Information Collection Request

[CSTLTS] Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes

ICR 202301-0920-008 · OMB 0920-1295 · Received in OIRA

Forms and Documents

Document Name	Status
Reaccredited health departments Form	Modified
Approaching accreditation health departments Form	Modified
Accredited one year health departments Form	Modified
Recently accredited health departments Form	Modified
Applicant Health Departments Form	Modified
Attachment M_Privacy Act Checklist.docx Supplementary Document	2023-01-17
Attachment O_PHAB Survey Distribution Table.docx Supplementary Document	2023-01-17
Attachment N_Non-Research Determination.docx Supplementary Document	2023-01-17
60 day FRN (published).pdf Supplementary Document	2023-01-13
AttachmentA_Public Health Service Act.doc Supplementary Document	2019-12-30
3_Statement B PHAB ICR Extension.docx Supporting Statement B	2023-02-23
2_Statement A PHAB ICR_Extension.rev 022323.docx Supporting Statement A	2023-02-23

IC Document Collections

IC ID	Document Title	Status
239114	Reaccredited health departments Form	Modified
239113	Approaching accreditation health departments Form	Modified
239112	Accredited one year health departments Form	Modified
239111	Recently accredited health departments Form	Modified
239110	Applicant Health Departments Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1295
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	201912-0920-015
Agency Tracking No	0920-1295
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31