28250 Federal Register / Vol. 74, No. 113 / Monday, June 15, 2009 / Notices 

services in the dental benefit package 

and demonstrate that it includes all the 

required services. Alternatively, the 

State may provide a dental benefit 

package that is equivalent to one of the 

three benchmark packages described in 

the statute. In order to implement one 

of these options and comply with the 

statute, States must amend their State 

Plan using the State Plan pre-print. 

Form Number: CMS–10288 (OMB #: 

0938—NEW); Frequency: Reporting 

One-time; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 51; Total Annual 

Responses: 51; Total Annual Hours: 

1530. (For policy questions regarding 

this collection contact Nancy 

Goetschius at 410–786–0707. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Optional Dentalonly Supplemental Coverage State Plan 

Amendment Template; Use: CHIPRA 

2009 provides States with an option to 

provide supplemental dental-only 

coverage to children who would be 

eligible to enroll in the State’s 

Children’s Health Insurance Program 

(CHIP), except that they already have 

health insurance coverage, either 

through a group health plan or employer 

sponsored insurance. If the health 

insurance plan the child is enrolled in 

does not provide dental benefits, the 

State may provide the child with the 

same State-defined dental package or 

benchmark benefit plan provided to 

children who are eligible for the entire 

CHIP benefit package. The child will 

only be entitled to the dental services 

provided to other CHIP children. 

In order to choose this option, State 

must comply with all other 

requirements of the statute regarding 

cost sharing, income eligibility level, 

absence of a waiting list for their entire 

CHIP program (not just for dental 

coverage), and not providing more 

favorable treatment to children eligible 

for the supplemental dental benefit 

under this option. In order to implement 

this option States must amend their 

State Plan using the Supplemental 

Dental Benefits State Plan Amendment 

Template. Form Number: CMS–10289 

(OMB#: 0938—NEW); Frequency: 

Reporting One-time; Affected Public: 

State, local, or Tribal Governments; 

Number of Respondents: 51; Total 

Annual Responses: 51; Total Annual 

Hours: 1020. (For policy questions 

regarding this collection contact Nancy 

Goetschius at 410–786–0707. For all 

other issues call 410–786–1326.) 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Uniform Institutional Provider Bill and 

Supporting Regulations in 42 CFR 

424.5; Use: Section 42 CFR 424.5(a)(5) 

requires providers of services to submit 

a claim for payment prior to any 

Medicare reimbursement. Charges billed 

are coded by revenue codes. The bill 

specifies diagnoses according to the 

International Classification of Diseases, 

Ninth Edition (ICD–9–CM) code. 

Inpatient procedures are identified by 

ICD–9–CM codes, and outpatient 

procedures are described using the CMS 

Common Procedure Coding System 

(HCPCS). These are standard systems of 

identification for all major health 

insurance claims payers. Submission of 

information on the CMS–1450 permits 

Medicare intermediaries to receive 

consistent data for proper payment. 

Form Numbers: CMS–1450 (UB–04) 

(OMB#: 0938–0997); Frequency: 

Reporting—On occasion; Affected 

Public: Not-for-profit institutions, 

Business or other for-profit; Number of 

Respondents: 53,111; Total Annual 

Responses: 181,909,654; Total Annual 

Hours: 1,567,455. (For policy questions 

regarding this collection contact Matt 

Klischer at 410–786–7488. 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 

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. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by August 14, 2009: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number (CMS–10078), Room 

C4–26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Dated: June 5, 2009. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E9–13944 Filed 6–12–09; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

[Funding Opportunity Number: HHS–2009– 

IHS–UIHP–0003] 

Office of Urban Indian Health 

Programs 

Announcement Type: Competitive 

Targeted Solicitation. 

Catalog of Federal Domestic 

Assistance Number: 93.193. 

Application Deadline Date: July 15, 

2009. 

Review Date: July 30, 2009. 

Earliest Anticipated Start Date: 

August 3, 2009. 

I. Funding Opportunity Description 

The Indian Health Service (IHS), 

Office of Urban Indian Health Programs 

(OUIHP) announces a limited targeted 

solicitation for the 4-in-1 Title V grants 

responding to an Office of HIV/AIDS 

Policy (OHAP), Minority AIDS 

(Acquired Immunodeficiency 

Syndrome) Initiative (MAI). This 

program is authorized under the 

authority of the Snyder Act and 25 

U.S.C. 1652, 1653 of the Indian Health 

Care Improvement Act, Public Law 94– 

437, as amended. This program is 

described at 93.193 in the Catalog of 

Federal Domestic Assistance (CFDA). 

