Tango proposed an index for detecting disease clustering in time appli
cable to grouped data obtained from a population that remains fairly s
table over the study period. In this paper, we show that Tango's index
is a two-dimensional U-statistic having an asymptotic normal distribu
tion. To apply this result in the finite sampling situation, an Edgewo
rth expansion is used and is shown to be at least as accurate as Tango
's best result in approximating the tails of his test statistic under
the null hypothesis. This is extended to show that the Edgeworth expan
sion can be used to approximate the power of Tango's test statistic un
der selected alternatives to randomness. A power study based on simula
tions is conducted to compare the power of Tango's index to that of th
ree of its competitors.