[PHIC] Preventive Health and Health Services Block Grant

ICR 202503-0920-038

OMB: 0920-0106

Federal Form Document

Forms and Documents

Document Name	Status
Annual Progress Report (subset of Final Progress questions) Form and Instruction	Unchanged
Annual Progress Report (subset of Interim Progress questions) Form and Instruction	Unchanged
Work Plan Program Questions Form and Instruction	Modified
Workplan Start and Advisory Committee Questions Form and Instruction	Unchanged
0920-0106 Change Request_EO 14168.docx Justification for No Material/Nonsubstantive Change	2025-03-31
OCIO_Azure_GSS_AO_Decision_Letter_(High)_09152023.pdf Supplementary Document	2024-01-29
Copy_of_Privacy_Impact_Assessment_PIA_bl.pdf Supplementary Document	2024-01-29
Att N_BGIS_2023 OMB pkg Crosswalk of changes_011024.xlsx Supplementary Document	2024-01-29
Att M_Announcements on BGIS Landing Page_Screenshot.docx Supplementary Document	2024-01-29
Att L_STARS Project Determination.docx Supplementary Document	2024-01-29
Att K_Privacy Act Checklist_BGIS 2023.docx Supplementary Document	2024-01-29
Att I_0920-0106_60dayFRN_05012023.pdf Supplementary Document	2024-01-29
Statement B-Block Grant ICR_2023.docx Supporting Statement B	2024-01-29
Statement A-Block Grant ICR_2023_final.docx Supporting Statement A	2024-01-12
Att B_Block Grant Authorizing Legislation 1981 and 1992.docx Supplementary Document	2024-01-29
Att A_List of PHHS Block Grant Recipients.docx Supplementary Document	2024-01-29

IC Document Collections

IC ID	Document Title	Status
264761	Annual Progress Report (subset of Final Progress questions) Form and Instruction	Unchanged
264760	Annual Progress Report (subset of Interim Progress questions) Form and Instruction	Unchanged
264759	Work Plan Program Questions Form and Instruction	Modified
264758	Workplan Start and Advisory Committee Questions Form and Instruction	Unchanged