[PHIC] Preventive Health and Health Services Block Grant

OMB 0920-0106

CDC currently collects information from Block Grant awardees to monitor their objectives and activities(Preventive Health and Health Services Block Grant, OMB No. 0920-0106, exp. 7/31/2019 ). Each awardee is required to submit an annual application for funding (Work Plan) that describes its objectives and the populations to be addressed, and an Annual Report that describes activities, progress toward objectives and Success Stories which highlight the improvements Block Grant program.

The latest form for [PHIC] Preventive Health and Health Services Block Grant expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Work Plan Instrument Form and Instruction
Annual Progress Report (subset of Final Progress questions) Form and Instruction
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Work Plan Program Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction
Recipient Information Form and Instruction
Annual Progress Report Instrument Form and Instruction
OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdf Supplementary Document
Copy_of_Privacy_Impact_Assessment_PIA_bl.pdf Supplementary Document
Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsx Supplementary Document
Att M_Announcements on BGIS Landing Page_Screenshot.docx Supplementary Document
Att L_STARS Project Determination.docx Supplementary Document
Att K_Privacy Act Checklist_BGIS 2023.docx Supplementary Document
Att I_0920-0106_60dayFRN_05012023.pdf Supplementary Document
Statement B-Block Grant ICR_2023.docx Supporting Statement B
Statement A-Block Grant ICR_2023_final.docx Supporting Statement A
Att B_Block Grant Authorizing Legislation 1981 and 1992.docx Supplementary Document
Att A_List of PHHS Block Grant Recipients.docx Supplementary Document
Work Plan Instrument Form and Instruction
Annual Progress Report (subset of Final Progress questions) Form and Instruction
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Work Plan Program Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction
Recipient Information Form and Instruction
Annual Progress Report Instrument Form and Instruction

All Historical Document Collections

202401-0920-007 Approved without change	Revision of a currently approved collection	2024-01-30
202009-0920-006	Revision of a currently approved collection	2020-09-14
201906-0920-011 Approved without change	Revision of a currently approved collection	2019-07-02
201605-0920-015 Approved without change	Revision of a currently approved collection	2016-05-27
201307-0920-005 Approved without change	Revision of a currently approved collection	2013-07-09
201106-0920-006 Approved without change	Revision of a currently approved collection	2011-06-08
200805-0920-004 Approved without change	Revision of a currently approved collection	2008-05-12
200507-0920-005 Approved without change	Revision of a currently approved collection	2005-07-26
200111-0920-005 Approved without change	Revision of a currently approved collection	2001-11-28
200005-0920-007 Approved without change	Extension without change of a currently approved collection	2000-05-24
199710-0920-002 Approved without change	Extension without change of a currently approved collection	1997-10-03
199407-0920-003 Approved without change	Revision of a currently approved collection	1994-07-22
199107-0920-002 Approved without change	Revision of a currently approved collection	1991-07-15
198808-0920-004 Approved without change	Revision of a currently approved collection	1988-08-30
198507-0920-002 Approved without change	Revision of a currently approved collection	1985-07-19
198402-0920-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-02-21
198308-0920-004 Approved without change	Revision of a currently approved collection	1983-08-22
198109-0920-003 Approved without change	New collection (Request for a new OMB Control Number)	1981-09-14

OMB Details

Att 4A_Work Plan Instrument

Federal Enterprise Architecture: Health - Public Health Monitoring