OMB control number

[PHIC] Preventive Health and Health Services Block Grant

OMB 0920-0106 · HHS/CDC.

OMB 0920-0106

The purpose of this colledtion is to ensure that the CDC PHHS Block Grant program managers and PHHS Block Grant recipients account for funds in accordance with legislative mandates by providing information on work through work plans and annual reports. CDC will use the Block Grant Information System to monitor awardees' progress, identify activities and personnel supported with Block Grant funding, and conduct compliance reviews of Block Grant awardees. This Non-Substantive Change Request is submitted to phase out BGIS and phase in a new web-based platform, PHIVE. The transition to PHIVE is designed to continue efficient data entry by recipients, ensure data quality, standardize the platforms implemented to support PHIC programs and streamline technical assistance / IT support. The information to be collected through PHIVE is the same information currently being collected through BGIS. This Change Request does not affect the content of any forms, the number of respondents, or total estimated annualized burden hours.

The latest form for [PHIC] Preventive Health and Health Services Block Grant expires 2027-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Annual Progress Report (subset of Final Progress questions) Form and Instruction
Annual Progress Report (subset of Final Progress questions) Form and Instruction
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Work Plan Program Questions Form and Instruction
Work Plan Program Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction
BGIS PHIVE CR 06092025.docx Justification for No Material/Nonsubstantive Change
BGIS PHIVE CR 06092025.docx Justification for No Material/Nonsubstantive Change
Att M_PHIVE Scr.docx Supplementary Document
Att M_PHIVE Scr.docx Supplementary Document
Att R_ELC CAMP PIA.pdf Supplementary Document
Att R_ELC CAMP PIA.pdf Supplementary Document
Att P_ELC CAMP Auth.pdf Supplementary Document
Att P_ELC CAMP Auth.pdf Supplementary Document
0920-0106 Change Request_EO 14168.docx Justification for No Material/Nonsubstantive Change
0920-0106 Change Request_EO 14168.docx Justification for No Material/Nonsubstantive Change
OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdf Supplementary Document
OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdf Supplementary Document
Copy_of_Privacy_Impact_Assessment_PIA_bl.pdf Supplementary Document
Copy_of_Privacy_Impact_Assessment_PIA_bl.pdf Supplementary Document
Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsx Supplementary Document
Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsx Supplementary Document
Att M_Announcements on BGIS Landing Page_Screenshot.docx Supplementary Document
Att M_Announcements on BGIS Landing Page_Screenshot.docx Supplementary Document
Att L_STARS Project Determination.docx Supplementary Document
Att L_STARS Project Determination.docx Supplementary Document
Att K_Privacy Act Checklist_BGIS 2023.docx Supplementary Document
Att K_Privacy Act Checklist_BGIS 2023.docx Supplementary Document
Att I_0920-0106_60dayFRN_05012023.pdf Supplementary Document
Att I_0920-0106_60dayFRN_05012023.pdf Supplementary Document
Statement B-Block Grant ICR_2023.docx Supporting Statement B
Statement B-Block Grant ICR_2023.docx Supporting Statement B
Statement A-Block Grant ICR_2023_final.docx Supporting Statement A
Statement A-Block Grant ICR_2023_final.docx Supporting Statement A
Att B_Block Grant Authorizing Legislation 1981 and 1992.docx Supplementary Document
Att B_Block Grant Authorizing Legislation 1981 and 1992.docx Supplementary Document
Att A_List of PHHS Block Grant Recipients.docx Supplementary Document
Att A_List of PHHS Block Grant Recipients.docx Supplementary Document
Annual Progress Report (subset of Final Progress questions) Form and Instruction
Annual Progress Report (subset of Final Progress questions) Form and Instruction
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Annual Progress Report (subset of Interim Progress questions) Form and Instruction
Work Plan Program Questions Form and Instruction
Work Plan Program Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction
Workplan Start and Advisory Committee Questions Form and Instruction

All Historical Document Collections

202506-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-06-26
202503-0920-038	No material or nonsubstantive change to a currently approved collection	2025-05-14
202401-0920-007 Approved without change	Revision of a currently approved collection	2024-01-30
202009-0920-006	Revision of a currently approved collection	2020-09-14
201906-0920-011 Approved without change	Revision of a currently approved collection	2019-07-02
201605-0920-015 Approved without change	Revision of a currently approved collection	2016-05-27
201307-0920-005 Approved without change	Revision of a currently approved collection	2013-07-09
201106-0920-006 Approved without change	Revision of a currently approved collection	2011-06-08
200805-0920-004 Approved without change	Revision of a currently approved collection	2008-05-12
200507-0920-005 Approved without change	Revision of a currently approved collection	2005-07-26
200111-0920-005 Approved without change	Revision of a currently approved collection	2001-11-28
200005-0920-007 Approved without change	Extension without change of a currently approved collection	2000-05-24
199710-0920-002 Approved without change	Extension without change of a currently approved collection	1997-10-03
199407-0920-003 Approved without change	Revision of a currently approved collection	1994-07-22
199107-0920-002 Approved without change	Revision of a currently approved collection	1991-07-15
198808-0920-004 Approved without change	Revision of a currently approved collection	1988-08-30
198507-0920-002 Approved without change	Revision of a currently approved collection	1985-07-19
198402-0920-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-02-21
198308-0920-004 Approved without change	Revision of a currently approved collection	1983-08-22
198109-0920-003 Approved without change	New collection (Request for a new OMB Control Number)	1981-09-14

OMB Details

Workplan Start and Advisory Committee Questions

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a

Workplan Start and Advisory Committee Quesions

Fillable Fileable

Form and instruction

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