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16862 …

Tags: cosmetic act, cpg, department of health, elder care initiative, federal register, food and drug, food drug, grant program, guidance, hp, indian health service, program management, rm, sauces, seizure, service time, united states code,
Pages: 9
Language: english
Created: Sat Mar 29 01:12:45 2008
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                                        16862                         Federal Register / Vol. 73, No. 62 / Monday, March 31, 2008 / Notices

                                        protein (acid-HP) and Asian-style                       final CPG to provide operational                      DEPARTMENT OF HEALTH AND
                                        sauces.                                                 guidance regarding reference to the                   HUMAN SERVICES
                                        DATES: Submit written or electronic                     United States Code (U.S.C.) when citing
                                        comments regarding the CPG at any                       the violation charged in a domestic                   Indian Health Service
                                        time.                                                   seizure and reference to the Federal
                                                                                                                                                      Office of Clinical and Preventive
                                        ADDRESSES: Submit written comments
                                                                                                Food, Drug, and Cosmetic Act when
                                                                                                                                                      Services; Elder Care Initiative Long-
                                        on the CPG to the Division of Dockets                   citing the violation charged in an import
                                                                                                                                                      Term Care Grant Program
                                        Management (HFA­305), Food and Drug                     detention. We also have made other
                                        Administration, 5630 Fishers Lane, rm.                  editorial changes to the CPG for                       Announcement Type: New.
                                        1061, Rockville, MD 20852. Submit                       clarification.                                         Funding Announcement Number:
                                        electronic comments to: http://                                                                               HHS­2008­IHS­EHC­0001.
                                                                                                   This CPG is being issued as level 1
                                        www.regulations.gov.                                    guidance consistent with FDA's good                   Catalog of Federal Domestic Assistance
                                          Submit written requests for single                    guidance practices regulations (21 CFR                Numbers: 93.933.
                                        copies of CPG Sec. 500.500 Guidance                     10.115). The CPG represents the                         Key Dates:
                                        Levels for 3­MCPD (3-chloro-1,2-                        agency's current thinking on 3­MCPD in                  Letter of Intent Deadline: May 2, 2008.
                                        propanediol) in Acid-Hydrolyzed                         acid-HP and Asian-style sauces. It does                 Application Deadline Date: June 20,
                                        Protein and Asian-Style Sauces to the                                                                         2008.
                                                                                                not create or confer any rights for or on
                                        Division of Compliance Policy (HFC­                                                                             Review Date: July 21­August 1, 2008.
                                        230), Office of Enforcement, Food and                   any person and does not operate to bind
                                                                                                                                                        Earliest Anticipated Start Date:
                                        Drug Administration, 5600 Fishers                       FDA or the public. An alternate
                                                                                                                                                      September 1, 2008.
                                        Lane, Rockville, MD 20857, 240­632­                     approach may be used if such approach
                                        6860. Send two self-addressed adhesive                  satisfies the requirements of the                     I. Funding Opportunity Description
                                        labels to assist that office in processing              applicable statutes and regulations.                     The Indian Health Service (IHS)
                                        your request, or fax your request to 240­               II. Comments                                          announces the availability of up to
                                        632­6861. See the SUPPLEMENTARY                                                                               $600,000 for competitive grants through
                                        INFORMATION section for electronic                        Interested persons may submit to the                the Elder Care Initiative Long Term Care
                                        access to the document.                                 Division of Dockets Management (see                   (ECILTC) Grant Program to support
                                        FOR FURTHER INFORMATION CONTACT:                        ADDRESSES) written or electronic                      planning and implementation of
                                        Judith L. Kidwell, Office of Food                       comments on the CPG at any time.                      sustainable long-term care services for
                                        Additive Safety, Center for Food Safety                 Submit a single copy of electronic                    American Indians and Alaska Native
                                        and Applied Nutrition (HFS­265), Food                   comments or two paper copies of any                   (AI/AN) elders. This program is
                                        and Drug Administration, 5100 Paint                     mailed comments, except that                          authorized under the Snyder Act, Indian
                                        Branch Pkwy., College Park, MD,                         individuals may submit one paper copy.                Health Care Improvement Act, as
                                        20740­3835, 301­436­1071.                               Comments are to be identified with the                amended, 25 U.S.C. 1653(c), and Public
                                        SUPPLEMENTARY INFORMATION:                              docket number found in brackets in the                Health Service Act, Section 301, as
                                                                                                                                                      amended. This program is described at
                                        I. Background                                           heading of this document. The CPG and
                                                                                                                                                      93.933 in the Catalog of Federal
                                           In the Federal Register of May 23,                   received comments may be seen in the
                                                                                                                                                      Domestic Assistance (CFDA).
