OMB control number

[NCEH] Awardee Lead Profile Assessment (ALPA)

OMB 0920-1215 · HHS/CDC.

OMB 0920-1215

The purpose of this annual assessment under the cooperative agreement is to identify: 1) jurisdictional legal frameworks governing CDC-funded childhood lead poisoning prevention programs in the United States and 2) strategies for implementing childhood lead poisoning prevention activities in the United States. Data will be collected annually from the project managers of funded lead poisoning prevention programs of state and local governments (or their bona fide fiscal agents).

The latest form for [NCEH] Awardee Lead Profile Assessment (ALPA) expires 2026-05-31 and can be found here.

OMB Details

Awardee Lead Profile Assessment (ALPA) Web Survey

Federal Enterprise Architecture: Health - Illness Prevention

Form NoneAwardee Lead Profile Assessment (ALPA) (web survey screenshots)Fillable FileableForm and instruction
Form NoneAwardee Lead Profile Assessment (ALPA) (WORD version)Fillable FileableForm and instruction

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