Information Collection

Easy Guide to Breastfeeding Survey

IC 181300 under ICR 200707-0990-002 · OMB 0990-0319.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EvaluationofWomensHealthEasy Guide to Breastfeeding Survey- OWH Publications 7.12.07.doc	Other-survey
1 Breastfeeding Guide Survey Easy Guide to Breastfeeding Survey- OWH Publications 102307 (2).doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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			EvaluationofWomensHealthEasy Guide to Breastfeeding Survey- OWH Publications 7.12.07.doc		No	No	Paper Only
Form	1	Breastfeeding Guide Survey	Easy Guide to Breastfeeding Survey- OWH Publications 102307 (2).doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

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	5,000	5,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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