidence suggests 

that this is very much true for the AI/ 

AN population. Many individuals go 

unrecognized in the community, never 

seeking care and living with impaired 

cognition that puts them at risk for 

financial exploitation, poor health 

outcomes, and accidental injury. 

Individuals and their families may not 

recognize the cognitive changes that 

dementia brings. They may think the 

changes are due to normal aging or may 

accept the changes and not seek care out 

of concern for the elder’s dignity. 

Failure to recognize dementia may also 

stem from the stigma associated with 

dementia and from lack of awareness of 

resources available. Often it takes a 

crisis or illness to bring attention to the 

condition. Diagnosis of dementia is 

most often made in the primary care 

office or clinic, with specialty referral 

needed when the presentation is not 

typical or apparent. But primary care 

providers may lack the confidence to 

make the diagnosis or plan effective care 

and may not have access to an 

interdisciplinary team to support care or 

specialists through consultation or 

referral to support diagnosis and 

management decisions. Effective 

management of dementia crosses many 

boundaries, involving medical care, 

personal care, social services, legal and 

financial services, and housing. 

Management of dementia requires 

coordination between clinical services 

and community-based services. Those 

living with dementia and their 

caregivers are too often left to 

coordinate this complex care 

themselves. Most persons living with 

dementia receive some care and 

assistance from caregivers, and 

sometimes from family members. Care 

for the person living with dementia 

should include consideration for their 

caregivers but, unfortunately, this is not 

common. 

Effective models for addressing 

dementia in Tribal and Urban Indian 

communities will be supported by 

evidence and will emerge through 

development or adaptation and 

evaluation from those communities. A 

recent report by the Agency for 

Healthcare Research and Quality and 

the National Academies of Science, 

Engineering, and Medicine point to the 

Resources for Enhancing Alzheimer’s 

Caregiver Health II (REACH II) caregiver 

support intervention and models of 

coordinated care as interventions that 

have evidence for benefit and are ready 

for implementation and further 

evaluation.1 The REACH into Indian 

Country initiative successfully trained 

public and community health nurses to 

provide the REACH intervention in 

Tribal communities. Communities 

across the country, including some 

Tribal communities, use the DementiaFriendly Communities approach to 

building community-based efforts to 

improve care for persons living with 

dementia and their families.2 The 

Healthy Brain Initiative Roadmap for 

Indian Country, developed by the CDC 

and the Alzheimer’s Association, is 

designed to support discussion about 

dementia and caregiving with Tribal 

communities and encourage a public 

health approach as part of a larger 

holistic response.3 These models can 

help inform the design of Tribal and 

Urban Indian health models. 

Purpose 

The purpose of this program is to 

support the development of models of 

comprehensive and sustainable 

dementia care and services in Tribal and 

Urban Indian communities that are 

responsive to the needs of persons 

living with dementia and their 

caregivers. Awardees will: 

1. Plan and implement a 

comprehensive approach to care and 

services for persons living with 

dementia and their caregivers that 

addresses: 

• Awareness and Recognition. 

Enhance awareness and early 

recognition of dementia in the 

community and increase referral to 

clinical care for evaluation leading to 

diagnosis. The United States Preventive 

Services Task Force has concluded that 

‘‘current evidence is insufficient to 

assess the benefits and harms of 

screening for cognitive impairment in 

older adults.’’ Still, there is broad 

consensus supporting case findings to 

promote early recognition and diagnosis 

of dementia. 

• Accurate and Timely Diagnosis. 

Individuals and their families should 

have confidence that concerns about 

potential cognitive impairment will be 

evaluated thoroughly and lead to an 

accurate and timely diagnosis. Most 

diagnoses of dementia can be made in 

primary care, but clinical programs 

should have referral and consultation 

mechanisms in place (either in person 

or via telehealth) to support diagnosis 

when needed. 

• Interdisciplinary Assessment. 

Persons living with dementia will have 

complex and evolving care needs. An 

interdisciplinary assessment helps 

identify goals of care and gaps in 

services and sets the stage for 

appropriate care and services. In best 

practice, this assessment includes an 

attempt to understand the cultural, 

religious, and personal values that will 

guide goals and preferences for care. It 

assesses family and other caregiving 

resources and the needs and capabilities 

of those partners in care, as well as 

housing security and safety risks. 

• Management and Referral. Care for 

the person living with dementia is 

guided by the assessment and most 

often requires coordination of health 

care and social services to meet their 

needs and support caregivers. Those 

living with dementia and their 

caregivers often need support and 

assistance in navigating through the 

various systems providing this care. 

• Support for Caregivers. Care for 

persons living with dementia includes 

care for their caregivers. Families and 

other caregivers need help in navigating 

services and mobilizing respite care, 

help in understanding what to expect 

and how to respond to the challenges of 

living with dementia, and support for 


khammond on DSKJM1Z7X2PROD with NOTICES
22926 Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 

self-care. Interventions that provide that 

care and support (e.g., REACH) and 

provide education and training (e.g., 

Savvy Caregiver) have been adapted for 

use in Tribal communities. 

2. Develop, in collaboration with the 

IHS, best and promising practices to 

include tools, resources, reports, and 

presentations accessible to Federal, 

Tribal, and urban health programs as 

they plan and implement their own 

programs. 

3. Identify and implement 

reimbursement and funding streams that 

will support service delivery and 

facilitate sustainability. Opportunities 

for reimbursement and funding streams 

dependent on the specific interventions 

planned, but potential sources might 

include: 

• Medicare reimbursement through 

the Physician Fee Schedule, including 

Cognitive Assessment and Planning 

codes and Chronic and Complex Care 

Management codes. 