                                        2006 (71 FR 29651), FDA announced the                   Division of Dockets Management                           The AI/AN elder population is
                                        availability of draft CPG Sec. 500.500                  between 9 a.m. and 4 p.m., Monday                     growing rapidly and the Al/AN
                                        Guidance Levels for 3­MCPD (3-chloro-                   through Friday.                                       population as a whole is aging. The
                                        1,2-propanediol) in Acid-Hydrolyzed                       Please note that on January 15, 2008,               prevalence of chronic disease in this
                                        Protein and Asian-Style Sauces. FDA                     the FDA Division of Dockets                           population continues to increase,
                                        received one comment on the draft CPG.                  Management Web site transitioned to                   contributing to a frail elder population
                                        The International Hydrolyzed Protein                    the Federal Dockets Management                        with increasing long-term care (LTC)
                                        Council (IHPC) offered clarification for                System (FDMS). FDMS is a                              needs.
                                        the following sentence found in the                     Government-wide, electronic docket                       LTC is best understood as an array of
                                        BACKGROUND section of the draft                         management system. Electronic                         social and health care services that
                                        CPG: ``Since 1996, many countries                       comments or submissions will be                       support an individual who has needs for
                                        * * * have recommended or required                      accepted by FDA through FDMS only.                    assistance in activities of daily living
                                        that industry take steps to ensure that 3­                                                                    over a prolonged period. LTC supports
                                        MCPD is not detectable in acid-HP or                    III. Electronic Access                                elders and their families with medical,
                                        Asian-style sauces at levels ranging from                                                                     personal, and social services delivered
                                        0.01 parts per million (ppm) to 1 ppm.''                  Persons with access to the Internet                 in a variety of settings to support quality
                                        IHPC suggested that we revise the                       may obtain the CPG from the Office of                 of life, maximum function, and dignity.
                                        sentence as follows: ``Since 1996, many                 Regulatory Affairs home page at http://               While families continue to be the
                                        countries * * * have recommended or                     www.fda.gov/ora under ``Compliance                    backbone of LTC for Al/AN elders, there
                                        required that industry take steps to                    Reference.''                                          is well documented need to support this
                                        ensure that 3­MCPD in acid-HP or                          Dated: March 14, 2008.                              care with formal services. The way these
                                        Asian-style sauces does not exceed                      Margaret O'K. Glavin,                                 services and systems of care are
                                        levels ranging from 0.01 parts per                                                                            developed and implemented can have a
                                        million (ppm) to 1 ppm.'' IHPC                          Associate Commissioner for Regulatory
                                                                                                                                                      profound impact on the cultural and
                                                                                                Affairs.
                                        explained that using the phrase ``not                                                                         spiritual health of the community.
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                                        detectable'' and then listing allowable                 [FR Doc. E8­6504 Filed 3­28­08; 8:45 am]                 Home and community-based services
                                        levels is confusing. We concur with the                 BILLING CODE 4160­01­S                                have the potential for meeting the needs
                                        comment and have revised the final                                                                            of the vast majority of elders requiring
                                        CPG accordingly. FDA also revised the                                                                         LTC services, supporting the key roles
                                        SPECIMEN CHARGES section in the                                                                               of the family in the care of the elder and


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                                                                      Federal Register / Vol. 73, No. 62 / Monday, March 31, 2008 / Notices                                             16863

                                        the elder in the care of the family and                 available through State Units on Aging                  Category 1--Assessment and
                                        community. A LTC system with a                          and Area Agencies on Aging. Other                     Planning awards will support the
                                        foundation in HCBS will also comply                     resources are available to provide LTC                following activities:
                                        with the United States Supreme Court                    services on a reimbursable basis for                    a. Demographic assessment of the
                                        interpretation of the Americans with                    eligible AI/AN elders. The majority of                population and assessment of LTC
                                        Disabilities Act in Olmstead v. L.C., 527               formal LTC services in this country are               needs on a population basis.
