Information Collection

Evaluation of Office of Women's Publications -Breastfeeding Discussion Group

IC 181299 under ICR 200707-0990-002 · OMB 0990-0319.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EvaluationofWomensHealthBreasfeeding Guide - Disc Group Guide - OWH Publications 7.2.07.doc	Other-Survey
1 Breastfeeding Discussion Group Guide Breasfeeding Guide - Disc Group Guide - OWH Publications 7 2 07.doc	Form and Instruction
EvaluationofWomenHealthINFORMED CONSENT FORM_Discussion group 7.12.07.doc Consent Form	IC Document
INFORMED CONSENT FORM_Discussion group 7 12 07.doc Consent Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 241.301

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
Other-Survey			EvaluationofWomensHealthBreasfeeding Guide - Disc Group Guide - OWH Publications 7.2.07.doc		No	No	Fillable Printable
Form and Instruction	1	Breastfeeding Discussion Group Guide	Breasfeeding Guide - Disc Group Guide - OWH Publications 7 2 07.doc		No		Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

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	48	48
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consent Form	EvaluationofWomenHealthINFORMED CONSENT FORM_Discussion group 7.12.07.doc	07/13/2007
Consent Form	INFORMED CONSENT FORM_Discussion group 7 12 07.doc	12/12/2007

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