OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS)

OMB 0915-0298 · HHS/HSA.

OMB 0915-0298

This is a request by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) for Office of Management and Budget (OMB) approval to revise the collection of information from public and private agencies or organizations engaged in demonstrations, research, training, or other projects that receive funding from the Special Projects of Regional and National Significance (SPRANS) and Community Integrated Service Systems (CISS) federal discretionary grant programs, and other categorical discretionary grant programs.

The latest form for Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS) expires 2026-12-31 and is listed under ICR 202603-0915-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 3 DGIS OMB_SSA_Attachment D_Additional Data Elements_2026_03172026Form and Instruction
Form 2 DGIS OMB_SSA_Attachment C_Program Specific Forms_2026_03172026Form and Instruction
Form 1 DGIS OMB_SSA_Attachment B_Central Forms_2026_03172026 (document unavailable)Form and Instruction
HRSA MCHB DGIS 0915-0298 Change Memo OMB Request for Non-Substantive Change_03172026.docxJustification for No Material/Nonsubstantive Change
DGIS OMB_Table of Proposed Changes_Attachment A_ 0915-0298_ MCHB 03172026.docxJustification for No Material/Nonsubstantive Change
0915-0298_MCHB_OMB NonSubstantive Change Request_02242025.docxJustification for No Material/Nonsubstantive Change
DGIS OMB_SSA_Attachment B_Central Forms_nonsub_TC.docx (document unavailable)Justification for No Material/Nonsubstantive Change
HRSA MCHB DGIS 0915-0298 Change Memo OMB Request for Non-Substantive Change.docxJustification for No Material/Nonsubstantive Change
DGIS OMB_Supporting Statement A_OIRA-12.12.23 Clean.docxSupporting Statement A
DGIS OMB_Attachment B1_Crosswalk of Changes_DGIS_CLEAN.pdf (document unavailable)Supplementary Document
Attachment F - Summary of Public Comments.docx (document unavailable)Supplementary Document
Attachment D_Additional Data Elements Form and Instruction
Attachment D_Additional Data Elements Form and Instruction
Attachment C Program Specific Form Form and Instruction
Attachment C Program Specific Form Form and Instruction
Attachment B Central Forms Form and Instruction
Attachment B Central Forms Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202603-0915-002 No material or nonsubstantive change to a currently approved collection 2026-03-18 Approved without change
202502-0915-001 No material or nonsubstantive change to a currently approved collection 2025-03-28
202404-0915-004 No material or nonsubstantive change to a currently approved collection 2024-04-17 Approved without change
202308-0915-004 Revision of a currently approved collection 2023-08-18 Approved with change
202210-0915-006 No material or nonsubstantive change to a currently approved collection 2022-10-26 Approved without change
202207-0915-002 Reinstatement without change of a previously approved collection 2022-07-18 Approved with change
202001-0915-003 No material or nonsubstantive change to a currently approved collection 2020-01-23 Approved without change
201909-0915-005 No material or nonsubstantive change to a currently approved collection 2019-09-27 Improperly submitted and continue
201905-0915-002 Revision of a currently approved collection 2019-05-23 Approved without change
201611-0915-003 No material or nonsubstantive change to a currently approved collection 2016-11-15 Approved without change
201603-0915-004 Revision of a currently approved collection 2016-03-24 Approved without change
201210-0915-002 Revision of a currently approved collection 2012-10-15 Approved with change
200903-0915-004 Revision of a currently approved collection 2009-03-30 Approved with change
200601-0915-002 New collection (Request for a new OMB Control Number) 2006-01-25 Approved without change

OMB Details

Attachment B Central Forms

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 1DGIS OMB_SSA_Attachment B_Central Forms_2026_03172026Fillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.