OMB control number

[NCEH] Environmental Public Health Tracking Network (Tracking Network)

OMB 0920-1175 · HHS/CDC.

OMB 0920-1175

CDC's Tracking Program collects, integrates, analyzes, and disseminates data on health, exposure, environmental hazards, and populations in order to drive public health actions that mitigate or prevent the effects of environmental factors on the health of communities. Respondents include 26 funded grantees and unfunded state and local health departments (SLHD). These data are used to describe trends, identify populations at risk, generate hypotheses, and inform public health actions for SLHD. Additional program information collected quarterly or annually are used to evaluate and assess program performance is collected using 6 forms. This change request is to adhere to current executive orders.

The latest form for [NCEH] Environmental Public Health Tracking Network (Tracking Network) expires 2026-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1175 PHA Impact Follow Up - (RedCap form) (New form) Form and Instruction
Form 0920-1175 PHA Impact Follow Up - (RedCap form) (New form) Form and Instruction
Form 0920-1175 Performance Measures- Unique Form and Instruction
Form 0920-1175 Performance Measures- Unique Form and Instruction
Form 0920-1175 Standardized Web Statistics - Codebook Form and Instruction
Form 0920-1175 Standardized Web Statistics - Codebook Form and Instruction
Form 0920-1175 Data Dictionary- State Biomonitoring Data Form and Instruction
Form 0920-1175 Data Dictionary- State Biomonitoring Data Form and Instruction
Form 0920-1175 Outreach & Communication Plan Template with Instructions Form and Instruction
Form 0920-1175 Outreach & Communication Plan Template with Instructions Form and Instruction
Form 0920-1175 Publilc Health Action Report - Existing Awardees Form and Instruction
Form 0920-1175 Publilc Health Action Report - Existing Awardees Form and Instruction
Form 0920-1175 Environmental Public Health Tracking Work Plan Template Form and Instruction
Form 0920-1175 Environmental Public Health Tracking Work Plan Template Form and Instruction
Form 0920-1175 Metadata Sample Content Form and Instruction
Form 0920-1175 Metadata Sample Content Form and Instruction
Form 0920-1175 Data Dictionary for Data Submission -- Labs Radon Data Form and Instruction
Form 0920-1175 Data Dictionary for Data Submission -- Labs Radon Data Form and Instruction
Form 0920-1175 Data Dictionary- Hospitalizations Form and Instruction
Form 0920-1175 Data Dictionary- Hospitalizations Form and Instruction
Form 0920-1175 Data Dictionary - Emergency Department (ED) Visits Form and Instruction
Form 0920-1175 Data Dictionary - Emergency Department (ED) Visits Form and Instruction
Form 0920-1175 Data Dictionary – Drinking Water (Community Monitoring) Form and Instruction
Form 0920-1175 Data Dictionary – Drinking Water (Community Monitoring) Form and Instruction
Form 0920-1175 Environment Public Health Tracking -- Childhood Blood Lead Poisoning Form and Instruction
Form 0920-1175 Environment Public Health Tracking -- Childhood Blood Lead Poisoning Form and Instruction
Form 0920-1175 Data Dictionary – Birth Defects (Prevelance) Form Form and Instruction
Form 0920-1175 Data Dictionary – Birth Defects (Prevelance) Form Form and Instruction
0920-1175 Change Request Memo - EO14168.docx Justification for No Material/Nonsubstantive Change
0920-1175 Change Request Memo - EO14168.docx Justification for No Material/Nonsubstantive Change
Att6 CDC-RFA-EH17-1702.pdf Supplementary Document
Att6 CDC-RFA-EH17-1702.pdf Supplementary Document
Att10 Data Management Processes.pdf Supplementary Document
Att10 Data Management Processes.pdf Supplementary Document
Att9 NCDM Requirements.pdf Supplementary Document
Att9 NCDM Requirements.pdf Supplementary Document
Att8 Funding Determination.pdf Supplementary Document
Att8 Funding Determination.pdf Supplementary Document
Att7 Environ PH Trckg 2023 Revision PIA.pdf Supplementary Document
Att7 Environ PH Trckg 2023 Revision PIA.pdf Supplementary Document
Att3 NOFO CDC-RFA-EH22-2202.pdf Supplementary Document
Att3 NOFO CDC-RFA-EH22-2202.pdf Supplementary Document
Att2 Environ PH Trckg 60 day FRN publication.pdf Supplementary Document
Att2 Environ PH Trckg 60 day FRN publication.pdf Supplementary Document
Att1_PHSA Section 243&247.docx Supplementary Document
Att1_PHSA Section 243&247.docx Supplementary Document
0 - Environ PH Trckg 2023 Revision SSB.docx Supporting Statement B
0 - Environ PH Trckg 2023 Revision SSB.docx Supporting Statement B
0 - Environ PH Trckg 2023 (REV) SSA.docx Supporting Statement A
0 - Environ PH Trckg 2023 (REV) SSA.docx Supporting Statement A
PHA Impact Follow Up - (RedCap form) (New form) Form and Instruction
PHA Impact Follow Up - (RedCap form) (New form) Form and Instruction
Performance Measures- Unique Form and Instruction
Performance Measures- Unique Form and Instruction
Standardized Web Statistics - Codebook Form and Instruction
Standardized Web Statistics - Codebook Form and Instruction
Data Dictionary- State Biomonitoring Data Form and Instruction
Data Dictionary- State Biomonitoring Data Form and Instruction
Outreach & Communication Plan Template with Instructions Form and Instruction
Outreach & Communication Plan Template with Instructions Form and Instruction
Publilc Health Action Report - Existing Awardees Form and Instruction
Publilc Health Action Report - Existing Awardees Form and Instruction
Environmental Public Health Tracking Work Plan Template Form and Instruction
Environmental Public Health Tracking Work Plan Template Form and Instruction
Metadata Sample Content Form and Instruction
Metadata Sample Content Form and Instruction
Data Dictionary for Data Submission -- Labs Radon Data Form and Instruction
Data Dictionary for Data Submission -- Labs Radon Data Form and Instruction
Data Dictionary- Hospitalizations Form and Instruction
Data Dictionary- Hospitalizations Form and Instruction
Data Dictionary - Emergency Department (ED) Visits Form and Instruction
Data Dictionary - Emergency Department (ED) Visits Form and Instruction
Data Dictionary – Drinking Water (Community Monitoring) Form and Instruction
Data Dictionary – Drinking Water (Community Monitoring) Form and Instruction
Environment Public Health Tracking -- Childhood Blood Lead Poisoning Form and Instruction
Environment Public Health Tracking -- Childhood Blood Lead Poisoning Form and Instruction
Data Dictionary – Birth Defects (Prevelance) Form Form and Instruction
Data Dictionary – Birth Defects (Prevelance) Form Form and Instruction

All Historical Document Collections

202503-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-03-28
202306-0920-006 Approved without change	Revision of a currently approved collection	2023-07-18
202004-0920-011 Approved without change	Revision of a currently approved collection	2020-04-27
201902-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-02-20
201807-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-07-18
201607-0920-005 Approved with change	Existing collection in use without an OMB Control Number	2016-08-02

OMB Details

Data Dictionary – Birth Defects (Prevelance) Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-1175

Data Dictionary -- Birth Defects(Prevalence)

Fillable Printable

Form and instruction

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