Application Notes:

Prior to submitting applications, applicants must obtain a mandatory approval letter from their applicable IHS area office. Applicants must submit their applications to the applicable IHS area office, using the information provided on page 47 of the NOFA file, to obtain letters of approval. It is preferred that applications be submitted to the applicable IHS area office by October 13, 2023.

Applications must be received by 5:00 p.m. ET on November 10, 2023.

Applications must be submitted electronically (preferred) in two parts, with sections A and B submitted online, using the portal that will be made available at www.ihs.gov, and section C emailed to the appropriate address provided in the Contact section with the subject line "FY 2022 & 2023 SAP APPLICATION [Tribe Name]." Alternatively, one copy of the application may be mailed or delivered to the appropriate address provided in the Contact section. Hard-copy applications must be submitted with the envelope marked "FY 2022 & 2023 SAP APPLICATION."

Applications must include:

• Application cover sheet
• Table of contents
• Applicant's administrative information
• Applicant's eligibility determination
• Technical proposal
• Signature page
• Attachments:
  • Copy of auditor's summary of findings of last single-agency audit
  • Tribal resolution
  • Location and site maps
  • Space list and floor plans
  • Project administration organization chart

Refer to pages 44-46 of the NOFA file for a full checklist of application components. Applications may not exceed 75 pages in total. Applications must be formatted on standard-sized, one-sided, consecutively numbered pages, using 12-point black font in a regular font style, such as Arial, Calibri, or Times New Roman. Pages must have one-inch margins on all four sides, and include a header identifying the applicant. Application cover sheets must be entitled "FISCAL YEARS 2022 & 2023 Small Ambulatory Program," followed by the applicant's name and submission date. Hard-copy applications must be loose, not bound or stapled. Emailed submissions exceeding 20 MB may require multiple submissions, with each part labeled accordingly. Section C of the electronic application must be submitted in .pdf format. Refer to pages 15-17 of the NOFA file for additional guidance on application formatting.

The following are required in order to submit an application:

• Unique Entity Identifier (UEI) number
• SAM (System for Award Management) registration

Applicants may obtain a UEI number and verify or renew SAM registration status at www.ecivis.com/sam.

An optional training session for this program is scheduled as follows:

October 5, 2023
2:00 p.m. ET
Meeting Code: 160 416 0142
Passcode: 646111
URL: ihs-gov.zoomgov.com

Applications will be evaluated using the following criteria:

• Need for project (40 points)
• Delivery capability (40 points)
• Construction capability (15 points)
• Applicant's financial contribution (5 points)

Refer to the NOFA and Overview files for additional application information.

Match Notes:

Matching funds are not required for this program; however, additional consideration will be given to projects that include the commitment of non-Indian Health Service (IHS) resources. Additionally, applicants must demonstrate the ability to financially support services upon completion of projects. Award recipients will be responsible for all project costs beyond the award amount.

No other sources of IHS funding may be used in conjunction with program funds for project construction, except that the award recipient may participate in the IHS Replacement Equipment Program and receive equipment funding for the non-IHS-funded portion of projects.

Funding Notes:

A total of $50 million is available to support awards of up to $3.5 million through this program. Funding will be set aside as follows:

• A total of 75 percent of funds set aside for small facilities with a maximum supportable space (MSS) of less than 100,000 square feet
• A total of 25 percent of funds set aside for large facilities with a maximum supportable space (MSS) of more than 100,000 square feet

Awards will be provided in the form of fixed-price hybrid construction contracts.

Award notifications will be issued on January 3, 2024. Award contracts will be completed by February 15, 2024.

Funds may not be used for projects where on-site construction has already begun, or if the tribe has awarded a construction contract and issued a notice to proceed for on-site work before receiving an award through this program. This restriction does not apply to planning and/or design activities.

Funds may not be used for projects that have already received funding under Section 301 or Section 307 of Public Law (P.L.) 94-437.

For FY 2022/2023, $55 million was disbursed via 15 awards ranging from $656,000 to $3.85 million through this program. For FY 2021, $24 million was disbursed via 12 awards ranging from $732,920 to $2 million. For FY 2020, $25 million was disbursed via 14 awards ranging from $600,000 to $2 million. Refer to the Award file for details.

January 30, 2024
Information regarding awards through this program has been released and appended to the Award file. A brief summary of the awards has been added to the Financial section, and a sample of award recipients has been added to the Eligibility section.