                                        U.S. 581 (1999). The 28 CFR 35.130(d)                   funded by reimbursements from state                     b. Evaluation of existing services and
                                        ruling obligates States and localities to               Medicaid and HCBS programs. The                       resources for LTC.
                                        provide care for persons with disability                Veterans Administration may be a                        c. Evaluation of potential resources to
                                        ``in the most integrated setting                        source of reimbursement for LTC                       fund LTC services.
                                        appropriate to the needs of qualified                   services for eligible AI/AN veterans.                   d. Assessment of cultural and
                                        individuals with disabilities.'' An                     Federal housing programs are a                        religious values regarding care of the
                                        efficient and effective LTC system                      potential resource in developing the                  elder for the population(s) served.
                                        would make use of all available                         housing component of the LTC                            e. Assessment of elder preferences for
                                        resources, integrating and coordinating                 infrastructure. Each of these resources               type, structure, and setting of services.
                                        services to assist families in the care of              has unique eligibility requirements.                    f. Establishment of a comprehensive
                                        their elders.                                           Development of reimbursement-based                    vision for LTC services with priorities
                                           The primary focus for planning and                   LTC services often requires an ongoing                for implementation.
                                        program development for AI/AN LTC is                                                                            g. Identification of potential funding
                                                                                                investment of funds to support delivery
                                        at the Tribal and urban community                                                                             sources for program development and
                                                                                                of services during the initial period of
                                        level. Tribes and communities have very                                                                       for ongoing financing of service
                                                                                                client recruitment, start-up of services,
                                        different histories, capabilities, and                                                                        delivery.
                                                                                                and the receipt of reimbursement for                    h. The integration and incorporation
                                        resources with regard to LTC program                    those services.                                       of the above elements into a report or
                                        development. Each Tribe or community                       This grant program is designed to
                                                                                                                                                      other document that guides LTC
                                        will have different priorities in building              provide support for the development of
                                                                                                                                                      services/system implementation,
                                        LTC infrastructure. It is critical that the             AI/AN LTC, with funding for either
                                                                                                                                                      including a plan for sustainability.
                                        development of LTC services be well                     assessment and planning, or program                     Category 2--Implementation awards
                                        grounded in an assessment of need                       implementation. LTC services                          will support the following activities:
                                        based on population demographics and                    developed with support of this grant                  Implementation of a service or group of
                                        rates of functional impairment. LTC                     program must be those which the IIHS                  services that add capacity to the LTC
                                        services should be acceptable to elders                 has the authority to provide, either                  system of the applicant's Tribe or
                                        and their families and consistent with                  directly or through funding agreement,                organization. The implementation plan
                                        community values in their                               and must be designed to serve IRS                     should be based on a comprehensive
                                        implementation. The services should be                  beneficiaries. Most Tribes and urban                  assessment and plan, including a
                                        a part of an overall vision and plan for                communities are building toward their                 business plan, The services should be
                                        a LTC system to support elders and their                ideal LTC system incrementally, adding                designed to be self-sustaining at the end
                                        families.                                               new or integrating existing services over             of the project period.
                                           There are a number of elements                       time. The goal of this grant program is                 Applications must be for only one
                                        (Tribal sovereignty and the government-                 to support Tribes, Tribal Organizations,              Project Type. Applications that address
                                        to government relationship, the unique                  Tribal consortia, and Urban Indian                    more than one Project Type will be
                                        funding structure of Indian health, and                 health programs as they build LTC                     considered ineligible and will be
                                        the importance of the cultural context)                 systems and services that meet the                    returned to the applicant. The
                                        that distinguish AI/AN LTC. Tribes and                  needs of their elders and that keep                   maximum funding level includes both
                                        AL/AN organizations have found it                       elders engaged and involved in the lives              direct and indirect costs. Applications
                                        useful to look both inside and outside                  of their families and communities.                    with budgets which exceed the
                                        of the Indian Health system (IHS, Tribal,
                                                                                                II. Award Information                                 maximum funding level or project
                                        and urban Indian health programs) for
                                                                                                                                                      period identified for a Project Type will
                                        LTC strategies and models.                                 Type of Awards: Grant.
