[Federal Register Volume 74, Number 114 (Tuesday, June 16, 2009)]
[Notices]
[Pages 28510-28516]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-14046]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Health Promotion and Disease Prevention Announcement Type: New 
Cooperative Agreement Funding Opportunity Number: HHS-2009-IHS-HPDP-
0001 Catalog of Federal Domestic Assistance Number: 93.443

    Key Dates:
    Application Deadline Date: July 17, 2009.
    Application Review Date: July 27, 2009.
    Application Notification: July 28, 2009.
    Earliest Anticipated Start Date: August 3, 2009.

I. Funding Opportunity Description

    The Indian Health Service (IHS) announces a cooperative agreement 
for Health Promotion and Disease Prevention (HP/DP). This Program is 
authorized under the authority of the Public Health Service Act section 
301(a); Snyder Act, 25 U.S.C. 13; the Transfer Act, 42 U.S.C. 2001; and 
the Indian Health Care Improvement Act, 25 U.S.C. 1621(b), et seq., as 
amended. This Program is described under 93.443 in the Catalog of 
Federal Domestic Assistance (CFDA).
    The purpose of the program is to enable American Indian/Alaska 
Native (AI/AN) communities to enhance and expand health promotion and 
reduce chronic disease by: increasing physical activity, avoiding the 
use of tobacco and alcohol, and improving nutrition to support 
healthier AI/AN communities through innovative and effective community, 
school, clinic and work site health promotion and chronic disease 
prevention programs. The IHS HP/DP Initiative focuses on enhancing and 
expanding health promotion and chronic disease prevention to reduce 
health disparities among AI/AN populations. The initiative is fully 
integrated with the Department of Health and Human Services (HHS) 
Initiatives ``Healthy People 2010.'' Potential applicants may obtain a 
printed copy of Healthy People 2010, (Summary Report No. 017-001-00549-
5) or CD-ROM, Stock No. 017-001-00549-5, 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 sites: http://www.healthypeople.gov/Publications and 
http://www.healthierus.gov/.
    The HP/DP Initiative targets cardiovascular disease, cancer, 
obesity, and underage drinking prevention and intervention efforts in 
AI/AN communities. Focus efforts include enhancing and maintaining 
personal and behavioral factors that support healthy lifestyles such as 
making healthier food choices, avoiding the use of tobacco and alcohol, 
being physically active, and demonstrating other positive behaviors to 
achieve and maintain good health. Major focus areas include preventing 
and controlling obesity by developing and implementing science-based 
nutrition and physical activity interventions (i.e., increase 
consumption of fruits and vegetables, reduce consumption of foods that 
are high in fat, increase breast feeding, reduce television time, and 
increase opportunities for physical activity). Other focal areas 
include preventing the consumption of alcohol and tobacco use among 
youth, increasing accessibility to tobacco cessation programs, and 
reducing exposure to second-hand smoke.
    The HP/DP initiative encourages Tribal applicants to fully engage 
their local schools, communities, health care providers, health 
centers, faith-based/spiritual communities, elderly centers, youth 
programs, local governments, academia, non-profit organizations, and 
many other community sectors to work together to enhance and promote 
health and prevent chronic disease in their communities. The initiative 
is described in the Catalog of Federal Domestic

[[Page 28511]]

Assistance No. 93.443 at http://www.cfda.gov/ and is not subject to the 
intergovernmental requirements of Executive Order 12372 or the Health 
Systems Agency review. This competitive grant is awarded under the 
authorization of the Snyder Act, 25 U.S.C. 13; the Transfer Act, 42 
U.S.C. 2001; and the Indian Health Care Improvement Act, 25 U.S.C. 
1621(b), et seq., as amended. The grant will be administered under the 
Public Health Service (PHS) Grants Policy Statement and other 
applicable agency policies. The HHS is committed to achieving the 
health promotion and disease prevention objectives of Healthy People 
2010, a HHS-led activity for setting and monitoring program for 
priority areas. This program announcement is related to the priority 
area of Education and Community-Based Programs. Potential applicants 
may obtain a printed copy of Healthy People 2010, (Summary Report No. 
017-001-00549-5) or CD-ROM, Stock No. 017-001-00549-5, 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/.

Background

    Heart disease, cancer and unintentional injuries are the leading 
cause of morbidity and mortality among AI/AN. Many of these diseases 
and injuries are impacted by modifiable behavioral risk factors such as 
physical inactivity, unhealthy diet, commercial tobacco use, and 
alcohol abuse. Concerted efforts to increase effective public health, 
prevention, and intervention strategies are necessary to reduce 
tobacco/alcohol use, poor diet, and insufficient physical activity to 
reduce the burden of diseases and disabilities in AI/AN communities. 
Despite the well known benefits of physical activity, many adults and 
children remain sedentary. A healthy diet and regular physical activity 
are both important for maintaining a healthy weight. Regular physical 
activity, fitness, and exercise are extremely important for the health 
and well being of all people. A proliferation of fast food restaurants 
and convenience stores selling foods that are high in fat and sugar, as 
well as sedentary lifestyles have translated into weight gain and 
obesity. There are also epidemiological studies indicating that 
increased intake of fruits and vegetables decreases the risk of many 
types of cancer. Many of the medical and health problems of AI/AN are 
associated with obesity. According to the IHS Clinical Reporting System 
data, more than 80% of the adults are either overweight or obese and 
49% of the children (ages 6 to 11) are overweight or obese. Tobacco use 
is the largest preventable cause of disease and premature death in the 
United States. More than 400,000 Americans die each year from illnesses 
related to smoking. Cardiovascular disease and lung cancer are the 
leading causes of death among AI/AN, and tobacco use is one of the risk 
factors for these diseases. Non-ceremonial tobacco use varies amongst 
AI/AN regions and states. Alcohol use is associated with serious public 
health problems including violence, motor vehicle crashes, and teen 
pregnancy among youth. Long term drinking can lead to heart disease, 
cancer, and alcohol-related liver disease. Interventions may include 
environmental and policy changes in the community, school, clinic or 
work site to increase physical activity, increase healthier food items 
at school fund raising, vending machines, school food service, senior 
centers, shopping centers, food vendors, work sites, Tribal colleges 
and other community settings. Other strategies include implementing 
tobacco-free policies in the workplace and clinics, increasing access 
to safe walking trails, improving access to tobacco cessation programs, 
utilizing social marketing to promote change and prevent disease, 
reducing underage drinking, increasing effective self management of 
chronic disease and associated risk factors, and increasing evidence-
based clinical preventive care practices. Programs are expected to 
utilize evidence-based public health strategies that may include system 
improvement, public education and information, media campaigns to 
support healthier behaviors, policy and environmental changes, 
community capacity building and training, school classroom curricula, 
and health care provider education.
    Identify and implement high priority, effective strategies proven 
to prevent, reduce and control chronic diseases. The communities must 
examine their chronic disease burden, identify behavioral risk factors, 
at-risk populations, current services and resources, Tribal and IHS 
strategic plans, and partnership capabilities in order to develop a 
comprehensive intervention plan. Applicants are encouraged to identify 
and examine local data sources to describe the extent of the health 
problem. Data sources include IHS Resource Patient Management System 
(RPMS), Government Performance and Results Act (GPRA), Clinical 
Registry System (CRS), diabetes registry, hospital/clinic data, Women 
Infant Children (WIC) data, school data, behavioral risk surveys, and 
other sources of information about individual, group, or community 
health status, needs, and resources. Communities can address behavioral 
risk factors contributing to chronic conditions and diseases such as 
cardiovascular disease, diabetes, obesity, and cancer. These factors 
include physical inactivity, poor nutrition, commercial tobacco use, 
alcohol and substance use. Applicants are encouraged to apply effective 
and innovative strategies to reduce chronic disease and unintentional 
injuries associated with alcohol and substance use. Current evidence-
based and promising public health strategies can be found at the IHS 
Best Practices database at http://www.ihs.gov/NonMedicalPrograms/HPDP/BPTR/, Guide to Clinical Preventive Services at http://www.odphp.osophs.dhhs.gov/pubs/guidecps/, and http://www.ahrq.gov and 
the National Registry for Effective Programs at http://www.nrepp.samhsa.gov/.

II. Award Information

    Type of Awards: Cooperative Agreement.
    Estimated Funds Available: $1,100,000.
    Anticipated Number of Awards: 11.
    Project Period: 3 Year Budget Period.
    Maximum Award Amount: $100,000 per year.
    This amount is inclusive of direct and indirect costs. Awards under 
this announcement are subject to the availability of funds and 
satisfactory performance. Future continuation awards within the project 
period will be based on satisfactory performance, availability of 
funding and continuing needs of the IHS. If you request funding greater 
than $100,000, your application may not be considered, and it may not 
be entered into the review process. You will be notified if your 
application does not meet submission requirements, and your application 
will be returned to you.

Cooperative Agreement

    This award is a cooperative agreement because it requires 
substantial Federal programmatic participation in the implementation 
and evaluation of the project. IHS will be responsible for activities 
listed under B1-4.
    Substantial Involvement Description for Cooperative Agreement

[[Page 28512]]

A. Cooperative Agreement Award Activities
    (1) All recipient activities funded under this program announcement 
are required to coordinate with existing Federal, local public health 
agencies, Tribal programs, and/or local coalitions/task forces to 
enhance joint efforts to strengthen health promotion and disease 
prevention programs in the community, school and/or work site. All 
recipients are required to address at least one of the following or a 
combination of all four components: School, work site, clinic, or 
community based interventions.
    (2) Successful applicants funded through this Request For 
Application (RFA) are required to identify a project coordinator who 
has the authority and responsibility to plan, implement, and evaluate 
the project.
    (3) Budget for the project coordinator to attend a two-day New 
Grantee Meeting/Training in Albuquerque, New Mexico in the first year 
of the grant award.
    (4) The Government Performance and Results Act of 1993 (Pub. L. 
103-62, or ``GPRA'') requires all Federal agencies to set program 
performance baselines and targets and to report annually on the degree 
to which the annual targets were met. As part of the government's GPRA 
guidelines, all HP/DP grantees are required to provide data on the 
following core measures for community, school, worksite, and clinic-
based prevention projects. Applicants must demonstrate their ability to 
collect and report on these measures in their applications:
    <bullet> Baseline data of tobacco and/or alcohol use among targeted 
population;
    <bullet> Perception of alcohol/tobacco use among youth and adults;
    <bullet> Frequency of fruits and vegetable consumption within the 
past 30 days;
    <bullet> Frequency of physical education provided in the schools or 
afterschool programs;
    <bullet> Policies pertaining to tobacco, physical education, 
worksite wellness, vending machines offering healthier snacks and 
beverages; and
    <bullet> Self-reported physical activity level within the past 30 
days.
    The terms and conditions of the award will specify how the data is 
to be submitted and the schedule for submission of data using an online 
data reporting system that is under development. If funded, each 
successful applicant will be required to submit a comprehensive plan to 
HP/DP outlining specifically how the grantee will comply with the data 
reporting requirements outlined above. This plan will be due no later 
than 30 days after receipt of the Notice of Grant Award.
    (5) Develop a work plan that is based on local need, health data 
and prioritized for wellness. The plan will include specific 
objectives, action steps, responsible person, time line, and 
evaluation.
    (6) The project coordinator will participate on quarterly 
teleconferences and participate in the site visits in the first year of 
the funding.
    (7) The project coordinator will collaborate with the IHS HP/DP 
project officer and IHS contractor.
B. Indian Health Service Cooperative Agreement
    (1) The IHS HP/DP Coordinator or designee will serve as project 
officer.
    (2) The HP/DP program will provide consultation and technical 
assistance. Technical assistance includes program implementation, 
marketing, data management, evaluation, reporting, and sharing with 
other grantees.
    (3) An IHS contractor (designated by HP/DP program) will be 
responsible for technical assistance oversight, monitoring reporting of 
projects, conference calls, and site visits. The IHS contractor serves 
as a technical liaison to the IHS HP/DP program and the HP/DP grantees.
    (4) The IHS and the contractor will coordinate a training workshop 
for the project coordinators to share lessons learned, successes, 
challenges, and strategies to expand best/promising practices.

III. Eligibility Information

1. Eligible Applicants must be one of the following as defined by 25 
U.S.C. 1603

    i. A Federally-recognized Indian Tribe 25 U.S.C. 1603(d);
    ii. Tribal organization 25 U.S.C. 1603(e);
    iii. Urban Indian organization as defined by 25 U.S.C. 1603(h). 
Applicants must provide proof of non-profit status with the 
application, e.g. 501(c)3.

2. Cost Sharing or Matching

    Cost sharing or matching is not required

3. Other Requirements

    <bullet> Late applications will be considered non-responsive. See 
Section ``IV.3. Submission Dates and Times'' for more information on 
deadlines.
    <bullet> Tribal Resolution(s)--A resolution of the Indian Tribe 
served by the project should accompany the application submission. An 
Indian Tribe that is proposing a project affecting another Indian Tribe 
must include resolutions from all affected Tribes to be served. Draft 
resolutions may be submitted in lieu of an official signed resolution. 
The applicant must state when the final resolution will be obtained and 
submitted. An official signed Tribal resolution is required prior to 
award date if the Tribe is selected for funding. The entity should 
submit the resolution (draft or final) prior to the application review 
date or the application will be considered incomplete and it will be 
returned without consideration.

