The title is based on the 1950's slang expression: If I'm Lying, I'm Dying.
The Grant a Dream Foundation is a parody of the Make a Wish Foundation
According to God's secretary, his last name is Patterson (though based on God's reaction to this, it may or may not be true.)
Chris is consistently shown to have two earrings, visible every time he is seen from the front, despite a note in Chris' Family Guy wiki page stating that "Chris originally wore a gold hoop earring in his left ear. Due to the Korean animators flipping of the drawings, the earring would appear on both sides, leading to it being dropped from Chris' design".
The high school band in the Black to the Future spoof is called Billy Bob and the Nocturnal Emissions.