Federal Register / Vol. 74, No. 95 / Tuesday, May 19, 2009 / Notices 23415 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10169] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(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. 

1. Type of Information Collection 

Request: Revised collection; Title of 

Information Collection: Round 1 Rebid 

and Disclosure of Subcontracting 

Relationships for the Durable Medical 

Equipment, Prosthetics, Orthotics, and 

Supplies (DMEPOS) Competitive 

Bidding Program; Use: The Centers for 

Medicare and Medicaid Services (CMS) 

will conduct competitive bidding 

programs in which certain suppliers 

will be awarded contracts to provide 

competitively bid DMEPOS items to 

Medicare beneficiaries in a competitive 

bidding area (CBA). CMS conducted its 

first round of bidding in 2007 which 

was implemented on July 1, 2008. The 

first round of bidding was subsequently 

delayed by section 154 of the Medicare 

Improvements for Patients and 

Providers Act of 2008 (MIPPA). MIPPA 

mandates certain changes to the 

competitive bidding program which 

include, but are not limited to: a delay 

of Rounds 1 (bidding to begin in 2009) 

and 2 of the program (bidding to begin 

in 2011); the exclusion of Puerto Rico 

and negative pressure wound therapy 

(NPWT) from Round 1 and group 3 

complex rehabilitative power 

wheelchairs from all rounds of 

competition; a process for providing 

feedback to suppliers regarding missing 

financial documentation; and a 

requirement for contract suppliers to 

disclose to CMS information regarding 

subcontracting relationships. 

For the 2009 round of competitive 

bidding, also known as the Round 1 

Rebid, CMS will publish a slightly 

modified version of the Request For 

Bids (RFB) instructions and 

accompanying forms so that suppliers 

will be better able to identify and 

understand the requirements to submit 

a bid in the competitive bidding 

program. We have also modified the 

format of some of these documents to 

make them more reader-friendly and 

help ease the burden of bid submission. 

Additionally, for suppliers that are 

awarded a contract, CMS will collect 

information on contract supplier 

subcontracting relationships. Suppliers 

entering into a contract with CMS must 

disclose information on each 

subcontracting arrangement that the 

supplier has to furnish items and 

services under the contract and whether 

each subcontractor meets the 

accreditation requirements. The purpose 

of collecting this information is to 

comply with the disclosure requirement 

on subcontractors in section 154 of 

MIPPA. Form Number: CMS–10169 

(OMB#: 0938–1016); Frequency: 

Reporting—Every three years; Affected 

Public: Business or other for-profit, Notfor-profit institutions; Number of 

Respondents: 6,900; Total Annual 

Responses: 6,900; Total Annual Hours: 

442,600. (For policy questions regarding 

this collection contact Walter 

Rutemueller at 410–786–5395. For all 

other issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on June 18, 2009. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer. Fax Number: (202) 395– 

6974. E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: May 12, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–11629 Filed 5–14–09; 4:15 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

[Funding Opportunity Number: HHS–2009– 

IHS–CYP–0001] 

Office of Clinical and Preventive 

Services; Children and Youth Projects; 

Announcement Type: New Cooperative 

Agreement CFDA Number: 93.933 

Key Dates: 

Letter of Intent Deadline: May 28, 2009. 

Application Receipt Deadline: June 25, 

2009. 

Anticipated Application Review Date: 

July 22–24, 2009. 

Application Notification: August 3–12, 

2009. 

Earliest Anticipated Start Date: 

September 16, 2009. 

I. Funding Opportunity Description 

The Indian Health Service (IHS) 

announces a full competition for 

cooperative agreements for Children and 

Youth Projects (CYP) established to 

assist Federally-recognized Tribes, 

Tribal organizations and urban Indian 

organizations serving American Indian 

and Alaska Native (AI/AN) children and 

youth. These cooperative agreements are 

established under the authority of the 

Indian Health Care Improvement Act, 25 

U.S.C. 1621(o), and Section 301(a) of the 

Public Health Service Act, as amended. 

This program is described at 93.933 in 

the Catalog of Federal Domestic 

Assistance. In 2003, and again in 2006, 

the IHS, Office of the Director provided 

up to three years of support for the 

Child and Youth Health Initiative 

(CYHI) and CYP respectively. Twentythree programs in rural, remote and 

urban AI/AN communities were 

awarded with additional funding 

support from the Administration for 

Native Americans (ANA) partnership in 

the first project period and eleven 

projects in the second project period. 

These community projects characterized 

varied approaches to promoting the 

health and well-being of AI/AN youth. 

The current announcement seeks to 

expand the reach into new communities 

and/or enhance existing programs. 

The purpose of the CYP is to assist 

Federally recognized Tribes, Tribal 

organizations and urban Indian 

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23416 Federal Register / Vol. 74, No. 95 / Tuesday, May 19, 2009 / Notices 

organizations in promoting healthy 

practices for AI/AN school age children 

in community settings. This will be 

accomplished through community 

designed public health approaches in 

community, school and afterschool 

settings. The Maternal and Child Health 

(MCH) Program has determined that 

cooperative agreements are the funding 

mechanism best suited for the projects 

to achieve agency and MCH 

programmatic goals. 

The IHS MCH Program goals are: (1) 

To support a mind/body/spirit context 

of well-being for AI/AN children and 

youth in settings with their peers; (2) to 

promote age-appropriate healthy 

nutrition and food choices; (3) to 

emphasize cardiovascular fitness and 

age-appropriate healthy weight status; 

and (4) to promote age-appropriate 

developmental and social skills for 

optimal child and adolescent mental 

health. Program goals additionally seek 

to promote academic success. MCH 

Program goals encourage support of 

group and peer activities that are 

informed by local culture and 

traditional knowledge. Program goals 

emphasize activities conducted in 

appropriate settings and safe 

environments. Native language and the 

fostering of intergenerational 

relationships are considered to be part 

of program development and 

enhancement. The MCH programmatic 

goals align with the ‘‘Healthy People 

2010’’ goals and sub-objectives for 

children and youth. Goals specific to the 

2009 Child and Youth Projects are as 

follows: 

A. Newly funded projects will 

demonstrate quality process, impact and 

outcome data within two years of initial 

start-up. 

