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Content provided by the Catalog of Federal Domestic Assistance
93.933
Demonstration Projects for Indian Health
FEDERAL
AGENCY:
INDIAN
HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
AUTHORIZATION:
Public
Health Service Act, Title III, Sections 301 and 327, 42 U.S.C. 241,
as amended, Public Law 78-410.
OBJECTIVES:
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To
promote improved health care among American Indians and Alaska Natives
through research studies and demonstration projects, addressing
such issues as Elder Care, Women's Health Care, and Child Protection
and Child Abuse Prevention.
TYPES
OF ASSISTANCE:
Project Grants.
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USES
AND USE RESTRICTIONS:
Federal
assistance is to be used for the following purposes: (1) Research,
analysis, and investigation of a broad range of issues affecting
the health of American Indians and Alaska Natives; and (2) demonstration
projects and studies that provide American Indians/Alaska Natives
with impetus and involvement in their health care and that promote
improved health care to Indian people.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Federally recognized Indian tribes;
tribal organizations; nonprofit intertribal organizations; nonprofit
urban Indian organizations contracting with the Indian Health Service
under Title V of the Indian Health Care Improvement Act; public
or private nonprofit health and education entities; and State and
local government health agencies.
Beneficiary
Eligibility: American Indians/Alaska Natives
will be the ultimate beneficiaries of the funded projects either
directly or indirectly depending upon the nature of the project.
For example, those individuals who participate in research studies
and receive services will be direct beneficiaries while those
impacted by policy changes resulting from analyses of Indian health
care issues will be indirect beneficiaries.
Credentials/Documentation:
Costs will be determined in accordance with the applicable OMB
Circular: OMB Circular No. A-87 (State, local, and Indian tribal
governments); OMB Circular No. A-21 (institutions of higher education);
and OMB Circular No. A-122 (nonprofit organizations). Depending
upon the nature of the project, letters of support or tribal resolutions
may be required.
APPLICATION
AND AWARD PROCESS:
Pre-application
Coordination: Not applicable. This program is
excluded from coverage under E.O. 12372.
Application
Procedure: This program is subject to the
provisions of either 45 CFR, Part 92 or OMB Circular No. A-110
depending upon the type of applicant organization. Information
on the submission of applications may be obtained from the Grants
Management Officer, Grants Management Branch, Division of Acquisition
and Grants Management, 801 Thompson Avenue, Suite 120, Rockville,
Maryland 20852. Telephone: (301) 443-5204.
Award
Procedure: After review and approval, a notice
of award is prepared and processed, along with appropriate notification
to the public.
Deadlines:
Contact the Grants Management Officer, Headquarters Office, for
information regarding application deadline dates.
Range
of Approval/Disapproval Time: From 90 to 120
days.
Appeals:
None.
Renewals:
Initial project period of up to 5 years, usually 3 years, with
competitive renewals for periods not to exceed a total project
period of 5 years.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula or matching requirements.
Length
and Time Phasing of Assistance: The project
period is limited to 5 years or less. Within the project period,
a continuation application must be submitted annually on a noncompetitive
basis for each year of support.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Program progress reports are due on a semiannual basis with the
second report submitted as part of the annual noncompetitive continuation
application. A terminal progress report is due within 90 days after
the end of project support. Financial status reports are due within
90 days after the expiration of each budget period with a final
financial status report due 90 days following the end of the project
period.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133.
Records:
DHHS and the Comptroller General of the United States or any of
their authorized representatives shall have the right of access
to any books, documents, paper, or other records of the grantee,
contractor, or subcontractor, which are pertinent to the DHHS
grant, in order to make audits, examinations, excerpts and transcripts.
In accordance with 45 CFR Part 92.42 or 45 CFR Part 74, Subpart
D, as applicable, grantees are required to maintain grant records
3 years after they submit their final expenditure report. If any
litigation, claim, negotiation, audit, or other action involving
the records has been started before the end of the 3-year period,
the records must be retained until completion of the action and
resolution of all issues which arise from it, or until the end
of the regular 3-year period, whichever is later.
FINANCIAL
INFORMATION:
Account
Identification: 75-0390-0-1-551.
