OMB control number

[NCCDPHP] Oral Health Basic Screening Survey for Children

OMB 0920-1346 · HHS/CDC.

OMB 0920-1346

CDC collects state-level prevalence of dental caries and sealants among children from state oral health programs and publishes on CDC's public-facing website to 1) facilitate state oral health surveillance capacity to monitor oral health status, trends, and disparities, and to compare with other states; 2) inform planning and evaluation of oral health programs and policies; 3) measure progress toward the Healthy People objectives; and 4) educate the public and policy makers regarding cross-cutting public health programs. CDC also uses the data to evaluate performance of CDC oral health funding recipients.

The latest form for [NCCDPHP] Oral Health Basic Screening Survey for Children expires 2027-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Oral Health Basic Screening Survey for Children Form and Instruction
School Participation Form Form and Instruction
Child Screening Form Form and Instruction
Consent Form Form and Instruction
Screener Screening Form Form and Instruction
video-basic-screening-survey-for-non-dental-professionals.m4v Supplementary Document
5_ASTDD sample screening budget.pdf Supplementary Document
4_IRB exemption.pdf Supplementary Document
3a_60-day FRN full text.pdf Supplementary Document
2h_request and reminder email to states for data.docx Supplementary Document
2g_notice of screening results.docx Supplementary Document
2c_guidance on data analysis.pdf Supplementary Document
2b_guidance on sampling design.pdf Supplementary Document
2abc_link to video that accompanies manual.docx Supplementary Document
2a_Children BSS manual_clean.docx Supplementary Document
1_Authorizing Legislation.pdf Supplementary Document
support-statement-B_final.docx Supporting Statement B
support-statement-A-508_final.docx Supporting Statement A
Oral Health Basic Screening Survey for Children Form and Instruction
School Participation Form Form and Instruction
Child Screening Form Form and Instruction
Consent Form Form and Instruction
Screener Screening Form Form and Instruction

All Historical Document Collections

202408-0920-007	Extension without change of a currently approved collection	2024-08-29
202102-0920-002 Approved with change	Existing collection in use without an OMB Control Number	2021-02-02

OMB Details

Screener Screening Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a

Screening Form

Fillable Printable

Form and instruction

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