[NCEH] Environmental Public Health Tracking Network (Tracking Network)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1175 Data Dictionary – Radon 03AUG2026	Form and Instruction	New	Available
Form 0920-1175 PHA Impact Follow-up 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Performance Measurses Annual 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Standardized Web Statistics - Codebook 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Data Dictionary- State Biomonitoring Data	Form and Instruction	Modified	Available
Form 0920-1175 Outreach & Communication Plan Template with Instructions	Form and Instruction	Modified	Available
Form 0920-1175 Program Accomplishments & Public Health Actions 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Work Plan Template - Modernizing Environmental Public Health Tracking to Advance Enviromental Health Surveillance 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Metadata Sample Content 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Data Dictionary - Radon 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Data Dictionary- Hospitalizations 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Data Dictionary - Emergency Department (ED) Visits 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Data Dictionary – Drinking Water 03AUG2026	Form and Instruction	Modified	Available
Form 0920-1175 Environmental Public Health Tracking - CHILDHOOD BLOOD LEAD POISONING	Form and Instruction	Removed	Available
Form 0920-1175 Data Dictionary -- Birth Defects 03AUG2026	Form and Instruction	Modified	Available
Att10 Crosswalk 0920-1175_2026-OMB passback_08.14.2026.docx	Supplementary Document	Uploaded 2026-08-18	Available
Att9 Env PH Trckg PIA 2023.pdf	Supplementary Document	Uploaded 2026-08-18	Available
Att8 Data Management Processes.pdf	Supplementary Document	Uploaded 2026-08-18	Available
Att7 NCDM Requirements.pdf	Supplementary Document	Uploaded 2026-08-18	Available
Att6 Project Determination.pdf	Supplementary Document	Uploaded 2026-08-18	Available
Environ PH Trckg_2026 Revision_SSB_OMB Passback_08.14.2026.docx	Supporting Statement B	Uploaded 2026-08-18	Available
Environ PH Trckg_2026 Revision_SSA_OMB passback_08.14.2026.docx	Supporting Statement A	Uploaded 2026-08-18	Available
Att2 60-day FRN.pdf	Supplementary Document	Uploaded 2026-08-18	Available
Att1 Environ PH Trckg Program Authority.docx	Supplementary Document	Uploaded 2026-08-18	Available
Att3 NOFO CDC-RFA-EH22-2202.pdf	Supplementary Document	Uploaded 2026-08-18	Available
0920-1175 Change Request Memo - EO14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
281741	Radon Testing Labs - Radon Testing Form (combined)	Form and Instruction	New	Data Dictionary – Radon 03AUG2026
260973	PHA Impact Follow Up - RedCap	Form and Instruction	Modified	PHA Impact Follow-up 03AUG2026
241554	Performance Measures Report – REDCap	Form and Instruction	Modified	Performance Measurses Annual 03AUG2026
222657	Web Statistics Template	Form and Instruction	Modified	Standardized Web Statistics - Codebook 03AUG2026
222656	Biomonitoring Form	Form and Instruction	Modified	Data Dictionary- State Biomonitoring Data
222654	Communication Plan Template	Form and Instruction	Modified	Outreach & Communication Plan Template with Instructions
222652	Program Accomplishments and Public Health Actions Report – REDCap	Form and Instruction	Modified	Program Accomplishments & Public Health Actions 03AUG2026
222650	Environmental Public Health Tracking Work Plan - REDCap	Form and Instruction	Modified	Work Plan Template - Modernizing Environmental Public Health Tracking to Advance Enviromental Health Surveillance 03AUG2026
222649	Metadata Records	Form and Instruction	Modified	Metadata Sample Content 03AUG2026
222648	Radon Testing Form (combned)	Form and Instruction	Modified	Data Dictionary - Radon 03AUG2026
222646	Hospitalizations Form	Form and Instruction	Modified	Data Dictionary- Hospitalizations 03AUG2026
222533	Emergency Department (ED) Visits Form	Form and Instruction	Modified	Data Dictionary - Emergency Department (ED) Visits 03AUG2026
222532	Drinking Water Monitoring Form	Form and Instruction	Modified	Data Dictionary – Drinking Water 03AUG2026
222531	Environment Public Health Tracking -- Childhood Blood Lead Poisoning	Form and Instruction	Removed	Environmental Public Health Tracking - CHILDHOOD BLOOD LEAD POISONING
222530	Birth Defects Prevelance Form	Form and Instruction	Modified	Data Dictionary -- Birth Defects 03AUG2026

