Million Hearts Hypertension Control Challenge

OMB 0920-0976

CDC has been collecting information from applicants nominated for the Million Hearts ® Hypertension Control Challenge (OMB No. 0920-0976, exp. 12/31/2019) to identify medical practices and clinics achieving high rates of hypertension control. CDC uses this information to recognize exemplary clinical practices in hypertension control (at least 80% control) and identify and promote best practices for achieving high rates of control. Participation is voluntary.

The latest form for Million Hearts Hypertension Control Challenge expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0976 Interview Guide Form and Instruction
Form 0920-0976 Million Hearts® Hypertension Control Champion Data Verification Form Form and Instruction
Form 0920-0976 Application Form Form and Instruction
Attachment 10. Contractors Request for Chart Part 2 0920-0976.docx Supplementary Document
Attachment 9. Contractors Request for Charts Part 1 0920-0976.docx Supplementary Document
Attachment 8. Project Determination_Hypertension Control Challenge.docx Supplementary Document
Attachment 7. Example Business Associate Agreement 0920-0976.docx Supplementary Document
Attachment 2. Published 60 Day FRN.pdf Supplementary Document
Attachment 1c. Office of Management and Budget Guidance on the Use of Challenges 0920-0976.pdf Supplementary Document
Attachment 1b. Authorizing Legislation 0920-0976.docx Supplementary Document
Attachment 1a. Authorizing Legislation 0920-0976.docx Supplementary Document
0976 SSB.0976.docx Supporting Statement B
SSA Rev.10.5.22.docx Supporting Statement A
Interview Guide Form and Instruction
Million Hearts® Hypertension Control Champion Data Verification Form Form and Instruction
Application Form Form and Instruction

All Historical Document Collections

202209-0920-028 Approved without change	Extension without change of a currently approved collection	2022-10-19
202106-0920-016 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-06-23
201907-0920-008 Approved without change	Revision of a currently approved collection	2019-08-16
201708-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-08-07
201609-0920-007 Approved without change	Reinstatement with change of a previously approved collection	2016-09-20
201502-0920-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-03-06
201404-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-04-10
201305-0920-008 Approved with change	New collection (Request for a new OMB Control Number)	2013-05-15

OMB Details

Application Form

Federal Enterprise Architecture: Health - Illness Prevention

Form 0920-0976

Application Form

Fillable Fileable

Form and instruction

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