[NCCDPHP] Sealant Efficiency Assessment for Locals and States (SEALS)

OMB 0920-1289

Approval of Sealant Efficiency Assessment for Locals and States (SEALS) is requested to lower caries rates among at-risk children by increasing the efficiency of local school sealant programs, which in turn will lead to more children receiving sealants to prevent oral health disease. Data will be used to generate school sealant program (SSP) efficiency performance measures (e.g., cost per averted cavity), and state oral health programs can use this information to monitor progress and increase efficiency, document return on investment, and increase their reach. CDC will use this information to identify feasible benchmarks for SSPs and identify best practices contributing to SSP efficiency to share with states and stakeholders.

The latest form for [NCCDPHP] Sealant Efficiency Assessment for Locals and States (SEALS) expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1289 Program Administration -Child Aggregate Screens (SSP Local Administrator) Form and Instruction
Form 0920-1289 Program Administration - Program Options and Cost Options (SSP Local Administrator) Form and Instruction
Form 0920-1289 SEALS Administration - Add User/Program/School (SSP Local Administrator) Form and Instruction
Form 0920-1289 Add Program and Add User - State Sealant Administrator Form and Instruction
SEALS SSB Final.docx Supporting Statement B
SEALS SSA.101123.docx Supporting Statement A
SEALS PIA Final.pdf Supplementary Document
SEALS IRB Determination.pdf Supplementary Document
2c. Sample Reports.xlsx Supplementary Document
1_Legislation.pdf Supplementary Document
3 SEALS 60dy published FRN.pdf Supplementary Document
Program Administration -Child Aggregate Screens (SSP Local Administrator) Form and Instruction
Program Administration - Program Options and Cost Options (SSP Local Administrator) Form and Instruction
SEALS Administration - Add User/Program/School (SSP Local Administrator) Form and Instruction
Add Program and Add User - State Sealant Administrator Form and Instruction

All Historical Document Collections

202309-0920-005 Approved without change	Reinstatement with change of a previously approved collection	2023-10-31
201910-0920-011 Approved without change	Existing collection in use without an OMB Control Number	2019-11-20

OMB Details

Add Program and Add User - State Sealant Administrator

Federal Enterprise Architecture: Health - Illness Prevention

Form NA

Add Program and Add User

Form and instruction

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