IV. Application and Submission Information

    1. Applicant package may be found in Grants.gov (www.grants.gov) or 
at http://www.ihs.gov/NonMedicalPrograms/gogp/gogp_funding.asp. 
Information regarding the electronic application process may be 
directed to Michelle G. Bulls, at (301) 443-6528 or 
<a href="/cdn-cgi/l/email-protection#45082c262d202929206b0730292936052c2d366b222a33"><span class="__cf_email__" data-cfemail="e2af8b818a878e8e87cca0978e8e91a28b8a91cc858d94">[email protected]</span></a>. The entire application package is available at: 
http://www.grants.gov/Apply. Detailed application instructions for this 
announcement are downloadable on www.grants.gov.
    2. Content and Form of Application Submission
A. All applications should
    (1) Be single-spaced.
    (2) Be typewritten.
    (3) Have consecutively numbered pages.
    (4) If unable to submit electronically, submit using a black type 
not smaller than 12 characters per one inch.
    i. Submit on one side only of standard size 8\1/2\'' x 11'' paper.
    ii. Do not tab, glue, or place in a plastic holder.
    (5) Contain a narrative that does not exceed 20 typed pages that 
meets the other submission requirements below. The 20-page narrative 
should not include the standard forms, Tribal resolution(s), table of 
contents, budget, budget justifications, multi-year narratives, multi-
year budget, multi-year budget justifications, and/or other appendix 
items.
    Public Policy Requirements: All Federal-wide public policies apply 
to IHS grants with the exception of the Lobbying and Discrimination 
Policy.
B. Include in the application the following documents in the order 
presented
    (1) Standard Form 424, Application for Federal Assistance.
    (2) Standard Form 424A, Budget Information--Non-Construction 
Programs (pages 1-2).
    (3) Standard Form 424B, Assurances--Non-Construction

[[Page 28513]]

Programs front and back. The application shall contain assurances to 
the Secretary that the applicant will comply with program regulations, 
42 CFR Part 136 Subpart H.
    (4) Certification.
    (5) Disclosure of Lobbying Activities.
    (6) Project Abstract (may not exceed one typewritten page) which 
should present a summary view of ``who-what-when-where-how-cost'' to 
determine acceptability for review.
    (7) Table of Contents with corresponding numbered pages.
    (8) Project Narrative (not to exceed 20 typewritten pages).
    (9) Categorical Budget Narrative and Budget Justification.
    (10) Appendix Items.

3. Submission Dates and Times

    Applications must be submitted electronically through Grants.gov by 
12 midnight Eastern Standard Time (EST) on July 17, 2009. If technical 
challenges arise and the applicant is unable to successfully complete 
the electronic application process, the applicant should contact 
Michelle G. Bulls, Grants Policy Staff Director at (301) 443-6528, at 
least fifteen days prior to the application deadline and advise of the 
difficulties their organization is experiencing. At that time, a 
determination will be made as to whether the organization is eligible 
to receive a waiver from the required submission process to submit a 
paper application which includes the original and 2 copies. Prior 
approval must be obtained from the Grants Policy Staff in writing 
allowing a paper submission. Applications not submitted through 
Grants.gov, without an approved waiver, may be returned to the 
applicant without review and consideration. Each applicant 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.
    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, Division of Grants Operations 
(DGO). Late applications will be returned to the applicant without 
review or consideration. IHS will not acknowledge receipt of 
applications under this announcement.

4. Intergovernmental Review

    Executive Order 12372 requiring intergovernmental review is not 
applicable to this program.

5. Funding Restrictions

    A. Pre-award costs are allowable pending prior approval from the 
awarding agency. However, in accordance with 45 CFR Part 74 all pre-
award costs are incurred at the recipient's risk. The awarding office 
is under no obligation to reimburse such costs if for any reason the 
applicant does not receive an award or if the award to the recipient is 
less than anticipated.
    B. Funds may be used to expand or enhance existing activities to 
accomplish the objectives of this program announcement. Funds may be 
used to pay for consultants, contractors, materials, resources, travel 
and associated expenses to implement and evaluate intervention 
activities such as those described under the ``Activities'' section of 
this announcement. Funds may not be used for direct patient care, 
diagnostic medical testing, patient rehabilitation, pharmaceutical 
purchases, facilities construction, or lobbying.
    C. Each HP/DP award shall not exceed $100,000 a year or a total of 
$300,000 for 3 years.
    D. The available funds are inclusive of direct and indirect costs.
    E. Only one grant will be awarded per applicant.

