OMB control number

Application Packets for Real Property for Public Health Purposes

OMB 0937-0191 · HHS/OASH.

OMB 0937-0191

State and local governments and nonprofit institutions use these applications to apply for excess/surplus, underutilized/unutilized and off-site government real property. These applications are used to determine if institutions/organizations are eligible to purchase, lease or use prop. under the provisions of surplus property program.

The latest form for Application Packets for Real Property for Public Health Purposes expires 2027-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
0937-0191 HHS Title V application 12.6.24 TR revised (002).pdf Justification for No Material/Nonsubstantive Change
OMB Memo #0937-0191 12.11.24.pdf Supplementary Document
Final 0937-0191 Supporting_ST _A 5.1.2024.docx Supporting Statement A
HHS Public Health Application 11.17.21.pdf Supplementary Document
60 Day FR Notice.pdf Supplementary Document
0937-0191 HHS Title V application 6.2019 (003).pdf Supplementary Document
Application Packets for Real Property for Public Health Purposes Other-Application

All Historical Document Collections

202412-0937-002	No material or nonsubstantive change to a currently approved collection	2024-12-13
202408-0937-001	Reinstatement without change of a previously approved collection	2024-10-25
202104-0937-004 Approved without change	Extension without change of a currently approved collection	2021-04-29
201906-0937-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-06-19
201906-0937-002 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2019-06-12
201711-0937-001 Approved without change	Revision of a currently approved collection	2018-03-15
201611-0937-001 Approved without change	Extension without change of a currently approved collection	2016-12-15
201310-0937-001 Approved without change	Reinstatement without change of a previously approved collection	2013-10-28
201107-0937-001 Improperly submitted	Reinstatement without change of a previously approved collection	2011-07-07
200802-0937-001 Approved without change	Revision of a currently approved collection	2008-02-22
200412-0937-001 Approved without change	Reinstatement without change of a previously approved collection	2004-12-17
200104-0937-001 Approved without change	Revision of a currently approved collection	2001-04-30
199909-0937-002 Approved without change	No material or nonsubstantive change to a currently approved collection	1999-09-30
199803-0937-001 Approved without change	Reinstatement with change of a previously approved collection	1998-03-12
199409-0937-001 Approved without change	Revision of a currently approved collection	1994-09-30
199101-0937-001 Approved without change	Revision of a currently approved collection	1991-01-15
199001-0937-001 Approved without change	New collection (Request for a new OMB Control Number)	1990-01-04