OMB control number
[NCCDPHP] National Surveillance of Community Water Systems and Corresponding Populations with the Recommended Fluoridation Level
OMB 0920-1319 · HHS/CDC.
CDC collects fluoridation level and status of Community Water Systems (CWS) and corresponding population from states to provide a national fluoridation surveillance report on the proportions of state and local populations served by fluoridated water, assist states to manage their fluoride level data and monitor and improve the quality of community water fluoridation programs, measure national performance toward the Healthy People 2030 objective for Americans to have fluoridated water, evaluate outcomes of CDC’s cooperative agreements with states, inform the public, and, facilitate creation of state-specific reports for states’ programmatic and policy use. State governments are invited to provide fluoridation status and population data for all CWS, and fluoride testing level data for fluoride-adjusted CWS through a CDC Web-based data management tool or email at least once a year. CDC supports state and local government monitoring of community water fluoridation programs; and measure national performance toward the Healthy People objective.
The latest form for [NCCDPHP] National Surveillance of Community Water Systems and Corresponding Populations with the Recommended Fluoridation Level expires 2027-02-28 and can be found here.
Document Name |
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Form and Instruction |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Supplementary Document |
|
Approved without change |
Extension without change of a currently approved collection | 2024-01-26 | |
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Approved without change |
Existing collection in use without an OMB Control Number | 2020-01-10 |
Instructions to Update the Fluoridation Status and Population Data
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form 0920-1319 | Water Fluoridation Reporting System (WFRS) – Data Entry Screenshots from System | Fillable Fileable | Form |
| Form 0920-1319 | Instructions to Update the Fluoridation Status and Population Data | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.