B. Established and or previously 

funded projects (those with at least two 

years of documented project evaluation 

data) will demonstrate, within two years 

of this funding, how data is being used 

for developing or refining direct 

services, public health approaches, 

school-linked activities and/or policies 

addressing children and youth. 

C. Project activities must include 

school age children and youth (5 to 19 

years of age) specific community 

services in one or more settings 

including, for example: Summer 

programs, camps, seasonal activities, 

before and after school programs, 

school-linked activities and cliniclinked activities with a community 

outreach focus. 

D. Projects that link health activities 

and foster native language; the 

imparting of traditional cultural values 

and practices; parent and family 

involvement; and intergenerational and 

peer mentoring are encouraged. 

E. Projects designed to change health 

behaviors by modifying the 

environment and/or implementing/ 

enforcing policies and procedures are 

encouraged. 

Projects will be funded in one of three 

categories. Community capacity, size of 

the target population, and project reach 

and complexity vary. Funds will be 

made available for small projects to be 

funded at $25,000, for medium projects 

to be funded at $50,000, and for larger 

projects to be funded at $75,000 per year 

for up to a total of five years. 

Note: For any current CYP grantees under 

separate awards that wish to apply for this 

funding period, September 16, 2009– 

September 15, 2014, grantee must not have 

overlapping award dates. If a funding date 

overlaps, grantee must terminate from 

current awards or have the newly funded 

grant amount reduced to avoid dual funding. 

This announcement applies to new and 

existing applicants. For additional 

information or clarification, please contact 

Ms. Michelle Bulls, Grants Policy Officer at 

(301) 443–6528. 

II. Award Information 

Type of Awards: Cooperative 

Agreement (CA). 

Estimated Funds Available: The total 

amount identified for fiscal year (FY) 

2009 is approximately $600,000. The 

awards are for 60 months in duration. 

The average award for Category I is 

approximately $25,000. The average 

award for Category II is approximately 

$50,000. The average award for Category 

III is approximately $75,000. In fiscal 

year 2010 an estimated $600,000 is 

available for continuation awards based 

on progress and availability of funds. 

Categories of Cooperative Agreement 

(CA) covered under this announcement: 

• Category I—Small CYP: 

Approximately 16% of funds are 

available to fund up to four awards for 

the Small CYP. Individual awards are 

for up to $25,000. 

• Category II—Medium CYP: 

Approximately 34% of funds are 

available to fund up to four awards for 

the Medium CYP. Individual awards are 

for up to $50,000. 

• Category III—Large CYP: 

Approximately 50% of funds are 

available to fund up to four awards for 

the Large CYP considered 

‘‘experienced’’ as determined in the 

application under past and current 

activities documenting the history of the 

planning, implementation, and 

evaluation of previous projects for this 

target population. These large 

individual awards are for up to $75,000. 

Anticipated Number of Awards: 12. 

Project Period: September 16, 2009– 

September 15, 2014, 60 months. 

The CA will be a 12-month budget 

period with five project years. 

• Category I—Small CYP—five years 

beginning on or about September 16, 

2009. 

• Category II—Medium CYP—five 

years beginning on or about September 

16, 2009. 

• Category III—Large CYP—five years 

beginning on or about September 16, 

2009. 

Award Amount: $25,000, $50,000 or 

$75,000 per year. 

• Category I—Small CYP—$25,000. 

• Category II—Medium CYP— 

$50,000. 

• Category III—Large CYP—$75,000. 

Future continuation awards within the 

project period will be based on 

satisfactory performance. This includes 

the collection and reporting of 

evaluation data. Continuation is based 

on the availability of funding and 

continuing needs of the IHS. These 

annual non-competitive continuation 

applications will be submitted for Year 

II through V funding. 

Maximum Funding Level: The 

maximum funding level includes both 

direct and indirect costs. Application 

budgets which exceed the maximum 

funding level or project period 

identified for a project category will not 

be reviewed. Applicants seeking 

funding in more than one category will 

not be reviewed. 

Programmatic Involvement: The 

cooperative agreement will have 

substantial oversight to ensure 

evaluation of best practices and high 

quality performance in sustaining 

capacity of the CYP. 

A. Cooperative Agreement Awardee 

Activities for all Categories: The letter of 

intent and the application should state 

the requested budget category (small, 

medium, or large). 

Applicant should document in the 

letter of intent and the application the 

following in justifying the requested 

budget category: 

• Contact frequency, duration and 

intensity: 

• Program frequency—daily to once 

or twice a year event. 

• Duration—minutes, hours, full day, 

full week. 

• Intensity—interpersonal level of 

staff engagement, including one-on-one, 

small group, large group. 

• Reach and impact in the 

community: 

• Reach—single or multiple settings. 

• Impact—altering utilization/ 

attendance/key health indicators. 

• Target population: 

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Federal Register / Vol. 74, No. 95 / Tuesday, May 19, 2009 / Notices 23417 

• Broad or narrow target population 

and catchment area. 

• Size of target population of less 

than 50 children annually, more than 50 

children annually, or more than 100 

children annually. 

B. Substantial Involvement 

Description for Cooperative Agreement 

Activities for Category I—Small CYP: 

The CA Category I—Small CYP awardee 

(Tribe, Tribal organization or urban 

Indian organization) will be responsible 

for activities listed under C. IHS will be 

responsible for activities listed under F. 

A contractor will be hired by MCH to 

assist in the oversight in Category I. 

Oversight includes assurances to 

promote evaluation of best practices and 

high quality performance in sustaining 

the Children and Youth Grant Programs. 

The contractor will be responsible in 

reporting to the IHS CYP project officer 

on the progress and issues of the 

cooperative agreement awardee. 