                                           The planning and design of LTC                                                                             not be reviewed.
                                                                                                   Estimated Funds Available: The total
                                        services must identify the revenue                      amount identified for fiscal year (FY)                III. Eligibility Information
                                        source(s) that will support the delivery                2008 is up to $600,000. The project                      1. The AI/AN applicant must be one
                                        of care. Finding resources for LTC                      period for the grants is 24 months in                 of the following:
                                        services presents a formidable                          duration and each budget period is                       A. A Federally-recognized Indian
                                        challenge. Funds appropriated through                   approximately 12 months. The award                    Tribe; or
                                        the IHS (whether direct service or                      amounts are set at $50,000­$75,000                       B. Tribal organization as defined by
                                        Tribal) can provide healthcare services                 each year, depending on the project                   25 U.S.C. 1603(e); or
                                        which are part of a LTC system, but do                  category. Continuation awards are                        C. Urban Indian organization as
                                        not provide for a comprehensive set of                  subject to the availability of funds and              defined by 25 U.S.C. 1603(h); or
                                        LTC services and cannot support                         satisfactory performance.                                D. A consortium of eligible Tribes,
                                        housing or social services of a non-                       Anticipated Number of Awards: 8­10                 Tribal organization or urban Indian
                                        medical nature. Programs funded                         awards will be made under this program                health programs authorized by
                                        through the Administration on Aging                     announcement.                                         governing bodies to apply for and
                                        American Indian, Alaska Native and                         Project Period: Two Years (24                      receive awards on their behalf under
                                        Native Hawaiian Program (e.g. Title VI                  months).
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                                                                                                                                                      this program announcement.
                                        A and Title VI C Family Caregiver                          Award Amount:                                         Applicants must provide proof of
                                        Support Program) have been key                          $50,000 per year for Category 1--                     non-profit status with the application.
                                        elements in the LTC infrastructure in                      Assessment and Planning Awards.                       2. Cost Sharing or Matching--The
                                        AI/AN communities. Additional Older                     $75,000 per year for Category 2--                     ECILTC Grant Program does not require
                                        American Act resources may be                              Implementation Awards.                             matching funds or cost sharing.


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                                        16864                         Federal Register / Vol. 73, No. 62 / Monday, March 31, 2008 / Notices

                                           3. Other Requirements:                               (Assessment and Planning funding) in                  budget justifications, budget narrative,
                                           A. A Letter of Intent (LOI) to apply is              the FY2006­2007 [ITIS Elder Care                      and/or other appendix items.
                                        required and must be postmarked no                      Initiative grant cycle will be considered                Public Policy Requirements: All
                                        later than May 2, 2008. The LOI is a                    ineligible for FY2008 Category I                      Federal-wide public policies apply to
                                        mandatory but non-binding request for                   (Assessment and Planning) funding                     IRS grants with the exception of the
                                        information that will assist in planning                unless they can demonstrate that the                  discrimination public policy.
                                        both the review and post award phase.                   current application serves a different                   3. Submission Dates and Times:
                                        There is no penalty for submitting a LOI                population than the FY2006­2007 grant.                   Applications must be submitted
                                        and not proceeding with the grant                       (e.g. a consortium may target different               electronically through Grants.gov by
                                        application but a grant will not be                     Tribes).                                              12:00 midnight Eastern Standard Time
                                        reviewed if a LOI was not submitted.                       · Tribes, Tribal organizations, urban              (EST). If technical challenges arise and
                                        See Section IV.6.a for detailed                         Indian health programs, or Tribal                     the applicant is unable to successfully
                                        instructions for submission of the LOI.                 consortias receiving Category II                      complete the electronic application
                                           B. The following documentation (as                   (Implementation) grants in the FY2006­                process, the applicant should contact
                                        applicable) is required for an                          2007 IHS Elder Health Care Initiative                 Grants Policy Staff (UPS) at (301) 443­
                                        application to be considered complete:                  Grants cycle will be considered                       6290 at least fifteen days prior to the
                                           1. Tribal Resolution--A resolution of                ineligible for FY2008 Category II                     application deadline and advise of the
                                        the Indian Tribe served by the project                  (Implementation) funding unless they                  difficulties that your organization is
                                        must accompany the application                          can demonstrate that they will be                     experiencing. The grantee must obtain
                                        submission. An Indian Tribe that is                     implementing an entirely new service or               prior approval, in writing (e-mails are
                                        proposing a project affecting another                   program (e.g. an applicant with current               acceptable) allowing the paper
                                        Indian Tribe must include resolutions                   funding to implement an Adult Day                     submission. If submission of a paper
                                        from all affected Tribes to be served.                  Health Program may now apply for                      application is requested and approved,
                                        Applications by Tribal organizations                    funding to implement a personal care                  the original and two copies may be sent
                                        will not require a specific Tribal                      program).                                             to the appropriate grants contact that is
                                        resolution if the current Tribal                                                                              listed in Section P1.2., above.