ICR Details

OMB Control No: 0920-1175	ICR Reference No: 202607-0920-013
Status: Received in OIRA	Previous ICR Reference No: 202503-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: [NCEH] Environmental Public Health Tracking Network (Tracking Network)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/18/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	522	635
Time Burden (Hours)	12,349	14,384
Cost Burden (Dollars)	0	0

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Abstract: CDC's Tracking Program collects, integrates, analyzes, and disseminates data on health, exposure, environmental hazards, and populations in order to drive public health actions that mitigate or prevent the effects of environmental factors on the health of communities. Respondents include 26 funded grantees and unfunded state and local health departments (SLHD). These data are used to describe trends, identify populations at risk, generate hypotheses, and inform public health actions for SLHD. Additional program information collected quarterly or annually are used to evaluate and assess program performance is collected using 6 forms. This Revision is submitted to request approval for a small increase in the number of annual respondents to include 10 radon labs, a decrease in total responses per year, and adjustments to a select number of instruments. There is a net decrease in estimated annual burden hours.

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Authorizing Statute(s): US Code: 42 USC 247 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 21292	04/21/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 50843	08/06/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
Biomonitoring Form	0920-1175	Data Dictionary- State Biomonitoring Data
Birth Defects Prevelance Form	0920-1175	Data Dictionary -- Birth Defects 03AUG2026
Communication Plan Template	0920-1175	Outreach & Communication Plan Template with Instructions
Drinking Water Monitoring Form	0920-1175	Data Dictionary – Drinking Water 03AUG2026
Emergency Department (ED) Visits Form	0920-1175	Data Dictionary - Emergency Department (ED) Visits 03AUG2026
Environment Public Health Tracking -- Childhood Blood Lead Poisoning	0920-1175	Environmental Public Health Tracking - CHILDHOOD BLOOD LEAD POISONING
Environmental Public Health Tracking Work Plan - REDCap	0920-1175	Work Plan Template - Modernizing Environmental Public Health Tracking to Advance Enviromental Health Surveillance 03AUG2026
Hospitalizations Form	0920-1175	Data Dictionary- Hospitalizations 03AUG2026
Metadata Records	0920-1175	Metadata Sample Content 03AUG2026
PHA Impact Follow Up - RedCap	0920-1175	PHA Impact Follow-up 03AUG2026
Performance Measures Report – REDCap	0920-1175	Performance Measurses Annual 03AUG2026
Program Accomplishments and Public Health Actions Report – REDCap	0920-1175	Program Accomplishments & Public Health Actions 03AUG2026
Radon Testing Form (combned)	0920-1175	Data Dictionary - Radon 03AUG2026
Radon Testing Labs - Radon Testing Form (combined)	0920-1175	Data Dictionary – Radon 03AUG2026
Web Statistics Template	0920-1175	Standardized Web Statistics - Codebook 03AUG2026

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	522	635	0	-113	0	0
Annual Time Burden (Hours)	12,349	14,384	0	-2,035	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision of 0920-1175 is submitted to request approval for a small increase in the number of annual respondents to include 10 radon labs, a decrease in total responses per year, and adjustments to a select number of instruments. There is a net decrease in estimated annual burden hours.

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Annual Cost to Federal Government: $22,992,312

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/18/2026

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