This competitive targeted solicitation 

seeks to expand OUIHP’s existing Title 

V grants to increase the number of 

American Indian/Alaska Natives (AI/ 

AN) with awareness of his/her HIV 

status. This will provide routine and/or 

rapid HIV screening, prevention, preand post-test counseling (when 

appropriate). Enhancement of urban 

Indian health program HIV/AIDS 

activities is necessary to reduce the 

incidence of HIV/AIDS in the urban 

Indian health communities by 

increasing access to HIV related 

services, reducing stigma, and making 

testing routine. 

These grants and supplements will be 

used to enhance HIV testing, including 

rapid testing and/or standard HIV 

antibody testing and to provide a more 

focused effort to address HIV/AIDS 

prevention by targeting some of the 

largest urban Indian populations in the 

United States. The grantees will attempt 


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to provide routine HIV screening for 

adults as per 2006 Centers for Disease 

Control and Prevention (CDC) 

guidelines, pre- and post-test counseling 

(when appropriate). These grants will be 

used to identify best practices to 

enhance HIV testing, including rapid 

testing and/or conventional HIV 

antibody testing, and to provide a more 

focused effort to address HIV/AIDS 

prevention in AI/AN populations in the 

United States. 

The nature of these projects will 

require collaboration with the OUIHP 

to: (1) Coordinate activities with the IHS 

National HIV Program; (2) participate in 

projects in other operating divisions of 

the Department of Health and Human 

Services (HHS) such as the CDC, 

Substance Abuse and Mental Health 

Services Administration, Health 

Resource and Services Administration 

and the Office of HIV/AIDS Policy; and 

(3) submit and share anonymous, nonidentifiable data on HIV/AIDS testing, 

treatment, and education. 

These grants are also intended to 

encourage development of sustainable, 

routine HIV screening programs in 

urban facilities that are aligned with 

2006 CDC HIV Screening guidelines 

(http://www.cdc.gov/mmwr/preview/ 

mmwrhtml/rr5514a1.htm). Key features 

include streamlined consent and 

counseling procedures (verbal consent, 

opt-out), a clear HIV screening policy, 

identifying and implementing any 

necessary staff training, community 

awareness, and a clear followup 

protocol for HIV positive results 

including linkages to care. Grantees may 

choose to bundle HIV tests with STD 

screening. 

II. Award Information 

Type of Award: Title V HIV/AIDS 

New Grants. 

Estimated Funds Available: The total 

amount identified for Fiscal Year (FY) 

2009 is five awards totaling $150,000. 

The award is for three years in duration. 

Individual awards must include one 

project evaluation and provide 

administrative support of the project. 

Awards under this announcement and 

all future awards are subject to the 

availability of funds. IHS has no 

obligation to provide future funding for 

this project. 

Anticipated Number of Awards: Five 

grant awards will be made under the 

program. 

Project Period: September 1, 2009– 

August 31, 2010. 

Award Amount: $150,000. 

A. Requirements of Recipient Activities 

In FY 2009, each grantee’s attempted 

goal shall include screening as many 

individuals as possible; however, each 

funded program’s attempted goal will be 

to increase screening to a minimum of 

300 AI/AN tested per program funded 

(adjusted due to variations in size of 

facility and user population), for a total 

of 4,500 AI/AN tested. This reflects an 

MAI requirement to maintain the actual 

cost per MAI Fund HIV testing client 

below the medical care inflation rate. 

This does not include counts of retesting individuals in the same year. 

Each program shall also collect 

evidence, as part of the testing process, 

to document lessons learned, best 

practices, and barriers to increased 

routine HIV screening within this 

population. 

III. Eligibility Information 

1. Eligible Applicants: urban Indian 

organizations, as defined by 25 U.S.C. 

1603(h), and limited to urban Indian 

organizations which meet the following 

criteria: 

• Received State certification to 

conduct HIV rapid testing (where 

required); 

• Health professionals and staff have 

been trained in the HIV/AIDS screening 

tools, education, prevention, 

counseling, and other interventions for 

AI/ANs; 

• Developed programs to address 

community and group support to 

sustain risk—reduction skills; 

• Implemented HIV/AIDS quality 

assurance and improvement programs; 

and 

• Must provide proof of non-profit 

status with the application. 

2. Cost Sharing or Matching—This 

program does not require matching 

funds or cost sharing. 

