42184 Federal Register / Vol. 87, No. 134 / Thursday, July 14, 2022 / Notices 

1There may be variation in the number of study 

participants and home visiting programs in each 

community (e.g., some selected communities may 

have fewer home visitors). The total burden hours 

presented here provide information assuming the 

maximum number of respondents in each 

community. 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. Compared to the versions 

submitted for the 60-day approval 

process in March, estimated burden 

hours have increased as a result of 

implementing the feedback provided in 

public comments during the 60-day 

comment period and pre-testing data 

collection protocols. The total annual 

burden hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS 1

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

Community Interview Protocol ............................................. 60 1 60 1.50 90 

Family and Community Focus Group Guide ....................... 240 1 240 2.00 480 

Community and Home Visitor Survey Instrument ............... 500 1 500 0.75 375 

Program Data ....................................................................... 15 1 15 10.00 150 

Total .............................................................................. 815 ........................ 815 ........................ 1095 

HRSA specifically requests comments 

on (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions, (2) the accuracy of the 

estimated burden, (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2022–15082 Filed 7–13–22; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Tribal Self-Governance Negotiation 

Cooperative Agreement Program 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2022–IHS–TSGN–0002. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.444. 

Key Dates 

Application Deadline Date: August 

31, 2022. 

Earliest Anticipated Start Date: 

September 30, 2022. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for Negotiation 

Cooperative Agreements for the Tribal 

Self-Governance Program (TSGP). This 

program is authorized under the Snyder 

Act, 25 U.S.C. 13; the Transfer Act, 42 

U.S.C. 2001(a); and Title V of the Indian 

Self-Determination and Education 

Assistance Act (ISDEAA), 25 U.S.C. 

5383(e). This program is described in 

the Assistance Listings located at 

https://sam.gov/content/home (formerly 

known as Catalog of Federal Domestic 

Assistance) under 93.444. 

Background 

The TSGP is more than an IHS 

program; it is an expression of the 

government-to-government relationship 

between the United States (U.S.) and 

Indian Tribes. Through the TSGP, 

Tribes negotiate with the IHS to assume 

Programs, Services, Functions, and 

Activities (PSFAs), or portions thereof, 

which gives Tribes the authority to 

manage and tailor health care programs 

in a manner that best fits the needs of 

their communities. 

Participation in the TSGP affords 

Tribes the most flexibility to tailor their 

health care needs by choosing one of 

three ways to obtain health care from 

the Federal Government for their 

citizens. Specifically, Tribes can choose 

to: (1) receive health care services 

directly from the IHS; (2) contract with 

the IHS to administer individual 

programs and services the IHS would 

otherwise provide (referred to as Title I 

Self-Determination Contracting); and (3) 

compact with the IHS to assume control 

over health care programs the IHS 

would otherwise provide (referred to as 

Title V Self-Governance Compacting or 

the TSGP). These options are not 

exclusive and Tribes may choose to 

combine options based on their 

individual needs and circumstances. 

The TSGP is a tribally-driven 

initiative and strong Federal-Tribal 

partnerships are essential to the 

program’s success. The IHS established 

the Office of Tribal Self-Governance 

(OTSG) to implement the Tribal SelfGovernance authorities under the 

ISDEAA. The primary OTSG functions 

are to: (1) serve as the primary liaison 

and advocate for Tribes participating in 

the TSGP; (2) develop, direct, and 

implement TSGP policies and 

procedures; (3) provide information and 

technical assistance to Self-Governance 

Tribes; and (4) advise the IHS Director 

on compliance with TSGP policies, 

regulations, and guidelines. Each IHS 

Area has an Agency Lead Negotiator 

(ALN), designated by the IHS Director to 

act on his or her behalf, who has 

authority to negotiate Self-Governance 

Compacts and Funding Agreements 

(FA). Tribes interested in participating 

in the TSGP should contact their 

respective ALN to begin the SelfGovernance planning and negotiation 

process. Tribes currently participating 

in the TSGP that are interested in 

expanding existing or adding new 

PSFAs should also contact their 

respective ALN to discuss the best 

methods for expanding or adding new 

PSFAs. 