6. Other Submission Requirements

    A. Electronic Transmission: The preferred method for receipt of 
applications is electronic submission through Grants.gov. However, 
should any technical challenges arise regarding the submission, please 
contact Grants.gov Customer Support at (800) 518-4726 or e-mail your 
questions to <a href="/cdn-cgi/l/email-protection#e99a9c9999869b9da98e9b88879d9ac78e869f"><span class="__cf_email__" data-cfemail="98ebede8e8f7eaecd8ffeaf9f6ecebb6fff7ee">[email protected]</span></a>. The Contact Center hours of operation 
are Monday-Friday from 7 a.m. to 9 p.m. (Eastern Standard Time). The 
applicant must seek assistance at least fifteen days prior to the 
application deadline. Applicants that do not adhere to the timelines 
for Central Contractor Registry (CCR) and/or Grants.gov registration 
and/or request timely assistance with technical issues will not be a 
candidate for paper applications.
    To submit an application electronically, please use the Grants.gov 
Web site, http://www.grants.gov and select the ``Apply for Grants'' 
link on the homepage. 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 site. You may not e-mail an electronic 
copy of a grant application to IHS.
    Please be reminded of the following:
    <bullet> Under the new IHS requirements, paper applications are not 
the preferred method. However, if you have technical problems 
submitting your application online, please contact Grants.gov Customer 
Support at: http://www.grants.gov/CustomerSupport.
    <bullet> 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 request from Grants Policy 
must be obtained.
    <bullet> If it is determined that a formal waiver is necessary, the 
applicant must submit a request, in writing (e-mails are acceptable), 
to <a href="/cdn-cgi/l/email-protection#c984a0aaa1aca5a5ace78bbca5a5ba89a0a1bae7aea6bf"><span class="__cf_email__" data-cfemail="410c282229242d2d246f03342d2d32012829326f262e37">[email protected]</span></a> that includes a justification for the need to 
deviate from the standard electronic submission process. Upon receipt 
of approval, a hard copy application package must be downloaded by the 
applicant from Grants.gov, and sent directly to the Division of Grants 
Management/Operations (DGO), 801 Thompson Avenue, TMP 360, Rockville, 
MD 20852 by the due date, July 17, 2009.
    <bullet> Upon entering the Grants.gov site, there is information 
available that outlines the requirements to the applicant regarding 
electronic submission of an application through Grants.gov, as well as 
the hours of operation. Applicants must not wait until the deadline 
date to begin the application process through Grants.gov as the 
registration process for CCR could take up to fifteen working days.
    <bullet> To use Grants.gov, you, as the applicant, must have a Dun 
and Bradstreet Data Universal Numbering System (DUNS) Number and 
register in the CCR. You should allow a minimum of ten working days to 
complete CCR registration. See below on how to apply.
    <bullet> You must submit all documents electronically, including 
all information typically included on the SF 424 and all necessary 
assurances and certifications.
    <bullet> Please use the optional attachment feature in Grants.gov 
to attach additional documentation that may be requested by IHS.
    <bullet> Your application must comply with any page limitation 
requirements described in the program announcement.
    <bullet> After you electronically submit your application, you will 
receive an automatic acknowledgment from Grants.gov that contains a 
Grants.gov tracking number. The DGO will retrieve your application from 
Grants.gov. The

[[Page 28514]]

