Information Collection

High Probability Women w/o Pre-pregnancy Visit

IC 184274 under ICR 200803-0925-005 · OMB 0925-0593.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0593 can be found here:

Documents and Forms

Document Name Document Type
Form A.1.2.b High Probability Women w/o Pre-pregnancy Visit Form and Instruction
A.1.2.b Survey A.1.2.b P1_P2_P4 month phone calls.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	High Probability Women w/o Pre-pregnancy Visit	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
Form and Instruction	A.1.2.b	Survey	A.1.2.b P1_P2_P4 month phone calls.doc		Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,737	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,504	2,504
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.