OMB control number

[NCEH] Environmental Public Health Tracking Network (Tracking Network)

OMB 0920-1175 · HHS/CDC.

OMB 0920-1175

CDC's Tracking Program collects, integrates, analyzes, and disseminates data on health, exposure, environmental hazards, and populations in order to drive public health actions that mitigate or prevent the effects of environmental factors on the health of communities. Respondents include 26 funded grantees and unfunded state and local health departments (SLHD). These data are used to describe trends, identify populations at risk, generate hypotheses, and inform public health actions for SLHD. Additional program information collected quarterly or annually are used to evaluate and assess program performance is collected using 6 forms. This change request is to adhere to current executive orders.

The latest form for [NCEH] Environmental Public Health Tracking Network (Tracking Network) expires 2026-08-31 and is listed under ICR 202503-0920-007.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1175 Data Dictionary – Radon 03AUG2026	Form and Instruction
Form 0920-1175 PHA Impact Follow-up 03AUG2026	Form and Instruction
Form 0920-1175 Performance Measurses Annual 03AUG2026	Form and Instruction
Form 0920-1175 Standardized Web Statistics - Codebook 03AUG2026	Form and Instruction
Form 0920-1175 Data Dictionary- State Biomonitoring Data	Form and Instruction
Form 0920-1175 Outreach & Communication Plan Template with Instructions	Form and Instruction
Form 0920-1175 Program Accomplishments & Public Health Actions 03AUG2026	Form and Instruction
Form 0920-1175 Work Plan Template - Modernizing Environmental Public Health Tracking to Advance Enviromental Health Surveillance 03AUG2026	Form and Instruction
Form 0920-1175 Metadata Sample Content 03AUG2026	Form and Instruction
Form 0920-1175 Data Dictionary - Radon 03AUG2026	Form and Instruction
Form 0920-1175 Data Dictionary- Hospitalizations 03AUG2026	Form and Instruction
Form 0920-1175 Data Dictionary - Emergency Department (ED) Visits 03AUG2026	Form and Instruction
Form 0920-1175 Data Dictionary – Drinking Water 03AUG2026	Form and Instruction
Form 0920-1175 Environmental Public Health Tracking - CHILDHOOD BLOOD LEAD POISONING	Form and Instruction
Form 0920-1175 Data Dictionary -- Birth Defects 03AUG2026	Form and Instruction
Att10 Crosswalk 0920-1175_2026-OMB passback_08.14.2026.docx	Supplementary Document
Att9 Env PH Trckg PIA 2023.pdf	Supplementary Document
Att8 Data Management Processes.pdf	Supplementary Document
Att7 NCDM Requirements.pdf	Supplementary Document
Att6 Project Determination.pdf	Supplementary Document
Environ PH Trckg_2026 Revision_SSB_OMB Passback_08.14.2026.docx	Supporting Statement B
Environ PH Trckg_2026 Revision_SSA_OMB passback_08.14.2026.docx	Supporting Statement A
Att2 60-day FRN.pdf	Supplementary Document
Att1 Environ PH Trckg Program Authority.docx	Supplementary Document
Att3 NOFO CDC-RFA-EH22-2202.pdf	Supplementary Document
0920-1175 Change Request Memo - EO14168.docx	Justification for No Material/Nonsubstantive Change
Radon Testing Labs - Radon Testing Form (combined)	Form and Instruction
PHA Impact Follow Up - RedCap	Form and Instruction
Performance Measures Report – REDCap	Form and Instruction
Web Statistics Template	Form and Instruction
Biomonitoring Form	Form and Instruction
Communication Plan Template	Form and Instruction
Program Accomplishments and Public Health Actions Report – REDCap	Form and Instruction
Environmental Public Health Tracking Work Plan - REDCap	Form and Instruction
Metadata Records	Form and Instruction
Radon Testing Form (combned)	Form and Instruction
Hospitalizations Form	Form and Instruction
Emergency Department (ED) Visits Form	Form and Instruction
Drinking Water Monitoring Form	Form and Instruction
Environment Public Health Tracking -- Childhood Blood Lead Poisoning	Form and Instruction
Birth Defects Prevelance Form	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202607-0920-013	Revision of a currently approved collection	2026-08-18
202503-0920-007	No material or nonsubstantive change to a currently approved collection	2025-03-28	Approved without change
202306-0920-006	Revision of a currently approved collection	2023-07-18	Approved without change
202004-0920-011	Revision of a currently approved collection	2020-04-27	Approved without change
201902-0920-014	No material or nonsubstantive change to a currently approved collection	2019-02-20	Approved without change
201807-0920-005	No material or nonsubstantive change to a currently approved collection	2018-07-18	Approved without change
201607-0920-005	Existing collection in use without an OMB Control Number	2016-08-02	Approved with change

OMB Details

Data Dictionary – Birth Defects (Prevelance) Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1175	Data Dictionary -- Birth Defects(Prevalence)	Fillable Printable	Form and instruction

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