Purpose 

The purpose of this Negotiation 

Cooperative Agreement is to provide 

Tribes with resources to help defray the 

costs associated with preparing for and 

engaging in TSGP negotiations. TSGP 

negotiations are a dynamic, evolving, 

and tribally-driven process that requires 

careful planning, preparation, and 

sharing of precise, up-to-date 

information by both Tribal and Federal 

parties. Because each Tribal situation is 

unique, a Tribe’s successful transition 


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into the TSGP, or expansion of their 

current program, requires focused 

discussions between the Federal and 

Tribal negotiation teams about the 

Tribe’s specific health care concerns 

and plans. One of the hallmarks of the 

TSGP is the collaborative nature of the 

negotiations process, which is designed 

to: (1) enable a Tribe to set its own 

priorities when assuming responsibility 

for IHS PSFAs; (2) observe and respect 

the government-to-government 

relationship between the U.S. and each 

Tribe; and (3) involve the active 

participation of both Tribal and IHS 

representatives, including the OTSG. 

Negotiations are a method of 

determining and agreeing upon the 

terms and provisions of a Tribe’s 

Compact and FA, the implementation 

documents required for the Tribe to 

enter into the TSGP. The Compact sets 

forth the general terms of the 

government-to-government relationship 

between the Tribe and the Secretary of 

the U.S. Department of Health and 

Human Services (HHS). The FA: (1) 

describes the length of the agreement 

(whether it will be annual or multiyear); (2) identifies the PSFAs, or 

portions thereof, the Tribe will assume; 

(3) specifies the amount of funding 

associated with the Tribal assumption; 

and (4) includes terms required by 

Federal statutes and other terms agreed 

to by the parties. Both documents are 

required to participate in the TSGP and 

they are mutually negotiated agreements 

that become legally binding and 

mutually enforceable after both parties 

sign the documents. Either document 

can be renegotiated at the request of the 

Tribe. 

The negotiation process has four 

major stages, including: (1) planning; (2) 

pre-negotiations; (3) negotiations; and 

(4) post-negotiations. Title V of the 

ISDEAA requires that a Tribe or Tribal 

Organization (T/TO) complete a 

planning phase to the satisfaction of the 

Tribe. The planning phase must include 

legal and budgetary research and 

internal Tribal government planning 

and organizational preparation relating 

to the administration of health care 

programs. See 25 U.S.C. 5383(d). The 

planning phase is critical to the 

negotiation process and assists Tribes 

with making informed decisions about 

which PSFAs to assume and what 

organizational changes or modifications 

are necessary to support those PSFAs. A 

thorough planning phase improves 

timeliness and efficient negotiations and 

ensures that the Tribe is fully prepared 

to assume the transfer of IHS PSFAs to 

the Tribal health program. 

During pre-negotiations, the Tribal 

and Federal negotiation teams review 

and discuss issues identified during the 

planning phase. Pre-negotiations 

provide an opportunity for the Tribe 

and the IHS to identify and discuss 

issues directly related to the Tribe’s 

Compact, FA, and Tribal shares. 

In advance of final negotiations, the 

Tribe should work with the IHS to 

secure the following: (1) program titles 

and descriptions; (2) financial tables 

and information; (3) information related 

to the identification and justification of 

residuals; and (4) the basis for 

determining Tribal shares (distribution 

formula). The Tribe may also wish to 

discuss financial materials that show 

estimated funding for next year and the 

increases or decreases in funding it may 

receive in the current year, as well as 

the basis for those changes. 

During the final negotiation, both the 

Federal and Tribal negotiation teams 

work together in good faith to determine 

and agree upon the terms and 

provisions of the Tribe’s Compact and 

FA. Negotiations are not an allocation 

process; they provide an opportunity to 

mutually review and discuss budget and 

program issues to reach agreement and 

finalize documents. 