3. If the application budget exceeds 

the award amount, it will not be 

considered for review. 

IV. Application and Submission 

Information 

1. Applicant package may be found in 

Grants.gov (http://www.grants.gov) or at: 

http://www.ihs.gov/ 

NonMedicalPrograms/gogp/ 

gogp_funding.asp. 

Questions regarding the electronic 

application process may be directed to 

Michelle G. Bulls at (301) 443–6290. 

2. Content and Form of Application 

Submission: 

• Be single spaced. 

• Be typewritten. 

• Have consecutively numbered 

pages. 

• Use black type not smaller than 12 

characters per one inch. 

• Contain a narrative that does not 

exceed 15 typed pages that includes the 

other submission requirements below. 

The 15 page narrative does not include 

the work plan, standard forms, table of 

contents, budget, budget justifications, 

narratives, 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 public 

policy. 

3. Submission Dates and Times: 

The application from each urban 

Indian organization must be submitted 

electronically through Grants.gov by 

12:00 midnight Eastern Standard Time 

(EST), July 15, 2009. 

If technical challenges arise and the 

urban Indian organizations are unable to 

successfully complete the electronic 

application process, each organization 

must contact Michelle G. Bulls, Grants 

Policy Staff (GPS) fifteen days prior to 

the application deadline and advise of 

the difficulties that they are 

experiencing. Each organization must 

obtain prior approval, in writing (emails are acceptable), from Ms. Bulls 

allowing the paper submission. If 

submission of a paper application is 

requested and approved, the original 

and two copies may be sent to the 

appropriate grants contact that is listed 

in Section IV.1 above. Applications not 

submitted through Grants.gov, without 

an approved waiver, may be returned to 

the organizations without review or 

consideration. 

A late application will be returned to 

the organization without review or 

consideration. 

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 preaward costs are incurred at the 

recipient’s risk. The awarding office is 

under no obligation to reimburse such 

costs if for any reason any of the urban 

Indian organizations do not receive an 

award or if the award to the recipient is 

less than anticipated. 

B. The available funds are inclusive of 

direct and appropriate indirect costs. 

C. Only one new grant will be 

awarded to each organization. 

D. IHS will acknowledge receipt of 

the application by e-mail. 

6. Other Submission Requirements: 

Electronic Submission—Each urban 

Indian organization must submit 

through Grants.gov. However, should 

any technical challenges arise regarding 

the submission, please contact 

Grants.gov Customer Support at 1–800– 

518–4726 or support@grants.gov. The 


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Contact Center hours of operation are 

Monday-Friday from 7 a.m. to 9 p.m. 

EST. If you require additional 

assistance, please call (301) 443–6290 

and identify the need for assistance 

regarding your Grants.gov application. 

Your call will be transferred to the 

appropriate grants staff member. Each 

organization must seek assistance at 

least fifteen days prior to the application 

deadline. If an organization does not 

adhere to the timelines for Central 

Contractor Registry (CCR), Grants.gov 

registration and request timely 

assistance with technical issues, a paper 

application submission may not be 

granted. 

To submit an application 

electronically, please use the 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 site. You may not e-mail 

an electronic copy of a grant application 

to IHS. 

Please be reminded of the following: 

• Under the new IHS application 

submission requirements, paper 

applications are not the preferred 

method. However, if any urban Indian 

organization has technical problems 

submitting the application on-line, 

please contact Grants.gov Customer 

Support at: http://www.grants.gov/ 

CustomerSupport. 

• Upon contacting Grants.gov, obtain 

a Grants.gov 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. If any 

of the organizations are still unable to 

successfully submit the application 

online, please contact Michelle G. Bulls, 

GPS, at (301) 443–6290 at least fifteen 

days prior to the application deadline to 

advise of the difficulties you have 

experienced. 

• If it is determined that a formal 

waiver is necessary, each organization 

must submit a request, in writing (emails are acceptable), to 

Michelle.Bulls@ihs.gov providing 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 from Grants.gov and sent 

directly to the Division of Grants 

Operations (DGO), 801 Thompson 

Avenue, TMP, 360, Rockville, MD 

20852 by July 15, 2009. 

• Upon entering the Grants.gov Web 

site, there is information available that 

outlines the requirements for each urban 

Indian organization regarding electronic 

submission of application and hours of 

operation. We strongly encourage each 

organization to not wait until the 

deadline date to begin the application 

process as the registration process for 

CCR and Grants.gov could take up to 

fifteen working days. 

