CENTERS
FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN
SERVICES
AUTHORIZATION:
Public
Health Service Act, Section 301, 42 U.S.C. 241, and Section 317,
42 U.S.C. 247b, as amended; Health Services and Centers Amendments
of 1978, Public Law 95-626; Omnibus Budget Reconciliation Act of
1981, as amended, Public Law 97-35; Preventive Health Amendments
of 1984, Public Law 98-555; Social Security Act, Section 1928.
To
assist States and communities in establishing and maintaining preventive
health service programs to immunize individuals against vaccine-preventable
diseases (including measles, rubella, poliomyelitis, diphtheria,
pertussis, tetanus, hepatitis B, hepatitis A, varicella, mumps,
haemophilus influenza type b, influenza, and pneumococcal pneumonia).
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Grant
funds may be used for costs associated with planning, organizing,
and conducting immunization programs directed toward vaccine-preventable
diseases and for the purchase of vaccine; and for the implementation
of other program elements, such as assessment of the problem; surveillance
and outbreak control; information and education; adequate notification
of the risks and benefits of immunization; compliance with compulsory
school immunization laws; vaccine storage, supply, and delivery;
citizen participation; and use of volunteers. Vaccine will be available
"in lieu of cash" if requested by the applicants. Requests for personnel
and other items "in lieu of cash" will also be considered. Vaccine
purchased with grant funds may be provided to private practitioners
who agree not to charge for vaccine. Grant funds may be used to
supplement (not substitute for) existing immunization services and
operations provided by a State or locality.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Any State, and in consultation
with State health authorities, political subdivisions of States
and other public entities may apply; private individuals and private
nonprofit agencies are not eligible for immunization grants.
Beneficiary
Eligibility: Any State, political subdivision
(as described above), and other public entities will benefit.
Credentials/Documentation:
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 with justification
of funds. Costs will be determined in accordance with OMB Circular
No. A-87 for State and local governments.
Pre-application
Coordination: Preapplication coordination is
not required. This program is eligible for coverage under E.O. 12372,
"Intergovernmental Review of Federal Programs." An applicant should
consult the office or official designated as the single point of
contact in his or her State for more information on the process
the State requires to be followed in applying for assistance, if
the State has selected the program for review.
Application
Procedure: 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) 488-2710.
This program is subject to the provisions of 45 CFR 92. The standard
application forms, as furnished by PHS and required by 45 CFR
92 for State and local governments, must be used for this program.
Award
Procedure: After review and approval of an
application, a Notice of Award is prepared and processed, along
with appropriate notification to the public.
Deadlines:
Contact Headquarters Office for application deadlines.
Range
of Approval/Disapproval Time: From 3 to 4
months.
Appeals:
Not applicable.
Renewals:
Same as Application Procedure.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory or matching requirements. Although there are no matching
requirements, applicants must assume part of the project costs and
fiscal information must be provided in the budget portion of the
application pursuant to provisions of Section 317(b)(2).
Length
and Time Phasing of Assistance: Project Period:
Variable. Budget Period: About 12 months.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Annual performance reports are required. Financial status reports
are required no later than 90 days after the end of each specified
reporting period. A report is required on the extent of the problems
presented by the diseases and conditions, including the reporting
of adverse events following immunization. Final financial status
and progress reports are required 90 days after the end of a project.
Financial Status Reports are not required for VFC funds.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133. In addition, grants and cooperative agreements
are subject to inspection and audits by DHHS and other Federal
government officials.
Records:
Financial records, supporting documents, statistical records,
and all other records pertinent to the grant program shall be
retained for a minimum of 3 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 PHS Grants Policy
Statement requirements.
FINANCIAL
INFORMATION:
Account
Identification: 75-0943-0-1-550.
Obligations:
(317 Grants) FY 01 $349,983,847; FY 02 est $403,000,000; and FY
03 est $403,000,000. (VFC Grants) FY 01 $810,604,047; FY 02 est
$938,681,000; and FY 03 est $772,278,000.
Range
and Average of Financial Assistance:
(317 Grants): From $80,000 to $32,000,000; $5,500,000. (VFC Grants):
From $350,000 to $148,000,000; Average: $13,300,000.
During fiscal year 2001, 64 grants were awarded with 317 funds and
61 grants were awarded with VFC funds. It is anticipated that 64
applicants (for 317 funds) and 61 applicants (for VFC funds) will
receive awards in fiscal year 2002 and fiscal year 2003. In fiscal
year 2001, all immunization level objectives for 2-year-old children
were achieved and most disease incidence objectives for all ages
were achieved. Over the next year, continued progress toward fiscal
year 2010 objectives is expected.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Regulations governing this program are published under 42 CFR 51b.
Guidelines are available. PHS Grants Policy Statement, DHHS Publication
No. (OASH) 94-50,000, (Rev.) April 1, 1994, is available.
INFORMATION
CONTACTS:
Regional
or Local Office: Not applicable.
Headquarters
Office: Program Contact: Dr. Lance Rodewald,
Director, Immunization Services Division, Centers for Disease
Control and Prevention, Department of Health and Human Services,
1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: (404) 639-8208;
Fax: (404) 639-8627; E-mail: LAR9@cdc.gov. Grants Management Contact:
Ms. Lisa Garbarino, Grants Management Officer, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control
and Prevention, Department of Health and Human Services, 2920
Brandywine Road, Room 3000, Atlanta, GA 30341. Telephone: (770)
488-2710.
Web
Site Address: http//www.cdc.gov
EXAMPLES
OF FUNDED PROJECTS:
The majority of official State Health Departments (such as California,
Michigan, and Texas) and some large local health departments (such
as New York and Chicago) have ongoing disease control programs utilizing
these grants. Immunization Projects: The national program goals
for immunization are to reduce morbidity and mortality due to vaccine-preventable
diseases; maintain interruption of indigenous measles transmission;
prevent perinatal transmission of hepatitis b; maintain 95 percent
immunization levels for school enterers, and 90 percent immunization
levels for children enrolled in licensed day-care centers against
measles, poliomyelitis, diphtheria, tetanus, pertussis, rubella,
mumps, and Haemophilus influenza type b (Hib); develop, test, and
implement systems for use in the States to ensure that 90 percent
or more of children complete basic immunizations by age 2; and promote
appropriate immunization programs for adults. Effective comprehensive
programs, include the following elements: (1) Surveillance of vaccine-preventable
diseases; (2) development and implementation of specific plans to
raise immunization levels within preschool age high-risk groups;
(3) assessment of immunization status in public clinics, private
physician offices, and schools; (4) public information and education
programs; (5) participation of citizens groups and volunteers; and
(6) consistent enforcement of compulsory school immunization laws.
CRITERIA
FOR SELECTING PROPOSALS:
Applications will be evaluated based on: (1) The extent of the problem;
(2) the establishment of specific and measurable objectives to address
the problem; and (3) the development of a sound operational plan
which will ensure the implementation of each program element.