There are various entities involved 

throughout the negotiation process. For 

example, a Tribal government selects its 

representative(s) for the Tribal 

negotiation team, which may include a 

Tribal leader from the governing body, 

a Tribal health director, technical and 

program staff, legal counsel, and other 

consultants. Regardless of the 

composition of the Tribal team, Tribal 

representatives must have decisionmaking authority from the Tribal 

governing body to successfully negotiate 

and agree to the provisions within the 

agreements. The Federal negotiation 

team is led by the ALN and may include 

area and headquarters subject matter 

experts, OTSG staff, the Office of 

Finance and Accounting, and the Office 

of the General Counsel. The ALN is the 

only member of the Federal negotiation 

team with delegated authority to 

negotiate on behalf of the IHS Director. 

The ALN is the designated official that 

provides Tribes with Self-Governance 

information, assists Tribes in planning, 

organizes meetings between the Tribe 

and the IHS, and coordinates the 

agency’s response to Tribal questions 

during the negotiation process. 

The ALN role requires detailed 

knowledge of the IHS, awareness of 

current policy and practice, and 

understanding of the rights and 

authorities available to a Tribe under 

Title V of the ISDEAA. 

In post-negotiations, the mutually 

agreed to and negotiated Compact and 

FA are signed by the authorizing Tribal 

official and submitted to the OTSG in 

preparation for the IHS Director’s 

signature. Once the Compact and FA 

have been signed by both parties, they 

become legally binding and enforceable 

agreements. A signed Compact and FA 

are necessary for the payment process to 

begin. The negotiating Tribe then 

becomes a ‘‘Self-Governance Tribe’’ and 

a participant in the TSGP. 

Acquiring a Negotiation Cooperative 

Agreement is not a prerequisite to enter 

the TSGP. A Tribe may use other 

resources to develop and negotiate its 

Compact and FA. See 42 CFR 137.26. 

Tribes that receive a Negotiation 

Cooperative Agreement are not 

obligated to participate in Title V and 

may choose to delay or decline 

participation or expansion in the TSGP. 

II. Award Information 

Funding Instrument—Cooperative 

Agreement 

Estimated Funds Available 

The total funding identified for fiscal 

year (FY) 2022 is approximately 

$420,000. Individual award amounts are 

anticipated to be $84,000. The funding 

available for competing 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 1 

year. 

Cooperative Agreement 

Cooperative agreements awarded by 

the 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. Provide descriptions of PSFAs and 

associated funding at all organizational 

levels (Service Unit, Area, and 

Headquarters) including funding 

formulas and methodologies related to 

determining Tribal shares. 

B. Meet with Negotiation Cooperative 

Agreement recipients to provide 

program information and discuss 


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methods currently used to manage and 

deliver health care. 

C. Identify and provide statutes, 

regulations, and policies that provide 

authority for administering IHS 

programs. 

D. Provide technical assistance on the 

IHS budget, Tribal shares, and other 

topics as needed. 

III. Eligibility Information 

1. Eligibility 

To be eligible for this opportunity, 

applicant must meet the following 

criteria: 

• Applicant must be an ‘‘Indian 

Tribe’’ as defined in 25 U.S.C. 5304(e); 

a ‘‘Tribal Organization’’ as defined in 25 

U.S.C. 5304(l); or an ‘‘Inter-Tribal 

Consortium’’ as defined at 42 CFR 

137.10. Please note that Tribes 

prohibited from contracting pursuant to 

the ISDEAA are not eligible. See section 

424(a) of the Consolidated 

Appropriations Act, 2014, Public Law 

113–76, as amended by section 428 of 

the Consolidated Appropriations Act, 

2018, Public Law 115–141, and section 

1201 of the Consolidated 

Appropriations Act, 2021, Public Law 

116–260. 

• Pursuant to 25 U.S.C. 5383(c)(1)(B), 

applicant must request participation in 

self-governance by resolution or other 

official action by the governing body of 

each Indian Tribe to be served. 

• Pursuant to 25 U.S.C. 5383(c)(1)(C), 

applicant must demonstrate financial 

stability and financial management 

capability for 3 fiscal years. 

Please see Section IV.2, Application 

and Submission Information, Content 

and Form Application Submission for 

details on required documentation. 

Meeting the eligibility criteria for a 

Negotiation Cooperative Agreement 

does not mean that a T/TO is eligible for 

participation in the IHS TSGP under 

Title V of the ISDEAA. See 25 U.S.C. 