• Medicaid and other state programs. 

• Purchased and Referred Care 

resources. 

• IHS and Third Party Revenue. 

The IHS Alzheimer’s Grant Program 

will provide technical assistance to 

grantees in development of a plan for 

sustainability. 

II. Award Information 

Funding Instrument—Cooperative 

Agreement 

Estimated Funds Available 

The total funding identified for fiscal 

year (FY) 2022 is approximately 

$1,000,000. Individual award amounts 

for the first budget year are anticipated 

to be between $100,000 and $200,000. 

The funding available for competing 

and subsequent continuation awards 

issued under this announcement is 

subject to the availability of 

appropriations and budgetary priorities 

of the Agency. The IHS is under no 

obligation to make awards that are 

selected for funding under this 

announcement. 

Anticipated Number of Awards 

Approximately five awards will be 

issued under this program 

announcement. 

Period of Performance 

The period of performance is for 2 

years. 

Cooperative Agreement 

Cooperative agreements awarded by 

the Department of Health and Human 

Services (HHS) are administered under 

the same policies as grants. However, 

the funding agency, IHS, is anticipated 

to have substantial programmatic 

involvement in the project during the 

entire period of performance. Below is 

a detailed description of the level of 

involvement required of the IHS. 

Substantial Agency Involvement 

Description for Cooperative Agreement 

A. The IHS Office of Clinical and 

Preventive Services (OCPS), Division of 

Clinical and Community Services 

(DCCS), will collaborate with recipients 

throughout the process of planning and 

implementation and assist in the 

identification of tools, resources, 

reports, and presentations for 

dissemination to other Tribal, the IHS, 

and urban programs. The DCCS will 

also provide technical assistance in 

developing a sustainability plan. 

B. The IHS will convene recipients 

periodically, not more often than 

monthly, to share ideas, strategies, and 

tools to accelerate design and 

implementation progress. 

C. DCCS will link recipients with 

Federal agencies and non-governmental 

organizations working to improve the 

care of persons living with dementia 

and their caregivers. 

D. DCCS will coordinate reporting 

(e.g., identified metrics utilized, 

achieved goals, identified best practices, 

etc.) and technical assistance (e.g., 

programmatic support to Tribal 

communities) as required. 

III. Eligibility Information 

1. Eligibility 

To be eligible under this 

announcement, an applicant must be 

one of the following, as defined by 25 

U.S.C. 1603: 

• A federally recognized Indian Tribe 

as defined by 25 U.S.C. 1603(14). The 

term ‘‘Indian Tribe’’ means any Indian 

Tribe, band, nation, or other organized 

group or community, including any 

Alaska Native village or group, or 

regional or village corporation as 

defined in or established pursuant to the 

Alaska Native Claims Settlement Act (85 

stat. 688) [43 U.S.C. 1601 et seq.], which 

is recognized as eligible for the special 

programs and services provided by the 

United States to Indians because of their 

status as Indians. 

• A Tribal organization as defined by 

25 U.S.C. 1603(26). The term ‘‘Tribal 

organization’’ has the meaning given the 

term in section 4 of the Indian SelfDetermination and Education 

Assistance Act (25 U.S.C. 5304(1)): 

‘‘Tribal organization’’ means the 

recognized governing body of any 

Indian Tribe; any legally established 

organization of Indians which is 

controlled, sanctioned, or chartered by 

such governing body or which is 

democratically elected by the adult 

members of the Indian community to be 

served by such organization and which 

includes the maximum participation of 

Indians in all phases of its activities: 

provided that, in any case where a 

contract is let or grant made to an 

organization to perform services 

benefiting more than one Indian Tribe, 

the approval of each such Indian Tribe 

shall be a prerequisite to the letting or 

making of such contract or grant. 

Applicant shall submit letters of support 

and/or Tribal Resolutions from the 

Tribes to be served. 

• An Urban Indian organization as 

defined by 25 U.S.C. 1603(29). The term 

‘‘Urban Indian organization’’ means a 

nonprofit corporate body situated in an 

urban center, governed by an urban 

Indian controlled board of directors, and 

providing for the maximum 

participation of all interested Indian 

groups and individuals, which body is 

capable of legally cooperating with 

other public and private entities for the 

purpose of performing the activities 

described in 25 U.S.C. 1653(a). 

Applicants must provide proof of nonprofit status with the application, e.g., 

501(c)(3). 

The program office will notify any 

applicants deemed ineligible. 

Note: Please refer to Section IV.2 

(Application and Submission 

Information/Subsection 2, Content and 

Form of Application Submission) for 

additional proof of applicant status 

documents required, such as Tribal 

Resolutions, proof of 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 

Applications with budget requests 

that exceed the highest dollar amount 

outlined under Section II Award 

Information, Estimated Funds Available, 

or exceed the period of performance 

outlined under Section II Award 

Information, Period of Performance, are 

considered not responsive and will not 

be reviewed. The Division of Grants 

Management (DGM) will notify the 

applicant. 

