OMB control number

[NCCDPHP] Oral Health Basic Screening Survey for Children

OMB 0920-1346 · HHS/CDC.

OMB 0920-1346

CDC collects state-level prevalence of dental caries and sealants among children from state oral health programs and publishes on CDC's public-facing website to 1) facilitate state oral health surveillance capacity to monitor oral health status, trends, and disparities, and to compare with other states; 2) inform planning and evaluation of oral health programs and policies; 3) measure progress toward the Healthy People objectives; and 4) educate the public and policy makers regarding cross-cutting public health programs. CDC also uses the data to evaluate performance of CDC oral health funding recipients.

The latest form for [NCCDPHP] Oral Health Basic Screening Survey for Children expires 2027-11-30 and is listed under ICR 202408-0920-007.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Data Submission form	Form and Instruction
Oral Health Basic Screening Survey for Children	Form and Instruction
School Participation Form	Form and Instruction
School Participation Form	Form and Instruction
Screening Form	Form and Instruction
Child Screening Form	Form and Instruction
Consent Form	Form and Instruction
Consent Form	Form and Instruction
Screening Form	Form and Instruction
Screener Screening Form	Form and Instruction
video-basic-screening-survey-for-non-dental-professionals.m4v	Supplementary Document
5_ASTDD sample screening budget.pdf	Supplementary Document
4_IRB exemption.pdf	Supplementary Document
3a_60-day FRN full text.pdf	Supplementary Document
2h_request and reminder email to states for data.docx	Supplementary Document
2h_request and reminder email to states for data.docx	Supplementary Document
2g_notice of screening results.docx	Supplementary Document
2c_guidance on data analysis.pdf	Supplementary Document
2b_guidance on sampling design.pdf	Supplementary Document
2abc_link to video that accompanies manual.docx	Supplementary Document
2a_Children BSS manual_clean.docx	Supplementary Document
1_Authorizing Legislation.pdf	Supplementary Document
support-statement-B_final.docx	Supporting Statement B
support-statement-B_final.docx	Supporting Statement B
support-statement-A-508_final.docx	Supporting Statement A
support-statement-A-508_final.docx	Supporting Statement A
Oral Health Basic Screening Survey for Children	Form and Instruction
Oral Health Basic Screening Survey for Children	Form and Instruction
School Participation Form	Form and Instruction
School Participation Form	Form and Instruction
Child Screening Form	Form and Instruction
Child Screening Form	Form and Instruction
Consent Form	Form and Instruction
Consent Form	Form and Instruction
Screener Screening Form	Form and Instruction
Screener Screening Form	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202408-0920-007	Extension without change of a currently approved collection	2024-08-29
202102-0920-002	Existing collection in use without an OMB Control Number	2021-02-02		Approved with change

OMB Details

Screener Screening Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form n/a	Screening Form	Fillable Printable	Form and instruction

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