[PHIC] Preventive Health and Health Services Block Grant

OMB Control No: 0920-0106	ICR Reference No: 202503-0920-038
Status: Received in OIRA	Previous ICR Reference No: 202401-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0106-25-0083
Title: [PHIC] Preventive Health and Health Services Block Grant
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/14/2025

	Requested	Previously Approved
Expiration Date	03/31/2027	03/31/2027
Responses	244	244
Time Burden (Hours)	1,403	1,403
Cost Burden (Dollars)	0	0

---

Abstract: The purpose of this colledtion is to ensure that the CDC PHHS Block Grant program managers and PHHS Block Grant recipients account for funds in accordance with legislative mandates by providing information on work through work plans and annual reports. CDC will use the Block Grant Information System to monitor awardees' progress, identify activities and personnel supported with Block Grant funding, and conduct compliance reviews of Block Grant awardees. Non-Substantive Change Request is submitted to modify 0920-0106 package to comply with EO 14168.

---

Authorizing Statute(s): PL: Pub.L. 102 - 531 101-104 Name of Law: Preventive Health and health Services Block Grant    US Code: 42 USC 300w-300w-8 Name of Law: Preventive Health and Health Services Block Grants    US Code: 45 USC 96.1-96.17 Name of Law: Block Grants

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 26549	05/01/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 5236	01/26/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

IC Title Form No. Form Name Annual Progress Report (subset of Final Progress questions) n/a Annual Progress Report Worksheet Annual Progress Report (subset of Interim Progress questions) n/a Annual Progress Report Worksheet Work Plan Program Questions 0920-0106, n/a Workplan Program Quesions ,   WorkPlan Program Questions_REVISED 31MAR2025 Workplan Start and Advisory Committee Questions n/a Workplan Start and Advisory Committee Quesions

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	244	244	0	0	0	0
Annual Time Burden (Hours)	1,403	1,403	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Recipient Information Collection has been deleted from the burden table (-122 annualized burden hours). The BGIS will retain this information, however, the one-time burden of entering the Recipient Information was accounted for in the previous approval period.

---

Annual Cost to Federal Government: $288,219

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Jeffrey Zirger 404 639-7118 [email protected]

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 05/14/2025

---