Tribal Resolution 

The DGM must receive an official, 

signed Tribal Resolution prior to issuing 

a Notice of Award (NoA) to any Tribe 

or Tribal organization selected for 

funding. An applicant that is proposing 

a project affecting another Indian Tribe 

must include resolutions from all 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 22927 

affected Tribes to be served. However, if 

an official, signed Tribal Resolution 

cannot be submitted with the 

application prior to the application 

deadline date, a draft Tribal Resolution 

must be submitted with the application 

by the deadline date in order for the 

application to be considered complete 

and eligible for review. The draft Tribal 

Resolution is not in lieu of the required 

signed resolution but is acceptable until 

a signed resolution is received. If an 

application without a signed Tribal 

Resolution is selected for funding, the 

applicant will be contacted by the 

Grants Management Specialist (GMS) 

listed in this funding announcement 

and given 90 days to submit an official, 

signed Tribal Resolution to the GMS. If 

the signed Tribal Resolution is not 

received within 90 days, the award will 

be forfeited. 

Tribes organized with a governing 

structure other than a Tribal council 

may submit an equivalent document 

commensurate with their governing 

organization. 

IV. Application and Submission 

Information 

1. Obtaining Application Materials 

The application package and detailed 

instructions for this announcement are 

available at https://www.Grants.gov. 

Please direct questions regarding the 

application process to Mr. Paul Gettys at 

(301) 443–2114 or (301) 443–5204. 

2. Content and Form Application 

Submission 

Mandatory documents for all 

applicants include: 

• Abstract (one page) summarizing 

the project. 

• Application forms: 

1. SF–424, Application for Federal 

Assistance. 

2. SF–424A, Budget Information— 

Non-Construction Programs. 

3. SF–424B, Assurances—NonConstruction Programs. 

• Project Narrative (not to exceed 10 

pages). See Section IV.2.A, Project 

Narrative for instructions. 

1. Background information on the 

organization. 

2. Proposed scope of work, objectives, 

and activities that provide a description 

of what the applicant plans to 

accomplish. 

• Budget Justification and Narrative 

(not to exceed five pages). See Section 

IV.2.B, Budget Narrative for 

instructions. 

• One-page Timeframe Chart. 

• Tribal Resolution(s), if applicable. 

• Letters of Support from 

organization’s Board of Directors 

(optional). 

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

• Biographical sketches for all Key 

Personnel. 

• Contractor/Consultant resumes or 

qualifications and scope of work. 

• Disclosure of Lobbying Activities 

(SF–LLL), if applicant conducts 

reportable lobbying. 

• Certification Regarding Lobbying 

(GG-Lobbying Form). 

• Copy of current Negotiated Indirect 

Cost (IDC) rate agreement (required in 

order to receive IDC). 

• Organizational Chart. 

• Documentation of current Office of 

Management and Budget (OMB) 

Financial Audit (if applicable). 

Acceptable forms of documentation 

include: 

1. Email confirmation from Federal 

Audit Clearinghouse (FAC) that audits 

were submitted; or 

2. Face sheets from audit reports. 

Applicants can find these on the FAC 

website at https://facdissem.census.gov/ 

. 

Public Policy Requirements 

All Federal public policies apply to 

IHS grants and cooperative agreements. 

Pursuant to 45 CFR 80.3(d), an 

individual shall not be deemed 

subjected to discrimination by reason of 

their exclusion from benefits limited by 

Federal law to individuals eligible for 

benefits and services from the IHS. See 

https://www.hhs.gov/grants/grants/ 

grants-policies-regulations/index.html. 

Requirements for Project and Budget 

Narratives 

A. Project Narrative 

This narrative should be a separate 

document that is no more than 10 pages 

and must: (1) Have consecutively 

numbered pages; (2) use black font 12 

points or larger (applicants may use 10 

point font for tables); (3) be singlespaced; and (4) be formatted to fit 

standard letter paper (8–1/2 x 11 

inches). 

Be sure to succinctly answer all 

questions listed under the evaluation 

criteria (refer to Section V.1, Evaluation 

Criteria) and place all responses and 

required information in the correct 

section noted below or they will not be 

considered or scored. If the narrative 

exceeds the page limit, the application 

will be considered not responsive and 

will not be reviewed. The 10-page limit 

for the narrative does not include the 

work plan, standard forms, Tribal 

Resolutions, budget, budget 

justifications, narratives, and/or other 

items. 

There are three parts to the narrative: 

Part 1—Program Information; Part 2— 

Program Planning and Evaluation; and 

Part 3—Sharing with Other Tribes, 

Tribal Organizations, and Urban Indian 

Organizations. See below for additional 

details about what must be included in 

the narrative. 

The page limits below are for each 

narrative and budget submitted. 

Part 1: Program Information (Limit—4 

Pages) 

Section 1: Tribal or Organizational 

Overview 

Provide a brief description of the 

Tribe, Tribal organization, or Urban 

Indian health program, health care 

delivery system and resources, elderly 

services and resources, long-term 

services and supports, and other Tribal 

or community-based services that might 

be involved. 

Section 2: Needs 

Provide any data available about the 

number of persons living with dementia 

and their needs and the needs of their 

caregivers. If data is not currently 

available, indicate this here and in Part 

2 below, and describe in detail how the 

applicant will obtain or develop this 

data in the first year of the program. 

Section 3: Other Funded Initiatives 

Provide information about other 

funded initiatives addressing dementia 

that the applicant is or will be 

participating in that are relevant to this 

proposal. Indicate any HHS grants 

addressing dementia (e.g. Dementia 

Capability in Indian Country Grant 

program of the Administration for 

Community Living) the applicant has 

been awarded whose period of 

performance may overlap the period of 

performance of this grant opportunity. 