DGO will not notify applicants that the application has been received.
    <bullet> You may access the electronic application for this program 
on http://www.Grants.gov.
    <bullet> You may search for the downloadable application package 
using the CFDA number (93.443) or the Funding Opportunity Number (HHS-
2009-IHS-HPDP-0001). Both numbers are identified in the heading of this 
announcement.
    <bullet> The applicant must provide the Funding Opportunity Number: 
HHS-2009-IHS-HPDP-0001.
    E-mail applications will not be accepted under this announcement.
    B. 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 telephone 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. Applicants must also be registered with the CCR 
to submit electronically. Please review and complete the CCR 
``Registration Worksheet'' located in the appendix of the HP/DP 
application package or on http://www.Grants.gov/CCRRegister. More 
detailed information regarding these registration processes can be 
found at the http://www.Grants.gov Web site.
    C. Other Requirements:
    (1) Please number pages consecutively from beginning to end so that 
information can be located easily during review of the application. 
Appendices should be labeled and separated from the Project Narrative 
and Budget Section, and the pages should be numbered to continue the 
sequence.
    (2) Abstract--describing the overall project, intervention area and 
population size, partnerships, intervention strategies, and major 
outcomes. The abstract is limited to 1 page.
    (3) Table of Contents--with page numbers for each of the following 
sections.
    (4) Application Narrative--the application narrative (excluding the 
appendices) must be no more than 20 pages, single-spaced, printed on 
one side, with one-inch margins, and black type not smaller than 12 
characters per one inch. You MUST respond to every question/request in 
each category of the Project Narrative individually. You MUST retype 
the bold portion of every section header, question or request directly 
above each individual response you provide. Be sure to place all 
responses and required information in the correct section or they will 
not be considered or scored. If your narrative exceeds the page limit, 
only the first 20 pages will be reviewed. The narrative should include 
background and needs; intervention plan (including a work plan table); 
monitoring and evaluation; organizational capabilities and 
qualifications; communication and information sharing. The narrative 
should include a summary of the organizations that have submitted 
letters of support, resolution, and Memorandum of Understanding (MOU) 
(as appropriate) from the local key partners specifying their roles, 
responsibilities, and resources. Actual letters, resolution, and MOU 
should be placed in the appendix.
    (5) Line-Item Budget Narrative and Budget Justification--detailed 
budget by line items and a detailed budget narrative justification 
explaining why each budget line item is necessary/relevant to the 
proposed project (personnel, supplies, equipment, training, etc.). You 
may include in-kind services to carry out proposed plans.
    (6) Appendix--the following additional information may be included 
in the appendix. The appendices will not be counted toward the 
narrative page limit. Appendices are limited to the following items:
    a. Multi-Year Categorical Budgets and Multi-Year Budget Narrative 
Justifications.
    b. Categorical Budget Line-Items and Budget Narrative 
Justification.
    c. Tribal Resolution(s) or Health Board Resolution(s).
    d. Organizational Chart(s).
    e. Letters of Support, Resolution, or Memorandum of Understanding.
    f. Resumes of key staff that reflect current duties.
    g. Indirect Cost Rate Agreement.
    h. Proposed Contractual or Consultant Scope of Work, if applicable.
    i. Resumes or Qualifications of Contractors or Consultants, if 
applicable.

V. Application Review Information

1. Criteria

    You are required to provide measurable objectives related to the 
performance goals and intended outcome. Applicants will be evaluated 
and rated according to weights assigned to each section as noted in 
parentheses.
A. Abstract. (no points)
B. Background and Needs. (Total 20 points)
    <bullet> Is the proposed intervention and the extent of the problem 
clearly and thoroughly described, including the targeted population 
served and geographic location of the proposed project? (5 points) 
Please retype this heading in your responses.
    <bullet> Are data provided to substantiate the existing burden and/
or disparities of chronic diseases and conditions in the target 
population to be served? (5 points) Please retype this heading in your 
responses.
    <bullet> Are assets and barriers to successful program 
implementation identified? (5 points) Please retype this heading in 
your responses.
    <bullet> How well are existing resources used to complement or 
contribute to the effort planned in the proposal? (5 points) Please 
retype this heading in your responses.
C. Intervention Plan. (Total 30 points)
    <bullet> Does the plan include objectives, strategies, and 
activities that are specific, realistic, measurable, and time phased 
related to identified needs and gaps in existing programs? (10 points) 
Please retype this heading in your responses.
    <bullet> Does the proposed plan include intervention strategies to 
address risk factors contributing to chronic conditions and diseases? 
(5 points) Please retype this heading in your responses.
    <bullet> How well does the plan reflect local capacity to provide, 
improve, or expand services that address the needs of the target 
population? (5 points) Please retype this heading in your responses.
    <bullet> Does the proposed plan include the action steps in a time 
line that identify who will be responsible to coordinate the project, 
develop and collect the evaluation, and provide training if any? 
Provide the work plan/time line in the appendix. (5 points) Please 
retype this heading in your responses.
    <bullet> If the plan includes consultants or contractors, does the 
plan include educational requirements, work experience and 
qualifications, expected work products to be delivered and a time line? 
If a potential consultant/

[[Page 28515]]

contractor has already been identified, please include a resume in the 
appendix. (5 points) Please retype this heading in your responses.
    <bullet> You must present the details of your plan in table format 
as shown below. You may use 10 pt Times New Roman font inside the table 
(for the rest of the application you must use 12 pt). The table should 
fall within the text of this section (not an attachment). NOTE: this 
table counts toward your overall page limit. Please develop a multi 
year work plan that includes the goal, objective, target date, 
responsible party, output and outcome evaluation.

