Immunization Cooperative Agreements

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).

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.

Relevant Nonprofit Program Categories

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Human Services, Oregon Department Of $ 874,898   2013-09-302020-03-31
American College Of Physicians, Inc. $ 800,746   2015-09-302019-12-31
American Academy Of Family Physicians $ 639,480   2015-09-302019-09-29
Acog Foundation $ 825,000   2015-09-302019-09-29
American Academy Of Family Physicians $ 224,546   2015-09-302019-09-29
Acog Foundation $ 275,000   2015-09-302019-09-29
Interamerican College Of Physic $ 250,746   2015-09-302019-09-29
Government Of Guam- Department Of Administration $ 0   2019-07-012019-07-02
Health Services, Wisconsin Department Of $ 117,174   2014-09-302019-06-30
Human Services, Oregon Department Of $ 584,287   2014-09-302019-06-30

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Cooperative Agreement 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 management, 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 Cooperative Agreement funds may be provided to private practitioners who agree not to charge for vaccine.

Cooperative Agreement 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 U.S.

state, and in consultation with state health authorities, political subdivisions of states and other public entities and U.S.

territories may apply; private individuals and private nonprofit agencies are not eligible for immunization grants.

Beneficiary Eligibility

Any U.S. state, political subdivision (as described above), and other public entities will benefit.


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 2 CFR 225 (OMB Circular No. A-87) for state and local governments. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

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 Procedures

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. 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) 488-2716. 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 Procedures

After review and approval of an application, a Notice of Award is prepared and processed, along with appropriate notification to the public.


Not Applicable.


Section 317(j) of the Public Health Service Act (42 U.S.C. 247b(j)) reauthorized in Section 4204 of the Patient Protection and Affordable Care Act. Prevention and Public Health Fund (PPHF) funding is authorized under sections 301 and 317 of the Public Health Service Act (PHS Act), 42 USC, 241 and 247b as amended and the Patient Protection and Affordable Care Act (PL 111-148). The Vaccines for Children (VFC) program is authorized under Section 1902(a)(62) of the Social Security Act, 42 U.S.C. section 1396a(a)(62). The VFC Program was established under the authority of Section 1928(a) of the Social Security Act, 42 U.S.C. 1396s(a).

Range of Approval/Disapproval Time

From 60 to 90 days. From 3 to 4 months.


Not Applicable.


Same as Application Procedure.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. Matching requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Project Period: Variable. Budget Period: About 12 months. See the following for information on how assistance is awarded/released: Periodic grant rounds.

Post Assistance Requirements


Not Applicable.


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. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.


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



(Cooperative Agreements) FY 16 $151,109,102; FY 17 est $145,052,647; and FY 18 est $146,600,000

Range and Average of Financial Assistance

317 Grants: From $252,725 to $48,568,982; $6,870,723 VFC Grants: From $1,649,229 to $368,026,903; $52,334,322.

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office


Headquarters Office

Ivory Reid 1600 Clifton Road MSA19, Atlanta, Georgia 30333 Email: Phone: 4046397824

Criteria for Selecting Proposals

Not Applicable.

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