size of the urban Indian population;

accessibility to, and utilization of, other health resources available to such population;

duplication of existing Service or other Federal grants or contracts;

capability of the organization to adequately perform the activities required under the grant;

satisfactory performance standards for the organization in meeting the goals set forth in such grant, which standards shall be negotiated and agreed to between the Secretary and the grantee on a grant-by-grant basis; and

identification of need for services.