Part 2: Program Planning and Evaluation 

(Limit—4 Pages) 

Section 1: Program Plans 

Describe fully and clearly the 

applicant’s plan to implement a 

comprehensive approach to care and 

services for persons living with 

dementia and their caregivers and 

identify funding streams that will 

support service delivery. The plan 

should include a vision for a 

comprehensive approach to care, 

recognizing that achievement of the 

fully implemented approach may not be 

feasible within the period of 

performance. 

Section 2: Program Evaluation 

Describe fully and clearly the 

elements of the comprehensive 

approach to care described in Section 1 

that the applicant expects to implement 


khammond on DSKJM1Z7X2PROD with NOTICES
22928 Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 

over the period of performance. 

Describe the metrics that will be used to 

assess the achievement of these goals. If 

the applicant will need to obtain or 

develop data about the number of 

persons living with dementia and their 

needs and the needs of their caregivers 

as an element of this award, the 

applicant should indicate that data and 

describe how that data will be 

developed or acquired in the first year. 

Part 3: Sharing With Other Tribes, 

Tribal Organizations, and Urban Indian 

Organizations (Limit—2 Pages) 

Section 1 

Describe how your program will 

develop, in collaboration with the IHS, 

best and promising practices that 

includes tools, resources, reports, and 

presentations, accessible to stakeholders 

across the Tribal health system 

including Tribal and urban health 

partners. 

B. Budget Narrative (Limit—5 Pages) 

Provide a budget narrative that 

explains the amounts requested for each 

line item of the budget from the SF– 

424A (Budget Information for NonConstruction Programs). The budget 

narrative can include a more detailed 

spreadsheet than is provided by the SF– 

424A. The budget narrative should 

specifically describe how each item will 

support the achievement of proposed 

objectives. Be very careful about 

showing how each item in the ‘‘Other’’ 

category is justified. For subsequent 

budget years (see Multi-Year Project 

Requirements in Section V.1, 

Application Review Information, 

Evaluation Criteria), the narrative 

should highlight the changes from year 

1 or clearly indicate that there are no 

substantive budget changes during the 

period of performance. Do NOT use the 

budget narrative to expand the project 

narrative. 

3. Submission Dates and Times 

Applications must be submitted 

through Grants.gov by 11:59 p.m. 

Eastern Time on the Application 

Deadline Date. Any application received 

after the application deadline will not 

be accepted for review. Grants.gov will 

notify the applicant via email if the 

application is rejected. 

If technical challenges arise and 

assistance is required with the 

application process, contact Grants.gov 

Customer Support (see contact 

information at https://www.Grants.gov). 

If problems persist, contact Mr. Paul 

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

Director, DGM, 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. 

The IHS will not acknowledge receipt 

of applications. 

4. Intergovernmental Review 

Executive Order 12372 requiring 

intergovernmental review is not 

applicable to this program. 

5. Funding Restrictions 

• Pre-award costs are allowable up to 

90 days before the start date of the 

award provided the costs are otherwise 

allowable if awarded. Pre-award costs 

are incurred at the risk of the applicant. 

• The available funds are inclusive of 

direct and indirect costs. 

• Only one cooperative agreement 

may be awarded per applicant. 

6. Electronic Submission Requirements 

All applications must be submitted 

via Grants.gov. Please use the https://

www.Grants.gov website to submit an 

application. Find the application by 

selecting the ‘‘Search Grants’’ link on 

the homepage. Follow the instructions 

for submitting an application under the 

Package tab. No other method of 

application submission is acceptable. 

If the applicant cannot submit an 

application through Grants.gov, a 

waiver must be requested. Prior 

approval must be requested and 

obtained from Mr. Paul Gettys, Deputy 

Director, DGM. A written waiver request 

must be sent to GrantsPolicy@ihs.gov 

with a copy to Paul.Gettys@ihs.gov. The 

waiver request must: (1) Be documented 

in writing (emails are acceptable) before 

submitting an application by some other 

method; and (2) include clear 

justification for the need to deviate from 

the required application submission 

process. 

Once the waiver request has been 

approved, the applicant will receive a 

confirmation of approval email 

containing submission instructions. A 

copy of the written approval must be 

included with the application that is 

submitted to the DGM. Applications 

that are submitted without a copy of the 

signed waiver from the Acting Director 

of the DGM will not be reviewed. The 

Grants Management Officer of the DGM 

will notify the applicant via email of 

this decision. Applications submitted 

under waiver must be received by the 

DGM no later than 5:00 p.m. Eastern 

Time on the Application Deadline Date. 

Late applications will not be accepted 

for processing. Applicants that do not 

register for both the System for Award 

Management (SAM) and Grants.gov 

and/or fail to request timely assistance 

with technical issues will not be 

considered for a waiver to submit an 

application via alternative method. 

Please be aware of the following: 

• Please search for the application 

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

entering the Assistance Listing (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, please contact Grants.gov 

Customer Support (see contact 

information at https://www.Grants.gov). 

• 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 20 

working days. 

• Please follow the instructions on 

Grants.gov to include additional 

documentation that may be requested by 

this funding announcement. 

• Applicants must comply with any 

page limits described in this funding 

announcement. 

• After submitting the application, 

the applicant will receive an automatic 

acknowledgment from Grants.gov that 

contains a Grants.gov tracking number. 

The IHS will not notify the applicant 

that the application has been received. 

Dun and Bradstreet (D&B) Data 

Universal Numbering System (DUNS) 

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, 

please access the request service 

through https://fedgov.dnb.com/ 

webform, or call (866) 705–5711. 

