Good Health and Wellness in Indian Country


The purpose of this NOFO is to reduce rates of death and disability from commercial tobacco use, diabetes, heart disease and stroke, reduce the prevalence of obesity and other chronic disease risk factors and conditions, (e.g., oral health, dementia, COPD). This NOFO has three (3) separate, competitive components with eligibility and scope of work requirements for each. Applicants must submit a separate application for each component for which they are applying. The NOFO combines evidence-informed policy, systems, and environmental changes, and clinical-community linkages strategies which may be culturally adapted to meet the needs of Native American Tribe and Alaska Native Village communities. The long-term outcomes of this NOFO are: ? Increased purchasing of healthy foods. ? Increased physical activity with an emphasis on walking. ? Reduced prevalence of commercial tobacco use. ? Reduced incidence of type 2 diabetes. ? Reduced prevalence of high blood pressure. ? Reduced prevalence of high blood cholesterol. This is a five-year funding opportunity (five year period of performance, one year budget period).

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Centers For Disease Control and Prevention, Department of Health and Human Services
Type(s) of Assistance Offered
A - Formula Grants; B - Project Grants
Program Accomplishments
Not applicable.
Public Health Service Act (PHS Act), Section Sections 301(a) and 317 of the Public Health Service Act, 42 U.S.C. Section 241(a) and 247(b).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Component 1: Federally-recognized Tribes and Urban Indian Organizations Component 2: Tribal Organizations, up to 1 in each of the 12 IHS Administrative Areas, including the Urban Area Component 3: Tribal Organization
Beneficiary Eligibility
Not applicable.
Federally-recognized tribes, Tribal Organization within 12 IHS Administrative Areas
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is 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
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Instructions are covered by 2 CFR.
Award Procedure
Applications will be submitted via GrantSolutions as specified in the NOFO. All applications submitted by the deadline that are complete and responsive to the NOFO will undergo an objective review process, receive a written critique and be scored according to published review criteria. Successful applicants will receive a Notice of Award from the CDC Office of Financial Resources. The Notice of Award shall be the only binding, authorizing document between the recipient and CDC and will be signed by an authorized CDC Grants Management Officer.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. N/A
From 120 to 180 days.
From 120 to 180 days. The project period is 5-years with 12-month budget periods. Throughout the project period, CDC's commitment to continuation of awards will be conditioned on the availability of funds, evidence of satisfactory progress by the recipient (as documented in required reports, in documented technical assistance, and in other relevant documented activities), and the determination that continued funding is in the best interest of the federal government.
How are proposals selected?
Phase I Review: This funding opportunity has three separate components and applicants must submit separate applications if they apply for more than one component. All applications will be initially reviewed for eligibility and completeness by the Office of Grants Services. Complete applications will be reviewed for responsiveness by Grants Management Officials and Program Officials. Non-responsive applications will not advance to Phase II review. Applicants will be notified that their applications did not meet eligibility and/or published submission requirements. Phase II Review: Phase II consists of an objective merit review process and/or external peer review process that evaluates complete, eligible applications using criteria aligned with three broad sections of the NOFO: Approach, Evaluation and Performance Measurement, and Applicant's Organizational Capacity to Implement the Approach. Each application is assigned a score based up the evaluation criteria listed in the funding opportunity.
How may assistance be used?
Funds can be used to pay overhead, travel costs, and other expenses directly related to achievement of the strategies and activities identified to fulfill the obligations specified in the notice of funding. Funds can be used for salaries for personnel to plan, implement, monitor, and evaluate program activities; for subawards, contracts or agreements to implement, evaluate, and communicate program activities, including Area tribes, multi-sector partners, community-based organizations, healthcare systems and paraprofessionals, or coalitions to provide policy, system, and environmental change strategies and community-clinical linkage strategies to increase purchasing of healthy foods, increase physical activity with an emphasis on walking, reduce prevalence of commercial tobacco use, reduce incidence of type 2 diabetes, reduce prevalence of high blood pressure, and reduce prevalence of high blood cholesterol. Funds can be used to pay for activities and supplies necessary to implement the strategies outlined here, including evidence-informed, culturally-tailored strategies.
What are the requirements after being awarded this opportunity?
Performance Reports: Annual performance report no later than 120 days before the end of a budget period. The annual performance report serves as a continuation application. Final performance report due no later than 90 days after the end of the period of performance.
Not applicable.
CDC requires awardees to meet all record retention requirements defined in the notice of award, the funding opportunity, the HHS grants policy statement, and 45 CFR Part 75.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
This is a five-year cooperative agreement; however, funding for this program will be awarded on annual basis and the funding will be available for obligation by recipients for a period of 12-months.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Phone: 770-488-6572
Financial Information
Account Identification
(Formula Grants (Cooperative Agreements)) FY 18$0.00; FY 19 est $20,000,000.00; FY 20 est $0.00; FY 17$0.00; - (Formula Grants (Cooperative Agreements)) FY 18$0.00; FY 19 est $2,000,000.00; FY 20 est $0.00; FY 17$0.00; - (Cooperative Agreements) FY 18$0.00; FY 19 est $2,000,000.00; FY 20 est $0.00; -
Range and Average of Financial Assistance
Up to 29 awards will be made to address the strategies identified in 3 separate components of this NOFO. Component 1: Component 1 recipients may apply for up to $375,000 Component 2: Up to 12 tribal organizations, up to 1 in each of the 12 IHS Administrative Areas, including the Urban Area, will be funded under Component 2 of this NOFO. Recipient tribal organizations must provide subawards to at least 4 American Indian Tribes, Alaska Native Villages and Urban Indian Organizations in their Area. Component 2 recipients may apply as follows: o Areas with fewer than 25 federally recognized American Indian Tribes/Alaskan Native Villages: recipients may receive up to $950,000. o Areas with 25-49 federally recognized American Indian Tribes/Alaskan Native Villages: recipients may receive up to $1,250,000. o Areas with 50+ federally recognized American Indian Tribes/Alaskan Native Villages: recipients may receive up to $1,450,000. Component 2 recipients must provide at least 50% of their award to Area Tribes/IUOs as subawards. These should not be Tribes/ UIOs receiving a Component 1 award from this program. Component 3: Up to 1 tribal organization will be funded under Component 3 of this NOFO. Component 3 recipient may apply for up to $800,000.
Regulations, Guidelines and Literature
Examples of Funded Projects
Not applicable.


Federal Grants Resources