Formaldehyde (HCHO) is the most important carcinogen in outdoor air among the 187 hazardous air pollutants (HAPs) identified by the U.S. Environmental Protection Agency (EPA), not including ozone and particulate matter. However, surface observations of HCHO are sparse and the EPA monitoring network could be prone to positive interferences. Here we use 2005-2016 summertime HCHO column data from the OMI satellite instrument, validated with high-quality aircraft data and oversampled on a 5 × 5 km2 grid, to map surface air HCHO concentrations across the contiguous U.S. OMI-derived summertime HCHO values are converted to annual averages using the GEOS-Chem chemical transport model. Results are in good agreement with high-quality summertime observations from urban sites (-2% bias, r = 0.95) but a factor of 1.9 lower than annual means from the EPA network. We thus estimate that up to 6600-12 500 people in the U.S. will develop cancer over their lifetimes by exposure to outdoor HCHO. The main HCHO source in the U.S. is atmospheric oxidation of biogenic isoprene, but the corresponding HCHO yield decreases as the concentration of nitrogen oxides (NOx ≡ NO + NO2) decreases. A GEOS-Chem sensitivity simulation indicates that HCHO levels would decrease by 20-30% in the absence of U.S. anthropogenic NOx emissions. Thus, NOx emission controls to improve ozone air quality have a significant cobenefit in reducing HCHO-related cancer risks.