The Federal Funding Accountability 

and Transparency Act of 2006, as 

amended (‘‘Transparency Act’’), 

requires all HHS recipients to report 

information on sub-awards. 

Accordingly, all IHS recipients must 

notify potential first-tier sub-recipients 

that no entity may receive a first-tier 

sub-award unless the entity has 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 22929 

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 are not registered 

with SAM must have a DUNS number 

first, then access the SAM online 

registration through the SAM home page 

at https://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). 

Please see SAM.gov for details on the 

registration process and timeline. 

Registration with the SAM is free of 

charge but can take several weeks to 

process. Applicants may register online 

at https://sam.gov. 

Additional information on 

implementing the Transparency Act, 

including the specific requirements for 

DUNS and SAM, are available on the 

DGM Grants Management, Policy Topics 

web page at https://www.ihs.gov/dgm/ 

policytopics/. 

V. Application Review Information 

Possible points assigned to each 

section are noted in parentheses. The 

project narrative and budget narrative 

should include only the first year of 

activities; information for multi-year 

projects should be included as a 

separate document. See ‘‘Multi-year 

Project Requirements’’ at the end of this 

section for more information. The 

project narrative should be written in a 

manner that is clear to outside reviewers 

unfamiliar with prior related activities 

of the applicant. It should be well 

organized, succinct, and contain all 

information necessary for reviewers to 

fully understand the project. 

Attachments requested in the criteria do 

not count toward the page limit for the 

narratives. Points will be assigned to 

each evaluation criteria adding up to a 

total of 100 possible points. Points are 

assigned as follows: 

1. Evaluation Criteria 

A. Introduction and Need for Assistance 

(10 Points) 

1. Description of the clinical services, 

elder services and resources, long-term 

care services, and supports available 

through the applicant’s organization, 

either as a direct service or through 

agreement, contract, or Purchased and 

Referred Care (PRC). Applicants must be 

able to provide ambulatory care services 

directly or through coordination with 

IHS Direct Services and must be able to 

coordinate with elder services. 

2. Description of the number of 

individuals living with dementia to be 

served, any data available about the 

prevalence of risk factors for dementia 

(including age as reflected in the 

population’s demographics), and any 

limitations of the data available. 

3. Identification of the most urgent 

and pressing gaps in availability or 

quality of care and services for persons 

living with dementia and their families. 

If this information is not available, the 

acquisition of this information should 

be a detailed part of the Project 

Objective(s), Work Plan, and Approach. 

4. If the applicant is the recipient of 

other HHS grants that will provide 

funding to address dementia over the 

same time period (e.g. Dementia 

Capability in Indian Country Grant 

program of the Administration for 

Community Living), address how 

funding under this opportunity will 

address the need without overlapping 

the activities of other funded awards, if 

applicable. 

B. Project Objective(s), Work Plan, and 

Approach (30 Points) 

1. The overall vision for a 

comprehensive approach to care and 

services for persons living with 

dementia and their caregivers, 

including: 

• Awareness and recognition. 

• Timely and accurate diagnosis. 

• Multidisciplinary assessment. 

• Management and referral. 

• Caregiver Support. 

2. The elements of this vision that the 

awardee anticipates implementing, 

including planning activities and 

assessment of need, if not already 

available. 

3. The work plan and approach, 

including planning activities and 

assessment of need, if not already 

available. This work plan should be 

responsive to the most urgent and 

pressing gaps in availability and quality 

of care and services for persons living 

with dementia and their families. This 

work plan must include, at the 

minimum, both the provision of clinical 

services, either directly or through 

coordination with IHS Direct Services, 

and the engagement of elder services. 

4. The work plan and approach 

should include developing tools, 

resources, reports, and presentations to 

support the development of programs by 

other Tribes, Tribal organizations, or 

Urban Indian health programs. 

5. If the applicant is the recipient of 

other HHS grants that will provide 

funding to address dementia over the 

same time period (e.g. Dementia 

Capability in Indian Country Grant 

program of the Administration for 

Community Living), indicate how the 

work plan and approach supported 

through this funding will complement 

and not supplant or overlap that 

already-funded work. 

C. Program Evaluation (30 Points) 

1. Clearly identify plans for program 

evaluation to ensure that objectives of 

the program are met at the conclusion 

of the period of performance. 

2. Include SMART (Specific, 

Measurable, Achievable, Relevant and 

Time-based) goals to establish a specific 

set of evaluation criteria to ensure the 

objectives are attainable within the 

period of performance. 

3. Evaluation should minimally 

include metrics that provide insight into 

the implementation of those elements of 

a comprehensive approach to care and 

services for persons living with 

dementia and their families that the 

applicant has proposed to implement. 

The evaluation should also include 

metrics for important outcomes of care 

for persons living with dementia and 

their family, such as avoidance of crisisdriven care (e.g. emergent transfers and 

undesired out-of-home placement) as 

well as processes of care that contribute 

to better outcomes (e.g. reduction of 

medications that impair cognition). 

D. Organizational Capabilities, Key 

Personnel, and Qualifications (20 

Points) 

1. Include an organizational capacity 

statement that demonstrates the ability 

to execute program strategies within the 

period of performance. 

2. Project management and staffing 

plan. Detail that the organization has the 

current staffing and expertise to address 

each of the program activities. If 

capacity does not exist, please describe 

the applicant’s actions to fulfill this gap 

within a specified timeline. 

