Immunization Grants (93.268)

Program

93.268 Immunization Grants

Federal Agency

Agency: Department of Health and Human Services
Office: Centers for Disease Control and Prevention

Authorization

Section 301.

Program Number

93.268

Last Known Status

Active

Objectives

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

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 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 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. OMB Circular No. A-87 applies to this program.

Application 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 Procedure

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. 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 Procedure

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

Deadlines

Not Applicable.

Range of Approval/Disapproval Time

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

Appeals

Not Applicable.

Renewals

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

Reports

Audits

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 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.

Program Accomplishments

Fiscal Year 2008: No Current Data Available Fiscal Year 2009: The nation's childhood immunization coverage rates are at record high levels for most vaccines and for all the vaccination series measures. As childhood immunization coverage rates increase, cases of vaccine preventable disease decline significantly. One performance measure is used to ensure that children are appropriately vaccinated by age two. For the past five years, the 90 percent coverage target has been exceeded for four of the seven routinely recommended childhood vaccine (Hib, MMR, hepatitis B, and polio) and reached the 90 percent target for varicella in 2007. Data for two recently recommended vaccines (HepA and rotavirus) are not yet available. Another performance measure is used to ensure that adolescents receive recommended vaccinations that were missed during childhood. In 2007, hepatitis B and MMR coverage among adolescents aged 13-15 years was at or near the 90% target. Three new vaccines have been recommended for adolescents since 2005: meningococcal vaccine (MCV4); tetanus, diphtheria, acellular pertussis vaccine (Tdap); and human papillomavirus vaccine (HVP4). In 2007, coverage among adolescents aged 13-17 years had reached 32% for MCV4, 30% for Tdap (72% for Td or Tdap), and 25% for initiating the 3-dose HPV4 series. Another important performance measure is the increased proportion of adults who are vaccinated annually against influenza and ever vaccinated against pneumococcal disease among persons 65 years of age and older. Influenza vaccination coverage levels among the elderly have increased from 30 percent in 1989 to 67 percent in 2008 and pneumococcal vaccination levels have increased form 15 percent in 1989 to 60 percent in 2008. Fiscal Year 2010: No Current Data Available

Financial Information

Account Identification

75-0943-0-1-550.

Obligations

(Project Grants) FY 08 not reported.; FY 09 est not reported.; FY 10 est not reported. - (317 Grants) FY 08 $438,138,458.00; FY 09 est $461,377,485.00; and FY 10 est $461,377,485.00. (VFC Grants) FY 08 $2,514,364,538.00; FY 09 est $3,035,196,844.00; FY 10 est $3,077,607,844.00.

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.

Related Programs

Not Applicable.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Deborah E. Hill 1600 Clifton Road, NE, Mailstop E-52, Atlanta, Georgia 30333 Email: dhill@cdc.gov Phone: 4046396045

Web Site Address

http//www.cdc.gov.

Examples of Funded Projects

Not Applicable.

Criteria for Selecting Proposals

Not Applicable.