OMB control number

Maternal and Child Health Services Block Grant Application/Annual Report Guidance

OMB 0915-0172 · HHS/HSA.

OMB 0915-0172

The Application and Annual Report fulfill the requirements of Section 505 and Section 506, respectively, of the Title V legislation. Consistent with previous editions, the updated Application/Annual Report Guidance is designed to allow states flexibility in meeting the unique needs of their MCH populations while enabling the Maternal and Child Health Bureau (MCHB) to meet the Title V legislative requirements, collect and utilize comparative data for addressing national and state MCH priorities, and demonstrate accountability in the use of the Federal Title V funds. The MCHB, in the Health Resources and Services Administration (HRSA), serves as the Health and Human Services (HHS) Secretary’s delegate to collect this information and to review it prior to the award of approximately $581 million annually in state formula grants under the MCH Block Grant. This is a revision request.

The latest form for Maternal and Child Health Services Block Grant Application/Annual Report Guidance expires 2026-12-31 and is listed under ICR 202503-0915-002.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-0915-002 No material or nonsubstantive change to a currently approved collection 2025-03-28
202309-0915-006 Revision of a currently approved collection 2023-09-29 Approved without change
202011-0915-001 Revision of a currently approved collection 2020-11-17
201711-0915-001 Revision of a currently approved collection 2017-11-16 Approved with change
201704-0915-006 No material or nonsubstantive change to a currently approved collection 2017-04-17 Approved with change
201411-0915-001 Revision of a currently approved collection 2014-11-14 Approved without change
201111-0915-003 Revision of a currently approved collection 2011-11-10 Approved with change
200812-0915-001 Revision of a currently approved collection 2008-12-17 Approved without change
200602-0915-001 Revision of a currently approved collection 2006-02-07 Approved with change
200303-0915-001 Revision of a currently approved collection 2003-03-27 Approved without change
200002-0915-001 Revision of a currently approved collection 2000-02-17 Approved without change
199809-0915-008 No material or nonsubstantive change to a currently approved collection 1998-09-15 Approved without change
199709-0915-003 Revision of a currently approved collection 1997-09-17 Approved without change
199405-0915-002 Revision of a currently approved collection 1994-05-25 Approved without change
199401-0915-003 New collection (Request for a new OMB Control Number) 1994-01-05 Approved without change