Health Promotion/Disease Prevention Program for American Indians and Alaska Natives

To create healthier American Indian/Alaska Native (AI/AN) communities by developing, implementing, and coordinating innovative and effective community and clinic-based interventions programs designed to promote health and prevent chronic disease and disability.

Examples of Funded Projects

(1) Diabetes Prevention, (2) Obesity Prevention, Youth and Children, (3) Alcohol Intervention for Youth, (4) Physical Activity, (5) Women's Health, (6) Tobacco Prevention, and (6) Strengthen Families.

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

Twenty grant awards were funded in fiscal year 2005. It is anticipated that 13 new grants will be awarded in fiscal year 2006, and it is anticipated that 13 continuing grants will be awarded in fiscal year 2007.

Uses and Use Restrictions

This assistance is available to federally-recognized Indian Tribes, Tribal organizations, and urban Indian organizations.

This assistance is used to develop, implement, and coordinate innovative and effective community and clinic-based interventions programs to promote health and prevent chronic disease.

Funds (including direct and allowable indirect costs) may be used for expenses directly related and necessary to carry out approved activities that will support the implementation and evaluation of projects under this competitive grant program.

Eligibility Requirements

Applicant Eligibility

Federally-recognized tribes, tribal organizations, nonprofit organizations 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. 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 Tribal nonprofit organizations codified through applicable grant administration regulations 45 CFR Part 92 and as applicable 45 CFR Part 74.

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 However, should any technical problems arise regarding the submission, please contact Customer Support at 1-800-518-4726 or 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 at (301) 443-6528 at least fifteen days prior to the application deadline. To submit an application electronically, please use the apply site. Download a copy of the application package, on the website, complete it offline and then upload and submit the application via the site. You may not e-mail an electronic copy of a grant application to us. Health Promotion/Disease Prevention program are processed and administered by IHS Headquarters. This program is subject to the provisions of 45 CFR Part 92 for Indian tribes and Part 74 for Nonprofit organizations, and OMB Circulars No. A-110, A-122, A-87, and A-102.

Award Procedures

Grants are awarded on a competitive basis with processing and final approval by Indian Health Service Headquarters.


Contact the Headquarters Office for application deadlines.


Authorized by 25 U.S.C. 13, Synder Act, Public Law 83-568, Transfer Act, 42 U.S.C. 2001.

Range of Approval/Disapproval Time

Grants are approved or disapproved within 90 days of receipt of grant applications by the Indian Health Service, Division of Grants Operation.




Project periods are for 3 years with 12-month budget periods.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance

Grants will be awarded for project periods up to 3 years.

Post Assistance Requirements


The Progress Reports and Financial Status Reports are required annually.

These reports will include a brief comparison of actual accomplishments to the goals established for the period, reasons for slippage (if applicable), and other pertinent information as required.

Financial Status Reports (SF 269) annual financial reports must be submitted within 30 days of the budget period.

A Final Financial Status Reports (SF 269) are due within 90 days of expiration of the budget/project period and must be verified from the grantee records on how the value was derived.

Grantees are allowed a reasonable period of time in which to submit required financial and performance reports.

Progress reports are required on an annual basis.


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, in addition, grantees are subject to site visits and audits by the Department of Health and Human Services (DHHS) and other Federal officials.


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 audit, examinations, excerpts, and transcripts. In accordance with 45 CFR Parts 74 and 92, 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 $1,896,611; FY 08 $1,300,000; and FY 09 est not available.

Range and Average of Financial Assistance

None. New Program.

Regulations, Guidelines, and Literature

Regulations governing this program are published under the provisions of 45 CFR Part 92 and the PHS Grants Policy Statement, DHHS Publication No. (OASH 94-50,000, (Rev.) April 1, 1994. Guidelines are available in the application kit.

Information Contacts

Regional or Local Office

Not applicable.

Headquarters Office

Program Contact: Ms. Alberta Becenti, Health Promotion/Disease Prevention Coordinator, Indian Health Service, 801 Thompson Avenue, Suite 300, Rockville, MD 20852. Telephone: (301) 443-4305. Grants Management 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.

Criteria for Selecting Proposals

Applications will be evaluated in accordance with the criteria stated below for technical merit by appropriate peer review groups convened by the IHS Health Promotion/Disease Prevention Program. Applications will be reviewed and rated on the basis of the evaluation criteria listed for developing the project narrative: 1) background and needs, 2) intervention plan, 3) plans for monitoring and program evaluation, 4) organizational capabilities and qualifications, and 5) communication and information sharing. Proposals will be reviewed for merit by the Objective Review Committee consisting of at least three federal and three nonfederal reviewers appointed by the IHS. The technical review process ensures the selection of quality projects in a national competition for limited funding. After review of the applications, rating scores will be compared, and the application with the highest rating score are selected to receive funding.

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