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.