3. Identify any partnerships or 

collaborations that will be needed to 

implement the work plan and include 

letters of support or intent to coordinate 

or collaborate with those partners. 

4. Demonstrate that the applicant has 

previous successful experience 

providing technical or programmatic 

support to Tribal communities. 

E. Categorical Budget and Budget 

Justification (10 Points) 

1. Provide a detailed budget and 

accompanying narrative to explain the 

activities being considered and how 

they are related to proposed program 

objectives. 


khammond on DSKJM1Z7X2PROD with NOTICES
22930 Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 

Multi-Year Project Requirements 

Applications must include a brief 

project narrative and budget (one 

additional page per year) addressing the 

developmental plans for each additional 

year of the project. This attachment will 

not count as part of the project narrative 

or the budget narrative. 

Additional documents can be 

uploaded as Other Attachments in 

Grants.gov. These can include: 

• 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 Rate 

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 

for eligibility and completeness as 

outlined in the funding announcement. 

Applications that meet the eligibility 

criteria shall be reviewed for merit by 

the Objective Review Committee (ORC) 

based on evaluation criteria. Incomplete 

applications and applications that are 

not responsive to the administrative 

thresholds (budget limit, project period 

limit) will not be referred to the ORC 

and will not be funded. The applicant 

will be notified of this determination. 

Applicants must address all program 

requirements and provide all required 

documentation. 

3. Notifications of Disposition 

All applicants will receive an 

Executive Summary Statement from the 

IHS DCCS within 30 days of the 

conclusion of the ORC outlining the 

strengths and weaknesses of their 

application. The summary statement 

will be sent to the Authorizing Official 

identified on the face page (SF–424) of 

the application. 

A. Award Notices for Funded 

Applications 

The NoA is the authorizing document 

for which funds are dispersed to the 

approved entities and reflects the 

amount of Federal funds awarded, the 

purpose of the award, the terms and 

conditions of the award, the effective 

date of the award, and the budget/ 

project period. Each entity approved for 

funding must have a user account in 

GrantSolutions in order to retrieve the 

NoA. Please see the Agency Contacts list 

in Section VII for the systems contact 

information. 

B. Approved but Unfunded 

Applications 

Approved applications not funded 

due to lack of available funds will be 

held for 1 year. If funding becomes 

available during the course of the year, 

the application may be reconsidered. 

Note: Any correspondence other than the 

official NoA executed by an IHS grants 

management official announcing to the 

project director that an award has been made 

to their organization is not an authorization 

to implement their program on behalf of the 

IHS. 

VI. Award Administration Information 

1. Administrative Requirements 

Awards issued under this 

announcement are subject to, and are 

administered in accordance with, the 

following regulations and policies: 

A. The Criteria as Outlined in This 

Program Announcement 

B. Administrative Regulations for Grants 

• Uniform Administrative 

Requirements, Cost Principles, and 

Audit Requirements for HHS Awards 

currently in effect or implemented 

during the period of award, other 

Department regulations and policies in 

effect at the time of award, and 

applicable statutory provisions. At the 

time of publication, this includes 45 

CFR part 75, at https://www.govinfo.gov/ 

content/pkg/CFR-2020-title45-vol1/pdf/ 

CFR-2020-title45-vol1-part75.pdf. 

• Please review all HHS regulatory 

provisions for Termination at 45 CFR 

75.372, at https://www.ecfr.gov/cgi-bin/ 

retrieveECFR?gp&SID=

2970eec67399fab1413ede53d7895

d99&mc=true&

n=pt45.1.75&r=PART&

ty=HTML&se45.1.75_

1372#se45.1.75_1372. 

C. Grants Policy 

• HHS Grants Policy Statement, 

Revised January 2007, at https://

www.hhs.gov/sites/default/files/grants/ 

grants/policies-regulations/ 

hhsgps107.pdf. 

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. 

F. As of August 13, 2020, 2 CFR 200 

was updated to include a prohibition on 

certain telecommunications and video 

surveillance services or equipment. This 

prohibition is described in 2 CFR 

200.216. This will also be described in 

the terms and conditions of every IHS 

grant and cooperative agreement 

awarded on or after August 13, 2020. 

2. Indirect Costs 

This section applies to all recipients 

that request reimbursement of IDC in 

their application budget. In accordance 

with HHS Grants Policy Statement, Part 

II–27, the IHS requires applicants to 

obtain a current IDC rate agreement, and 

submit it to the DGM prior to the DGM 

issuing an award. The rate agreement 

must be prepared in accordance with 

the applicable cost principles and 

guidance as provided by the cognizant 

agency or office. A current rate covers 

the applicable grant activities under the 

current award’s budget period. If the 

current rate agreement is not on file 

with the DGM at the time of award, the 

IDC portion of the budget will be 

restricted. The restrictions remain in 

place until the current rate agreement is 

provided to the DGM. 

Per 45 CFR 75.414(f) Indirect (F&A) 

costs, ‘‘any non-Federal entity (NFE) 

[i.e., applicant] that has never received 

a negotiated indirect cost rate, . . . may 

elect to charge a de minimis rate of 10 

percent of modified total direct costs 

which may be used indefinitely. As 

described in Section 75.403, costs must 

be consistently charged as either 

indirect or direct costs, but may not be 

double charged or inconsistently 

charged as both. If chosen, this 

methodology once elected must be used 

consistently for all Federal awards until 

such time as the NFE chooses to 

negotiate for a rate, which the NFE may 

apply to do at any time.’’ 

