NU90TP922004-05-02 2024-03-12 NO COST EXTENSION.PDF

Summary Federal Award Financial Information 
19.  Budget Period Start Date 
 - End Date
20. Total Amount of Federal Funds Obligated by this Action
20a. Direct Cost Amount
20b. Indirect Cost Amount
21. Authorized Carryover
22. Offset
23.  Total Amount of Federal Funds Obligated this budget period
24.  Total Approved Cost Sharing or Matching, where applicable
25.  Total Federal and Non-Federal Approved this Budget Period 
  -          
 End Date
26. Period of Performance Start Date
27. Total Amount of the Federal Award including Approved 
Cost  Sharing or Matching this Period of Performance
28. Authorized Treatment of Program Income
29. Grants Management Officer – Signature
Recipient Information 
Fe deral Agency Information 
10.Program Official Contact Information
 Federal Award Information 
30. Remarks
1. Recipient Name
9.  Awarding Agency Contact Information
Notice of Award
Award# 
FAIN#
Federal Award Date:
Page 1
2.  Congressional District of Recipient
3. Payment System Identifier (ID)
4. Employer Identification Number (EIN)
5. Data Universal Numbering System (DUNS)
6. Recipient’s Unique Entity Identifier (UEI)
7. Project Director or Principal Investigator
8. Authorized Official
11. Award Number
12. Unique Federal Award Identification Number (FAIN)
13. Statutory Authority
14. Federal Award Project Title
15. Assistance Listing Number
16. Assistance Listing Program Title
17. Award Action Type
18. Is the Award R&D?
07/01/2023
06/30/2025
MATCHING
07
1866004791A7
Public Health Emergency Preparedness (PHEP) Cooperative Agreement
93.069
Public Health Emergency Preparedness
No Cost Extension
No
$68,241,562.00
866004791
 Ijeoma  Obunse 
iaa1@cdc.gov 
(404) 718-4496
Centers for Disease Control and Prevention
DEPARTMENT OF HEALTH AND HUMAN SERVICES
6 NU90TP922004-05-02
6 NU90TP922004-05-02
NU90TP922004
NU90TP922004
03/09/2024
CDC Office of Financial Resources
Mrs. Erica Stewart 
Team Lead, Grants Management Officer
Ms. Lora  Z-Duplicate1188543 
Dup. 
Lora.Dup@azdhs.gov 
480-389-9026
ARIZONA DEPARTMENT OF HEALTH 
SERVICES 
150 N 18th Ave 
Phoenix, AZ 85007-3232 
[NO DATA]
Ms. Teresa  Ehnert 
Bureau Chief 
teresa.ehnert@azdhs.gov 
602-725-2881
$0.00
$0.00
06/30/2025
$14,307,787.00
$1,300,708.00
$13,007,079.00
$0.00
$0.00
319C-1 of the Public Health Service (PHS) Act (47 USC  247d-3a)
804745420
QMWUG1AMYF65
Ms. Kimberly Champion 
Grants Management Specialist 
qrf9@cdc.gov 
(404) 498-4229
$0.00
07/01/2019

Page 2 
33. Approved Budget
(Excludes Direct Assistance) 
I. Financial Assistance from the Federal Awarding Agency Only 
II. Total project costs including grant funds and all other financial participation
a. Salaries and Wages
b. Fringe Benefits 
c.  Total Personnel Costs 
d. Equipment 
e. Supplies 
f.
Travel 
g. Construction 
h. Other 
i.
Contractual 
j.  TOTAL DIRECT COSTS 
INDIRECT COSTS 
TOTAL APPROVED BUDGET 
m. Federal Share 
n. Non-Federal Share 
34.  Accounting Classification Codes
k.
l.
31. Assistance Type
32. Type of Award
Notice of Award
Award# 
FAIN#
Federal Award Date:
Recipient Information
Recipient Name
Congressional District of Recipient 
Payment Account Number and Type 
Employer Identification Number (EIN) Data 
Universal Numbering System (DUNS) 
Recipient’s Unique Entity Identifier  (UEI)
$2,256,949.00
$933,131.00
$3,190,080.00
$0.00
$352,496.00
$32,871.00
$0.00
$291,389.00
$8,329,963.00
$12,196,799.00
$12,196,799.00
$810,280.00
$810,280.00
$13,007,079.00
$13,007,079.00
$13,007,079.00
$13,007,079.00
$1,300,708.00
$1,300,708.00
03/09/2024
6 NU90TP922004-05-02
NU90TP922004
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
ARIZONA DEPARTMENT OF HEALTH 
SERVICES 
150 N 18th Ave 
Phoenix, AZ 85007-3232 
[NO DATA]
Cooperative Agreement
07
804745420
866004791
1866004791A7
Other
QMWUG1AMYF65
FY-ACCOUNT NO.
DOCUMENT NO.
ADMINISTRATIVE CODE
OBJECT CLASS
CFDA NO.
AMT ACTION FINANCIAL ASSISTANCE
APPROPRIATION
1-921022U
19NU90TP922004
TP
41.51
93.069
$0.00
75-21-0956
1-921027R
19NU90TP922004
TP
41.51
93.069
$0.00
75-21-0956
2-921022U
19NU90TP922004
TP
41.51
93.069
$0.00
75-22-0956
2-921027R
19NU90TP922004
TP
41.51
93.069
$0.00
75-22-0956
2-9213367
19NU90TP922004
TP
41.51
93.069
$0.00
75-22-0956
1-9213367
19NU90TP922004
TP
41.51
93.069
$0.00
75-21-0956
3-921027R
19NU90TP922004
TP
41.51
93.069
$0.00
75-23-0956
3-9213367
19NU90TP922004
TP
41.51
93.069
$0.00
75-23-0956