• To use Grants.gov, each urban 

Indian organization must have a Data 

Universal Numbering System (DUNS) 

Number and register in the CCR. Each 

organization should allow a minimum 

of ten working days to complete CCR 

registration. See below on how to apply. 

• Each organization must submit all 

documents electronically, including all 

information typically included on the 

SF–424 and all necessary assurances 

and certifications. 

• Please use the optional attachment 

feature in Grants.gov to attach 

additional documentation that may be 

requested by IHS. 

• Each organization 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 DGO will retrieve 

your application from Grants.gov. The 

DGO will notify each organization by email that the application has been 

received. 

• You may access the electronic 

application for this program on 

Grants.gov. 

• You may search for the 

downloadable application package 

using either the CFDA number or the 

Funding Opportunity Number. Both 

numbers are identified in the heading of 

this announcement. 

• To receive an application package, 

each urban Indian organization must 

provide the Funding Opportunity 

Number: HHS–2009–IHS–UIHP–0003. 

E-mail applications will not be 

accepted under this announcement. 

DUNS Number 

Applicants are required to have a 

DUNS number to apply for a grant or 

cooperative agreement from the Federal 

Government. 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.dunandbradstreet.com or call 1– 

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 1– 

888–227–2423. Please review and 

complete the CCR Registration 

Worksheet located on http:// 

www.ccr.gov. 

More detailed information regarding 

these registration processes can be 

found at Grants.gov. 

V. Application Review Information 

1. Criteria 

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 narrative should 

include all prior years of activity; 

information for multi-year projects 

should be included as an appendix (see 

E. ‘‘Categorical Budget and Budget 

Justification’’) at the end of this section 

for more information. The narrative 

should be written in a manner that is 

clear to outside reviewers unfamiliar 

with prior related activities of the urban 

Indian organization. It should be well 

organized, succinct, and contain all 

information necessary for reviewers to 

understand the project fully. 

A. Understanding of the Need and 

Necessary Capacity (15 points) 

1. Understanding of the Problem 

a. Define the project target population, 

identify their unique characteristics, 

and describe the impact of HIV on the 

population. 

b. Describe the gaps/barriers in HIV 

testing for the population. 

c. Describe the unique cultural or 

sociological barriers of the target 

population to adequate access for the 

described services. 

2. Facility Capability 

a. Briefly describe your clinic 

programs and services and how this 

initiative will assist to commence, 

compliment and/or expand existing 

efforts. 

b. Describe your clinic’s ability to 

conduct this initiative through: 

• Your clinic’s present resources. 

• Collaboration with other providers. 

• Partnerships established to accept 

referrals for counseling, testing, and 

referral and confirmatory blood tests 

and/or social services for individuals 

who test HIV positive. 

• Linkages to treatment and care: 

partnerships established to refer out of 

your clinic for specialized treatment, 


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care, confirmatory testing (if applicable) 

and counseling services. 

B. Work Plan (40 points) 

1. Project Goal and Objectives 

Address all of the following program 

goals and objectives of the project. The 

objectives must be specific as well as 

quantitatively and qualitatively 

measurable to ensure achievement of 

goal(s). 

• Implementation Plan 

a. Identify the proposed program 

activities and explain how these 

activities will increase and sustain HIV 

screening. 

b. Describe Policy and Procedure 

changes anticipated for implementation 

that include: 

(1) Support of the 2006 CDC Revised 

HIV Testing Recommendations. 

(2) Community awareness. 

(3) Age ranges of persons to be 

screened. 

(4) Bundling of HIV testing with STD 

tests. 

(5) Type of HIV Screen/Test (Rapid, 

Conventional, Western Blot) and who 

will perform test (in-house, send-out). 

c. Provide a clear timeline with 

quarterly milestones for project 

implementation. 

d. Certify that the program identified 

and agreed to follow the state 

regulations for HIV testing in their state 

and how the clinic will follow their 

state reporting guidelines for 

seropositive results. 

e. Describe how individuals will be 

selected for testing to identify selection 

criteria and which group(s)—if any— 

will you be able, via state regulations to 

offer testing in an opt-out format. 

f. Describe how the program will 

ensure that clients receive their test 

results, particularly clients who test 

positive. 

g. Describe how the program will 

ensure that individuals with initial HIVpositive test results will receive 

confirmatory tests. If you do not provide 

confirmatory HIV testing, you must 

provide a letter of intent or 

Memorandum of Understanding with an 

external laboratory documenting the 

process through which initial HIVpositive test results will be confirmed. 

h. Describe the program strategies to 

linking potential seropositive patients to 

care. 

i. Describe the program quality 

assurance strategies. 

j. Describe how the program will 

train, support and retain staff providing 

counseling and testing. 

k. Describe how the program will 

ensure client confidentiality. 

l. Describe how the program will 

ensure that its services are culturally 

fluent and relevant. 

m. Describe how the program will 

attempt to streamline procedures so as 

to reduce the overall cost per test 

administered. 