C. Cooperative Agreement Awardee 

Activities for Category I—Small CYP: 

Provide a coordinator who has the 

authority, responsibility, and expertise 

to plan, implement, and evaluate the 

project. Position may be existing or new 

part-time or split duties. Where 

available, projects should demonstrate 

coordination with other children and 

youth services in the recipient’s Tribe, 

Tribal organization or urban Indian 

organization, Tribal health department, 

advisory committee/children’s coalition, 

and/or community-based program in 

order to maximize opportunities and 

share resources. Demonstrate awareness 

of where to find data sources including: 

Health, child welfare, educational, and 

psycho-social data descriptive of the 

children and youth population being 

served, including those at risk. Develop 

a work plan based on community need, 

health data and prioritized for 

prevention and wellness. This would 

include specific process measures and 

action steps to accomplish each. Show 

how project will be implemented and 

evaluated to reduce risk and promote 

wellbeing. During the first year of 

funding, focus should be built around 

the development of an action plan for 

evaluation of proposed activities. 

Implement project to gain visibility and 

further collaboration in the community. 

Present evaluation findings of the 

project’s effect on the recipients, key 

staff and other community 

stakeholder(s) as proposed. The project 

coordinator will collaborate in planning 

and hosting a one day site visit in Year 

I and Year III by the IHS project officer, 

and IHS contractor. The project 

coordinator will budget for and attend a 

project Year II and Year IV training 

meeting with other awardees, IHS CYP 

project officer, and IHS contractor. The 

Year II meeting may be in conjunction 

with a national IHS meeting. Conference 

calls and e-mail communication 

individually and through a group 

listserv is expected. The project 

coordinator will collaborate with the 

IHS CYP project officer in timely 

submission of required reports. 

D. Substantial Involvement 

Description for Cooperative Agreement 

Activities for Category II—Medium and 

Category III—Large CYP: For these 

categories, awardee (Tribe, Tribal 

organization or urban Indian 

organization) will be responsible for 

activities listed under E. IHS will be 

responsible for activities listed under F. 

A contractor will be hired by MCH to 

assist in the oversight. Oversight 

includes assurances to promote best 

practices and high quality performance 

in sustaining the CYP. The contractor 

will be responsible for reporting to the 

IHS CYP project officer on the progress 

and issues of the cooperative agreement 

awardee. 

E. Cooperative Agreement Awardee 

Activities for Category II—Medium and 

Category III—Large CYP: Where 

available, demonstrate how 

coordination will take place with child 

and youth programs in the recipient’s 

community and region. This may 

include Tribal and urban Indian 

organizations, health departments, 

epidemiology centers (EC), the State 

MCH Bureau (Title V) and or other 

community-based programs to serve to 

maximize resources and enhance 

sustainability. Provide a coordinator 

who has the authority, responsibility, 

and expertise to plan, implement and 

evaluate the project, and show that 

percentage of time devoted to project is 

commensurate with the list of 

objectives, activities, and evaluation 

activities. Position is expected to be .75 

full time equivalent (FTE) to 1.0 FTE. 

Review health, child welfare, and 

educational, and/or psycho-social data 

descriptive of children and youth 

population being served, including 

those at greatest risk. Monitor program 

data internally or demonstrate 

collaboration on data monitoring for 

purposes of program evaluation. 

Develop a work plan based on 

community need, health data and 

prioritized for prevention and wellness. 

This would include specific process 

objectives and action steps to 

accomplish each. A core set of 

indicators would be jointly agreed upon 

by the project and the IHS project 

officer. Develop, implement, and 

evaluate a proven or promising project 

to reduce risk and promote well being 

in children and youth target population. 

Any planning phase should be near 

completion or already completed by the 

start of Year I. Implement project with 

intent to gain visibility and further 

collaboration in the community through 

reporting to a health board or child 

advisory committee. Evaluate the effect 

of the project on the recipients, key staff 

and other children and youth 

community stakeholders. The project 

coordinator will assist with the 

development of an agenda and plan for 

a one day site visit in Year I and Year 

III by IHS project officer and IHS 

contractor. The project coordinator will 

budget for and attend a project Year II 

and Year IV training meeting with other 

awardees, IHS CYP project officer and 

IHS contractor. The Year II meeting may 

be in conjunction with a national IHS 

meeting. Conference calls and e-mail 

communication individually and 

through a group listserv is expected. 

The project coordinator will collaborate 

with the IHS CYP project officer in 

timely submission of required reports. 

F. Indian Health Service Cooperative 

Agreement Activities for all Funded 

Projects: The IHS MCH Coordinator or 

designee will serve as project officer for 

the CYP. The MCH program will 

provide consultation and technical 

assistance. Technical assistance also 

includes assistance in program 

implementation, marketing, evaluation, 

reporting, and sharing with other 

awardees. An IHS contractor 

(designated by the MCH program) will 

be responsible for technical assistance 

oversight, monitoring reporting of 

projects, conference calls, a listserv, and 

site visits. The IHS contractor serves as 

a technical liaison to the IHS MCH 

program and the CYP Cooperative 

Agreement Awardee. The IHS and the 

contractor will coordinate a Year I and 

Year III site visit, a Year II and Year IV 

training workshop for the project 

coordinators to share lessons learned, 

successes, new community strategies in 

children and youth health promotion, 

and best practices. Year III a second site 

visit will take place and in Year IV a 

second training/meeting will be held for 

all grantees. 

III. Eligibility Information 

A. Eligible Applicant, the AI/AN must 

be one of the following: 

A Federally recognized Indian Tribe; 

Tribal organization; or urban Indian 

organization as defined by 25 U.S.C. 

1652. Only one application per Tribe or 

Tribal organization is allowed. 

Applicants may only apply for one 

category. Submit documentation of nonprofit status. There is no requirement for 

minimum target population size for 

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23418 Federal Register / Vol. 74, No. 95 / Tuesday, May 19, 2009 / Notices 

Category I and II applicants. Age range 

is between 5 to 19 years of age for the 

school age population. Category III 

applicants must serve a minimum target 

population size of 100 to 150 children 

and youth annually, between 5 to 19 

years of age for the so-called school age 

population. 

B. Cost Sharing or Matching—The 

CYP does not require matching funds or 

cost sharing. 

C. Other Requirements 

The following documentation is 

required (if applicable): 

Tribal Resolution—A resolution of the 

Indian Tribe served by the project must 

accompany the application submission. 