                                        resolution(s) under which they operate                  IV. Application and Submission                        Applications not submitted through
                                        would encompass the proposed grant                      Information                                           Grants.gov, without an approved
                                        activities. Draft resolutions are                         1. Applicant package may be found in                waiver, may be returned to the applicant
                                        acceptable in lieu of an official                       Grants.gov (www.grants.gov) or at:                    without review or consideration. Late
                                        resolution. However, an official signed                 http://www.ihs.gov/                                   applications will not be accepted for
                                        Tribal resolution must be received by                   NonMedicalPrograms/gogp/                              processing, will be returned to the
                                        the Division of Grants Operations (DGO)                 gogp_funding.asp. Information                         applicant, and will not be considered
                                        prior to the beginning of the Objective                 regarding the electronic application                  for funding.
                                        Review, July 21, 2008. If an official                   process may be directed to Michelle G.                   4. Intergovernmental Review:
                                        signed resolution is not received by July               Bulls, at (301) 443­6290.                                Executive Order 12372 requiring
                                        21, 2008, the application will be                         Information regarding the Letter of                 intergovernmental review is not
                                        considered incomplete, ineligible for                   Intent may be obtained from: Ms.                      applicable to this program.
                                        review, and returned to the applicant                   Orlinda Platero, Office Clinical and                     5. Funding Restrictions:
                                        without consideration. Applicants                                                                                · Pre-award costs are allowable
                                                                                                Preventive Services, Indian Health
                                        submitting additional documentation                                                                           pending prior approval from the
                                                                                                Service, 801 Thompson Avenue, Suite
                                        after the initial application submission                                                                      awarding agency. However, in
                                                                                                220, Rockville, Maryland 20852, (301)
                                        are required to ensure the information                                                                        accordance with 45 CFR Part 74, all pre-
                                                                                                443­2522, Fax: 301­594­6213.
                                        was received by the IBS by obtaining                                                                          award costs are incurred at the
                                                                                                  The entire application package along
                                        documentation confirming delivery (i.e.                                                                       recipient's risk. The awarding office is
                                                                                                with downloadable application
                                        FedEx tracking, postal return receipt,                                                                        under no obligation to reimburse such
                                                                                                instructions is available at: http://
                                        etc.).                                                                                                        costs if for any reason the applicant
                                                                                                www.grants.gov. Details regarding the
                                           2. Tribal Consortium--If a consortium                                                                      does not receive an award or if the
                                                                                                ECILTC Grant Program are available at:
                                        is submitting an application it must:                                                                         award to the recipient is less than
                                                                                                http://www.ihs.gov/MedicalPrograms/
                                           · Identify each of the consortium                                                                          anticipated.
                                                                                                ElderCare/. Detailed application                         · The available funds are inclusive of
                                        member Tribes.
                                           · Identify if any of the member Tribes               instructions for this announcement are                direct and appropriate indirect costs.
                                        intend to submit a LTC grant                            downloadable on Grants.gov.                              · Only one grant will be awarded per
                                        application of their own.                                 2. Content and Form of Application                  applicant.
                                           · Demonstrate that Tribes, Tribal                    Submission:                                              · IHS will not acknowledge receipt of
                                        organizations, urban Indian health                        · Be single spaced.                                 applications.
