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Federal forms, ICRs, and supporting documents

Information Collection

Mental Models Study of Communicating with Health Care Providers about the Risks and Benefits of Prescription Drug Use for Pregnant and Nursing Women with Chronic Conditions

IC 186597 under ICR 200809-0910-002 · OMB 0910-0631.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
pregnancy and nursing MM study PROTOCOL AttachmentA.doc Other-Survey Protocol
pregnancy and nursing mm study LETTER AttachmentB.doc
pregnancy and nursing mm study LETTER AttachmentB		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 Protocol pregnancy and nursing MM study PROTOCOL AttachmentA.doc No No Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 60 0 0 60 0 0
Annual IC Time Burden (Hours) 60 0 0 60 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
pregnancy and nursing mm study LETTER AttachmentB pregnancy and nursing mm study LETTER AttachmentB.doc 09/03/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.