This can be attached to the electronic 

application. An Indian Tribe that is 

proposing a project affecting another 

Indian Tribe must include resolutions 

from all affected Tribes to be served. 

Applications by Tribal organizations 

will not require a specific Tribal 

resolution if the current Tribal 

resolution(s) under which they operate 

would encompass the proposed grant 

activities. Draft resolutions are 

acceptable in lieu of an official 

resolution. However, an official signed 

Tribal resolution must be received by 

the Division of Grants Operations (DGO) 

prior to the beginning of the Application 

Review (July 22–24, 2009). If an official 

signed resolution is not received by July 

27, 2009, the application will be 

considered incomplete, ineligible for 

review, and returned to the applicant 

without consideration. Applicants 

submitting additional documentation 

after the initial application submission 

are required to ensure the information 

was received by the IHS by obtaining 

documentation confirming delivery (i.e. 

FedEx tracking, postal return receipt, 

etc.). 

Nonprofit organizations must submit 

a copy of the 501(c)(3) Certificate. 

Ineligible applications include 

requesting for water, sanitation, and 

waste management; tuition, fees, or 

stipends for certification or training of 

staff to provide direct services, the preplanning, design, and planning of 

construction for facilities and those 

seeking funding in two categories. 

IV. Application and Submission 

Information 

A. Address to Request Application 

Package HHS–2009–IHS–CYP–0001. 

Application package (HHS–2009– 

IHS–CYP–0001) may be found in 

Grants.gov. Information regarding the 

Letter of Intent and the electronic 

application process may be obtained 

from: 

Program contact Grants contact 

Ms. Judith Thierry, D.O., M.P.H., Office of Clinical and Preventive Services, Indian Health Service, 801 Thompson Avenue, Suite 300, 

Rockville, Maryland 20852, (301) 443–5070, Fax: (301) 594–6213.

Ms. Norma Jean Dunne, Division of Grants Operations, Indian Health 

Service, 801 Thompson Avenue, TMP 360, Rockville, Maryland 

20852, (301) 443–5204, Fax: (301) 443–9602. 

The entire application kit is also 

available online at: http:// 

www.grants.gov 

B. Content and Form of Application 

Submission if prior approval was 

obtained for paper submission: 

• Be single-spaced. 

• Be typewritten. 

• Have consecutively numbered 

pages. 

• If unable to submit electronically, 

submit using a black type not smaller 

than 12 characters per one inch. 

• Submit on one side only of standard 

size 81⁄2′′ x 11′′ paper. 

• Do not tab, glue, or place in a 

plastic holder. 

• Contain a narrative that does not 

exceed 20 typed pages that includes the 

other submission requirements below. 

(The 20-page narrative does not include 

the work plan, standard forms, Tribal 

resolutions (if necessary), table of 

contents, budget, budget justifications, 

multi-year narratives, multi-year budget, 

multi-year budget justifications, and/or 

other appendix items.) 

1. One Page Abstract, Introduction 

and Need for Assistance. 

2. Project Objective(s), Approach, and 

Work Plan. 

3. Project Evaluation. 

4. Organizational Capabilities, Key 

Personnel and Qualifications. 

5. Categorical Budget and Budget 

Justification by Item. 

Public Policy Requirements: All 

Federal-wide public policies apply to 

IHS grants with the exception of the 

Lobbying and Discrimination Policy. 

C. Submission Dates and Times 

Applications must be submitted 

electronically through Grants.gov by 

close of business Thursday June 25, 

2009. If technical issues arise and the 

applicant is unable to successfully 

complete the electronic application 

process, the applicant must contact 

Grants Policy staff fifteen days prior to 

the application deadline and advise 

them of the difficulties you are having 

submitting your application online. The 

Grants Policy staff will determine 

whether you may submit a paper 

application (original and two copies). 

The grantee must obtain prior approval, 

in writing, from the Grants Policy staff 

allowing the paper submission. 

Otherwise, applications not submitted 

through Grants.gov may be returned to 

the applicant and will not be considered 

for funding. 

As appropriate, paper applications 

(original and two copies) are due by 

Thursday June 25, 2009. Paper 

applications shall be considered as 

meeting the deadline if received by June 

25, 2009 or postmarked on or before the 

deadline date. Applicants should 

request a legibly dated U.S. Postal 

Service postmark or obtain a legibly 

dated receipt from a commercial carrier 

or U.S. Postal Service. Private metered 

postmarks will not be acceptable as 

proof of timely mailing and will not be 

considered for funding. 

Late applications will be returned to 

the applicant without review or 

consideration. 

A hard copy and/or faxed Letter of 

Intent must be received on or before 

Wednesday, May 28, 2009. This should 

be two full pages on letterhead. The fax 

number is (301) 594–6213 Attn: Judith 

Thierry, MCH Program Office. 

Applications must be received on or 

before Thursday June 25, 2009. The 

anticipated start date of the cooperative 

agreement is September 16, 2009. 

In the Letter of Intent and application, 

state whether you will apply for a 

Category I—Small Project, Category II— 

Medium Project, or Category III—Large 

Project. Describe the proposed project, 

including health topics and mind/body/ 

spirit issues to be addressed. A partial 

list includes: Nutrition, healthy weight, 

and fitness; drugs, alcohol and tobacco 

control; scholarship and academic 

success; social skills and mental health; 

and injury prevention. A letter of intent 

is non binding, but a mandatory request 

for information that will assist in 

planning both the review and post 

award phase. Applicants will be 

notified by fax that their letter of intent 

has been received by the program, as it 

is received. 

Hand Delivered Proposals: Hand 

delivered proposals will be accepted 

from 8 a.m. to 5 p.m. Eastern Standard 

Time, Monday through Friday. 

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Federal Register / Vol. 74, No. 95 / Tuesday, May 19, 2009 / Notices 23419 

Applications will be considered to meet 

the deadline if they are received on or 

before the deadline, with hand-carried 

applications received by close of 

business 5 p.m. For mailed applications, 

a dated, legible receipt from a 

commercial carrier or the U.S. Postal 

Service will be accepted in lieu of a 

postmark. Private metered postmarks 

will not be accepted as proof of timely 

mailing. Late applications will not be 

accepted for processing and will be 

returned to the applicant without 

further consideration for funding. 

