OMB control number

[NCCDPHP] Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Reporting System

OMB 0920-0612 · HHS/CDC.

OMB 0920-0612

The WISEWOMAN program focuses on reducing risk factors for cardiovascular disease (CVD) among at-risk participants. Addressing risk factors such as high blood pressure, elevated blood cholesterol, obesity, sedentary lifestyle, diabetes, and smoking, reduces a woman’s risk of CVD-related illness and death. CVD, is a primary contributor to mortality, morbidity, and decreased quality of life, especially among older participants. Health United States (2019) reported that CVD was the leading cause of death for women in the United States. Participants in lower income brackets, or without health insurance have an increased risk of CVD morbidity and mortality, because they have limited access to health services such as screenings, medications, healthy behavior support services to manage their risk factors. State, and tribal organizations awarded with WISEWOMAN grants are expected to report information pertaining to the aforementioned factors for the purposes of program evaluation. The WISEWOMAN program shares 8 data elements with the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) so the burden of collecting additional information by awardees (see Attachment 3) is minimized. Overall, there are no changes to the number of awardees (respondents), the information collection requirements, the estimated burden per response, or the total estimated annualized burden hours. This Revision request for WISEWOMAN Program replaces the current race MDE with OMB 2024 Statistical Policy Directive-15 Standard (Figure 2). Two additional questions from the PRAPARE Screening Tool will be added for program fidelity and data quality.

The latest form for [NCCDPHP] Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Reporting System expires 2028-08-31 and can be found here.

All Historical Document Collections
Reinstatement with change of a previously approved collection 2025-06-25
Approved without change
No material or nonsubstantive change to a currently approved collection 2023-08-23
Approved without change
No material or nonsubstantive change to a currently approved collection 2023-04-19
Approved without change
Extension without change of a currently approved collection 2022-08-16
Approved without change
No material or nonsubstantive change to a currently approved collection 2020-10-08
Approved without change
No material or nonsubstantive change to a currently approved collection 2020-04-21
Approved without change
No material or nonsubstantive change to a currently approved collection 2020-03-12
Approved without change
Reinstatement without change of a previously approved collection 2019-06-05
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-04-12
Approved without change
Extension without change of a currently approved collection 2016-11-08
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-08-10
Approved without change
Revision of a currently approved collection 2013-10-30
Approved without change
Extension without change of a currently approved collection 2013-01-04
Approved with change
No material or nonsubstantive change to a currently approved collection 2011-01-18
Approved without change
Revision of a currently approved collection 2010-01-27
Approved without change
Extension without change of a currently approved collection 2006-11-22
Approved without change
No material or nonsubstantive change to a currently approved collection 2006-05-03
Approved with change
New collection (Request for a new OMB Control Number) 2003-09-30
OMB Details

WISEWOMAN Program Minimum Data Elements (MDE)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-0612WISEWOMAN Program MDE Manual Edition 18.3RFillable FileableForm and instruction
Form 0920-0621WISEWOMAN-MDE_Manual_23.1N/AForm and instruction

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