Electing to charge a de minimis rate 

of 10 percent only applies to applicants 

that have never received an approved 

negotiated indirect cost rate from HHS 

or another cognizant federal agency. 

Applicants awaiting approval of their 

indirect cost proposal may request the 

10 percent de minimis rate. When the 

applicant chooses this method, costs 

included in the indirect cost pool must 

not be charged as direct costs to the 

grant. 

Available funds are inclusive of direct 

and appropriate indirect costs. 

Approved indirect funds are awarded as 

part of the award amount, and no 

additional funds will be provided. 

Generally, IDC rates for IHS recipients 

are negotiated with the Division of Cost 

Allocation at https://rates.psc.gov/ or 

the Department of the Interior (Interior 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 22931 

Business Center) at https://ibc.doi.gov/ 

ICS/tribal. 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. 

3. 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 the 

imposition of special award provisions, 

and/or the non-funding or non-award of 

other eligible projects or activities. This 

requirement applies whether the 

delinquency is attributable to the failure 

of the awardee organization or the 

individual responsible for preparation 

of the reports. Per DGM policy, all 

reports must be submitted electronically 

by attaching them as a ‘‘Grant Note’’ in 

GrantSolutions. Personnel responsible 

for submitting reports will be required 

to obtain a login and password for 

GrantSolutions. Please 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 

semi-annually. The progress reports are 

due within 30 days after the reporting 

period ends (specific dates will be listed 

in the NoA Terms and Conditions). 

These reports must include a brief 

comparison of actual accomplishments 

to the goals established for the period, 

a summary of progress to date or, if 

applicable, provide sound justification 

for the lack of progress, and other 

pertinent information as required. A 

final report must be submitted within 90 

days of expiration of the period of 

performance. 

B. Financial Reports 

Federal Cash Transaction Reports are 

due 30 days after the close of every 

calendar quarter to the Payment 

Management Services at https://

pms.psc.gov. Failure to submit timely 

reports may result in adverse award 

actions blocking access to funds. 

Federal Financial Reports are due 30 

days after the end of each budget period, 

and a final report is due 90 days after 

the end of the Period of Performance. 

Recipients are responsible and 

accountable for reporting accurate 

information on all required reports: The 

Progress Reports, the Federal Cash 

Transaction Report, and the Federal 

Financial Report. 

C. Data Collection and Reporting 

The grantee will participate in 

periodic (not more frequently than 

monthly) web-based calls with the 

program office or designee and the other 

recipients to share their progress, 

experience, and tools and resource that 

might be useful for other recipients. The 

grantee will be expected to work with 

the program office to develop a driver 

diagram (an action-oriented logic 

model) that describes the 

comprehensive approach to care and 

services for persons living with 

dementia and their caregivers and 

identifies key performance metrics 

based on their evaluation plan. 

The grantee will be expected to share, 

on a semi-annual basis, the tools, 

resources, reports, and presentations 

produced that may support the 

development of programs by other 

Tribes, Tribal organizations, or Urban 

Indian health programs. 

D. Federal Sub-Award Reporting System 

(FSRS) 

This award may be subject to the 

Transparency Act sub-award and 

executive compensation reporting 

requirements of 2 CFR part 170. 

The Transparency Act requires the 

OMB to establish a single searchable 

database, accessible to the public, with 

information on financial assistance 

awards made by Federal agencies. The 

Transparency Act also includes a 

requirement for recipients of Federal 

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 threshold met for 

any specific reporting period. 

For the full IHS award term 

implementing this requirement and 

additional award applicability 

information, visit the DGM Grants 

Management website at https://

www.ihs.gov/dgm/policytopics/. 

E. Non-Discrimination Legal 

Requirements for Recipients of Federal 

Financial Assistance 

Should you successfully compete for 

an award, recipients of Federal financial 

assistance (FFA) from HHS must 

administer their programs in 

compliance with Federal civil rights 

laws that prohibit discrimination on the 

basis of race, color, national origin, 

disability, age and, in some 

circumstances, religion, conscience, and 

sex (including gender identity, sexual 

orientation, and pregnancy). This 

includes ensuring programs are 

accessible to persons with limited 

English proficiency and persons with 

disabilities. The HHS Office for Civil 

Rights provides guidance on complying 

with civil rights laws enforced by HHS. 

Please see https://www.hhs.gov/civilrights/for-providers/providerobligations/index.html and https://

www.hhs.gov/civil-rights/forindividuals/nondiscrimination/ 

index.html. 

• Recipients of FFA must ensure that 

their programs are accessible to persons 

with limited English proficiency. For 

guidance on meeting your legal 

obligation to take reasonable steps to 

ensure meaningful access to your 

programs or activities by limited English 

proficiency individuals, see https://

www.hhs.gov/civil-rights/forindividuals/special-topics/limitedenglish-proficiency/fact-sheet-guidance/ 

index.html and https://www.lep.gov. 

• For information on your specific 

legal obligations for serving qualified 

individuals with disabilities, including 

reasonable modifications and making 

services accessible to them, see https:// 

www.hhs.gov/civil-rights/forindividuals/disability/index.html. 

• HHS funded health and education 

programs must be administered in an 

environment free of sexual harassment. 

See https://www.hhs.gov/civil-rights/forindividuals/sex-discrimination/ 

index.html. 

