Epidemiology Cooperative Agreements

To develop epidemiology centers and public health infrastructure through the augmentation of existing programs with expertise in epidemiology and a history of regional support.

Activities should include, but not be limited to, development of surveillance for disease conditions, epidemiological
analysis, interpretation, and dissemination of surveillance data, investigation of disease outbreaks, development and implementation of epidemiological studies, development and implementation of disease control and prevention programs, and coordination of activities with other public health authorities in the region.

Proposed activities which cover large population and/or geographical areas that do not necessarily correspond with current Indian Health Service (IHS) administrative areas are encouraged.
Examples of Funded Projects

(1) The Northwest Portland Area Indian Health Board has established a Northwest Tribal Epidemiology Center in Portland, Oregon to serve the 39 federally-recognized tribes who are its members plus the two urban Indian organizations in the Portland Area of the Indian Health Center; and (2) The Alaska Native Tribal Health Consortium is establishing a new Alaska Native Epidemiology Center in Anchorage, Alaska, which will enhance the ability of Alaska Native health provider agencies to assess long-term changes in the health status of Alaska's 100,000 native people.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address


Program Accomplishments

In fiscal year 2005 11 projects were funded. It estimated that up to 12 projects will be funded in fiscal years 2006 and 12 in 2007.

Uses and Use Restrictions

Grant funds may be used to develop and conduct activities to achieve epidemiology programs.

The recipient activities will coordinate and participate in projects, investigations, or studies of national scope; and share surveillance and other data collected.

IHS activities will convene workshops/meetings; provide technical assistance and consultation; provide training; conduct site visits; and coordinate all epidemiological activities on a national basis.

Eligibility Requirements

Applicant Eligibility

Any federally recognized Indian tribe or tribal organization, as defined in Section 4(d) and 4(e) of the Indian Health Care Improvement Act, Public Law 94-437, as amended.

An intertribal consortia or Indian organization, if it is incorporated for the primary purpose of improving Indian health, and it is representative of the tribes or urban Indian communities in which it is located.

An urban Indian organization is defined as a nonprofit corporate body situated in an urban center eligible for services under Title V of the Indian Health Care Improvement Act, Public Law 94-437, as amended.

Beneficiary Eligibility

American Indians and Alaska Natives will benefit.


The applicant must provide documentation of: (1) Nonprofit status; (2) tribal resolution(s); and (3) letters of support and collaboration with regional IHS, State, or university organizations. Costs will be determined in accordance with OMB Circular No. A-87 (State, local, and Indian tribal governments). OMB Circular No. A-122 (nonprofit organizations), and applicable grant administration regulations 45 CFR 74 and 45 CFR 92.

Aplication and Award Process

Preapplication Coordination

This program is excluded from coverage under E.O.


Application Procedures

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 Standard Time). If you require additional assistance please contact Michelle G. Bulls, Grants Policy Officer; Telephone: (301) 443-6528 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 us, as furnished by Public Health Service (PHS) and required by 45 CFR 92 (State and local governments), and OMB Circular No. A-110 (nonprofit organizations) must be used for cooperative agreements under this program.

Award Procedures

Cooperative agreements are made based on results of a competitive review process.


For specific information on the application deadline, contact the Division of Grants Operations. Telephone: (301) 443-5204.


Indian Health Care Improvement Act, Title II, Section 214(a)(1), Public Law 94-437, as amended; Public Law 102-573.

Range of Approval/Disapproval Time

Approximately 120 days.





Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance

Cooperative agreements will be awarded for project periods of up 3 years. Within the project period, a continuation application must be submitted via grants.gov annually on a non- competitive basis for each year of support.

Post Assistance Requirements


Reporting requirements are consistent with 45 CFR 92 for Indian tribes and with 45 CFR 74 for nonprofit organizations.

Semi- annual and final program progress reports will be required.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit 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.


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, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the grant in order to make audits, examinations, excerpts, and transcripts. Grantees are required to maintain grant accounting records for 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records 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.

Financial Information

Account Identification



(Grants) FY 07 $5,816,700; FY 08 $6,000,000; and FY 09 est not available.

Range and Average of Financial Assistance

$399,500 to $540,000; $469,750.

Regulations, Guidelines, and Literature

Public Law 94-437, Section 214(a)(1), as amended by Public Law 102-573; 45 CFR 92 and 45 CFR 74; authorizes the cooperative agreement grant awards. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000 (Rev. April 1, 1994).

Information Contacts

Regional or Local Office

Not applicable.

Headquarters Office

Program Contact: Dr. James Cheek; Division of Epidemiology and Disease Prevention, Indian Health Service, Headquarters West, 5300 Homestead Road, NE; Albuquerque, New Mexico 87110; Telephone: (505) 248-4132. For Grants Management Contact: Ms. Kimberly Pendleton; Senior Grants Management Officer, Division of Grants Operations, Indian Health Service; 801 Thompson Avenue, TMP, Suite 360; Rockville, Maryland 20852; Telephone: (301) 443-5204. (Telephone numbers are not toll-free).

Criteria for Selecting Proposals

Selection criteria are introduction, current capacity and project objectives, approach and results and benefits, project evaluation, organization capabilities and qualifications, and budget. Consideration will be given to applicants: (1) Proposing to provide services to large regions consisting of more than a single IHS administrative area; and (2) demonstrating evidence of past and current epidemiological activities.

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