                                        programs, or Tribal consortia's                           · Be typewritten.                                      6. Other Submission Requirements:
                                        application does not duplicate or                         · Have consecutively numbered                          · If the applicant is unable to submit
                                        overlap any objectives of the other                     pages.                                                via Grants.gov and obtains a waiver
                                        consortium members who may be                             · Use black type not smaller than 12                from the standard application
                                        submitting their own LTC grant                          characters per one inch.                              requirements, please use the following
                                        application.                                              · Contain a narrative that does not                 forms: SF­424, 424A, 424B, and
                                           Any application received from a                      exceed ten-typed pages. See Section V                 certification forms, as appropriate. One
                                        Consortium that does not meet the                       for instructions for the content of the               original and two copies must be
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                                        requirements above will be considered                   narrative. The ten page narrative does                submitted to: attn: Norma Jean Dunne;
                                        ineligible for review.                                  not include the detailed work plan with               Division of Grants Operations; 801
                                           · Tribes, Tribal organizations, urban                timeline, standard forms, Tribal                      Thompson Avenue, Rockville, MD
                                        Indian health programs, or Tribal                       resolutions or letters of support (if                 20852. Copies of the forms may be
                                        consortia's receiving Category I                        necessary), table of contents, budget,                found at: http://www.ihs.gov/


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                                                                      Federal Register / Vol. 73, No. 62 / Monday, March 31, 2008 / Notices                                                 16865

                                        NonMedicalPrograms/gogp/                                   · Under the new IHS application                    automatic acknowledgment from
                                        index.cfm?module=forms. Applications                    submission requirements, paper                        Grants.gov that contains a Grants.gov
                                        are due by June 20, 2008.                               applications are not the preferred                    tracking number. The IRS, DGO will
                                           · A LOI to apply is required and must                method. However, if you have technical                download your application from
                                        be postmarked no later than May 2,                      problems submitting your application                  Grants.gov and provide necessary copies
                                        2008. The LOI is a mandatory but non-                   on-line, please contact directly                      to the cognizant program office. DGO
                                        binding request for information that will               Grants.gov Customer Support at: http://               will not notify applicants that the
                                        assist in planning both the review and                  www.grants.gov/CustomerSupport.                       application has been received.
                                        post award phase. There is no penalty                      · Upon contacting Grants.gov, obtain                  · You may access the electronic
                                        for submitting a LOI and not proceeding                 a tracking number as proof of contact.                application for this program on http://
                                        with the grant application, but a grant                 The tracking number is helpful if there               www.Grants.gov.
                                        will not be reviewed if a LOI was not                   are technical issues that cannot be                      · You may search for the
                                        submitted. Applicants will be notified                  resolved and a waiver request from GPS                downloadable application package
                                        by fax or e-mail that their LOI has been                must be obtained.                                     either by the CFDA number or the
                                        received, as it is received.                               · If it is determined that a formal                Funding Opportunity Number. Both
                                           The LOI should be sent to Ms. Orlinda                waiver is necessary, the applicant must               numbers are identified in the heading of
                                        Platero at the following address: Ms.                   submit a request, in writing (emails are              this announcement.
                                        Orlinda Platero, Office Clinical and                    acceptable), to Michelle.Bulls@ihs.gov                   · The applicant must provide the
                                        Preventive Services, Indian Health                      that includes a justification for the need            Funding Opportunity Number: HHS­
                                        Service, 801 Thompson Avenue, Suite                     to deviate from the standard electronic               2008­IHS­EHC­0001. E-mail
                                        326, Rockville, Maryland 20852,                         submission process. Upon receipt of                   applications will not be accepted under
                                        Telephone: (301) 443­2522, Fax: (301)                   approval, a hard-copy application                     this announcement.
                                        594­6213, E-mail:                                       package must be downloaded by the
                                                                                                applicant from: http://www.ihs.gov/                   DUNS Number
                                        Orlinda.Platero@ihs.gov.
