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

Documents and Forms

Document Name Document Type
Attach C_Stillbirth Management Provider Survey.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of Knowledge, Attitudes and Practice Managment Patterns of Obstetricians Regarding Stillbirth Preganancy Outcomes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attach C_Stillbirth Management Provider Survey.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.