Epidemiology Cooperative Agreements

The purpose of this cooperative agreement program is to fund Tribes, Tribal and urban Indian organizations, and intertribal consortia to provide epidemiological support for the AI/AN population served by IHS.

Tribal Epidemiological Center (TEC) activities should include, but are not limited to,
enhancement of surveillance for disease conditions; research, prevention and control of disease, injury, or disability; assessment of the effectiveness of AI/AN public health programs; epidemiologic analysis, interpretation, and dissemination of surveillance data; investigation of disease outbreaks; development and implementation of epidemiologic studies; development and implementation of disease control and prevention programs; and coordination of activities with other public health authorities in the region.

It is the intent of IHS to fund several TECs that will serve Tribes and urban Indian communities in all 12 IHS Administrative Areas.

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 - None.

Program Contact: Lisa Neel, MPH; Division of Epidemiology and Disease Prevention, Indian Health Service, 5600 Fishers Lane, Mail Stop: 09E10-D, Rockville, MD 20857.

Telephone: (301) 443-4305.

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.
Website Address


Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Alaska Native Tribal Health Consortium $ 1,370,594   2009-09-012014-08-31
Oglala Sioux Tribe Of Pine Ridge Indian Reservation $ 500,000   2010-09-302013-09-29
Great Lakes Inter-tribal Council, Inc. $ 429,933   2006-09-302011-09-29
Great Plains Tribal Leaders Health Board $ 35,062   2006-09-302011-09-29
Alaska Native Tribal Health Consortium $ 495,874   2005-09-152011-09-14
California Rural Indian Health Board, Inc. $ 350,000   2008-06-092011-06-08
Northwest Portland Area Indian Health Board $ 300,000   2006-09-302010-09-29
Great Plains Tribal Leaders Health Board $ 104,000   2006-09-302010-09-29
Great Lakes Inter-tribal Council, Inc. $ 472,000   2006-09-302010-09-29
Black Hills Center For American Indian Health $ 577,000   2006-09-302010-09-29

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Grant funds may be used to develop and conduct activities to achieve at least one epidemiology programs in each of the 12 Areas of Indian country.

The recipient activities will coordinate and participate in projects, investigations, or studies of national scope; and share surveillance and other data collected.

IHS activities will convene workshops/meetings; provide technical assistance and consultation; provide training; conduct site visits; and coordinate all epidemiological activities on a national basis.

Funds will be used to support activities that are directly related to the grant project.

All indirect costs will be issued based on the indirect cost rate agreement that is negotiated by the recipient, as appropriate.

100% are discretionary funds.

Eligibility Requirements

Applicant Eligibility

AI/AN Tribes, Tribal organizations, and eligible intertribal consortia or urban Indian organizations as defined by 25 U.S.C.

1603(e) may be eligible for a TEC cooperative agreement.

Such entities must represent or serve a population of at least 60,000 AI/AN to be eligible as demonstrated by Tribal resolutions or the equivalent documentation from urban Indian clinic directors/Chief Executive Officers (CEOs).

Applicants must describe the population of AI/ANs and Tribes that will be represented.

The number of AI/ANs served must be substantiated by documentation describing IHS user populations, United States Census Bureau data, clinical catchment data, or any method that is scientifically and epidemiologically valid.

An intertribal consortium or urban Indian organization is eligible to receive a cooperative agreement if it is incorporated for the primary purpose of improving AI/AN health, and represents the Tribes, AN villages, or urban Indian communities in which it is located.

Resolutions from each Tribe, AN village and equivalent documentation from each urban Indian community represented must be included in the application package.

Collaborations with IHS Areas, Federal agencies such as the Centers for Disease Control and Prevention (CDC), State, academic institutions or other organizations are encouraged (letters of support and collaboration should be included in the application).

