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Content provided by the Catalog of Federal Domestic Assistance
93.284 Injury Prevention Program for American Indians and Alaskan Natives_Cooperative Agreements




Public Health Service Act, Section 301(a), as amended.
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To improve the quality of the health of American Indians and Alaska Natives by developing the capacity of tribes to address their injury problems.


Project Grants.
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The assistance is used for three types of injury prevention related projects: (1) Part I: Build or enhance local injury prevention capacity; (2) Part II: Implement a proven or promising injury prevention intervention; or (3) Part III: Provide training meetings or conferences related to injury prevention and control. This assistance is available to federally-recognized Indian tribes, tribal organizations, and urban Indian organizations.


Applicant Eligibility:   Federally-recognized tribes, tribal organizations, 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.

Credentials/Documentation:   Certification of American Indian or Alaska descent is required for direct services. Provisions of grants 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).

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Pre-application 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. 12372.

Application Procedure:   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 Procedure:   Grants are awarded on a competitive basis with processing and final approved by Indian Health Service Headquarters.

Deadlines:   Grant applications must be submitted as required in the program announcement.

Range of Approval/Disapproval Time:   Grants are approved/disapproved within 90 days to 120 days from receipt of the application/proposal in IHS Headquarters.

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

Renewals:   Renewal of multi-year grants is on a year-to-year basis and requires the submission of continuation applications.


Formula and Matching Requirements:   This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance:   Not applicable.


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

Audits:   In accordance with the provisions of OMB Circular No. A-133 (Revised June 24, 1997), "Audits of States, Local Governments, and Nonprofit Organizations" 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. 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 OMB Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records:   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.


Account Identification:   75-0390-0-1-551.

Obligations:   (Grants) Injury Prevention: FY 01 $1,475,000; FY 02 est $1,475,000; and FY 03 est $1,475,000.

Range and Average of Financial Assistance:   Injury Prevention: Part I - Five-Year Injury Prevention Programs, up to $100,000; Part II Effective Strategies up to $20,000.

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In fiscal year 2001, a total of 40 grants were funded. It is estimated that 40 grants will be awarded in fiscal year 2002 and fiscal year 2003.


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.


Regional or Local Office:  
None. See Appendix IV of the Catalog for Indian Health Service Area Offices.

Injury Prevention Program Contact: Ms. Nancy Bill, Injury Prevention Program Manager, Indian Health Service, 5600 Fishers Lane, Mail Stop: 10N54, Rockville, MD 20857. Telephone: (301) 443-1054.

Grants Management Contact: Mr. Robert Tarwater, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Telephone: (301) 443-5204, Fax (301) 594-0899.

Headquarters Office:   Grants Policy Office 5600 Fishers Lane, Mail Stop: 09E70, Rockville, Maryland 20857 Email: Phone: 301-443-5204

Web Site Address:


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.


(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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