Information Collection Request
[PHIC] Preventive Health and Health Services Block Grant
ICR 202401-0920-007 · OMB 0920-0106 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-0106 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Work Plan Instrument |
Form and Instruction | Removed | Repair queued |
| Annual Progress Report (subset of Final Progress questions) |
Form and Instruction | New | Repair queued |
| Annual Progress Report (subset of Interim Progress questions) |
Form and Instruction | New | Repair queued |
| Work Plan Program Questions |
Form and Instruction | New | Repair queued |
| Workplan Start and Advisory Committee Questions |
Form and Instruction | New | Repair queued |
| Recipient Information |
Form and Instruction | Removed | Repair queued |
| Annual Progress Report Instrument |
Form and Instruction | Removed | Missing upstream |
 OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdf |
Supplementary Document | Uploaded 2024-01-29 | Repair queued |
| Copy_of_Privacy_Impact_Assessment_PIA_bl.pdf |
Supplementary Document | Uploaded 2024-01-29 | Repair queued |
 Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsx |
Supplementary Document | Uploaded 2024-01-29 | Missing upstream |
 Att M_Announcements on BGIS Landing Page_Screenshot.docx |
Supplementary Document | Uploaded 2024-01-29 | Repair queued |
| Att L_STARS Project Determination.docx |
Supplementary Document | Uploaded 2024-01-29 | Missing upstream |
| Att K_Privacy Act Checklist_BGIS 2023.docx |
Supplementary Document | Uploaded 2024-01-29 | Repair queued |
| Att I_0920-0106_60dayFRN_05012023.pdf |
Supplementary Document | Uploaded 2024-01-29 | Repair queued |
| Statement B-Block Grant ICR_2023.docx |
Supporting Statement B | Uploaded 2024-01-29 | Repair queued |
| Statement A-Block Grant ICR_2023_final.docx |
Supporting Statement A | Uploaded 2024-01-12 | Missing upstream |
| Att B_Block Grant Authorizing Legislation 1981 and 1992.docx |
Supplementary Document | Uploaded 2024-01-29 | Available |
| Att A_List of PHHS Block Grant Recipients.docx |
Supplementary Document | Uploaded 2024-01-29 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 6636 |  Work Plan Instrument |
Form and Instruction | Removed | |
| 264761 | Annual Progress Report (subset of Final Progress questions) |
Form and Instruction | New | |
| 264760 | Annual Progress Report (subset of Interim Progress questions) |
Form and Instruction | New | |
| 264759 | Work Plan Program Questions |
Form and Instruction | New | |
| 264758 | Workplan Start and Advisory Committee Questions |
Form and Instruction | New | |
| 243520 | Recipient Information |
Form and Instruction | Removed | |
| 184866 | Annual Progress Report Instrument |
Form and Instruction | Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0106 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202009-0920-006 |
| Agency Tracking No | 0920-0106 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |