OMB control number
[PHIC] Assessment of Outcomes Associated with the Preventive Health and Health Services Block Grant
OMB 0920-1257 · HHS/CDC.
This data collection will assess select cross-cutting outputs and outcomes of the PHHS Block Grant and demonstrates the utility of the grant on a national level. Respondents include the 61 Block Grant grantees. Data will be collected using a web-based data collection instrument in fall 2019. The previous survey instrument launched in 2022 will be used. No questions have been added or deleted. Prompts were added to the Q5 and Q8 series to reduce errors.Changes to the Healthy People 2030 Topic Area 25 are expected to ensure compliance with Executive Order 14168.
The latest form for [PHIC] Assessment of Outcomes Associated with the Preventive Health and Health Services Block Grant expires 2028-08-31 and can be found here.
Document Name |
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Form |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
| Revision of a currently approved collection | 2025-06-25 | ||
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Withdrawn and continue |
Extension without change of a currently approved collection | 2025-06-23 | |
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Approved without change |
Extension without change of a currently approved collection | 2022-04-26 | |
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Approved with change |
New collection (Request for a new OMB Control Number) | 2019-02-08 |