C. Project Evaluation (20 points) 

1. Evaluation Plan 

The grantee shall provide a plan for 

monitoring and evaluating the HIV 

rapid test and/or standard HIV antibody 

test. 

2. Reporting Requirements 

The following quantitative and 

qualitative measures shall be addressed: 

• Required Quantitative Indicators 

(quantitative) 

a. Number of tests performed and 

number of test refusals. 

b. Number of clients learning of their 

serostatus for the first time via this 

testing initiative (unique patients, nonrepeated tests). 

c. Number of reactive tests and 

confirmed seropositive (actual and 

proportion). 

d. Number of clients linked to care/ 

treatment or referrals for prevention 

counseling. 

e. Number of individuals receiving 

their confirmatory test results. 

• Required Qualitative Information 

a. Measures in place to protect 

confidentiality. 

b. Identify barriers of implementation 

as well as lessons learned for best 

practices to share with other IHS/Urban 

or tribal entities. 

c. Sustainability plan and measures of 

ongoing testing in future years, after 

grant money has been spent. 

• Other quantitative indicators may 

be collected to improve clinic processes 

and add to information reported, 

however they are not required reporting 

measures: 

a. Number of clients who refused due 

to prior knowledge of status. 

b. Number of rapid versus standard 

antibody test. 

c. Number of false negatives and/or 

positives after confirmatory testing. 

d. Develop a plan for obtaining 

knowledge, attitudes, and behavior data 

pending official approval of patient 

survey. 

D. Organizational Capabilities and 

Qualifications (10 points) 

This section outlines the broader 

capacity of the organization to complete 

the project outlined in the work plan. It 

includes the identification of personnel 

responsible for completing tasks and the 

chain of responsibility for successful 

completion of the project outlined in the 

work plan. 

1. Describe the organizational 

structure. 

2. 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. 

3. Describe what equipment (i.e., 

phone, Web sites, 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 throughout the agreement. 

4. List key personnel who will work 

on the project. 

• Identify existing personnel and new 

program staff to be hired. 

• 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, and 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 beyond those covered by the 

supplemental grant, (i.e., Information 

Technology support, volunteers, 

interviewers, etc.), note these and 

address how these positions will be 

filled and, if funds are required, and the 

source of these funds. 

• If personnel are to be only partially 

funded by this supplemental grant, 

indicate the percentage of time to be 

allocated to this project and identify the 

resources used to fund the remainder of 

the individual’s salary. 

E. Categorical Budget and Budget 

Justification (15 points) 

This section should provide a clear 

estimate of the project program costs 

and justification for expenses for the 

entire grant period. The budget and 

budget justification should be consistent 

with the tasks identified in the work 

plan. The budget focus should be on 

routinizing and sustaining HIV testing 

services as well as reducing the cost per 

person tested. 

1. Categorical budget (Form SF 424A, 

Budget Information Non-Construction 

Programs) completing each of the 

budget periods requested. 

2. Narrative justification for all costs, 

explaining why each line item is 


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necessary or relevant to the proposed 

project. Include sufficient details to 

facilitate the determination of cost 

allowability. 

3. Budget justification should include 

a brief program narrative for the second 

and third years. 

4. 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. 

2. Review and Selection Process 

In addition to the above criteria/ 

requirements, the application will be 

considered according to the following: 

A. The submission deadline: July 15, 

2009. Applications submitted in 

advance of or by the deadline and 

verified by the postmark will undergo a 

preliminary review to determine that: 

• The applicant 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. 

B. The Objective Review date is July 

30, 2009. 

The applications that are complete, 

responsive, and conform to this program 

announcement will be reviewed for 

merit by the Ad Hoc Objective Review 

Committee (ORC) appointed by the IHS 

to review and make recommendations 

on the applications. Prior to ORC 

review, the applications will be 

screened to determine that programs 

proposed are those which the IHS has 

the authority to provide, either directly 

or through funding agreement, and that 

those programs are designed for the 

benefit of IHS beneficiaries. If an urban 

Indian organization does not meet these 

requirements, the application will not 

be reviewed. The ORC review will be 

conducted in accordance with the IHS 

Objective Review Guidelines. The 

applications will be evaluated and rated 

on the basis of the evaluation criteria 

listed in Section V.1. The guidelines can 

be obtained from the OUIHP. The 

criteria are used to evaluate the quality 

of a proposed project and determine the 

likelihood of success. 

