Information Collection

Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age

IC 6776 under ICR 199908-0920-004 · OMB 0920-0356.

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Document Name	Document Type

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IC Title:

Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,191	2,191
Annual IC Time Burden (Hours)	983	983
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

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