5383, 42 CFR 137.15–23. For additional 

information on the eligibility for the IHS 

TSGP, please visit the ‘‘Eligibility and 

Funding’’ page on the OTSG website 

located at https://www.ihs.gov/ 

SelfGovernance. 

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 nonprofit 

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. 

Additional Required Documentation 

Tribal Resolution 

The DGM must receive an official, 

signed Tribal Resolution prior to issuing 

a Notice of Award (NoA) to any Tribe 

or Tribal organization selected for 

funding. An applicant that is proposing 

a project affecting another Indian Tribe 

must include resolutions from all 

affected Tribes to be served. However, if 

an official signed Tribal Resolution 

cannot be submitted with the 

application prior to the application 

deadline date, a draft Tribal Resolution 

must be submitted with the application 

by the deadline date in order for the 

application to be considered complete 

and eligible for review. The draft Tribal 

Resolution is not in lieu of the required 

signed resolution but is acceptable until 

a signed resolution is received. If an 

application without a signed Tribal 

Resolution is selected for funding, the 

applicant will be contacted by the 

Grants Management Specialist (GMS) 

listed in this funding announcement 

and given 90 days to submit an official, 

signed Tribal Resolution to the GMS. If 

the signed Tribal Resolution is not 

received within 90 days, the award will 

be forfeited. 

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: 

• Application forms: 

1. SF–424, Application for Federal 

Assistance. 

2. SF–424A, Budget Information— 

Non-Construction Programs. 

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

4. Project Abstract Summary form. 

• Project Narrative (not to exceed 10 

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

Narrative for instructions. 

• 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), which must 

explicitly authorize participation in a 

Self-Governance Negotiation 

Cooperative Agreement. 

• Letters of Support from 

organization’s Board of Directors 

(Optional). 

• 501(c)(3) Certificate. 

• 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 rate (IDC) agreement (required in 

order to receive IDC). 

• Organizational Chart (optional). 

• Documentation sufficient to 

demonstrate financial stability and 

financial management capability for 3 

fiscal years. The Indian Tribe must 

provide evidence that, for the 3 fiscal 

years prior to requesting participation in 

the TSGP, the Indian Tribe has had no 

uncorrected significant and material 

audit exceptions in the required annual 

audit of the Indian Tribe’s SelfDetermination Contracts or SelfGovernance Funding Agreements with 

any Federal agency. See 25 U.S.C. 5383, 

42 CFR 137.15–23. For Tribes or Tribal 

organizations (T/TO) that expended 

$500,000 or more in Federal awards, the 

OTSG shall retrieve the audits directly 

from the Federal Audit Clearinghouse. 

For T/TO that expended less than 

$500,000 in Federal awards, the T/TO 

must provide evidence of the program 

review correspondence from the IHS or 

Bureau of Indian Affairs officials. See 42 

CFR 137.21–23. 

• 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://harvester.census.gov/ 

facdissem/Main.aspx. 


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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; (3) be 

single-spaced; and 4) be formatted to fit 

standard letter paper (8–1/2 × 11 

inches). Do not combine this document 

with any others. 

Be sure to succinctly answer all 

questions listed under the evaluation 

criteria (refer to Section V.1, Evaluation 

Criteria) and place all responses and 

required information in the correct 

section noted below or they will not be 

considered or scored. If the narrative 

exceeds the overall page limit, the 

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 appendix items. Page limits for 

each section within the project narrative 

are guidelines, not hard limits. 

There are three parts to the narrative: 

Part 1—Program Information; Part 2— 

Program Planning and Evaluation; and 

Part 3—Program Report. 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: Introduction and Need for 

Assistance 

Demonstrate that the Tribe has 

conducted previous Self-Governance 

planning activities by clearly stating the 

results of what was learned during the 

planning process. Explain how the Tribe 

has determined it has the knowledge 

and expertise to assume or expand 

PSFAs and the administrative 

infrastructure to support the assumption 

of PSFAs. Identify the need for 

assistance and how the Negotiation 

Cooperative Agreement would benefit 

the health activities the Tribe is 

preparing to assume or expand. 