                                           The LOI must contain:                                NonMedicalPrograms/gogp/                                Applicants are required to have a
                                           · The name of the applying                           index.cfm?rnodule=forms. Please use                   DUNS number to apply for a grant or
                                        organization.                                           the following forms for the standard                  cooperative agreement from the Federal
                                           · The individual who is responsible                  application requirements: SF­424,                     Government. The DUNS number is a
                                        for correspondence regarding the                        424A, 424B, and certification forms, as               nine-digit identification number, which
                                        application, and contact information for                appropriate. One original and two                     uniquely identifies business entities.
                                        that individual. Please indicate whether                copies must be submitted to: Attn:                    Obtaining a DUNS number is easy and
                                        fax or e-mail notification of receipt of                Norma Jean Dunne; Division of Grants                  there is no charge. To obtain a DUNS
                                        LOl is preferred, and provide e-mail                    Operations; 801 Thompson Avenue,                      number, access http://
                                        address and/or fax number.                              TMP 360, Rockville, MD 20852 by the                   www.dunandbradstreet.com or call 1­
                                           · The name of all member Tribes if                   application due date of June 20, 2008.                866­705­5711. Interested parties may
                                        the applicant is a Tribal Consortium and                   · Upon entering the Grants.gov site,               wish to obtain their DUNS number by
                                        those Tribes involved in the proposal.                  there is information available that                   phone to expedite the process.
                                           · Whether the intent is to apply for a               outlines the requirements to the                        Applications submitted electronically
                                        Category I or Category II grant.                        applicant regarding electronic                        must also be registered with the CCR. A
                                           Electronic Submission--The preferred                 submission of an application through                  DUNS number is required before CCR
                                        method for receipt of applications is                   Grants.gov, as well as the hours of                   registration can be completed. Many
                                        electronic submission through                           operation. We strongly encourage all                  organizations may already have a DUNS
                                        Grants.gov. However, should any                         applicants not to wait until the deadline             number. Please use the number listed
                                        technical challenges arise regarding the                date to begin the application process                 above to investigate whether or not your
                                        submission, please contact Grants.gov                   through Grants.gov as the registration                organization has a DUNS number.
                                        Customer Support at 1­800­518­4726                      process for CCR and Grants.gov could                  Registration with the CCR is free of
                                        or support@grants.gov. The Contact                      take up to fifteen working days.                      charge.
                                        Center hours of operation are Monday­                      · To use Grants.gov, you, as the                     Applicants may register by calling 1­
                                        Friday from 7 a.m. to 9 p.m. EST. The                   applicant, must have a Data Universal                 888­227­2423. Please review and
                                        applicant must seek assistance at least                 Numbering System (DUNS) number and                    complete the CCR Registration
                                        fifteen days prior to the application                   register in the CCR. You should allow a               Worksheet located on http://
                                        deadline. Applicants that don't adhere                  minimum often days working days to                    www.grants.gov/CCRRegister.
                                        to the timelines for Central Contractor                 complete CCR registration. See below on                 More detailed information regarding
                                        Registry (CCR) and/or Grants.gov                        how to apply.                                         these registration processes can be
                                        registration and/or requesting timely                      · You must submit all documents                    found at http://www.grants.gov.
                                        assistance with technical issues will not               electronically, including all information             V. Application Review Information
                                        be a candidate for paper applications.                  typically included on the SF­424 and
                                           To submit an application                             all necessary assurances and                             Note: Only those programs or services
                                        electronically, please use http://                      certifications.                                       which the IHS is authorized to provide,
                                        www.Grants.gov and select the ``Apply                      · Please use the optional attachment               either directly or through funding agreement,
                                        for Grants'' link on the home page.                     feature in Grants.gov to attach                       can be supported by this grant program.
                                        Download a copy of the application                      additional documentation that may be                  UNLESS CONGRESS PROVIDES
                                        package on the Grants.gov Web site,                     requested by IHS.                                     OTHERWISE, those services which are
                                                                                                                                                      primarily housing or custodial in nature are
                                        complete it offline and then upload and                    · Your application must comply with
mmaher on PROD1PC76 with NOTICES




                                                                                                                                                      not eligible for support (e.g. assisted living
                                        submit the application via the                          any page limitation requirements                      facility, board and care, or nursing home
                                        Grants.gov site. You may not e-mail an                  described in the program                              which is primarily custodial in nature).
