under this program, preference shall be given to students from disadvantaged backgrounds for who the costs of attending the school would constitute a severe financial hardship and disadvantaged students. The Secretary may not make a grant to a school unless the school is carrying out a program for recruiting and retaining students from disadvantaged backgrounds and have met the eligibility criteria of demonstrating the success of outcome measures. Applicant Eligibility: Accredited public or private nonprofit schools of allopathic medicine, nursing, osteopathic medicine, dentistry, pharmacy, podiatric medicine, optometry, veterinary medicine, chiropractic, allied health, or schools offering graduate programs in public health, behavioral and mental health or physician assistants. Beneficiary Eligibility: Students who are citizens, nationals, or lawful permanent residence of the United States or the District of Columbia, the Commonwealths of Puerto Rico or the Mariana Islands, the Virgin Islands, Guam, the American Samoa or the Trust Territory of the Pacific Islands, the Republic of Palau, the Republic of the Marshall Islands, the Federated States of Micronesia; and enrolled full-time in health professions or nursing schools. Credentials/Documentation: Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. This program is excluded from coverage under OMB Circular No. A-87. Preapplication Coordination: Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372. Application Procedures: This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Award Procedure: Notification is made in writing by a Notice of Grant Award. Contact the headquarters or regional office, as appropriate, for application deadlines. Range of Approval/Disapproval Time: Approximately 6 months. Appeals: Not Applicable. Renewals: Annual applications are required for all schools. Formula and Matching Requirements: This program has no statutory formula. Matching requirements are not applicable to this program. Length and Time Phasing of Assistance: Each scholarship award is made for 1 year. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Reports: No program reports are required. No cash reports are required. The Scholarships for Disadvantaged Students Performance Report (SDSPR) must be submitted 45 days after the end of the budget period through electronic submission, at http://www.grants.hrsa.gov/webexternal/home.asp. In addition, a financial status report must be submitted 90 days after the end of each budget period. No expenditure reports are required. No performance monitoring is required. Audits: In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. Records: Grantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall 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. Account Identification: 75-0350-0-1-550. Obligations: (Project Grants) FY 08 $42,420,564; FY 09 est $42,105,260; FY 10 est $52,842,000 Range and Average of Financial Assistance: $1,000 to $650,000 Average $ 142,730. PROGRAM ACCOMPLISHMENTS: Fiscal Year 2008: In FY 08 awards were made to 248 health professions and nursing schools. Fiscal Year 2009: In FY 09, 300 awards were made to health professions and nursing schools. Fiscal Year 2010: It is estimated in FY 2010, 350 health professions and nursing schools will receive awards. REGULATIONS, GUIDELINES, AND LITERATURE: This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. Regional or Local Office: See Regional Agency Offices. Andrea Stampone, Division of Student Loans and Scholarships, Bureau of Health Professions, Health Resources and Services Administration, Public Health Service, Parklawn Building, Room 9-105, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-4776. Use the same numbers for FTS. Headquarters Office: Andrea Stampone 5600 Fishers Lane, Room 9-105, Rockville, Maryland 20857 Phone: (301) 443-4776 Website Address: www.hrsa.gov RELATED PROGRAMS: 93.288 National Health Service Corps Scholarship Program; 93.342 Health Professions Student Loans, Including Primary Care Loans/Loans for Disadvantaged Students; 93.364 Nursing Student Loans; 93.908 Nursing Education Loan Repayment Program EXAMPLES OF FUNDED PROJECTS: Fiscal Year 2008: Scholarships to students of schools of nursing and health professions schools. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available CRITERIA FOR SELECTING PROPOSALS: Applications will be reviewed for completeness, accuracy, and to determine if applicant schools meet minimum program requirements. 93.926 HEALTHY START INITIATIVE (Healthy Start) FEDERAL AGENCY: Health Resources and Services Administration, Department of Health and Human Services AUTHORIZATION: Public Health Service Act, Title III, Part D, Section 330H; 42 U.S.C. 254c-8. OBJECTIVES: To eliminate disparities in perinatal infant and maternal health by: enhancing a community's health care infrastructure and service system and a State's infrastructure; and directing resources and interventions to improve access to, utilization of, and full participation in comprehensive perinatal and women's health services, particularly for women and infants at higher risk for poor health outcomes. TYPES OF ASSISTANCE: PROJECT GRANTS USES AND USE RESTRICTIONS: Every Healthy Start project implements community-driven approaches to address infant mortality rates by reducing maternal behavioral and medical risk factors and promoting healthy outcomes for women and their families. Beginning with prenatal care and continuing through the infant's second year of life, each community awarded funds assures the availability of a core set of services and activities for the perinatal population in their project area. These services include case management, home visiting and links to health care and other needed services for mothers and their infants; direct outreach and peer mentoring by trained community members; screening and referral for perinatal/postpartum depression; and strong coordination with and access to substance abuse, domestic violence, mental health, early intervention, parenting and other critical services for high-risk women and families. In addition, each Healthy Start project is required to have a community-based consortium composed of individuals and organizations and that includes women and families served by their project, to collaborate with their State Title V (MCH) Agency, and to implement a local health system action plan to improve the quality, cultural competence of and access to services and/or to address other problems in the local system of care. Funds may not be used to supplant currently funded activities/services. Applicant Eligibility: Urban and rural communities with significant disparities in perinatal health, and States with need to build their infrastructure/capacity to address and support those communities trying to achieve the goals of the Healthy Start program. Eligible applicants are any public or private entity, including an Indian Tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b). Community-based organizations, including faith-based organizations are eligible to apply. Beneficiary Eligibility: Service area residents, particularly women and infants in areas with significant perinatal health disparities. Credentials/Documentation: Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. OMB Circular No. A-87 applies to this program. Preapplication Coordination: Preapplication coordination is required. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. Application Procedures: OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Award Procedure: Notification is made in writing by a Notice of Grant Award. Contact the headquarters or regional office, as appropriate, for application deadlines. Range of Approval/Disapproval Time: Final decisions are made approximately 166 days after receipt of applications. Appeals: Not Applicable. Renewals: After initial award, projects may be renewed annually up to the limit of the project period upon the submission and approval of a satisfactory continuation application. Formula and Matching Requirements: This program has no statutory formula. Project periods vary depending on specific grant announcement with Annual Reports. No cash reports are required. FSR. No expenditure reports are required. No performance monitoring is required. Audits: In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. Records: Grantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall 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. Account Identification: 75-0350-0-1-550. Obligations: (Project Grants) FY 08 $99,744,481; FY 09 est $102,372,000; FY 10 est $102,372,000 Range and Average of Financial Assistance: No Data Available. PROGRAM ACCOMPLISHMENTS: Fiscal Year 2008: In FY 08, 8 new awards were made and 93 existing projects received awards. Fiscal Year 2009: It is estimated that 104 projects will be awarded in FYS 09 and 10. Fiscal Year 2010: No Current Data Available REGULATIONS, GUIDELINES, AND LITERATURE: This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. Regional or Local Office: See Regional Agency Offices. Director, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18-12, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0543. Headquarters Office: Director, Division of Healthy Start and Perinatal Services 5600 Fishers Lane, www.hrsa.gov. RELATED PROGRAMS: 93.110 Maternal and Child Health Federal Consolidated Programs; 93.224 EXAMPLES OF FUNDED PROJECTS: Fiscal Year 2008: From pregnancy either to the next pregnancy or 2 years post delivery for the mother and infant, every Healthy Start project assures the availability of a core set of services and system building activities to the perinatal population in the project area. Projects include a consortium, case management, outreach, health education, screening and referral for depression, collaboration with State Title V, a local health system action plan, and plans for sustainability. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available CRITERIA FOR SELECTING PROPOSALS: See specific program grant guidance. 93.928 SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE (SPNS) FEDERAL AGENCY: Health Resources and Services Administration, Department of Health and Human Services AUTHORIZATION: Public Health Service Act, Title XXVI, Part F, as amended, Public Law 109-415; Ryan White HIV/AIDS Treatment Modernization Act of 2006. OBJECTIVES: To quickly respond to emergency needs of individuals receiving assistance under the Ryan White program; and to fund special programs to develop a standard electronic client information data system to improve the ability of grantees under the Ryan White program to report client-level data the Secretary. TYPES OF ASSISTANCE: PROJECT GRANTS USES AND USE RESTRICTIONS: The SPNS Program supports the development of innovative models of HIV care to respond to the emerging needs of individuals receiving assistance under the Ryan White HIV/AIDS Treatment Modernization Act of 2006. SPNS evaluates the effectiveness of these models, and promotes the replication of successful models. Areas of evaluation include design, implementation, utilization, costs, and health related outcomes of effective models. The SPNS Program also supports special programs to develop standard electronic client information data systems to enable Ryan White Program grantees to report client level data. Proposals are expected to adequately define and justify the needs, innovative nature, and evaluation methodology of the proposed model of services. Funds shall be used to create and/or evaluate innovative models of HIV care that would likely not exist nor be evaluated without SPNS Program support, or that would extend the care model to previously underserved or unserved populations. Funds under the SPNS Program cannot be used for: charges that are billable to third party payers (e.g., private health insurance, prepaid health plans, Medicaid, Medicare); construction of new facilities or capital improvements to existing facilities; to purchase or improve land; cash payments to intended service recipients, as opposed to various incentives to encourage participation in evaluation activities. Applicant Eligibility: Eligible entities: only those eligible for funding under Parts A-D of the Ryan White HIV/AIDS Treatment Modernization Act of 2006. Adults, women, children and families with HIV disease. Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. OMB Circular No. A-87 applies to this program. Preapplication Coordination: Preapplication coordination is required. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. Application Procedures: OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Award Procedure: Notification is made in writing by a Notice of Grant Award. Contact the headquarters or regional office, as appropriate, for application deadlines. Range of Approval/Disapproval Time: Not Applicable. Renewals: Not Applicable. Formula and Matching Requirements: This program has no statutory formula. Matching requirements are not applicable to this program. Length and Time Phasing of Assistance: Grants will generally be awarded with 60-month project periods and five 12-month budget periods; some grants may have more limited 12, 24 or 36 month project periods. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. Reports: No program reports are required. No cash reports are required. A final progress report is due 90 days after the end of the project period. In addition, a Financial Status Report is due within 90 days after the close of each budget period and after the end of the project period. No expenditure reports are required. No performance monitoring is required. Audits: In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. Records: Grantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall 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. Account Identification: 75-0350-0-1-550. Obligations: (Project Grants) FY 08 $25,000,000; FY 09 est $25,000,000; FY 10 est $25,000,000 Range and Average of Financial Assistance: $25,000 to $550,000; $250,000. PROGRAM ACCOMPLISHMENTS: Fiscal Year 2008: FY08 there were 55 continuation grants and 17 new grant awards. Fiscal Year 2009: FY09 there will be 35 continuation grants and approximately 70 new grant awards. Fiscal Year 2010: FY10 there will be 47 continuation grants and approximately 40 new grant awards. REGULATIONS, GUIDELINES, AND LITERATURE: This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. Regional or Local Office: See Regional Agency Offices. Adan Cajina, Chief, Demonstration and Evaluation Branch, Division of Science and Policy, HIV/AIDS Bureau, Health Resources and Service Administration, 5600 Fishers Lane, Room 7C-07, Rockville, MD 20857. Telephone Number: (301) 443-3180. Headquarters Office: Demonstration and Evaluation Branch 5600 Fishers Lane, Room 7-C07, www.hrsa.gov. RELATED PROGRAMS: 93.917 HIV Care Formula Grants; 93.918 Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease EXAMPLES OF FUNDED PROJECTS: Fiscal Year 2008: Prevention with HIV Infected Persons seen in Primary Care Settings: This initiative was designed to address the need for interventions targeting HIV-positive individuals in clinical care, to prevent transmission to uninfected individuals and to prevent re-infection among people who are already infected with the virus. The Special Projects of National Significance (SPNS) program awarded grants to one evaluation center and 15 demonstration sites. The evaluation center provided leadership in the design and evaluation of interventions that will have maximum impact on the theory, practice and policy of HIV prevention in primary health care settings. The 15 clinical demonstration sites were funded to implement and evaluate prevention interventions with HIV-infected individuals seen in primary care settings. An Evaluation of Innovative Methods for Integrating Buprenorphine Opioid Abuse Treatment in HIV Primary Care: This initiative began in September 2004 and is comprised of 10 demonstration sites coordinated by a technical assistance/evaluation center. The initiative is directed towards persons with HIV in the primary care setting who also have substance abuse issues. As a demonstration project, this initiative seeks to determine the feasibility and/or effectiveness of integrating buprenorphine opioid abuse treatment into HIV primary care settings. The ultimate goal is to improve the health of HIV substance abusers. Innovations in Oral Health Care Initiative: The SPNS Innovations in Oral Health Care Initiative started in September 2006 and funds 15 demonstration sites for up to five years to support organizations using innovative models of care to provide oral health care to HIV-positive, underserved populations in both urban and non-urban settings. Despite the importance of access to quality oral health care, large numbers of people with HIV reportedly have unmet needs for oral health care. Demonstration sites provide comprehensive oral health care services to HIV-positive clients and develop individualized treatment plans for each patient receiving service. Sites also participate in a multisite evaluation conducted by the Evaluation and Support Center at Boston University. Information Technology Capacity Building Grants This initiative promotes the development of standard electronic client information data systems to improve the ability of grantees to report client level data to the Department of Health and Human Services (DHHS). Seventeen Part A and Part B organization received funding in FY08 for the implementation of hardware and software components, including stand alone, network, and other management health information systems that will facilitate the reporting of client level data. In FY09 approximately sixty Part C organizations will receive funds as part of SPNS endeavor in assisting grantees in need of developing adequate information technology infrastructure for purposes of client level data reporting. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available CRITERIA FOR SELECTING PROPOSALS: Evaluation criteria vary and are based on the grant initiative. However, evaluation criteria generally include some or all of the following: Factor 1: Adequacy of demonstrated knowledge of the local HIV service delivery system and the adequacy of the justification of need for the proposed model within the community and target population to be served by the project. Factor 2: Extent of the feasibility and clarity of the description, appropriateness, innovative quality, and potential for evaluation, replication, and dissemination of the proposed model. Factor 3: Comprehensiveness of the program plan as described in clearly stated goals, time-limited and measurable objectives for each goal, activities directly related to each objective, and a timeline that shows the schedule of activities and production of materials that corresponds to milestones stated in the objectives and program evaluation. Factor 4: Thoroughness, feasibility and appropriateness of the project's evaluation design from a methodological and statistical perspective. Factor 5: Extent to which the applicant demonstrates past involvement with disseminating information about HIV service delivery by describing dissemination activities to date (e.g., presenting and publishing findings through reports and papers, training, or technical assistance). Factor 6: Competency of the applicant organization in terms of fiscal, program management, and evaluation. 93.933 DEMONSTRATION PROJECTS FOR INDIAN HEALTH Demonstration Projects for Indian Health FEDERAL AGENCY: Indian Health Service, Department of Health and Human Services Public Health Service Act, Section 103 (B)(1), Public Law 93-638, as amended by Public Health Service Act, Section 301 (a) (1); Public Health Service Act. OBJECTIVES: To promote improved health care among American Indians and Alaska Natives through research studies and demonstration projects, addressing such issues as, but not limited to Elder Care, Women's Health Care, Children & Youth Initiative, Native American Research Centers for Health (NARCH), Tribal Dental Clinical and Preventive Support Centers and Institute for Health Improvement. TYPES OF ASSISTANCE: PROJECT GRANTS 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. All IHS Grants Funds are for discretionary grant acitivites. 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. OMB Circular No. A-87 applies to this program. Preapplication Coordination: Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372. Application Procedures: This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program. 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. The preferred method for receipt of applications is electronic submission through Grants.gov. However, should any technical problems arise regarding the submission, please contact Grants.gov Customer Support at (1-800) 518-4726 or support@grants.gov. The Contact Center hours of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. (Eastern), or contact the IHS Grants Policy Office on (301) 443-6290 at least fifteen days prior to the application deadline. To submit an application electronically, please use the http://www.Grants.gov apply site. Download a copy of the application package, on the Grants.gov website, 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. Award Procedure: After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public. Deadlines: Contact the headquarters or regional office, as appropriate, for application deadlines. Range of Approval/Disapproval Time: From 30 to 60 days. Appeals: Not Applicable. 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. Formula and Matching Requirements: This program has no statutory formula. This program has no matching requirements. This program does not have MOE 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. Method of awarding/releasing assistance: quarterly. Reports: No program reports are required. All IHS grantees shall submit a Payment Management System (PMS) Federal Cash Transactions Report, SF-272 to the Division of Payment Mangement at the end of each quarter. Progress Reports are due 90 days after the end of each budget period, or more frequently if stated in the terms and conditions of the IHS grant award. Reports should be sent to the attention of the Grants Management Specialist at the Division of Grants Operations. All IHS grantees shall submit a Financial Status Report (FSR)standard form (SF)-269 within 90 calendar days of the end of each budget period to the appropriate Grants Management Specialist, at the Division of Grants Operations. All IHS grant awards are monitored for Financial compliance by the Division of Grants Operations and for Programmatic Compliance by the IHS Program Staff. Audits: In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 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. Account Identification: 75-0390-0-1-551. Obligations: (Salaries) FY 08 not reported.; FY 09 est not reported.; FY 10 est not reported. Grants: FY 08 $2,402,006; FY 09 $2,402,006; and FY 10 $2,402,006. Elder Health Care Initiatives: FY 08 $916,150; FY 09 916,150; and FY10 916,150. Indian Women's Demonstration: FY 08 $600,000; FY 09 $600,000; and FY10 $600,000. Children & Youth Initiative: FY 08 est $885,856; FY 09 $885,856; and FY 10 $885,856. Native American Research Centers for Health: FY 08 $6,331,053; FY 09 $6,331,053e; and FY 10 $6,331,053. Cooperative Agreements: FY 08 $824,000; FY 09 $824,000; and FY 10 $824,000. Range and Average of Financial Assistance: $27,000 to $300,000;. PROGRAM ACCOMPLISHMENTS: Not Applicable. REGULATIONS, GUIDELINES, AND LITERATURE: 45 CFR 92 and 45 CFR 74, Health and Human Services Grants Policy Statement, January 2007. Regional or Local Office: None. Program Contact: For Elders Health Program contact: Dr. Bruce Finke, IHS Grants Policy Staff, 12300 Twinbrook Parkway, Suite 625, Rockville, Website Address: |