Part 2: Program Planning and Evaluation 

(Limit—4 Pages) 

Section 1: Project Objective(s), Work 

Plan, and Approach 

State in measureable terms the 

objectives and appropriate activities to 

achieve the following Negotiation 

Cooperative Agreement recipient award 

activities: 

(A) Determine the PSFAs that will be 

negotiated into the Tribe’s Compact and 

FA. Prepare and discuss each PSFA in 

comparison to the current level of 

services provided so that an informed 

decision can be made on new or 

expanded program assumption. 

(B) Identify Tribal shares associated 

with the PSFAs that will be included in 

the FA. 

(C) Develop the terms and conditions 

that will be set forth in both the 

Compact and FA to submit to the ALN 

prior to negotiations. 

Describe fully and clearly how the 

Tribe’s proposal will result in an 

improved approach to managing the 

PSFAs to be assumed or expanded. 

Include how the Tribe plans to 

demonstrate improved health services to 

the community and incorporate the 

proposed timelines for negotiations. 

Section 2: Organizational Capabilities, 

Key Personnel, and Qualifications 

Describe the organizational structure 

of the Tribe and its ability to manage the 

proposed project. Include resumes or 

position descriptions of key staff 

showing requisite experience and 

expertise. If applicable, include resumes 

and scope of work for consultants that 

demonstrate experience and expertise 

relevant to the project. 

Section 3: Program Evaluation 

Describe fully and clearly how the 

goals and proposed activities will 

improve the health care system and 

identify the anticipated or expected 

benefits for the Tribe. Define the criteria 

to be used to evaluate objectives 

associated with the project using a 

model for tracking. 

Part 3: Program Report (Limit—2 Pages) 

Section 1: Describe your 

organization’s significant program 

activities and accomplishments over the 

past several years associated with the 

goals of this announcement and leading 

up to the negotiation phase. 

Please identify and describe 

significant program activities and 

achievements associated with the 

delivery of quality health services. 

Provide a comparison of the actual 

accomplishments to the goals 

established for the project period or, if 

applicable, provide justification for the 

lack of progress. 

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 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. 

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 not allowable. 

• 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 you cannot submit an application 

through Grants.gov, you must request a 


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waiver prior to the application due date. 

This contact must be initiated prior to 

the application due date or your waiver 

request will be denied. Prior approval 

must be requested and obtained from 

Mr. Paul Gettys, Deputy Director, DGM. 

You must send a written waiver request 

to GrantsPolicy@ihs.gov with a copy to 

Paul.Gettys@ihs.gov. The waiver request 

must be documented in writing (emails 

are acceptable) before submitting an 

application by some other method, and 

must include clear justification for the 

need to deviate from the required 

application submission process. 

If the DGM approves your waiver 

request, you will receive a confirmation 

of approval email containing 

submission instructions. You must 

include a copy of the written approval 

with the application submitted to the 

DGM. Applications that do not include 

a copy of the signed waiver from the 

Deputy 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 you that the 

application has been received. 

System for Award Management (SAM) 

Organizations that are not registered 

with SAM must access the SAM online 

registration through the SAM home page 

at https://sam.gov. United States (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. 

Unique Entity Identifier 

Your SAM.gov registration now 

includes a Unique Entity Identifier 

(UEI), generated by SAM.gov, which 

replaces the DUNS number obtained 

from Dun and Bradstreet. SAM.gov 

registration no longer requires a DUNS 

number. 

Check your organization’s SAM.gov 

registration as soon as you decide to 

apply for this program. If your SAM.gov 

registration is expired, you will not be 

able to submit an application. It can take 

several weeks to renew it or resolve any 

issues with your registration, so do not 

wait. 

Check your Grants.gov registration. 

Registration and role assignments in 

Grants.gov are self-serve functions. One 

user for your organization will have the 

authority to approve role assignments, 

and these must be approved for active 

users in order to ensure someone in 

your organization has the necessary 

access to submit an application. 

The Federal Funding Accountability 

and Transparency Act of 2006, as 

amended (‘‘Transparency Act’’), 

requires all HHS awardees to report 

information on sub-awards. 

Accordingly, all IHS awardees must 

notify potential first-tier sub-awardees 

that no entity may receive a first-tier 

sub-award unless the entity has 

provided its UEI number to the prime 

awardee organization. This requirement 

ensures the use of a universal identifier 

to enhance the quality of information 

available to the public pursuant to the 

Transparency Act. 

