Cities Readiness Initiative Cooperative Agreement
CSFA Number: 482-00-0265
Agency Name
Department Of Public Health (482)
Agency Contact
Carla N. Little, Ph.D.
Short Description
The purpose the Cities Readiness Initiative Program is to provide funding to certain certified, local health departments located in federally-designated Metropolitan Statistical Areas (called MSAs) in Illinois, outside of the City of Chicago, to prepare for public health events involving the distribution and mass dispensing/ mass vaccination of emergency medical countermeasures. These jurisdictions in Illinois are as follows: Chicago MSA, Peoria MSA, and St. Louis MSA. The geographical boundaries of the Metropolitan Statistical Areas are as defined by the Federal Office of Management and Budget (OMB).
Subject Area
Public Safety
Program Function
Disaster Prevention and Relief
Enabling Legislation
The Department is authorized to make this grant pursuant to section 319C-1 of the PHS Act (47 USC 247d-3a), as amended
Objectives and Goals
CRI grantees must work to ensure elements of planning and operational readiness for two specific threats: the intentional release of a Category A biothreat agent such as anthrax, and an emerging infectious disease (EID), such as pandemic influenza. A jurisdiction that is able to demonstrate these key components is likely to be in an improved state of readiness for all hazards.

See the 2019-2024 PHEP Supplemental Guidance and Resources: Key Components of Pandemic Influenza Operational Readiness and Key Components of Anthrax Operational Readiness for more information.
Types of Assistance
Cooperative Agreements
Uses and Restrictions
The overall goal of the Cities Readiness Initiative Program is to provide additional dollars to the State Public Health Department and to the designated CRI jurisdictions for the purposes of assessing, prioritizing, building, training, and exercising the necessary resource element and capabilities needed to save lives in the event of an emergency that requires the rapid deployment of emergency medical countermeasures. Planning considerations should include the CDC's 15 Public Health Emergency Preparedness Capabilities with special emphasis on Capability 8- Medical Countermeasure Dispensing and Capability 9- Medical Materiel Management and Distribution
Eligibility Requirements
Only local public health jurisdictions within the three, federally- identified, Metropolitan Statistical Areas of Chicago (excluding the City of Chicago), Peoria, and St. Louis are eligible to apply for CRI funding. Local public health jurisdictions applying for CRI funding must have also executed a PHEP Cooperative Agreement.
Eligible Applicants
Government Organizations;
Application and Award Processing
Pre-applications and letters of intent are not required. Applications must be fully and properly completed and submitted by the deadline via the Illinois Department of Public Health’s Electronic Grants Administration and Management System (EGrAMS), accessible at

Application Procedures:
The period of performance will be July 1, 2019 to June 30, 2020.
Grant awards are only available in the maximum amounts as specified for the 27 pre- identified certified local public health jurisdictions.
Award amounts are based on an amount per capita (varies with available funds) with the base amounts of $40,000 for each local health departments

Work Plan
Review the Scope of Work in A. Program Description. Your work plan needs to address activities to complete both the Scope of Work and produce the needed Performance Measures, as well as other activities you need to do to meet local priorities and fill local capability gaps.

Objective: Write at least one specific Objective for each Domain in which you have activities to perform, but don’t make duplicate Objectives. The OBJECTIVE should describe the gap, weakness, or priority being addressed, and the overall strategy or goal of the Activity(ies) that support it. If an Objective impacts several Capabilities, only enter it once—don’t repeat Objectives that meet multiple Domains. Instead, state the other Domains that will also be impacted. Objectives shall be specific, measurable, attainable, and relevant. Number Objectives. Use the (+) feature to the left of ‘Objective’ to add additional Objectives. The screen will clear for new Objective and Activity information.

Activities: Provide at least one Activity to accomplish each Objective. State the Capability(ies) that will be impacted by each activity. Don’t enter duplicate activities in the work plan that impact multiple capabilities, just refer to the other capabilities impacted in this one activity description. Number Activities. Use the (+) feature to the left of ‘Activity’ to add additional activities and staff under each Objective.

Responsible Staff: State the person’s name and title or entity (contractors or outside agency) that are responsible for completing the activity.

From / To Date: Specify if the Activity’s ‘Timeline Indicator’ is a process that occurs over a time period, select ‘Date Range’ and enter the start and stop dates. If it is a specific accomplishment or product that occurs on a single day, select ‘Date’ and enter the date.

Outcome Applicability: Check this box if the activity leads to, or is, a Performance Measure. Make sure your Work Plan addresses the Performance Measures found in Exhibit F. You then need to enter the Performance Measure information required by Exhibit F & G in the “Expected Outcome” and “Measurement” fields below.

Expected Outcome: Describe the outcome or product of this Performance Measure, e.g. AAR/IP, exercise, drill, etc.

Measurement: Describe the data and or performance standard that you will meet or provide for this performance measure, e.g., Date completed, number of meetings, all training records, 2 people trained to ICS level 3, 80% of CPG Capabilities fulfilled, etc.

IMPORTANT: After entering all information for an activity, click ‘Save’ and the Objective and Activity will show in a tree to the left on the screen. Click on the tree to view, edit, and/or re-save previously entered Work Plan information.

Review the Budget Glossary/Budget Development Guidelines provided by Office of Performance Management and included in “Show Documents”. Use this and other guidance provided to develop your detailed budget in EGrAMS during the application process.