Applicants are cautioned that express/ 

overnight mail services do not always 

deliver as agreed. IHS will not 

accommodate transmission of 

applications by fax or e-mail. 

Late applications will not be accepted 

for processing, will be returned to the 

applicant, and will not be considered 

for funding. 

Extension of deadlines: IHS may 

extend application deadlines when 

circumstances such as acts of God 

(floods, hurricanes, etc.) occur, or when 

there are widespread disruptions of mail 

service, or in other rare cases. 

Determination to extend or waive 

deadline requirements rests with the 

Grants Management Officer, DGO. 

D. Intergovernmental Review 

Executive Order 12372 requiring 

intergovernmental review is not 

applicable to this program. 

E. Funding Restriction 

Pre-award costs are allowable at 

grantees own risk. Prior approval must 

be obtained from the Program Official. 

The available funds are inclusive of 

direct and indirect costs. 

Only one cooperative agreement will 

be awarded per applicant. 

Ineligible Project Activities 

The CYP may not be used to support 

recurring operational programs or to 

replace existing public and private 

resources. Note: The inclusion of the 

following projects or activities in an 

application will render the application 

ineligible and the application will be 

returned to the applicant: 

• Projects related to water, sanitation, 

and waste management. 

• Projects that include tuition, fees, or 

stipends for certification or training of 

staff to provide direct services. 

• Projects that include pre-planning, 

design, and planning of construction for 

facilities. 

• Projects that seek funding in two 

funding categories. 

Other Limitations 

• Grantee must not have overlapping 

award dates. If a funding date overlaps, 

grantee must terminate from current 

award or have the newly funded grant 

amount reduced to avoid dual funding. 

This announcement applies to new and 

existing applicants. 

• The current project is not 

progressing in a satisfactory manner; or 

• The current project is not in 

compliance with program and financial 

reporting requirements. 

• Delinquent Federal Debts—No 

award shall be made to an applicant 

who has an outstanding delinquent 

Federal debt until either: 

1. The delinquent account is paid in 

full; or 

2. A negotiated repayment schedule is 

established and at least one payment is 

received. 

F. Other Submission Requirements 

Electronic Submission—The preferred 

method for receipt of applications is 

electronic submission through 

Grants.gov. However, should any 

technical problems arise regarding the 

submission, please contact Grants.gov 

Customer Support at (800) 518–4726 or 

support@grants.gov. The Contact Center 

hours of operation are Monday–Friday 

from 7 a.m. to 9 p.m. (Eastern Standard 

Time). If you require additional 

assistance please contact the IHS Grants 

Policy staff at (301) 443–6528 at least 

fifteen days prior to the application 

deadline. To submit an application 

electronically, please use the http:// 

www.Grants.gov Web site. Download a 

copy of the application package, on the 

Grants.gov Web site, complete it offline 

and then upload and submit the 

application via the Grants.gov Web site. 

You may not e-mail an electronic copy 

of a grant application. 

Please note the following: 

• Under the new IHS requirements, 

paper applications are not allowable. 

However, if technical issues arise and 

the applicant is unable to successfully 

complete the electronic application 

process, the applicant must contact 

Grants Policy staff fifteen days prior to 

the application deadline and advise 

them of the difficulties you are having 

submitting your application online. The 

Grants Policy staff will determine 

whether you may submit a paper 

application. The grantee must obtain 

prior approval, in writing, from the 

Grants Policy staff allowing the paper 

submission. Otherwise, applications not 

submitted through Grants.gov may be 

returned to the applicant and it will not 

be considered for funding. 

• The paper application (original and 

two copies) may be sent directly to the 

DGO, 801 Thompson Avenue, TMP, 

Suite 360, Rockville, MD 20852 by 

Thursday June 25, 2009. 

• When you enter the Grants.gov Web 

site, you will find information about 

submitting an application electronically 

through the Web site, as well as the 

hours of operation. We strongly 

recommend that applicants not wait 

until the deadline date to begin the 

application process through the 

Grants.gov Web site. 

• To use Grants.gov, you, as the 

applicant, must have a DUNS number 

and register with the Central Contractor 

Registry (CCR). You should allow a 

minimum of five days to complete CCR 

registration. See below on how to apply. 

• You must submit all documents 

electronically, including all information 

typically included on the SF–424 and 

all necessary assurances and 

certifications. 

• Your application must comply with 

any page limitation requirements 

described in the program 

announcement. After you electronically 

submit your application, you will 

receive an automatic acknowledgment 

from Grants.gov that contains a 

Grants.gov tracking number. The IHS 

will retrieve your application from the 

Grants.gov Web site. 

• You may access the electronic 

application for this program on http:// 

www.Grants.gov. 

• You must search for the 

downloadable application package by 

CFDA number 93.933. 

• To receive an application package, 

the applicant must provide the Funding 

Opportunity Number: HHS–2009–IHS– 

CYP–001. 

• E-mail applications will not be 

accepted under this announcement. 

G. DUNS Number 

Beginning October 1, 2003, applicants 

were required to have a Dun and 

Bradstreet (DUNS) number. The DUNS 

number is a nine-digit identification 

number which uniquely identifies 

business entities. Obtaining a DUNS 

number is easy and there is no charge. 

To obtain a DUNS number, access 

http://www.dnb.com/us/ or call (866) 

705–5711. Interested parties may wish 

to obtain their DUNS number by phone 

to expedite the process. 

Applications submitted electronically 

must also be registered with the CCR. A 

DUNS number is required before CCR 

registration can be completed. Many 

organizations may already have a DUNS 

number. Please use the number listed 

above to investigate whether or not your 

organization has a DUNS number. 

Registration with the CCR is free of 

charge. 

Applicants may register by calling 

(888) 227–2423. Applications must also 

be registered with the CCR to submit 

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electronically. Please review and 

complete the CCR ‘‘Registration 

Worksheet’’ located in the appendix of 

the CYP application kit or on http:// 

www.Grants.gov/CCRRegister. 

