National Public Health Improvement Initiative

The purpose of the program is to provide support for accelerating public health accreditation readiness activities; to provide additional support for performance management and improvement practices; and, for the development, identification and dissemination of evidence-based policies and practices (i.e.,
best and promising practices.).

This program supports the Healthy People 2020 focus area of addressing Public Health Infrastructure (

Cross-jurisdictional (state, local, tribal, territorial, regional, community, and border) collaborations are encouraged to increase the impact of limited resources, improve efficiency, and to leverage other related health reform efforts/projects.

Measurable outcomes of the program align with the following performance goals:

1) Increased efficiencies (saving time/money) of program services and/or operations,
2) Increased effectiveness ( use of evidence-based policies and practices) Improved health outcome is a example of increased effectiveness., and,
3) Increased readiness for applying to and achieving accreditation by the Public Health Accreditation Board PHAB.

(More information on accreditation activities can be found on the PHAB web site at

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 Regional Agency Offices.

Roberta Erlwein

Program Accomplishments

Fiscal Year 2012: No data available. Fiscal Year 2013: No data available. Fiscal Year 2014: No data available.

Uses and Use Restrictions

Grantees may use funds provided for allowable direct and indirect costs including personnel, supplies, etc.

that advance the following activities.


Implementation of relevant and essential activities to accelerate the agency s accreditation readiness.

This includes- but is not limited to- applying for and achieving national accreditation which is entirely voluntary.


In addition, grantees will complete one or more of the following activities that advance their ability to meet or conform with the national Public Health Accreditation Board (PHAB) standards** .

Recipients may not use funds for research.
* Recipients may not use funds for clinical care.
* Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual.
* Awardees may not generally use HHS/CDC/ATSDR funding for the purchase of furniture or equipment.

Any such proposed spending must be identified in the budget.
* The direct and primary recipient in a cooperative agreement program must perform a substantial role in carrying out project objectives and not merely serve as a conduit for an award to another party or provider who is ineligible.
* Reimbursement of pre-award costs is not allowed.
* It is imperative for applicants to identify the relevant funding opportunity that most closely aligns to the nature of the proposed work in order for the application to be competitive and for post award activities to remain aligned to the original proposal.

Applicants are reminded that CDC is prohibited from supporting the same project or activity from more than one funding opportunity announcement (FOA).

Eligibility Requirements

Applicant Eligibility

This award will be a continuation of funds intended only for grantees previously awarded under CDC-RFA-CD10-101101PPHF12.

Beneficiary Eligibility

State health departments, large local health departments supporting cities with populations of 1 million or more inhabitants, the District of Columbia, U.S. Territories, tribal health organizations and the general public.


OMB Circular No. A-87 applies to this program. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention. Telephone: (770) 488-2700.

Award Procedures

A review will be conducted to evaluate complete and responsive applications according to the evaluation criteria listed in funding opportunity announcement. Successful applicants will receive a Notice of Award (NOA) from the CDC Procurement and Grants Office. The NOA shall be the only binding, authorizing document between the recipient and CDC. The NOA will be signed by an authorized Grants Management Officer.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Section 301(a) of the Public Health Service Act [42 U.S.C. Sections 241], as amended.

Range of Approval/Disapproval Time

From 60 to 90 days.


Not Applicable.


This is applicable for renewal upon successful reporting.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Grant period is 5 years from September 30, 2010-Sept 29, 2015. Grant funds are to be obligated in the budget year specified i.e., September 30, 2013-Sept 29, 2014 for this continuation award. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


Interim progress reports, project plans and annual reports are required by program.

In addition reporting for annual and baseline program evaluation and reporting is required.

Finally financial reporting to comply with FY13 appropriation act is required.

FFR (Federal Financial Reports) are required annually.

Interim and annual progress reports are required.

No expenditure reports are required.

This is accomplished via completion of mid and annual reporting described above.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit 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. Records must be available for review or audit by appropriate officials of the Federal agency, pass-through entity, and General Accounting Office (GAO). The grantee is to also ensure that the sub-recipients receiving CDC funds also meet these requirements (if total Federal grant or grants funds received exceeded $500,000). the grantee should include this requirement in all sub-recipient contracts.


Financial records, supporting documents, statistical records, and all other records pertinent to the grant program shall be retained for a minimum of three years, or until completion and resolution of any audit in process or pending resolution. In all cases records must be retained until resolution of any audit questions. Property records must be retained in accordance with 45 CFR 92.42.

Financial Information

Account Identification



(Formula Grants (Cooperative Agreements)) FY 12 $33,500,000; FY 13 est $33,500,000; and FY 14 Estimate Not Available

Range and Average of Financial Assistance

Component I: This amount is based on population and will continue for each year of the cooperative agreement:

Below 1.5 million = $100,000
1.5 million - 5 million = $200,000
5 million - 8 million = $300,000
Above 8 million = $400,000

Component II: $1 million - $2.95 million.

Regulations, Guidelines, and Literature

Regulations governing this program are published under 42 CFR 55b. Guidelines are available. 45 CFR 92, and also HHS Grants Policy Statement at

Information Contacts

Regional or Local Office

See Regional Agency Offices. Roberta Erlwein

Headquarters Office

Andrea W. Wooddall 4770 Buford Hwy, MS E70
, Atlanta, Georgia 30341 Email: Phone: 4044986792

Criteria for Selecting Proposals

Not Applicable.

Social Entrepreneurship

Rwanda as Social Entrepreneur Fund Beneficiary

The Republic of Rwanda has been picked as one of the six African countries as beneficiaries for a new fellowship fund program designed at supporting social entrepreneurs in tackling issues on food security.

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