Expenditure reports will be by Budget Category. Grantees will be expected to submit invoices, receipts, etc. to support all Equipment purchases, as well as any and all claimed expenditures in excess of $5,000 per Budget Category throughout the year. These can be combined by Budget Category as a scanned document, and attached in EGrAMS, in the same manner you have previously attached your Reimbursement Certification Forms (RCFs). When utilizing sub-grantee(s)/sub-contractor(s), grantees will be expected to provide the actual contract as well as proof of payment(s).

Award Processing:
This is not a competitive grant application. Funding may be available to qualified, eligible applicants on a formula basis as stated in “B. Funding Information” if all application criteria are satisfactory upon review. Below are the criteria that IDPH fiscal and program reviewers use when reviewing the application. Applicants that don’t satisfactorily meet this review will be asked to make corrections, if possible, in their application.

General Application Information (Regional ERC and Fiscal)
1. Is the applicant one of the 27 federally designated, certified Illinois local health department within the 3 CRI MSAs, but outside of the City of Chicago?
2. Does the applicant have a fully executed PHEP Cooperative Agreement or is in the application process of the PHEP grant?
3. Does the application appear to be completed correctly and fully?
4. Are there any attachments missing or incorrectly completed?
5. Do any of the responses appear to require further clarification or potentially disqualify the applicant?

General Application Information (Fiscal)
1. Has the applicant completed the required annual Fiscal and Administrative Risk Assessment Internal Control Questionnaire (ICQ)?
2. Has the applicant failed to meet any specific conditions placed on them as a result of any previous Fiscal & Administrative Risk Assessment Internal Control Questionnaire (ICQ)?
3. Has the applicant completed the required pre-qualification process through Illinois’ Grantee Portal?

General Application Information (Regional ERC)
1. Has the grantee completed and satisfactorily responded to the required “Programmatic Risk Assessment”?

Annual Work Plan (Regional ERC)
1. Does the Annual Work Plan appear to list objectives and activities that will build or sustain the applicant’s public health preparedness capabilities and meet the performance measures as specified in the agreement?
2. Does the Annual Work Plan identify the applicant’s people and resources that will implement activities; and estimate the time frame in which the activities AND required performance measures and other outputs will occur?

Budget (Regional ERC)
1. Are the proposed budget items necessary and reasonable to support the activities in the applicant’s Annual Work Plan?
2. Are the proposed budget items appropriately allocated (pro-rated) between this grant and other funding sources, especially if the item appears to have significant non-grant uses?

Budget (Fiscal)
1. Is the budget filled out and calculated correctly per the budget guidance directions?
2. Is the mandatory 10% match shown?
3. Does each budget item adequately describe each item and the calculation of its cost?
4. Do any of the items in the budget appear to be restricted by the federal funding source, or federal or state regulations?
5. Does the budget utilize all available grant funds and not exceed the grant award amount?
Has the applicant’s Indirect Cost (if requested) been correctly calculated according to its Federal or State Negotiated Indirect cost Rate Agreement, or an allowable
Review and Selection Process
3. Applicants will have a two-part review. Both the IDPH/OPR/DPR Regional Emergency Response Coordinator (ERC) responsible for the applicant’s region and IDPH/OPR/DFGM Fiscal staff assigned to the CRI Program will review the grant as described in the Review Criteria in E.1. Both reviewers must recommend the grant for funding in order for it to be awarded. If there are questions or disagreements between the reviews, it will be reviewed by the CRI Program Manager, then Deputy Director if necessary. Applications that are not correctly completed, or need clarification, will be returned to the applicant for correction and resubmission. IDHP comments and clarification requests can be accessed through the icons found on the “Index” tab screen in the “Comments” Column, and by the “Approver Comments” at the bottom. IDPH may also deny an applicant a grant award if they are, or become, ineligible. If any reviewer states they have a potential or appearance of a conflict of interest, or an applicant states there is a conflict of interest, or the appearance thereof, with any of the reviewers or staff listed under “G. State Awarding Agency Contact(s)”, the application will be assigned to another reviewer.

Once an application is reviewed and approved by IDPH staff, the applicant will receive an email from EGrAMS with instructions on how to print, review, sign, and mail 4 copies back to IDPH for signature and execution by the Director of Public Health
Assistance Consideration
This application requires a 10% match from non-federally funded resources in compliance with 2 CFR 200.306
Post Assistance Requirements
Grant Narrative Progress Reports are to be submitted quarterly in EGrAMS. The narrative report is due one (1) month following the end of each calendar quarter.

Grant expenditure AND REIMBURSEMENT reports are to be submitted quarterly in EGrAMS. More information will be sent to awardees on how to do this after the awards are made
Regulations, Guidelines, Literature
More information on IDPH’s preparedness activities can be found at:

More information about the CDC Office that funds this program is available from:
Funding By Fiscal Year
FY 2017 : $1,466,389
FY 2018 : $1,414,320
FY 2019 : $1,400,174
FY 2020 : $1,404,253
Federal Funding
Notice of Funding Opportunities
Agency IDGrantee NameStart DateEnd DateAmount
07580005HCook County Department of Public Health07/01/201906/30/2020145,412
07580007HDuPage County Health Department07/01/201906/30/202082,633
07580013HCounty of Lake dba Lake County Health Department and Community Health Center07/01/201906/30/202072,708
07580026HWill County Health Department07/01/201906/30/202071,503
07580011HKane County Health Department07/01/201906/30/202063,958