OMB control number

National Hypertension Control Initiative

OMB 0990-0482 · HHS/HHSDM.

OMB 0990-0482

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 1 CHCs Uniti Health	Form and Instruction
Form 1 CHCs: JumpStart Modules	Form and Instruction
Form 1 CHCs: Use of Azara/Population Health Tool	Form and Instruction
Form Module 1 CHW Program Modules	Form and Instruction
Form 2 CHW Assessment	Form and Instruction
Form 1 CHW Application	Form
Form 1 CBOs: Social Needs Platforms Readiness Assessment	Form and Instruction
Form 1 Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction
Form 1 CBO Qualtrics Survey	Form and Instruction
30-day FRN NHCI Submitted 3-15-2024.docx	Supplementary Document
NHCI_ Justification for non material_nonsubstantive change for CHC data collection_Final Clean 01.09.2023 (002).docx	Justification for No Material/Nonsubstantive Change
NHCI TA Group 2 Evaluation Survey.docx	Supplementary Document
HRSA NHCI OMB Memo_Non-Substantive Change.docx	Justification for No Material/Nonsubstantive Change
NHCI_Supporting Statement A_updated_3_28_24.docx	Supporting Statement A
30-day 0990-Hypertension__05022022.pdf	Supplementary Document
NHCI 60d FRN 2021-19975.pdf	Supplementary Document
Appendix F_CHC Readiness Assessment.pdf	Supplementary Document
Appendix E_CBO Readiness Assessment.pdf	Supplementary Document
Appendix D2_ETS Salt and Cardiovascular Risk.pdf	Supplementary Document
Appendix D2_ETS Salt and Cardiovascular Risk.pdf	Supplementary Document
Appendix D1_ETS Control Your Blood Pressure.pdf	Supplementary Document
Appendix C_Feasibility Assessments-CHCs and CBOs_Final.docx	Supplementary Document
Appendix B_Qualtrics and DREaM CBO quarterly survey questions_Final.docx	Supplementary Document
Appendix A_Qualtrics and DREaM CHC quarterly survey questions_Final.docx	Supplementary Document
NHCI_Supporting Statement B Statistical Methods_Final.docx	Supporting Statement B
CHCs Uniti Health	Form and Instruction
CHCs: JumpStart Modules	Form and Instruction
CHCs: Use of Azara/Population Health Tool	Form and Instruction
CHW Program Modules	Form and Instruction
CHW Assessment	Form and Instruction
CHW Application	Form
Blood Pressure Control Metrics via Electronic Health Records	Information collection
Individual Consumers: Remote Patient Monitoring (RPM)	Information collection
CBOs: Remote Patient Monitoring (RPM)	Information collection
Management Occupation: Remote Patient Monitoring Provider data delivery	Information collection
Individual Consumers: Social Needs Platform Participation	Information collection
CBOs: Social Needs Platforms Readiness Assessment	Form and Instruction
CHCs: Social Needs Platforms Readiness Assessment	Information collection
Individual Consumers: ETS health lesson learning questionnaires	Form and Instruction
CBOs: Feasibility assessment focus groups	Other-Interview Questions
CHCs: Feasibility assessment focus groups	Other-Interview Questions
CBOs: Training on data entry into DREaM	Information collection
CHCs: Training on data entry into DREaM	Information collection
CBO Qualtrics Survey	Form and Instruction
CHC Qualtrics Survey	Other-instruction and form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202403-0990-008	Revision of a currently approved collection	2024-04-10	Approved without change
202301-0990-002	No material or nonsubstantive change to a currently approved collection	2023-01-19	Approved without change
202208-0990-005	No material or nonsubstantive change to a currently approved collection	2022-08-16	Approved without change
202204-0990-005	New collection (Request for a new OMB Control Number)	2022-05-11	Approved with change