                                        Grant Implementation Action Plan
----------------------------------------------------------------------------------------------------------------
                                                                     Output (e.g., how you   Outcome (e.g., the
       Activity         Responsible party(s)       Target date          know it's done)       expected impact)
----------------------------------------------------------------------------------------------------------------
Goal:
Objective 1:
xxx xxx                xxx xxx                xxx xxx                xxx xxx                xxx xxx
Objective 2:
----------------------------------------------------------------------------------------------------------------

D. Plan for Monitoring and Program Evaluation. (Total 20 points)
    <bullet> Core Measurement Requirement: As a HP/DP grantee, does 
your plan reflect the required pertinent measures bulleted below: (5 
points) Please retype this heading in your responses.
    (1) Baseline data of tobacco and/or alcohol use among targeted 
population;
    (2) Perception of alcohol/tobacco use among youth and adults;
    (3) Frequency of fruits and vegetable consumption within the past 
30 days;
    (4) Frequency of physical education provided in the schools or 
afterschool programs;
    (5) Policies pertaining to tobacco, physical education, worksite 
wellness, vending machines offering healthier snacks and beverages; and
    (6) Self-reported physical activity level within the past 30 days.
    <bullet> Does the plan describe appropriate data sources to monitor 
and track changes in community capacity; the extent to which 
interventions reach populations at risk; changes in risk factors; and 
changes in program efficiency? (5 points) Please retype this heading in 
your responses.
    <bullet> Does the applicant demonstrate the capability to conduct 
surveillance and program evaluation, access and analyze data sources, 
and use the evaluation to strengthen the program? (5 points) Please 
retype this heading in your responses.
    <bullet> Does the applicant describe how the project is anticipated 
to improve specific performance measures and outcomes compared to 
baseline performance? (5 points) Please retype this heading in your 
responses.
E. Organizational Capabilities, Qualifications and Collaboration. 
(Total 10 points)
    <bullet> Does the plan include the organizational structure of the 
Tribe/Tribal or Urban Indian organization? (1 point) Please retype this 
heading in your responses.
    <bullet> Does the plan include the ability of the organization to 
manage the proposed plans, including information on similar sized 
projects in scope as well as other grants and projects successfully 
completed? (2 points) Please retype this heading in your responses.
    <bullet> Does the applicant include key personnel who will work on 
the project? Position descriptions should clearly describe each 
position and duties, qualifications and experiences related to the 
proposed plan. Resumes must indicate the staff qualifications to carry 
out the proposed plan and activities. (2 points) Please retype this 
heading in your responses.
    <bullet> How will the plan be sustained after the grant ends? (2 
points) Please retype this heading in your responses.
    <bullet> Does the applicant describe key partners specifying their 
roles, responsibilities, and resources (MOU, Letters of Support are 
provided in the appendix). (3 points) Please retype this heading in 
your responses.
F. Communication and Information Sharing. (Total 10 points)
    <bullet> Does the applicant describe plans to share experiences, 
strategies, and results with other interested communities and partners? 
(5 points) Please retype this heading in your responses.
    <bullet> Does the applicant describe plans to ensure effective and 
timely communication and exchange of information, experiences and 
results through mechanisms such as the Internet, workshops, and other 
methods? (5 points) Please retype this heading in your responses.
G. Budget Justification. (Total 10 points)
    <bullet> Is the budget reasonable and consistent with the proposed 
activities and intent of the program? (4 points) Please retype this 
heading in your responses.
    <bullet> Does the budget narrative justification explain each line 
item and the relevancy to the proposed plan? (4 points) Please retype 
this heading in your responses.
    <bullet> Does the budget include in-kind services? (2 points) 
Please retype this heading in your responses.

2. Review and Selection Process

    Applications will be reviewed for timeliness and completeness by 
the DGO and for responsiveness by the HP/DP staff. Late and incomplete 
applications will be considered ineligible and will be returned to the 
applicant without review. Applications will be evaluated and rated 
based on the evaluation criteria listed in Section V.1. Applicants will 
be notified if their application did not meet submission requirements. 
In addition to the above criteria/requirements, applications are 
considered according to the following:
    A. Proposals will be reviewed for merit by the Objective Review 
Committee consisting of Federal and non-Federal reviewers appointed by 
the IHS.
    B. The technical review process ensures the selection of quality 
projects in a national competition for limited funding. After review of 
the applications, rating scores will be ranked, and the applications 
with the highest rating scores will be recommended for funding. 
Applicants scoring below 60 points will be disapproved.

