The requested amounts are adjusted, if necessary, during CDC’s review of the applications to exclude budget items outside the scope of the grants and to adjust any amounts considered excessive or unreasonable. The resulting amounts constitute a funding base to which grantee-specific incentive funds are added. In recent years, Senate appropriations language has instructed CDC to distribute $33 million of the grant funds (termed “incentive funding”) using a formula that rewards grantees with the highest vaccine coverage rates.

Grantees usually receive funding in two or three installments, although the bulk of operational funds has been awarded in the initial installment since 1996. Vaccine funds continue to be awarded in several large installments.

SOURCE: information provided by CDC.

BOX 1–2 Section 317 Grant Guidance

Annually, CDC’s National Immunization Program (NIP) publishes guidance for immunization grant applications. This guidance describes activities the grantees are required to undertake, as well as those NIP recommends if resources are available. The year 2000 grant application guidance includes 38 required activities and 28 recommended activities. In their applications, grantees describe how they will carry out these activities and provide a detailed budget and budget justification. Grantees are always instructed to request in their applications the amount of funding they will need, at a minimum, to implement the activities required in the guidance regardless of the federal budget situation.

At present funding levels, CDC is not able to provide enough federal funds to support full implementation of all programmatic activities required by the grant guidance (see Box 1–1). Therefore, grantees are allowed the flexibility to pursue activities that are considered most appropriate and effective in their jurisdiction.

Grantees must submit the following reports to CDC:

  • Vaccine Adverse Event Reports

  • Supplemental Measles/Pertussis/Tetanus/Rubella/Congenital Rubella Syndrome/Haemophilus influenza type b Case Reports

  • Reports of Discarded Measles Cases (quarterly)

  • Program Progress Reports (annually)

  • Immunization Registry Status Reports (annually)

  • Reports of Perinatally Related Hepatitis B Prevention Data (annually)

  • School and Day Care Entry Assessment Surveys (annually/biennially)

  • School and Day Care Validation Surveys (report not required)

  • VFC Population Estimate Surveys (annually)

SOURCE: Information provided by CDC.

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