Information Collection Request
Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS)
ICR 202502-0915-001 · OMB 0915-0298 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0915-0298 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 3_revised Attachment D_Additional Data Elements |
Form and Instruction | Modified | Repair queued |
| Form 3_revised Attachment D_Additional Data Elements |
Form and Instruction | Modified | Repair queued |
| Form 2_revised Attachment C Program Specific Form |
Form and Instruction | Modified | Repair queued |
| Form 2_revised Attachment C Program Specific Form |
Form and Instruction | Modified | Repair queued |
| Form 1_revised Attachment B Central Forms |
Form and Instruction | Modified | Repair queued |
| Form 1_revised Attachment B Central Forms |
Form and Instruction | Modified | Repair queued |
 0915-0298_MCHB_OMB NonSubstantive Change Request_02242025.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-14 | Available |
| 0915-0298_MCHB_OMB NonSubstantive Change Request_02242025.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-14 | Repair queued |
| DGIS OMB_SSA_Attachment B_Central Forms_nonsub_TC.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-17 | Repair queued |
| DGIS OMB_SSA_Attachment B_Central Forms_nonsub_TC.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-17 | Repair queued |
| HRSA MCHB DGIS 0915-0298 Change Memo OMB Request for Non-Substantive Change.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-17 | Available |
| HRSA MCHB DGIS 0915-0298 Change Memo OMB Request for Non-Substantive Change.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-17 | Repair queued |
| DGIS OMB_Supporting Statement A_OIRA-12.12.23 Clean.docx |
Supporting Statement A | Uploaded 2023-12-21 | Available |
| DGIS OMB_Supporting Statement A_OIRA-12.12.23 Clean.docx |
Supporting Statement A | Uploaded 2023-12-21 | Repair queued |
 DGIS OMB_Attachment B1_Crosswalk of Changes_DGIS_CLEAN.pdf |
Supplementary Document | Uploaded 2023-08-17 | Repair queued |
| DGIS OMB_Attachment B1_Crosswalk of Changes_DGIS_CLEAN.pdf |
Supplementary Document | Uploaded 2023-08-17 | Repair queued |
| Attachment F - Summary of Public Comments.docx |
Supplementary Document | Uploaded 2022-08-23 | Repair queued |
| Attachment F - Summary of Public Comments.docx |
Supplementary Document | Uploaded 2022-08-23 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 261604 |  Attachment D_Additional Data Elements |
Form and Instruction | Modified | |
| 261604 | Attachment D_Additional Data Elements |
Form and Instruction | Modified | |
| 261602 | Attachment C Program Specific Form |
Form and Instruction | Modified | |
| 261602 | Attachment C Program Specific Form |
Form and Instruction | Modified | |
| 261600 | Attachment B Central Forms |
Form and Instruction | Modified | |
| 261600 | Attachment B Central Forms |
Form and Instruction | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/HSA |
| OMB Control No | 0915-0298 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202404-0915-004 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |