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* 1. Please identify:

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* 2. If 1 year of SDPI funding is authorized, would Tribes prefer that a continuation (not a competitive) application process be used if possible?


Background Information:
a. According to Division of Grants Management (DGM), FY 2014 completes a 5-year SDPI grant cycle (FY 2010-2014)
i. As such, DGM notes that grant regulations require that there be a competitive application process for FY 2015, even if SDPI funding is reauthorized for only one year
ii. Historical exception: “class deviation to extend the project period for one-year without competition” granted by HHS for FY 2009 (singe year reauthorization)

If funding is reauthorized for more than 1-year, a competitive application process MUST be used.
Background Information:
a. A competitive application is a complex process needing federal staff, time and development of objective review of SDPI applications
• Funding Opportunity Announcement (FOA) for Community-directed grantees needs to be made available on GrantSolutions no later than end of April 2014
i. FOA for DP/HH grantees needs to be available on GrantSolutions by April 2015
• Significant amount of time will be needed to develop Objective Review Committee panels, develop guidance materials for reviewers, review over 400 applications, tracking review sessions results, coordinate with DGM
i. Have to train and use Application Review Modules System (ARMS) (http://www.armtraining.net/Info.asp?PageID=41)
• Federal Staffing Issues

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* 3. Should there be any changes in the national SDPI funding distribution and, if so, in what way?

Background Information:
Currently the SDPI funding distribution is as follows:
- Community-directed grant program ($108.9 million)
- Diabetes Prevention/Healthy Heart Initiatives ($27.4 million)
- Set-asides:
- Urban Indian Health Programs ($7.5 million)
- Data Infrastructure Improvement ($5.2 million)
- CDC Native Diabetes Wellness Program ($1.0 million)

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* 4. The last time the SDPI national funding formula was changed was in 2003. Based on recommendations from Tribal consultation, the following national funding formula was used to determine allocation to each IHS Area for the Community-directed grant program:

- User Population = 30%
- Tribal Size Adjustment (TSA) = 12.5% (adjustment given for small tribes)
- Disease Burden = 57.5% (diabetes prevalence)

Since that time, user population and diabetes prevalence data from 2003 have been used in the national funding formula. Should more recent user population and diabetes prevalence data be used in the national funding formula?

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* 5. Should there be any changes in the SDPI Community Directed grant program?

Background Information:
Community-directed grant programs are currently based on selection of Best Practices

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* 6. What do Tribes recommend for the Diabetes Prevention and Healthy Heart Initiatives?

Background Information:
a. DP/HH Initiative grants are completing the goals set for them in 2010
b. Some sites are experiencing challenges with participant recruitment/retention
c. Toolkits will be available on website by end of FY 2014
d. Community-directed SDPI grantees will then be able to select Best Practices which utilize DP and HH toolkits
e. Because DP/HH grantees receive funding at the end of each FY, FY2014 budget period will end in September 2015.

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* 7. Should Tribes not currently funded by SDPI be allowed to apply with the next competitive application? This includes Tribal Governments who have received federal recognition since 1998.

Background Information:
This includes Tribes that
• received federal recognition since 1998 (13 Tribes).
• did not apply in 2010
• attempted the application process for FY 2010 but did not receive funding
• (6 or 7)

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