• For guidance on administering your 

program in compliance with applicable 

Federal religious nondiscrimination 

laws and applicable Federal conscience 

protection and associated antidiscrimination laws, see https://

www.hhs.gov/conscience/conscienceprotections/index.html and https://

www.hhs.gov/conscience/religiousfreedom/index.html. 

F. Federal Awardee Performance and 

Integrity Information System (FAPIIS) 

The IHS is required to review and 

consider any information about the 

applicant that is in the FAPIIS, at 

https://www.fapiis.gov/fapiis/#/home 


khammond on DSKJM1Z7X2PROD with NOTICES
22932 Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 

before making any award in excess of 

the simplified acquisition threshold 

(currently $250,000) over the period of 

performance. An applicant may review 

and comment on any information about 

itself that a Federal awarding agency 

previously entered. The IHS will 

consider any comments by the 

applicant, in addition to other 

information in FAPIIS, in making a 

judgment about the applicant’s integrity, 

business ethics, and record of 

performance under Federal awards 

when completing the review of risk 

posed by applicants as described in 45 

CFR 75.205. 

As required by 45 CFR part 75 

appendix XII of the Uniform Guidance, 

NFEs are required to disclose in FAPIIS 

any information about criminal, civil, 

and administrative proceedings, and/or 

affirm that there is no new information 

to provide. This applies to NFEs that 

receive Federal awards (currently active 

grants, cooperative agreements, and 

procurement contracts) greater than 

$10,000,000 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, the IHS must require an NFE or an 

applicant for a Federal award to 

disclose, in a timely manner, in writing 

to the IHS or pass-through entity all 

violations of Federal criminal law 

involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 

All applicants and recipients must 

disclose in writing, in a timely manner, 

to the IHS and to the HHS Office of 

Inspector General all information 

related to violations of Federal criminal 

law involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 45 CFR 75.113. 

Disclosures must be sent in writing to: 

U.S. Department of Health and Human 

Services, Indian Health Service, 

Division of Grants Management, 

ATTN: Paul Gettys, Deputy 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: 

Paul.Gettys@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: 

https://oig.hhs.gov/fraud/reportfraud/ (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 

part 180 and 2 CFR part 376). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Dr. Marcy 

Ronyak, Director, DCCS, Office of 

Clinical and Preventive Services, 

Division of Clinical and Community 

Services, Indian Health Service, 5600 

Fishers Lane, Mailstop: 08N34–A, 

Rockville, MD 20857, Phone: (301) 443– 

6458, Fax: (301) 594–6213, Email: 

Marcella.Ronyak@ihs.gov. 

2. Questions on grants management 

and fiscal matters may be directed to: 

Donald Gooding, Grants Management 

Specialist, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (301) 443– 

2298, Email: Donald.Gooding@ihs.gov. 

3. Questions on systems matters may 

be directed to: Paul Gettys, Deputy 

Director, Division of Grants 

Management, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (301) 443– 

2114; or the DGM main line (301) 443– 

5204, Email: Paul.Gettys@ihs.gov. 

VIII. Other Information 

The Public Health Service strongly 

encourages all grant, cooperative 

agreement, and contract recipients to 

provide a smoke-free workplace and 

promote the non-use of all tobacco 

products. In addition, Public Law 103– 

227, the Pro-Children Act of 1994, 

prohibits smoking in certain facilities 

(or in some cases, any portion of the 

facility) in which regular or routine 

education, library, day care, health care, 

or early childhood development 

services are provided to children. This 

is consistent with the HHS mission to 

protect and advance the physical and 

mental health of the American people. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2022–08249 Filed 4–15–22; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Heart, Lung, and Blood 

Institute; Notice of Closed Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meetings. 

The meetings will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Heart, Lung, 

and Blood Institute Special Emphasis Panel; 

Phase II SBIR Topic 107. 

Date: May 24, 2022. 

Time: 9:30 a.m. to 11:30 a.m. 

Agenda: To review and evaluate contract 

proposals. 

Place: National Institutes of Health, 6705 

Rockledge Drive, Bethesda, MD 20817 

(Virtual Meeting). 

Contact Person: Rajiv Kumar, Ph.D., 

Branch Chief, Blood and Vascular Branch, 

Office of Scientific Review, National Heart, 

Lung and Blood Institute, National Institutes 

of Health, 6705 Rockledge Drive, Room 208– 

W, Bethesda, MD 20892, (301) 435–0270, 

rajiv.kumar@nih.gov. 

Name of Committee: National Heart, Lung, 

and Blood Institute Special Emphasis Panel; 

Systems Biology and Pulmonary Disease. 

Date: May 27, 2022. 

Time: 12:00 p.m. to 3:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 

Rockledge II, 6701 Rockledge Drive, 

Bethesda, MD 20892 (Virtual Meeting). 

Contact Person: Shelley S. Sehnert, Ph.D., 

Scientific Review Officer, Office of Scientific 

Review/DERA, National Heart, Lung, and 

Blood Institute, National Institutes of Health, 

6705 Rockledge Drive, Room 208–T, 

Bethesda, MD 20892–7924, (301) 827–7984, 

ssehnert@nhlbi.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.233, National Center for 

Sleep Disorders Research; 93.837, Heart and 

Vascular Diseases Research; 93.838, Lung 

Diseases Research; 93.839, Blood Diseases 

and Resources Research, National Institutes 

of Health, HHS) 

Dated: April 12, 2022. 

David W. Freeman, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2022–08202 Filed 4–15–22; 8:45 am] 

BILLING CODE 4140–01–P 


khammond on DSKJM1Z7X2PROD with NOTICES