More detailed information regarding 

these registration processes can be 

found at http://www.Grants.gov Web 

site. 

V. Application Review Information 

The instructions for preparing the 

application narrative also constitute the 

evaluation criteria for reviewing and 

scoring the application. Weights 

assigned to each section are noted in 

parentheses. The 20-page narrative 

should include only the first year of 

activities; information for multi-year 

projects should be included as an 

appendix. See ‘‘Multi-year Project 

Requirements’’ at the end of this section 

for more information. The narrative 

section should be written in a manner 

that is clear to outside reviewers 

unfamiliar with prior related activities 

of the applicant. It should be well 

organized, succinct, and contain all 

information necessary for reviewers to 

understand the project fully. 

1. Criteria: Introduction and Need for 

Assistance. (10 points) 

• Provide a one-page summary of the 

proposed project. State whether the 

project is a Category I, II or III and the 

size of the children and youth target 

group. (Category I and II have no 

minimum and Category III projects must 

serve a minimum of 100 children 

annually.) 

• Describe and define the target 

population at the program location(s) 

(i.e., Tribal population and Tribal 

census tract data (when available); 

number of children and/or youth; data 

from previous community needs 

assessment; data from technical 

assistance site visit(s); school, 

recreation, after school or juvenile 

justice sources). Information sources 

must be appropriately identified. 

• Describe the geographic location of 

the proposed project including any 

geographic barriers to the health care 

users in the area to be served. Append 

a detailed map. 

• Describe the Tribe’s/Tribal 

organization’s current health operation. 

Include what programs and services are 

currently provided (i.e., Federally 

funded, State funded, etc.). Include 

information regarding whether the 

Tribe/Tribal organization has a health 

department and/or health board and 

how long it has been operating. Provide 

similar information on the educational 

and juvenile justice organization 

programs and services. 

• Describe the existing resources and 

services available, including the 

maintenance of Native healing systems 

and intergenerational activities (i.e., 

mentoring, language, traditional 

teaching, storytelling, where 

appropriate, which are related to the 

specific program/service the applicant is 

proposing to provide). Supply the name, 

address, and phone number of a contact 

person for each. 

• Identify all current and previous 

children and youth activities funded, 

dates of funding, and summary of 

project accomplishments. State how 

previous funds facilitated the 

progression of health or wellness 

development relative to the current 

proposed project. (Copies of reports will 

not be accepted.) 

• Explain the reason for your 

proposed project by identifying specific 

needs of the target population and gaps 

or weaknesses in services or 

infrastructure that will be addressed by 

the proposed project. Explain how these 

gaps/weaknesses were discovered. 

Describe past efforts, collaborations 

with State/county programs and 

availability of program funding from 

Federal/non-Federal sources. 

• Summarize the applicable national, 

IHS, and/or State standards, laws and 

regulations, and Tribal codes, such as 

those in the arenas of safety, school 

attendance, and child welfare. 

Project Objective(s), Work Plan and 

Approach. (40 points) 

A. Identify the proposed project 

objective(s) addressing the following 

measurable criteria. 

• Objective is specific. 

• Objective is measurable and (if 

applicable) quantifiable. 

• Objective is achievable. 

• Objective is relevant and outcome 

oriented. 

• Objective is time-limited. 

Example: The Project will increase 

the number of students who 

consistently participate in the program 

during FY 2010 by 10% by orienting 

students through the use of contracts, 

peer-mentoring and incentives at the 

start of the school year and at midschool year. 

B. State objectives concisely. Describe 

what the project intends to accomplish, 

what changes are expected in 

knowledge, attitudes, behaviors, 

policies, etc., and how the objectives 

will be measured, including if the 

accomplishments are replicable. 

C. Describe the approach, including 

the activities, tasks and resources 

needed to implement and complete the 

project. Include a chart denoting start/ 

finish of milestones, accountabilities 

and how you will know the activities 

and tasks are complete. Include the date 

the project will begin to accept clients. 

D. Discuss expected results. Describe 

data collection for the project, and how 

it will be obtained, analyzed, and 

maintained by the project. Data should 

include, but is not limited to the 

number of children and youth served, 

services provided, program satisfaction, 

short term impact (e.g., changes in 

knowledge, attitudes, behaviors, 

policies, etc.), costs associated with the 

program and long-term outcomes (e.g., 

outcomes specific to program 

objectives). Describe how data 

collection will support the stated project 

objectives and how it will support the 

project evaluation in order to determine 

the impact of the project. Address how 

the proposed project will result in 

change or improvement in health or 

well-being status, program operations, 

or processes for each proposed project 

objective. 

E. Also address what, if any tangible 

products are expected from the project 

(i.e., policies and procedure manual; 

needs assessment; curricula or 

educational materials; publication or 

formal reports beyond those required by 

the grant). 

F. Address the extent to which the 

proposed project will build the local 

capacity to provide, improve, or expand 

services that address the need of the 

target population. 

G. Submit a work plan in the 

appendix which includes the following 

information: 

• Provide the action steps on a time 

line for accomplishing the proposed 

project objective(s). 

• Identify who will perform the 

action steps. 

• Identify who will supervise the 

action steps taken. 

• Identify who will accept and/or 

approve work products at the end of the 

proposed project. 

• Include any training that will take 

place during the proposed project, who 

will conduct the training and who will 

be attending the training. 

• Include evaluation activities 

planned and survey tools or 

instruments. 

H. If consultants or contractors will be 

used during the proposed project, please 

include the following information in 

their position description and scope of 

work (or note if consultants/contractors 

will not be used): 

• Educational requirements. 

• Desired qualifications and work 

experience. 

• Expected work products to be 

delivered on a time line. 

• Contractor’s supervisor. 

• If a potential consultant/contractor 

has already been identified, please 

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include a resume and letter of 

commitment in the appendix. 