Additional information on 

implementing the Transparency Act, 

including the specific requirements for 

SAM, are available on the DGM Grants 

Management, Policy Topics web page at 

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 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 project 

narrative. 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 

(25 Points) 

Demonstrate that the Tribe has 

conducted previous Self-Governance 

planning activities by clearly stating the 

results of what was learned during the 

planning process. Explain how the Tribe 

has determined it has the knowledge 

and expertise to assume or expand 

PSFAs and the administrative 

infrastructure to support the assumption 

of PSFAs. Identify the need for 

assistance and how the Negotiation 

Cooperative Agreement would benefit 

the health activities the Tribe is 

preparing to assume or expand. 

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

Approach (25 Points) 

State in measurable terms the 

objectives and appropriate activities to 

achieve the following Negotiation 

Cooperative Agreement recipient award 

activities: 

(1) Determine the PSFAs that will be 

negotiated into the Tribe’s Compact and 

FA. Prepare and discuss each PSFA in 

comparison to the level of services 

provided so that an informed decision 

can be made on new or expanded 

program assumption. 

(2) Identify Tribal shares associated 

with the PSFAs that will be included in 

the FA. 

(3) Develop the terms and conditions 

that will be set forth in both the 

Compact and FA to submit to the ALN 

prior to negotiations. Clearly describe 

how the Tribe’s proposal will result in 

an improved approach to managing the 

PSFAs to be assumed or expanded. 

Include how the Tribe plans to 

demonstrate improved health care 

services to the community and 

incorporate the proposed timelines for 

negotiations. 


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C. Program Evaluation (25 Points) 

Describe fully the improvements that 

will be made by the Tribe to manage the 

health care system and identify the 

anticipated or expected benefits for the 

Tribe. Define the criteria to be used to 

evaluate objectives associated with the 

project and how they will be measured. 

D. Organizational Capabilities, Key 

Personnel, and Qualifications (15 

Points) 

Describe the organizational structure 

of the Tribe and its ability to manage the 

proposed project. Include resumes or 

position descriptions of key staff 

showing requisite experience and 

expertise. If applicable, include resumes 

and scope of work for consultants that 

demonstrate experience and expertise 

relevant to the project. 

E. Categorical Budget and Budget 

Justification (10 Points) 

Submit a budget with a narrative 

describing the budget request and 

matching the scope of work described in 

the project narrative. Justify all 

expenditures identifying reasonable and 

allowable costs necessary to accomplish 

the goals and objectives as outlined in 

the project 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, period of 

performance limit) will not be referred 

to the ORC and will not be funded. The 

applicant will be notified by the 

program office 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 OTSG 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, the budget period, 

and period of performance. Each entity 

approved for funding must have a user 

account in GrantSolutions in order to 

retrieve the NoA. Please see the Agency 

Contacts list in Section VII for the 

systems contact information. 

B. Approved but Unfunded 

Applications 

Approved applications not funded 

due to lack of available funds will be 

held for 1 year. If funding becomes 

available during the course of the year, 

the application may be reconsidered. 

Note: Any correspondence, other than 

the official NoA executed by an IHS 

grants management official announcing 

to the project director that an award has 

been made to their organization, is not 

an authorization to implement their 

program on behalf of the IHS. 

VI. Award Administration Information 

1. Administrative Requirements 

Awards issued under this 

announcement are subject to, and are 

administered in accordance with, the 

following regulations and policies: 

A. The criteria as outlined in this 

program announcement. 

B. Administrative Regulations for 

Grants: 

• 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=

2970eec67399fab1413

ede53d7895d99&mc=true&

amp;n=pt45.1.75&r=PART&

amp;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,’’ at 45 CFR part 75 subpart 

E. 

E. Audit Requirements: 

• Uniform Administrative 

Requirements for HHS Awards, ‘‘Audit 

Requirements,’’ 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 


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42190 Federal Register / Vol. 87, No. 134 / Thursday, July 14, 2022 / Notices 

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 awardees 

are negotiated with the Division of Cost 

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

the Department of the Interior (Interior 

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 awardee 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 report is 

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 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. 