Obligations:
(Grants) FY 01 $2,221,837; FY 02 est $2,221,837; and FY 03 est
$2,221,837. Elder Health Care Initiatives: FY 01 $830,541; FY
02 est $830,541; and FY 03 est $830,541. Indian Women's Demonstration:
FY 01 $689,973; FY 02 est $689,973; and FY 03 est $689,973. Child
Protection/Child Abuse Prevention: FY 01 $701,323; FY 02 est $701,323;
and FY 03 est $701,323.
Range
and Average of Financial Assistance:
No Data Available.
PROGRAM
ACCOMPLISHMENTS:
In fiscal year 2001, four continuing child protection grants were
awarded; and fiscal years 2002 and 2003, the four projects are expected
to be funded. In fiscal year 2001, six continuing elder care initiatives
grants were awarded; and it is anticipated that six continuing awards
will be made in fiscal years 2002 and 2003. In fiscal year 2001,
seven continuing Indian women's demonstration grants were awarded;
and it is anticipated that seven continuing grants will be funded
in fiscal years 2002 and 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
45 CFR 92 and 45 CFR 74, Public Health Service Grants Policy Statement;
DHHS Publication No. (OASH) 94-50,000 (Rev.) April 1, 1994.
INFORMATION
CONTACTS:
Regional
or Local Office:
None. Program Contact: For Methamphetamine and Suicide Prevention Initiative contact: Audrey Solimon, MSPI/DVPI National Program Coordinator, 5600 Fishers Lane, Mail Stop: 08N34-A, Rockville, MD 20857.
For Domestic Violence Prevention Initiative contact: Audrey Solimon, MSPI/DVPI National Program Coordinator, 5600 Fishers Lane, Mail Stop: 08N34-A, Rockville, MD 20857.
For Public Health Nursing Program contact: Ms. Tina Tah, Program Specialist, Office of Clinical and Preventive Services, 5600 Fishers Lane, Mail Stop 08N30A, Rockville, MD 20857. Telephone: (301) 443-0038.
For National Indian Health Outreach and Education Programs I, II and III, contact: Chris Buchanan, Director, Office of Direct Service and Contracting Tribes, 5600 Fishers Lane, Mail Stop: 08E16, Rockville, MD 20857. Telephone: (301) 443-1104.
For Office of Clinical and Preventive Services, National HIV Program, contact: Lisa C. Neel, MPH; 5600 Fishers Lane, Mail Stop: 08N06A, Rockville, MD 20857. e-mail lisa.neel@ihs.gov; telephone: (301) 443-4305.
For Clinical and Preventive Dental Support Centers contact: Dr. Patrick Blahut, IHS HQ, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. Telephone 301-443-4323. E-mail Patrick.Blahut@ihs.gov.
For Native American Research Centers for Health, contact: Mr. Mose Herne, Directer, Division of Planning, Evaluation and Research, OPHS, 5600 Fishers Lane, Mail Stop: 09E08, Rockville, MD 20857.
For Healthy Lifestyles in Youth, contact: Division of Diabetes Treatment and Prevention, 5600 Fishers Lane, Rockville, MD 20857.
Grants Management Contact: Mr. Robert Tarwater, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Telephone: (301) 443-5204, Fax (301) 594-0899.
Headquarters
Office:
Grants Policy Office, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, Maryland 20857 Email: grantspolicy@ihs.gov Phone: 301-443-5204.
Web Site Address:
http://www.ihs.gov
EXAMPLES
OF FUNDED PROJECTS:
(1) National Indian Health Board is conducting a tribal health care
advocacy demonstration project to provide advice and consultation
on behalf of Indian health care consumers to improve health care
delivery in Indian communities; and (2) Ponca Tribe of Nebraska
is providing a smoking cessation project aimed at improving women's
health.
CRITERIA
FOR SELECTING PROPOSALS:
The selection criteria are: Statement of problem(s) requiring solution;
need for assistance; results or benefits expected from the project;
approach or soundness of the applicant's plan for conducting the
project; key personnel and their capability to carry out the project;
and adequacy of management controls. Consideration will be given
to the demonstrative aspects of the project and the compatibility
of the project with the overall goals and objectives of the Indian
Health Service.
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