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Notice of Funding Opportunity: Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement

CDC’s Office for State, Tribal, Local and Territorial Support (OSTLTS) is pleased to announce that a new 5-year notice of funding opportunity (NOFO), CDC-RFA-OT18-1803: Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement, has been published on

Key Dates & Information


This program’s purpose is to provide resources for American Indian and Alaska Native (AI/AN) tribal nations and regional AI/AN tribally designated organizations to optimize the quality and performance  of tribal public health system, including infrastructure, workforce, data and information systems, programs and services, resources and communication, and partnerships. Work in these areas will increase the capacity of Indian Country to identify, respond to, and mitigate public health threats and decrease the burden of disease among AI/ANs.


  • Federally recognized AI/AN tribal nations, which include Native American tribal governments (federally recognized) and AI or AN tribal governments (federally recognized), must demonstrate support from the tribe by providing an official letter from official tribal leaders, or a tribal resolution
  • Regional AI/AN tribally designated organizations, which include Native American tribal organizations (other than federally recognized tribal governments), must demonstrate support in the form of tribal resolutions or letters of support from elected and currently serving tribal leadership officials from at least half of the tribes within the organization’s service area

Official email correspondence from elected leaders will be accepted. Any application that does not include this documentation will be marked as non-responsive and will not receive further review.

Applicants are permitted to submit only one application, but it may include a work plan for addressing more than one target population. If multiple applications are submitted by one organization, the earliest application submitted will be reviewed. All applications after that will be deemed non-responsive.

Program Strategies

Successful applicants will focus on building tribal public health systems’ capacity in one of more of the following areas:

  • Improving tribal public health system infrastructure and operational capacity
  • Building the competencies of the tribal public health workforce
  • Improving tribal public health data and information systems
  • Strengthening tribal public health programs and services
  • Improving the provision of tribal public health resources and communication
  • Developing and maintaining tribal public health partnerships

Target Populations

Successful applicants will receive funding to implement culturally fitting, practice-based evidence to address the most pressing public health needs of at least one of the following target populations for capacity building and improvement activities:

  • Tribal public health departments
  • Workforce segments across tribal public health departments
  • Nongovernmental tribal public health components

Applicants are permitted to submit only one application, but it may include a work plan for addressing more than one target population.


  • Budget period length: 12 months (August 1, 2018–July 31, 2019)
  • Project period length: 5 years (August 1, 2018–July 31, 2023)

CDC will make up to 25 awards by geographic region as follows. Applicants must specify a geographic category for their work in their application:

  • Category A (HHS Regions I, II, III, IV): up to 8 awards
  • Category B (HHS Regions V, VI, VII): up to 8 awards
  • Category C (HHS Regions VIII, IX, X): up to 9 awards

Funding Strategy

This opportunity has a two-part funding strategy:

  • Funding Strategy 1: Initial Awards – CDC will fund up to 25 grantees under this initial competition. Funding Strategy 1 grantees will then be eligible for funding for supplements to CDC-RFA-OT18-1803 under Funding Strategy 2.
  • Funding Strategy 2: CDC Centers, Institutes, or Offices (CIO) Project Plans – To maximize CDC’s program priorities and health system needs in Indian Country, CDC will publish and compete CIO project plans according to geographic categories. CDC will publish the plans on as a supplement to CDC-RFA-OT18-1803. Organizations will submit Work Plans in Response to CIO Project Plans that are relevant to the geographic category and target population for which they were awarded funding under Funding Strategy 1.

For more information

Contact the OSTLTS Tribal Support Unit by email at