Blood Lead Surveillance System (BLSS)

OMB 0920-0931

This change will comply with the HHS uniform data collection standards.(full document available here) https://intranet.cdc.gov/os/osi/icro/docs/HHS_Data_Collection_Standards.pdf (Public facing website) https://aspe.hhs.gov/basic-report/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-and-disability-status

The latest form for Blood Lead Surveillance System (BLSS) expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0931 ABLES Aggregate Records Form Form and Instruction
Form 0920-0931 ABLES Case Records Form Form and Instruction
Form 0920-0931 CBLS Variables -Text Files Form and Instruction
Form 0920-0931 CBLS Aggregate Records Forms Form and Instruction
0 - NCEH-ATSDR ICR Privacy Act Checklist_20240419.docx Supplementary Document
Att8b NIOSH ABLES STARS Determination.pdf Supplementary Document
Att8a NCEH CBLS STARS Determination.pdf Supplementary Document
Att3 NCEH NOFO EH21-2102.pdf Supplementary Document
Att2a 60-Day FRN_published_2023.pdf Supplementary Document
Att1b NIOSH Authority.pdf Supplementary Document
Att1a NCEH Authority (combined).pdf Supplementary Document
0920-0931 BLSS Change Request Justification 20210726.docx Justification for No Material/Nonsubstantive Change
Att9. OMBCntrlNoHstry BLSurv_20210219.docx Supplementary Document
Att8b NIOSH ABLES STARS Determination.docx Supplementary Document
Att8a NCEH CBLS STARS Determination.pdf Supplementary Document
Att7b NIOSH ABLES PIA 20201127.pdf Supplementary Document
Att7a NCEH CBLS PIA 20180919.pdf Supplementary Document
Att3d NCEH NOFO EH18-1806 SUPP20.pdf Supplementary Document
Att3c NCEH NOFO EH17-1701SUPP20.pdf Supplementary Document
Att3b NCEH NOFO EH18-1806.pdf Supplementary Document
Att4b ABLES SmmryAccmplsh_20210219.docx Supplementary Document
Att4a CBLS SmmryAccmplsh_20210219.docx Supplementary Document
Att3a NCEH NOFO EH17-1701PPHF.pdf Supplementary Document
Att2 60-Day FRN_published_2020.pdf Supplementary Document
Att1b NIOSH Authority.pdf Supplementary Document
Att1a NCEH Authority (combined).pdf Supplementary Document
1-BLSS_SSB_20240306_OS_20240402.docx Supporting Statement B
1-BLSS_SSA_20240124_OS_20240402.docx Supporting Statement A
ABLES Aggregate Records Form Form and Instruction
ABLES Case Records Form Form and Instruction
CBLS Variables -Text Files Form and Instruction
CBLS Aggregate Records Forms Form and Instruction

All Historical Document Collections

202405-0920-005	Extension without change of a currently approved collection	2024-05-28
202109-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-09-22
202103-0920-002 Approved with change	Extension without change of a currently approved collection	2021-03-12
201907-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-07-03
201805-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-05-22
201805-0920-004 Approved with change	Revision of a currently approved collection	2018-05-15
201802-0920-006 Withdrawn and continue	Extension without change of a currently approved collection	2018-03-27
201502-0920-012 Approved without change	Extension without change of a currently approved collection	2015-02-26
201111-0920-005 Approved with change	New collection (Request for a new OMB Control Number)	2011-11-22

OMB Details

HHLPSS Variables

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-0931

HHLPSS Variables

Form and instruction

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