                                        electronic copy of a grant application to               announcement.                                         Supportive services delivered in those
                                        IHS.                                                       · After you electronically submit                  facilities, with the intent to promote the
                                           Please be reminded of the following:                 your application, you will receive an                 health and wellness of elders, are eligible for



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                                        16866                         Federal Register / Vol. 73, No. 62 / Monday, March 31, 2008 / Notices

                                        funding. Programs and services developed                community members provided by non-                       d. Identify the final product of the
                                        with support of this grant program must be              Tribal/non-AI/AN organization                         assessment/plan and the strategy for
                                        designed for the benefit of IHS beneficiaries.          programs.                                             dissemination.
                                          The instructions for preparing the                       2. Availability and organization of                   e. Submit a work plan in the appendix
                                        application narrative also constitute the               health services for the elderly, including            which includes the following
                                        evaluation criteria for reviewing and                   Native healing systems.                               information:
                                        scoring the application. Weights                           3. Assessment of the capacity of                      i. Action steps on a time line for
                                        assigned to each section are noted in                   available LTC services to support care                implementation of the work plan.
                                        parentheses. The narrative should                       provided ``in the most integrated setting                ii. Identify who will perform the
                                        include only the first year of activities;              appropriate to the needs of qualified                 action steps.
                                        information for multi-year projects                     individuals with disabilities'' (Olmstead                iii. Identify who will supervise the
                                        should be included as an appendix. See                  v. L.C).                                              action steps.
                                        ``Multi-year Project Requirements'' at                     4. Assessment of caregiver workforce.                 iv. Identify who will accept and/or
                                        the end of this section for more                           iii. Funding streams currently paying              approve work products at the end of the
                                        information. The narrative section                      for LTC services.                                     proposed project.
                                        should be written in a manner that is                      iv. Current collaborations in program                 v. Include any additional training that
                                        clear to outside reviewers unfamiliar                   development or service delivery.                      will take place during the proposed
                                                                                                   b. Current vision for LTC system/                  project, who will conduct the training,
                                        with prior related activities of the
                                                                                                services and priorities for development.              and who will be attending the training.
                                        applicant. It should be well organized,
                                                                                                   c. Elder care assessment and planning                 vi. Include the following information
                                        succinct, and contain all information
                                                                                                activities within the past ten years:                 if consultants or contractors will be
                                        necessary for reviewers to understand                      i. Funding sources.
                                        the project fully.                                                                                            used during the proposed project, their
                                                                                                   ii. Dates of funding.                              position description and scope of work
                                        1. Criteria                                                iii. Summary of project                            (or note if consultants/contractors will
                                                                                                accomplishments.                                      not be used):
                                        A. Category I (Assessment and Planning)                    iv. Relationship to the current
                                                                                                                                                         · Educational requirements.
                                        1. Introduction and Need for Assistance                 proposal. Copies of reports will not be                  · Desired qualifications and work
                                        (35 Points)                                             accepted.                                             experience.
                                                                                                   d. Unmet need for LTC services.
                                           Provide an understanding of the LTC                                                                           · Expected work products.
                                                                                                   e. Information needed for planning
                                        needs of the elderly in the Tribe or                                                                             · Contractor's supervisor.
                                                                                                and service implementation which is
                                        service area and identify the additional                                                                         · Include a resume and letter of
                                                                                                not currently available.
                                        information needed for planning. The                                                                          commitment in the appendix for
                                        number of elders that will be affected by               2. Work Plan (35 Points)                              potential consultant/contractor.
                                        the program will be considered a factor                    This section should demonstrate the                3. Project Evaluation (10 Points)
                                        in the review as will the relationship of               soundness and effectiveness of the
                                        the amount of funding requested to the                                                                          This section should show how
                                                                                                applicant's proposal. The work plan
                                        number of elders to be served. The                                                                            progress on this project will be assessed
                                                                                                should be designed to produce as an
                                        applicant should use the best data                                                                            and how the success of this project will
                                                                                                end product the readiness to develop
                                        available, understanding that, for most                                                                       be judged.
                                                                                                LTC service(s) and should include all
                                        programs, many of these data elements                                                                           a. Describe and list outcomes by
                                                                                                information not already avail