Reducing the Effects Attributed to Commercial Tobacco use by Tribes (REACTT)

The purpose of this five-year funding opportunity is to provide funding, training, technical assistance and consultation on evidence-based interventions and strategies, surveillance and epidemiology, and program evaluation designed to build or strengthen capacity.

This funding opportunity offers
funding to support tribal tobacco control programs to reduce commercial tobacco use and abuse among American Indian (AI) and Alaska Native (AN) tribal members in order to achieve the goal of the NCCDPHP to reduce chronic diseases and promote health, using the framework of the four domains.

The NCCDPHP four domains consist of core focus areas that will transform the nation s health and provide Americans with equitable opportunities to take charge of their health and are as follows: (1) Epidemiology and Surveillance; (2) Environmental Approaches that Promote Health and Support and Reinforce Healthful Behaviors; (3) Health System Interventions; and (4) Community-Clinical Links.

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

Not Applicable.

Uses and Use Restrictions

Applicants must adhere to all CDC guidelines regarding allowable and unallowable expenses.

Restrictions that must be considered while planning the programs and writing the budget are:
- Awardees may not use funds for research.
- Awardees may not use funds for clinical care.
- Awardees my use funds only for reasonable program purposes, including personnel, travel, supplies, and services.
- Generally, awardees may not use funds to purchase furniture or equipment.

Any such proposed spending must be clearly identified in the budget.
- Reimbursement of pre-award costs is not allowed.
- Other than for normal and recognized executive-legislative relationships, no funds may be used for:
- publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body
- the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body
- Additional Requirement (AR) 12 pertaining to prohibition of lobbying for CDC awardees also applies to this FOA.
- The direct and primary recipient in a cooperative agreement program must perform a substantial role in carrying out project outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible.

Eligibility Requirements

Applicant Eligibility

Eligibility is limited to federally recognized American Indian/Alaska Native tribal governments, American Indian/Alaska Native tribally designated organizations, Alaska Native health corporations, Urban Indian health programs and Tribal Epidemiology Centers.

These entities have received direct funds to build capacity for tribes to conduct evidence-based tobacco control interventions for the past 14 years.

Prior to this, state public health programs were encouraged to collaborate with tribes and tribal organizations within their jurisdiction.
Federally recognized American Indian/Alaska Native tribal governments, American Indian/Alaska Native tribally designated organizations, Alaska Native health corporations, Urban Indian health programs and Tribal Epidemiology Centers are uniquely qualified to build infrastructure and capacity for tribes to conduct evidence-based tobacco control interventions.

These entities are able to:
• Implement effective, culturally appropriate improvements in community environments, provide community-clinical linkages; and improve health care systems
• Integrate evidence-based practices to reduce commercial tobacco prevalence rates in tribal populations and are able to make a significant impact on individual and community health of American Indians and Alaska Natives
• Carry out the intent of the proposed project
Other organizations, including state and local health departments, do not have the capacity to reach multiple tribes, which is the intent of this cooperative agreement, nor do they have the capacity to inform, educate, and advocate on behalf of AI/AN populations.

Beneficiary Eligibility

Federally Recognized Indian Tribal Government
Minority Group
Native American Organization
American Indian.


Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe the evaluation procedures, and provide a budget justification of funds. This program is excluded from coverage under OMB Circular No. A-87.

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. This program is excluded from coverage under OMB Circular No. A-110.

Award Procedures

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 and e-mailed to the program director. A hard copy of the NoA will be mailed to the recipient fiscal officer identified in the application.
Any application awarded in response to this FOA will be subject to the DUNS, CCR Registration and Transparency Act requirements.
Unsuccessful applicants will receive notification of the results of the application review by mail.


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


The Public Heallh Service Acl, Sections 307 and 317(k)(1) [42 U.S.C. 2421 and 247b(k)
(1)[, as amended.

Range of Approval/Disapproval Time

From 120 to 180 days.


Not Applicable.


From 120 to 180 days. Project Period is 5 years with a 12 month budget period. Applications can be obtained from www,

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

5-year project period with 12-month budget periods. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


Awardee Evaluation and Performance Measurement Plan:
Awardees must provide a more detailed evaluation and performance measurement plan within the first six months of the project.

This more detailed plan