OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[PHIC] Preventive Health and Health Services Block Grant

OMB 0920-0106 ยท HHS/CDC.

OMB 0920-0106

The purpose of this colledtion is to ensure that the CDC PHHS Block Grant program managers and PHHS Block Grant recipients account for funds in accordance with legislative mandates by providing information on work through work plans and annual reports. CDC will use the Block Grant Information System to monitor awardees' progress, identify activities and personnel supported with Block Grant funding, and conduct compliance reviews of Block Grant awardees. This Non-Substantive Change Request is submitted to phase out BGIS and phase in a new web-based platform, PHIVE. The transition to PHIVE is designed to continue efficient data entry by recipients, ensure data quality, standardize the platforms implemented to support PHIC programs and streamline technical assistance / IT support. The information to be collected through PHIVE is the same information currently being collected through BGIS. This Change Request does not affect the content of any forms, the number of respondents, or total estimated annualized burden hours.

The latest form for [PHIC] Preventive Health and Health Services Block Grant expires 2027-03-31 and is listed under ICR 202506-0920-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Annual Progress Report WorksheetForm and Instruction
Annual Progress Report (subset of Final Progress questions)Form and Instruction
Annual Progress Report WorksheetForm and Instruction
Annual Progress Report (subset of Interim Progress questions)Form and Instruction
Form 0920-0106 WorkPlan Program Questions_REVISED 31MAR2025Form and Instruction
Workplan Program QuesionsForm and Instruction
Work Plan Program QuestionsForm and Instruction
Workplan Start and Advisory Committee QuesionsForm and Instruction
Workplan Start and Advisory Committee QuestionsForm and Instruction
BGIS PHIVE CR 06092025.docxJustification for No Material/Nonsubstantive Change
BGIS PHIVE CR 06092025.docx Justification for No Material/Nonsubstantive Change
Att M_PHIVE Scr.docxSupplementary Document
Att M_PHIVE Scr.docx Supplementary Document
Att R_ELC CAMP PIA.pdfSupplementary Document
Att R_ELC CAMP PIA.pdf Supplementary Document
Att P_ELC CAMP Auth.pdfSupplementary Document
Att P_ELC CAMP Auth.pdf Supplementary Document
0920-0106 Change Request_EO 14168.docxJustification for No Material/Nonsubstantive Change
0920-0106 Change Request_EO 14168.docx Justification for No Material/Nonsubstantive Change
OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdfSupplementary Document
OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdf Supplementary Document
Copy_of_Privacy_Impact_Assessment_PIA_bl.pdfSupplementary Document
Copy_of_Privacy_Impact_Assessment_PIA_bl.pdf Supplementary Document
Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsxSupplementary Document
Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsx Supplementary Document
Att M_Announcements on BGIS Landing Page_Screenshot.docxSupplementary Document
Att M_Announcements on BGIS Landing Page_Screenshot.docx Supplementary Document
Att L_STARS Project Determination.docxSupplementary Document
Att L_STARS Project Determination.docx Supplementary Document
Att K_Privacy Act Checklist_BGIS 2023.docxSupplementary Document
Att K_Privacy Act Checklist_BGIS 2023.docx Supplementary Document
Att I_0920-0106_60dayFRN_05012023.pdfSupplementary Document
Statement B-Block Grant ICR_2023.docxSupporting Statement B
Statement B-Block Grant ICR_2023.docxSupporting Statement B
Statement A-Block Grant ICR_2023_final.docxSupporting Statement A
Statement A-Block Grant ICR_2023_final.docxSupporting Statement A
Att B_Block Grant Authorizing Legislation 1981 and 1992.docxSupplementary Document
Att B_Block Grant Authorizing Legislation 1981 and 1992.docx Supplementary Document
Att A_List of PHHS Block Grant Recipients.docxSupplementary Document
Att A_List of PHHS Block Grant Recipients.docx Supplementary Document
Annual Progress Report (subset of Final Progress questions) 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
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Work Plan Program Questions Form and Instruction
Work Plan Program Questions Form and Instruction
Work Plan Program Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202506-0920-003 No material or nonsubstantive change to a currently approved collection 2025-06-26 Approved without change
202503-0920-038 No material or nonsubstantive change to a currently approved collection 2025-05-14
202401-0920-007 Revision of a currently approved collection 2024-01-30 Approved without change
202009-0920-006 Revision of a currently approved collection 2020-09-14
201906-0920-011 Revision of a currently approved collection 2019-07-02 Approved without change
201605-0920-015 Revision of a currently approved collection 2016-05-27 Approved without change
201307-0920-005 Revision of a currently approved collection 2013-07-09 Approved without change
201106-0920-006 Revision of a currently approved collection 2011-06-08 Approved without change
200805-0920-004 Revision of a currently approved collection 2008-05-12 Approved without change
200507-0920-005 Revision of a currently approved collection 2005-07-26 Approved without change
200111-0920-005 Revision of a currently approved collection 2001-11-28 Approved without change
200005-0920-007 Extension without change of a currently approved collection 2000-05-24 Approved without change
199710-0920-002 Extension without change of a currently approved collection 1997-10-03 Approved without change
199407-0920-003 Revision of a currently approved collection 1994-07-22 Approved without change
199107-0920-002 Revision of a currently approved collection 1991-07-15 Approved without change
198808-0920-004 Revision of a currently approved collection 1988-08-30 Approved without change
198507-0920-002 Revision of a currently approved collection 1985-07-19 Approved without change
198402-0920-004 No material or nonsubstantive change to a currently approved collection 1984-02-21 Approved with change
198308-0920-004 Revision of a currently approved collection 1983-08-22 Approved without change
198109-0920-003 New collection (Request for a new OMB Control Number) 1981-09-14 Approved without change

OMB Details

Workplan Start and Advisory Committee Questions

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form n/aWorkplan Start and Advisory Committee QuesionsFillable FileableForm and instruction

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