Beneficiary Eligibility

Federally-recognized Indian Tribe will benefit from the Tribal Epidemiology Centers. Federally-recognized Indian Tribe means any Indian Tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C. 1601, et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians. 25 U.S.C. 1603 (d). Tribal organization means the elected governing body of any Indian Tribe or any legally established organization of Indians which is controlled by one or more such bodies or by a board of directors elected or selected by one or more such bodies or elected by the Indian population to be served by such organization and which includes the maximum participation of Indians in all phases of its activities. 25 U.S.C. 1603(e). Urban Indian organization means a non-profit corporate body situated in an urban center governed by an urban Indian controlled board of directors, and providing for the maximum participation of all interested Indian groups and individuals, which body is capable of legally cooperating with other public and private entities for the purpose of performing the activities. 25 U.S.C. 1603(h).


The applicant must provide documentation of: (1) Nonprofit status; (2) tribal resolution(s); and (3) letters of support and collaboration with regional IHS, State, or university organizations. Costs will be determined in accordance with OMB Circular No. A-122 (nonprofit organizations), and applicable grant administration regulations 45 CFR 74 and 45 CFR 92. 2 CFR 200, Subpart E - Cost Principles 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

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The preferred method for receipt of applications is electronic submission through Grants.gov. However, should any technical problems arise regarding the submission, please contact Grants.gov Customer Support at 1-800-518-4726 or support@grants.gov. The Contact Center is open 24 hours a day, 7 days a week (except for Federal holidays). Waivers from the electronic process must be made at least fifteen days prior to the application deadline. To submit an application electronically, please use the http://www.Grants.gov apply site. Download a copy of the application package from the Grants.gov website, complete it offline and then upload and submit the application via the Grants.gov site. You may not e-mail an electronic copy of a grant application to IHS.

Award Procedures

These awards are issued under a competitive grant process.


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


Indian Health Care Improvement Act, Public Law 94-437, 25 U.S.C 1621m.

Range of Approval/Disapproval Time

From 30 to 60 days.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Cooperative agreements will be awarded for project periods of up 5 years. Within the project period, a continuation application must be submitted via GrantSolutions.gov annually on a non- competitive basis for each year of support. Additional support is subject to availability of funds. See the following for information on how assistance is awarded/released: annually.

Post Assistance Requirements


Program reports are not applicable.

Grantees will be required to submit quarterly Federal Financial Report (SF-425 or FFR) to the Division of Payment Management Branch.

Progress reports are required annually, semi-annually or quarterly depending on the time lines set by the IHS program.

A final progress report is due 90 days after the end of each budget period and at the end of the final project period.

Grantees will be required to submit quarterly Federal Financial Report (SF-425 or FFR) to the Division of Payment Management Branch.

IHS grants are monitored by the Division of Grants Management for financial compliance and by the IHS Program Staff for programmatic compliance.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. .


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 audits, examinations, excerpts, and transcripts. 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



(Cooperative Agreements) FY 16 $9,546,420; FY 17 est $6,153,361; and FY 18 est $4,433,361

Range and Average of Financial Assistance

$565,475 to $1,322,125; average award $795,535.

Regulations, Guidelines, and Literature

Public Law 94-437, Section 214(a)(1), as amended by Public Law 102-573; 45 CFR 92 and 45 CFR 74; authorizes the cooperative agreement grant awards. HHS Grants Policy Statement, January 2007.

Information Contacts

Regional or Local Office

None. Program Contact: Lisa Neel, MPH; Division of Epidemiology and Disease Prevention, Indian Health Service, 5600 Fishers Lane, Mail Stop: 09E10-D, Rockville, MD 20857. Telephone: (301) 443-4305. 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: grantspolicy@ihs.gov Phone: 301-443-5204

Criteria for Selecting Proposals

Selection criteria are introduction, current capacity and project objectives, approach and results and benefits, project evaluation, organization capabilities and qualifications, and budget. Consideration will be given to applicants: (1) Proposing to provide services to large regions consisting of more than a single IHS administrative area; and (2) demonstrating evidence of past and current epidemiological activities.

Social Entrepreneurship

Key Traits of Social Entrepreneurs

An interview with John Elkington, Founder and Chief Entrepreneur, SustainAbility. Social entrepreneurs are generating impressive results — and capturing the imaginations of businesspeople and public policy makers.

Not for Profit Jobs in Nebraska

  Executive Director Jobs
  Substance Abuse Jobs
  Program Director Jobs
  Executive Director Jobs
  Social Services Jobs