Project Evaluation. (30 points) 

Describe the methods for evaluating 

the project activities. Each proposed 

project objective should have an 

evaluation component and the 

evaluation activities should appear on 

the work plan. At a minimum, projects 

should describe plans to collect/ 

summarize and process evaluation 

information (e.g., reach of the program 

including numbers and/or age-ranges of 

the youth served) about all project 

activities. When applicable, impact 

evaluation activities (i.e., those designed 

to assess/summarize initial and/or 

follow-up attitudes, satisfaction, 

knowledge, behaviors, practices, and/or 

policies/procedures) should also be 

described. Please address the following 

for each of the proposed objectives: 

• What data will be collected to 

evaluate the success of the objective(s). 

• How the data will be collected to 

assess the program’s objective(s) (e.g., 

methods used such as, but not limited 

to focus groups, surveys, interviews, or 

other data collection activities). 

• When the data will be collected and 

the data analysis completed. 

• The extent to which there are 

specific data sets, databases or registries 

already in place to measure/monitor 

meeting objectives. 

• Who will collect the data and any 

cost of the evaluation (whether internal 

or external). 

• Where and to whom the data will 

be presented. 

Process Evaluation Example: The 

Project will conduct eight school-based 

obesity prevention educational activities 

reaching up to 100 students (in grades 

9–12) by the end of Year I. This will be 

assessed by having project staff 

document the dates of attendance at, 

and grades reached by educational 

sessions conducted in Year I. Project 

sign-in sheets will assist in identifying 

number of and grades of student 

participants. 

Impact Evaluation Example: The 

project will increase the use of all 

terrain vehicle (ATV) helmets (what 

specifically) by 10% (goal or how much) 

by the end of Project Year I (when or a 

target date). This will be assessed 

through the conduct of a baseline and 

follow-up ATV helmet use surveys 

(what tool) conducted by the project 

staff at well-known ATV trails (how) 

during the third and ninth month of 

project Year I (limited time frame). 

Organizational Capabilities, Key 

Personnel and Qualifications. (10 

points) 

• Describe the organizational 

structure of the Tribe/Tribal 

organization beyond health care 

activities. 

• If management systems are already 

in place, simply note it. (A copy of the 

25 CFR Part 900, Subpart F, is available 

in the CYP application kit.) 

• Describe the ability of the 

organization to manage the proposed 

project. Include information regarding 

similarly sized projects in scope and 

financial assistance as well as other 

grants and projects successfully 

completed. 

• Describe what equipment (i.e., fax 

machine, phone, computer, etc.) and 

facility space (i.e., office space) will be 

available for use during the proposed 

project. Include information about any 

equipment not currently available that 

will be purchased through the grant. 

• List key personnel who will work 

on the project. Identify existing 

personnel, grant writer(s) if utilized and 

new program staff to be hired. Include 

title used in the work plan. In the 

appendix, include position descriptions 

and resumes for all key personnel. 

Position descriptions should clearly 

describe each position and duties, 

indicating desired qualifications, 

experience, requirements related to the 

proposed project and how they will be 

supervised. Resumes must indicate that 

the proposed staff member is qualified 

to carry out the proposed project 

activities and who will determine if the 

work of a contractor is acceptable. Note 

who will be writing the progress reports. 

If a position is to be filled, indicate that 

information on the proposed position 

description. 

• If the project requires additional 

personnel (i.e., IT support, volunteers, 

drivers, chaperones, etc.), note these 

and address how the Tribe/Tribal 

organization will sustain the position(s) 

after the grant expires. (If there is no 

need for additional personnel, simply 

note it.) 

Categorical Budget and Budget 

Justification. (10 points) 

• Provide a categorical budget (Form 

SF 424A, Budget Information NonConstruction Programs) completing each 

of the budget periods requested. 

• If indirect costs are claimed, 

indicate and apply the current 

negotiated rate to the budget. Include a 

copy of the rate agreement in the 

appendix. 

• Provide a narrative justification 

explaining why each line item is 

necessary/relevant to the proposed 

project. Include sufficient cost and other 

details to facilitate the determination of 

cost allowability (i.e., relevance of 

travel, crucial supplies, age-appropriate 

equipment, reason for incentives and 

honoraria, etc.). 

• Indicate any special start-up costs. 

• Indicate in Year II and IV budgets 

anticipated travel costs for workshops 

for one or more persons if deemed 

appropriate/desirable. 

Multi-Year Project Requirements 

Projects requiring a second, third, 

fourth, and/or fifth year must include a 

brief project narrative and budget (one 

additional page per year) addressing the 

developmental plans for each additional 

year of the project. 

Appendix Items 

• Work plan, logic model and/or time 

line for proposed objectives. 

• Position descriptions for key staff. 

• Resumes of key staff that reflect 

current duties. 

• Consultant or contractor proposed 

scope of work and letter of commitment 

(if applicable). 

• Current Indirect Cost Agreement. 

• Organizational chart(s) highlighting 

proposed project staff and their 

supervisors as well as other key contacts 

within the organization and key 

community contacts. 

• Map of area to benefit project 

identifying where target population 

resides and project location(s). Include 

trails, parks, schools, bike paths and 

other such applicable information. 

• Multi-Year Project Requirements (if 

applicable). 

• Additional documents to support 

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

articles, etc.). 

2. Review and Selection Process: 

In addition to the above criteria/ 

requirements, applications are 

considered according to the following: 

A. Letter of Intent Submission 

Deadline: Thursday, May 28, 2009. 

B. Application Submission Deadline: 

Thursday, June 25, 2009. Applications 

submitted in advance of or by the 

deadline and verified in Grants.gov will 

undergo preliminary review to 

determine that: 

• The applicant and proposed project 

type is eligible in accordance with this 

grant announcement. 

• The application is not a duplication 

of a previously funded project. 

• The application narrative, forms, 

and materials submitted meet the 

requirements of the announcement 

allowing the review panel to undertake 

an in-depth evaluation; otherwise, it 

may be returned. 

• Competitive Review of Eligible 

Applications review dates: July 22–24, 

2009. 

