Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes

Forms and Documents

Document Name	Status
Stillbirth 2 Supplementary Document	2007-07-03
Stillbirth 1 Supplementary Document	2007-07-03
Stillbirth 3 Supplementary Document	2007-07-03
Attach L July Attendees.doc Supplementary Document	2007-01-09
Attach K April Attendees.doc Supplementary Document	2007-01-09
Attach J IRB App.doc Supplementary Document	2007-01-09
Attach I Affidavit of Nondisclosure_draft_09 13 06.doc Supplementary Document	2007-01-09
Attach A3 - Sec. 301 42 USC 241.pdf Supplementary Document	2007-01-09
Attach A2 - Sec. 317C 42 USC 247-b4.pdf Supplementary Document	2007-01-09
Attach A1 - FY05 Appropriations Report 108-792 Extract.pdf Supplementary Document	2007-01-09
0920-06AI Supporting Statement 12-11-06 (2).doc Supporting Statement A	2007-01-09

IC Document Collections

IC ID	Document Title	Status
178496	Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes Instruction	New
178495	Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes Instruction	New

ICR Details

OMB Control No: 0920-0742	ICR Reference No: 200701-0920-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/05/2007
	Date Received in OIRA: 01/26/2007
Terms of Clearance: Approved consistent with revisions and additional information outlined in CDC memos submitted to OMB.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved
Responses	600	0	0
Time Burden (Hours)	122	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this report is to measure the attitudes and knowledge of obstetricians about stillbirths in their practice and in general, their attitudes regarding importance of accuracy and completeness in documentation and reporting and to assess the heterogeneity of stillbirth evaluation procedures. The results of this survey will help to identify relevant knowledge gaps in conducting stillbirth surveillance. This knowledge will be used to develop and implement a targeted educational strategy to improve case reporting and data quality.

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Authorizing Statute(s): US Code: 42 USC 317C Name of Law: Public Health Service Act
   US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 73774	12/13/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 78442	12/29/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes
Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	600	0	0	600	0	0
Annual Time Burden (Hours)	122	0	0	122	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $1

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/16/2007

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