Information Collection

Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Facilities in the U.S. and Territories

IC 179024 under ICR 200703-0920-004 · OMB 0920-0743.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix G-1 Screening Telephone Call Hospitals 12-21-2006.doc Instruction
Appendix G-2 Screening Telephone Call Birth Centers 12-21-2006.doc Instruction

Information Collection (IC) Details

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix G-1 Screening Telephone Call Hospitals 12-21-2006.doc Yes No Printable Only
Instruction Appendix G-2 Screening Telephone Call Birth Centers 12-21-2006.doc Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


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  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,916 0 2,916 0 0 0
Annual IC Time Burden (Hours) 243 0 243 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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