OMB control number

Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS)

OMB 0915-0298 · HHS/HSA.

OMB 0915-0298

This is a request by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) for Office of Management and Budget (OMB) approval to revise the collection of information from public and private agencies or organizations engaged in demonstrations, research, training, or other projects that receive funding from the Special Projects of Regional and National Significance (SPRANS) and Community Integrated Service Systems (CISS) federal discretionary grant programs, and other categorical discretionary grant programs.

The latest form for Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS) expires 2026-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Attachment D_Additional Data Elements Form and Instruction
Attachment C Program Specific Form Form and Instruction
Attachment B Central Forms Form and Instruction

All Historical Document Collections

202603-0915-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2026-03-18
202502-0915-001	No material or nonsubstantive change to a currently approved collection	2025-03-28
202404-0915-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-04-17
202308-0915-004 Approved with change	Revision of a currently approved collection	2023-08-18
202210-0915-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-10-26
202207-0915-002 Approved with change	Reinstatement without change of a previously approved collection	2022-07-18
202001-0915-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-01-23
201909-0915-005 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2019-09-27
201905-0915-002 Approved without change	Revision of a currently approved collection	2019-05-23
201611-0915-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-11-15
201603-0915-004 Approved without change	Revision of a currently approved collection	2016-03-24
201210-0915-002 Approved with change	Revision of a currently approved collection	2012-10-15
200903-0915-004 Approved with change	Revision of a currently approved collection	2009-03-30
200601-0915-002 Approved without change	New collection (Request for a new OMB Control Number)	2006-01-25

OMB Details

Attachment B Central Forms

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 1

DGIS OMB_SSA_Attachment B_Central Forms_2026_03172026

Fillable Fileable

Form and instruction

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