Application Notes:

Prior to submitting an application, applicants must coordinate with the appropriate IHS area point of contact listed on page 48 of the NOFA file to seek the required concurrence of the statistical data, user population, and existing facilities information used in the application. Applications must be submitted to the appropriate IHS area point of contact for conditional approval, and it is encouraged that applications be submitted by October 1, 2024.

Applications must be received by 5:00 p.m. ET on November 8, 2024.

Applications must be submitted electronically or as hard copies; however, electronic submissions are preferred. Electronic submissions will consist of two parts. Part 1, consisting of Sections A and B, must be submitted online at grant-review-info.com/2024IHS-Small-Ambulatory-Program. Part 2, consisting of Section C and attachments, must be emailed to the appropriate address provided in the Contact section, with a copy emailed to the appropriate IHS area point of contact. The subject line of the emails must include "FY 2024 SAP Application" followed by the tribe name. For hard-copy submissions, the original application must be mailed or delivered to the address provided in the Contact section, and a copy of the application must be mailed or delivered to the appropriate IHS area point of contact. Envelopes must be marked "FY 2024 SAP Application."

Applications must include:

• Application cover sheet
• Table of contents
• Section A: applicant's administrative information
• Section B: applicant's eligibility determination
• Section C: 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

Applications may not exceed 75 total pages. Applications must be formatted on standard-sized, single-sided, consecutively numbered pages with one-inch margins on all four sides and must use 12-point black font in a regular font style, such as Arial, Calibri, or Times New Roman. Pages must include a header identifying the name of the applicant. The cover sheet must be entitled "FISCAL YEAR 2024 Small Ambulatory Program," followed by the applicant's name and the submission date. Hard-copy applications must be loose and not bound or stapled. Emailed submissions exceeding 20 MB may require multiple submissions, with each part labeled accordingly. Section C and attachments of the electronic application must be submitted in .pdf format.

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 application training webinar will be held for this program as follows:

September 5, 2024
1:00 p.m. ET
URL: ihs-gov.zoomgov.com
Meeting Code: 161 521 6368
Passcode: 786201

Applications will be evaluated according to the following criteria:

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

Refer to the NOFA file for additional application information.

Match Notes:

There are no stated matching requirements for this program; however, additional points will be awarded during the application evaluation process to applicants willing to commit non-Indian Health Service (IHS) resources to the project. Higher scores will be given to applicants that demonstrate the initiative to have other funds above that being received through this program.

No other 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 the project. The award recipient will be responsible for all costs over and above the funds awarded through this program.

Funding Notes:

A total of $25 million is available to support fixed-price hybrid construction contracts of up to $3.5 million through this program.

After the awarding for each application from an IHS area, the remainder of the funding will split. Projects that are classified as small, or less than 100,000 square feet for service unit max supportable space, will have 75 percent of the funds set aside. Projects that are classified as large, or more than 100,000 square feet for service unit max supportable space, will have 25 percent of the funds set aside. Projects will be awarded until funds are exhausted.

Notice of selections will be issued on January 31, 2025, and complete contract awards will be issued on February 25, 2025.

Funds will not support:

• Projects that have previously received funding through this program
• On-site construction that has already begun
• Projects that have previously 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. Refer to the Award file for details.