OMB control number
[CSTLTS] Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes
OMB 0920-1295 ยท HHS/CDC.
OMB 0920-1295
The purpose of this ICR is to collect information from health departments throughout the initial accreditation and reaccreditation process to: a) learn about program processes and the accreditation/reaccreditation standards to improve the program's quality, and b) document program outcomes to demonstrate impact and inform decision making about future program direction.
The latest form for [CSTLTS] Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes expires 2023-04-30 and is listed under ICR 201912-0920-015.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Reaccredited health departments | Form |
| Approaching accreditation health departments | Form |
| Accredited one year health departments | Form |
| Recently accredited health departments | Form |
 Applicant Health Departments | Form |
| Attachment M_Privacy Act Checklist.docx | Supplementary Document |
| Attachment O_PHAB Survey Distribution Table.docx | Supplementary Document |
 Attachment N_Non-Research Determination.docx | Supplementary Document |
| 60 day FRN (published).pdf | Supplementary Document |
| AttachmentA_Public Health Service Act.doc | Supplementary Document |
| 3_Statement B PHAB ICR Extension.docx | Supporting Statement B |
| 2_Statement A PHAB ICR_Extension.rev 022323.docx | Supporting Statement A |
 Reaccredited health departments |
Form |
| Approaching accreditation health departments |
Form |
| Accredited one year health departments |
Form |
| Recently accredited health departments |
Form |
| Applicant Health Departments |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202301-0920-008 | Extension without change of a currently approved collection | 2023-02-23 | Approved without change | |
| 201912-0920-015 | New collection (Request for a new OMB Control Number) | 2020-01-27 | Approved without change |
OMB Details
Applicant Health Departments
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form none | Survey 1 | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.