Awardees are responsible and 

accountable for reporting accurate 

information 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. 

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/. 

D. Non-Discrimination Legal

Requirements for Awardees 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. 

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 FAPIIS at 

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

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 


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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 of all information 

related to violations of Federal criminal 

law involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 45 CFR 75.113. 

Disclosures must be sent in writing to: 

U.S. Department of Health and 

Human Services, Indian Health Service, 

Division of Grants Management, ATTN: 

Marsha Brookins, Director, 5600 Fishers 

Lane, Mail Stop: 09E70, Rockville, MD 

20857, (Include ‘‘Mandatory Grant 

Disclosures’’ in subject line), Office: 

(301) 443–5204, Fax: (301) 594–0899, 

Email: DGM@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/ 

report-fraud/, (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 2 CFR part 376). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Roxanne 

Houston, Program Officer, Indian Health 

Service, Office of Tribal SelfGovernance, 5600 Fishers Lane, Mail 

Stop: 08E09B, Rockville, MD 20857, 

Phone: (301) 443–7821, Email: 

Roxanne.Houston@ihs.gov, Website: 

https://www.ihs.gov/SelfGovernance/. 

2. Questions on grants management 

and fiscal matters may be directed to: 

Sheila Little Miller, Grants Management 

Specialist, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (240) 535– 

9308, Email: Sheila.Miller@ihs.gov. 

3. Questions on systems matters may 

be directed to: Paul Gettys, Deputy 

Director, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

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

2114, 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. 2022–15074 Filed 7–13–22; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Tribal Self-Governance Planning 

Cooperative Agreement Program 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2022–IHS–TSGP–0002. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.444. 

Key Dates 

Application Deadline Date: August 

31, 2022. 

Earliest Anticipated Start Date: 

September 30, 2022. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for Planning 

Cooperative Agreements for the Tribal 

Self-Governance Program (TSGP). This 

program is authorized under the Snyder 

Act, 25 U.S.C. 13; the Transfer Act, 42 

U.S.C. 2001(a); and Title V of the Indian 

Self-Determination and Education 

Assistance Act (ISDEAA), 25 U.S.C. 

5383(e). This program is described in 

the Assistance Listings located at 

https://sam.gov/content/home (formerly 

known as Catalog of Federal Domestic 

Assistance) under 93.444. 

Background 

The TSGP is more than an IHS 

program; it is an expression of the 

Government-to-Government 

relationship between the United States 

(U.S.) and Indian Tribes. Through the 

TSGP Tribes negotiate with the IHS to 

assume Programs, Services, Functions, 

and Activities (PSFAs), or portions 

thereof, which gives Tribes the authority 

to manage and tailor health care 

programs in a manner that best fits the 

needs of their communities. 

Participation in the TSGP affords 

Tribes the most flexibility to tailor their 

health care needs by choosing one of 

three ways to obtain health care from 

the Federal government for their 

citizens. Specifically, Tribes can choose 

to: (1) receive health care services 

directly from the IHS; (2) contract with 

the IHS to administer individual 

programs and services the IHS would 

otherwise provide (referred to as Title I 

Self-Determination Contracting); and (3) 

compact with the IHS to assume control 

over health care programs the IHS 

would otherwise provide (referred to as 

Title V Self-Governance Compacting or 

the TSGP). These options are not 

exclusive and Tribes may choose to 

combine options based on their 

individual needs and circumstances. 

The TSGP is a tribally-driven 

initiative and strong Federal-Tribal 

partnerships are essential to the 

program’s success. The IHS established 

the Office of Tribal Self-Governance 

(OTSG) to implement the SelfGovernance authorities under the 

ISDEAA. The primary OTSG functions 

are to: (1) serve as the primary liaison 

and advocate for Tribes participating in 

the TSGP; (2) develop, direct, and 

implement TSGP policies and 

procedures; (3) provide information and 

technical assistance to Self-Governance 

Tribes; and (4) advise the IHS Director 

on compliance with TSGP policies, 

regulations, and guidelines. Each IHS 

Area has an Agency Lead Negotiator 


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