OMB control number

Monitoring and Reporting System for the National Tobacco Control Program

OMB 0920-1097 · HHS/CDC.

OMB 0920-1097

CDC will collect work plan and budget information from State-based tobacco control programs. Information will be used to monitor progress toward achievement of program objectives, and to support program improvement.

The latest form for Monitoring and Reporting System for the National Tobacco Control Program expires 2023-04-30 and is listed under ICR 201912-0920-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1097 Annual Progress Report template for the National and State Tobacco Control Program	Form and Instruction
Form 0920-1097 Annual Component Model of Infrastructure for the National and State Tobacco Control Program	Form and Instruction
Form 0920-1097 Annual Performance Measures template for the National and State Tobacco Control Program	Form and Instruction
Form 0920-1097 Annual Budget template for the National Tobacco Control Program	Form and Instruction
Form 0920-1097 Annual Work Plan template for the National and State Tobacco Control Program	Form and Instruction
Annual Budget Progress Report	Form
Initial Population of Budget Tool	Form
Annual Work Plan Progress Report	Form
Initial Population of Work Plan Tool	Form
1097 Att 2 Awardees Final.docx	Supplementary Document
1097 Att 1c CSTHEA Final.pdf	Supplementary Document
1097 Att 1b PL Final.pdf	Supplementary Document
1097 Att 1a PHSA Final.pdf	Supplementary Document
1097 Att 3b Public Comments Final.docx	Supplementary Document
1097 Att 3a_60 day FRN Published Final.pdf	Supplementary Document
1097 Privacy Narrative Final.pdf	Supplementary Document
Att 3b. Summary of Public Comments.pdf	Supplementary Document
Att 3a. FRN 6 05 2015.pdf	Supplementary Document
Att 2. Awardees.docx	Supplementary Document
1097 SSB FINAL.docx	Supporting Statement B
1097 SSA FINAL.docx	Supporting Statement A
Att 1c. CSTHEA.pdf	Supplementary Document
Att 1b. PL 98-474 07-15-2014.pdf	Supplementary Document
Att 1a. PHSA 07-15-2014.pdf	Supplementary Document
Annual Progress Report template for the National and State Tobacco Control Program	Form and Instruction
Annual Component Model of Infrastructure for the National and State Tobacco Control Program	Form and Instruction
Annual Performance Measures template for the National and State Tobacco Control Program	Form and Instruction
Annual Budget template for the National Tobacco Control Program	Form and Instruction
Annual Work Plan template for the National and State Tobacco Control Program	Form and Instruction
Annual Budget Progress Report	Form
Initial Population of Budget Tool	Form
Annual Work Plan Progress Report	Form
Initial Population of Work Plan Tool	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201912-0920-010	Reinstatement with change of a previously approved collection	2020-02-05		Approved without change
201508-0920-002	New collection (Request for a new OMB Control Number)	2015-08-19		Approved without change

OMB Details

Initial Population of Work Plan Tool

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form none	National Tobacco Control Programs Work Plan Template	Fillable Fileable	Form

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