• Applications meeting eligibility 

requirements that are complete, 

responsive, and conform to this program 

announcement will be reviewed for 

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23422 Federal Register / Vol. 74, No. 95 / Tuesday, May 19, 2009 / Notices 

merit by the Ad Hoc Objective Review 

Committee (ORC) appointed by the IHS 

to review and make recommendations 

on these applications. The review will 

be conducted in accordance with the 

IHS Objective Review Guidelines. The 

technical review process ensures 

selection of quality projects in a 

national competition for limited 

funding. Applications will be evaluated 

and rated on the basis of the evaluation 

criteria listed in Section V. The criteria 

are used to evaluate the quality of a 

proposed project, determine the 

likelihood of success, and assign a 

numerical score to each application. 

The scoring of approved applications 

will assist the IHS in determining which 

proposals will be funded if the amount 

of CYP funding is not sufficient to 

support all approved applications. 

Applications recommended for 

approval, having a score of 70 or above 

by the ORC and scored high enough to 

be considered for funding, are ranked 

and forwarded to the MCH Program for 

further recommendation. Applications 

scoring below 70 points will be 

disapproved and returned to the 

applicant. Applications that are 

approved but not funded will not be 

carried over into the next cycle for 

funding consideration. 

3. Anticipated Announcement and 

Award Dates: The IHS anticipates 

announcement date the week of August 

3, 2009 and award date of September 16, 

2009. 

VI. Award Administration Information 

1. Award Notices 

Notification: Approximately the week 

of August 3, 2009. The program officer 

will notify the contact person identified 

on each proposal of the results in 

writing via postal mail. Applicants 

whose applications are declared 

ineligible will receive written 

notification of the ineligibility 

determination and their original grant 

application via postal mail. The 

ineligible notification will include 

information regarding the rationale for 

the ineligible decision citing specific 

information from the original grant 

application. Applicants who are 

approved but unfunded and 

disapproved will receive a copy of the 

Executive Summary which identifies 

the weaknesses and strengths of the 

application submitted. Applicants 

which are approved and funded will be 

notified through the Financial Assistant 

Award (FAA) document. The FAA will 

serve as the official notification of a 

grant award and will state the amount 

of Federal funds awarded, the purpose 

of the grant, the terms and conditions of 

the grant award, the effective date of the 

award, the project period, and the 

budget period. Any other 

correspondence announcing to the 

Applicant’s Project Director that an 

application was recommended for 

approval is not an authorization to begin 

performance. Pre-award costs are not 

allowable charges under this program 

grant. 

2. Administrative and National Policy 

Requirements 

Grants are administered in accordance 

with the following documents: 

A. This cooperative agreement. 

B. 45 CFR, Part 92, ‘‘Uniform 

Administrative Requirements for Grants 

and Cooperative Agreements to State, 

Local, and Tribal Governments’’, or 45 

CFR Part 74, ‘‘Uniform Administration 

Requirements for Awards and 

Subawards to Institutions of Higher 

Education, Hospitals, Other NonProfit 

Organizations, and Commercial 

Organizations.’’ 

C. Public Health Service Grants Policy 

Statement. 

D. Grants Policy Directives. 

E. Appropriate Cost Principles: OMB 

Circular A–87, ‘‘State, Local, and Indian 

Tribal Governments,’’ or OMB Circular 

A–122, ‘‘Non-Profit Organizations.’’ 

F. OMB Circular A–133, ‘‘Audits of 

States, Local Governments, and NonProfit Organizations.’’ 

G. Other Applicable OMB Circulars. 

3. Reporting 

A. Progress Report—Program progress 

reports are required quarterly by 

December 15, March 15, June 15, and 

September 15 of each funding year. 

These reports will include a brief 

comparison of actual accomplishments 

to the goals established for the period, 

reasons for slippage (if applicable), and 

other pertinent information as required/ 

outlined in award letters. A final report 

must be submitted within 90 days of 

expiration of the budget/project period. 

B. Financial Status Report—Semiannual financial status reports (FSR) 

must be submitted within 30 days of the 

end of the half year. Final FSR are due 

within 90 days of expiration of the 

budget/project period. This is a total of 

three times a year. Expected carry-overs 

should be noted in a separate FSR. 

Standard Form 269 can be downloaded 

from http://www.whitehouse.gov/omb/ 

grants/sf269.pdf for financial reporting. 

VII. Agency Contact(s) 

Interested parties may obtain CYP 

programmatic information from the 

MCH Program Coordinator through the 

information listed under Section IV of 

this program announcement. Grantrelated and business management 

information may be obtained from the 

Grants Management Specialist through 

the information listed under Section IV 

of this program announcement. Please 

note that the telephone numbers 

provided are not toll-free. 

VIII. Other Information 

The Public Health Service (PHS) is 

committed to achieving the health 

promotion and disease prevention 

objectives of Healthy People 2010, a 

PHS-led activity for setting priority 

areas. Potential applicants may obtain a 

printed copy of Healthy People 2010, 

(Summary Report No. 017–001–00547– 

9) or CD–ROM, Stock No. 017–001– 

00547–9, through the Superintendent of 

Documents, Government Printing 

Office, P.O. Box 371954, Pittsburgh, PA 

15250–7945, (202) 512–1800. You may 

also access this information at the 

following Web site: http:// 

www.healthypeople.gov/Publications. 

The U.S. Census Bureau website 

contains AI/AN specific data at the 

Tribal census tract level. Data is 

provided at http://factfinder.census.gov/ 

home/AI/AN/index.html by Tribe and 

language; reservations and other AI/AN 

areas; county and Tribal census tract 

level; and economic category. 

The PHS strongly encourages all grant 

and contract recipients to provide a 

smoke-free workplace and promote the 

non-use of all tobacco products. In 

addition, Public Law 103–227, the ProChildren Act of 1994, prohibits smoking 

in certain facilities (or in some cases, 

any portion of the facility) in which 

regular or routine education, library, 

day care, health care or early childhood 

development services are provided to 

children. This is consistent with the 

PHS mission to protect and advance the 

physical and mental health of the 

American people. 

Dated: May 13, 2009. 

Robert G. McSwain, 

Deputy Director, Indian Health Service. 

[FR Doc. E9–11624 Filed 5–18–09; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Advisory Committee to the Director, 

Centers for Disease Control and 

Prevention 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC) 

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