Injury Prevention Program for American Indians and Alaskan
Natives_Cooperative Agreements

To improve the quality of the health of American Indians and Alaska Natives by developing the capacity of tribes to address their injury problems.

Examples of Funded Projects

Basic Core Capacity Injury Prevention Program Development or Enhanced Injury Prevention Program Development, implementation of proven or promising injury prevention projects that are based on addressing local injury problems and provision of training for tribes, tribal organizations, and urban Indian organizations to address local injury prevention issues and concerns.

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.

Office - See Appendix IV of the Catalog for Indian Health Service Area Offices.
Website Address

Program Accomplishments

It is estimated that 33 cooperative agreements will be awarded in fiscal year 2007.

Uses and Use Restrictions

The assistance is used for three types of injury prevention related projects: (1) Part I Basic: Build or enhance local injury prevention capacity; and (2) Part II Intervention: Implement a proven or promising injury prevention intervention.

This assistance is available to federally-recognized Indian tribes, tribal organizations, and urban Indian organizations.

Eligibility Requirements

Applicant Eligibility

Federally-recognized tribes, tribal organizations, non-profit organizations serving primarily American Indians and Alaska Natives, and urban Indian organizations may apply.

Beneficiary Eligibility

Individuals who are members of an eligible applicant tribe, band, or group or village and who may be regarded as within the scope of the Indian health and medical service program and who are regarded as an Indian by the community in which he lives as evidenced by such factors as tribal membership, enrollment, residence on tax exempt land, ownership or restricted property, active participation in tribal affairs or other relevant factors in keeping with general Bureau of Indian Affairs practices in the jurisdiction.


Certification of American Indian or Alaska descent is required for direct services. Provisions of cooperative agreement require tribal endorsement in the form of Resolution to sanction tribal participation. Costs will be determined in accordance with OMB Circular No. A-87 for State, local, and Indian tribal governments (and Circular No. A-122 for Nonprofit Organizations) implemented through applicable grant administration regulations 45 CFR, 92 (45 CFR, 74 for nonprofit organizations).

Aplication and Award Process

Preapplication Coordination

An applicant seeking to serve more than one tribe must have approval of each tribe involved via a resolution.

This program is excluded from coverage under E.O.


Application Procedures

Standard application forms, as furnished by IHS and required by 45 CFR, 92, for State and local governments and 45 CFR, 74, for nonprofit organizations, must be used for this program. Injury Prevention Programs are processed and administered by IHS Headquarters. This program is subject to the provisions of 45 CFR 92 for Indian tribes and Part 74 for Nonprofit organizations, and OMB Circulars No. A-110 and A-102.

Award Procedures

Cooperative agreements are awarded on a competitive basis with processing and final approved by Indian Health Service Headquarters.


Cooperative agreement applications must be submitted as required in the program announcement.


Public Health Service Act, Section 301(a), as amended.

Range of Approval/Disapproval Time

Cooperative agreements are approved/disapproved within 90 days to 120 days from receipt of the application/proposal in IHS Headquarters.


Cooperative agreement appeals will follow PHS appeals procedures: 42 CFR, Part 50 Subpart D and DHHS appeals procedures: 45 CFR, Part 16.


Renewal of multi-year cooperative agreements is on a year-to-year basis and requires the submission of continuation applications.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance

Not applicable.

Post Assistance Requirements


Administrative requirements under 45 CFR, 92, for grants to Indian tribal governments and 45 CFR, 74 to nonprofit tribal organizations and urban Indian organizations.


In accordance with the provisions of OMB Circular No. A-133 (Revised June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations" 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. 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 OMB Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.


HHS 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, that are pertinent to the HHS grant in order to make audits, examinations, excerpts and transcripts. In accordance with 45 CFR, 92.42, grantees are required to maintain grant records 3 years after they submit their final expenditures report. 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 must be retained until completion of the action and resolution of all issues arising from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification



(Cooperative Agreements) Injury Prevention: FY 07 $1,690,505; FY 08 $1,400,000; and FY 09 est not available.

Range and Average of Financial Assistance

Injury Prevention: Part I Basic Core Capacity Injury Prevention up to $75,000; Part II Injury Intervention up to $10,000.

Regulations, Guidelines, and Literature

45 CFR 92 and 45 CFR 74, PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000 (Rev. April 1, 1994); Program Guidelines for Competitive Projects.

Information Contacts

Regional or Local Office

See Appendix IV of the Catalog for Indian Health Service Area Offices.

Headquarters Office

Injury Prevention Program Contact: Ms. Nancy Bill, Injury Prevention Program Manager, Indian Health Service, 801 Thompson Avenue, Suite 120, Rockville, MD 20852. Telephone: (301) 443-1054. For Grants Contact: Ms. Kimberly Pendleton, Senior Grants Management Officer, Division of Grants Operations, Indian Health Service, 801 Thompson Avenue, TMP, Suite 360, Rockville, MD 20852. Telephone: (301) 443-5204. Use the same number for FTS.

Criteria for Selecting Proposals

(1) The apparent capability of the applicant to organize and manage the proposed project successfully considering the adequacy of staff, management systems, equipment and facilities; (2) the soundness of the applicant's plan for conducting the project and for assuring effective utilization of grant funds; (3) the adequacy of the budget in relation to the scope of the project and available funds; and (4) the relative effectiveness of the applicant's plan to carry out each of the requirements as set forth in the application.

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Edited by: Michael Saunders

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