3. Anticipated Announcement and 

Award Dates 

Anticipated announcement and 

Award Date is August 3, 2009. 

VI. Award Administration Information 

1. Award Notices: 

The Notice of Award (NoA) will be 

initiated by the DGO and will be mailed 

via postal mail to the urban Indian 

organization. The NoA will be signed by 

the Grants Management Officer and this 

is the authorizing document under 

which funds are dispersed. The NoA, 

the legally binding document, will serve 

as the official notification of the grant 

award and will reflect the amount of 

Federal funds awarded for the purpose 

of the grant, the terms and conditions of 

the award, the effective date of the 

award, and the budget/project period. 

2. Administrative Requirements: 

Grants are administered in accordance 

with the following documents: 

• This Program Announcement. 

• 45 CFR part 74, ‘‘Uniform 

Administrative Requirements for 

Awards to Institutions of Higher 

Education, Hospitals, Other Nonprofit 

Organizations, and Commercial 

Organizations.’’ 

• Grants Policy Guidance: HHS 

Grants Policy Statement, January 2007. 

• ‘‘Non-Profit Organizations’’ (Title 2 

Part 230). 

• Audit Requirements: OMB Circular 

A–133, ‘‘Audits of States, Local 

Governments, and Non-Profit 

Organizations.’’ 

3. Indirect Costs: This section applies 

to indirect costs in accordance with 

HHS Grants Policy Statement, Part II– 

27. The 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 costs 

portion will remain restricted until the 

current rate is provided to the DGO. 

If an urban Indian organization has 

questions regarding the indirect costs 

policy, please contact the DGO at (301) 

443–5204. 

4. Reporting: 

A. Progress Report. Program progress 

reports on number of tests performed 

and milestones reached are required 

quarterly by the OUIHP in order to 

satisfy quarterly reports due to funding 

source at MAI. These reports will 

include a brief comparison of actual 

accomplishments to the goals 

established for the period, reasons for 

unmet milestones (if applicable), and 

other pertinent information as required. 

B. A Final Assessment and Evaluation 

report must be submitted within 90 days 

of expiration of the budget/project 

period. 

C. Financial Status Report. Semiannual financial status reports must be 

submitted within 30 days of the end of 

the half year. Final financial status 

reports are due within 90 days of 

expiration of the budget period. 

Standard Form 269 (long form) will be 

used for financial reporting. 

D. Participation in a minimum of two 

teleconferences. 

Teleconferences will be required 

semi-annually (unless further followup 

is needed) for Technical Assistance and 

information to be provided and progress 

to be shared among grantees with the 

OUIHP and National HIV Program 

Consultant. 

Failure to submit required reports 

within the time allowed may result in 

suspension or termination of an active 

agreement, withholding of additional 

awards for the project, or other 

enforcement actions such as 

withholding of payments or converting 

to the reimbursement method of 

payment. Continued failure to submit 

required reports may result in one or 

both of the following: (1) The 

imposition of special award provisions; 

and (2) the non-funding or non-award of 

other eligible projects or activities. This 

applies whether the delinquency is 

attributable to the failure of the 

organization or the individual 

responsible for preparation of the 

reports. Telecommunication for the 

hearing impaired is available at: TTY 

(301) 443–6394. 

VII. Agency Contacts 

For program-related and general 

information regarding this 

announcement: Danielle Steward, 

Health Systems Specialist, Office of 

Urban Indian Health Programs, 801 

Thompson Avenue, Reyes Building, 

Suite 200, Rockville, MD 20852, (301) 

443–4680 or danielle.steward@ihs.gov. 

For specific grant-related and 

business management information: 

Denise Clark, Senior Grants 

Management Specialist, 801 Thompson 

Avenue, TMP, Suite 360, Rockville, MD 

20852, (301) 443–5204 or 

denise.clark@ihs.gov. 

Dated: June 8, 2009. 

Randy Grinnell, 

Deputy Director, Indian Health Service. 

[FR Doc. E9–14044 Filed 6–12–09; 8:45 am] 

BILLING CODE 4165–16–P 


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