Direct Assistance
BUDGET CATEGORIES
PREVIOUS AMOUNT (A)
AMOUNT THIS ACTION (B)
TOTAL (A + B)
Personnel
$0.00
$0.00
$0.00
Fringe Benefits
$0.00
$0.00
$0.00
Travel
$0.00
$0.00
$0.00
Equipment
$0.00
$0.00
$0.00
Supplies
$0.00
$0.00
$0.00
Contractual
$0.00
$0.00
$0.00
Construction
$0.00
$0.00
$0.00
Other
$0.00
$0.00
$0.00
Total
$0.00
$0.00
$0.00
3
Page
Notice of Award
Award# 
FAIN#
Federal Award Date: 03/09/2024
6 NU90TP922004-05-02
NU90TP922004
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

AWARD ATTACHMENTS
ARIZONA DEPARTMENT OF HEALTH SERVICES
6 NU90TP922004-05-02
Terms & Conditions
1.

ADDITIONAL TERMS AND CONDITIONS OF AWARD 
 
No Cost Extension: The purpose of this amendment is to approve a 12 month No Cost 
Extension per the request submitted by your organization dated February 22, 2024 . The budget 
and project period end dates have been extended from June 30, 2024 to June 30, 2025.   
 
Annual Federal Financial Report (FFR SF-425): Annual financial reporting is required every 
twelve month period.  Due to the approved extension period, the final budget period has been 
extended and an additional annual financial report will be required.  A completed FFR SF-425 
covering the original final budget period of July 1, 2023 to June 30, 2024 must be submitted by 
September 30, 2024.  
 
Recipients must submit all closeout reports identified in this section within 90 days of the period 
of performance end date.  The reporting timeframe is the full period of performance. Failure to 
submit timely and accurate final reports may affect future funding to the organization or awards 
under the direction of the same Project Director/Principal Investigator (PD/PI).  
 
Final Performance Progress and Evaluation Report (PPER):  This report should include the 
information specified in the NOFO.  At a minimum, the report will include the following: 
 
• 
Statement of progress made toward the achievement of originally stated aims. 
• 
Description of results (positive or negative) considered significant. 
• 
List of publications resulting from the project, with plans, if any, for further 
publication. 
 
All manuscripts published as a result of the work supported in part or whole by the cooperative 
grant must be submitted with the performance progress reports. 
 
Final Federal Financial Report (FFR, SF-425):  The FFR should only include those funds 
authorized and actually expended during the timeframe covered by the report.  The Final FFR, 
SF-425 is required and must be submitted no later than 90 days after the period of performance 
end date.  
The final report must indicate the exact balance of unobligated funds and may not reflect any 
unliquidated obligations.   Should the amount not match with the final expenditures reported to 
the Department of Health and Human Services’ PMS, you will be required to update your 
reports to PMS accordingly.  Remaining unobligated funds will be de-obligated and returned to 
the U.S. Treasury. 
Electronic versions of the FFR SF-425 can be downloaded at: 
https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html#sortby=1  
 
Equipment and Supplies - Tangible Personal Property Report (SF-428):  A completed 
Tangible Personal Property Report SF-428 and Final Report SF-428B addendum must be 
submitted, along with any Supplemental Sheet SF-428S detailing all major equipment acquired 
or furnished under this project with a unit acquisition cost of $5,000 or more.  Electronic 
versions of the forms can be downloaded by visiting:  
https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html#sortby=1  
 
If no equipment was acquired under an award, a negative report is required.

The recipient must identify each item of equipment that it wishes to retain for continued use in 
accordance with 45 CFR Part 75.  The awarding agency may exercise its rights to require the 
transfer of equipment purchased under the assistance award. CDC will notify the recipient if 
transfer to title will be required and provide disposition instruction on all major equipment.  
 
Equipment with a unit acquisition cost of less than $5,000 that is no longer to be used in 
projects or programs currently or previously sponsored by the Federal Government may be 
retained, sold, or otherwise disposed of, with no further obligation to the Federal Government.