3. Anticipated Announcement and Award Dates

    Earliest anticipated award date is August 3, 2009.

VI. Award Administration Information

1. Award Notices

    Notification: July 28, 2009
    The Notice of Award (NoA) will be initiated by the DGO and will be 
mailed via postal mail on or before August 3, 2009 to each entity that 
is approved for funding under this announcement. The NoA will be signed 
by the Grants

[[Page 28516]]

Management Officer and this is the authorizing document for which funds 
are dispersed to the approved entities. The NoA will serve as the 
official notification of the grant award and will reflect the amount of 
Federal financial funds awarded, the purpose of the grant, the terms 
and conditions of the award, the effective date of the award, and the 
budget/project period. The NoA is the legally binding document. 
Applicants who are approved but unfunded or disapproved based on their 
Objective Review score will receive a copy of the Executive Summary 
which identifies the weaknesses and strengths of the application 
submitted.

2. Administrative and National Policy Requirements

    A. 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 Non 
Profit Organizations, and Commercial Organizations.''
    B. Appropriate Cost Principles: OMB Circular A-87, ``State, Local, 
and Indian Tribal Governments,'' (Title 2 Part 225) or OMB Circular A-
122, ``Non-Profit Organizations.'' (Title 2 Part 230).
    C. OMB Circular A-133, ``Audits of States, Local Governments, and 
Non-Profit Organizations.''
    D. Grants Policy Guidance: HHS Grants Policy Statement 01/2007.
    Indirect Costs:
    This section applies to all grant recipients that request indirect 
costs in their application. In accordance with HHS Grants Policy 
Statement, Part II-27, IHS requires applicants to have a current 
indirect cost rate agreement in place prior to award. The rate 
agreement must be prepared in accordance with the applicable cost 
principles and guidance as provided by the cognizant agency or office. 
A current rate means the rate covering the applicable activities and 
the award budget period. If the current rate is not on file with the 
awarding office, the award shall include funds for reimbursement of 
indirect costs. However, the indirect cost portion will remain 
restricted until the current rate is provided to the Division of Grant 
Operations (DGO).
    Generally, indirect cost rates for IHS Tribal organization grantees 
are negotiated with the Division of Cost Allocation at http://rates.psc.gov/, and indirect cost rates that are for IHS-funded, 
Federally-recognized Tribes are negotiated with the Department of 
Interior. If your organization has questions regarding the indirect 
cost policy, please contact the DGO at (301) 443-5204.

3. Reporting

    A. Progress Report--Program progress reports are required semi-
annually by March 1 and September 1 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. A final report must be 
submitted within 90 days of expiration of the budget/project period.
    B. Financial Status Report--Annual financial status reports (FSR) 
must be submitted 90 days after the end of each Budget Period. Final 
FSRs are due within 90 days of expiration of the project period. 
Standard Form 269 (long form) can be downloaded from: http://www.whitehouse.gov/omb/grants/sf269.pdf for financial reporting.
    Failure to submit required reports may result in one or both of the 
following:
    A. The imposition of special award provisions; and
    B. The withholding of support of other eligible projects or 
activities. This applies whether the delinquency is attributable to the 
failure of the grantee organization or the individual responsible for 
preparation of the reports.

VII. Agency Contact(s)

    1. Information regarding the program or grants management related 
inquiries may be obtained from either of the following persons:
    Program Contact: Ms. Alberta Becenti, Division of Clinical & 
Preventive Services, Indian Health Service, 5300 Homestead Rd., NE., 
Albuquerque, New Mexico 87110, Phone: (301) 443-4305.
    Grants Policy Contact: Ms. Sylvia Ryan, Division of Grants 
Management/Operations, Indian Health Service, 801 Thompson Avenue, 
Suite 320, Rockville, Maryland 20852, Phone: (301) 443-5204.
    The Public Health Service (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 
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 PHS mission to protect and advance the physical and mental health 
of the American people.

     Dated: June 3, 2009.
Randy Grinnell,
Deputy Director, Indian Health Service.
[FR Doc. E9-14046 Filed 6-15-09; 8:45 am]
BILLING CODE 4165-16-P


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