Information Collection Request

Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

ICR 201010-0920-001 · OMB 0920-0743 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Sup Stmt B 200743.doc Supporting Statement B Uploaded 2010-11-24 Available
Appx-F_Table_Shells.doc Supplementary Document Uploaded 2010-09-20 Available
Appx-E_mPINC_Survey_Scoring_Algorithm.pdf Supplementary Document Uploaded 2010-09-20 Available
Appx D_Expert_Panel_Meeting_Final_Report.doc Supplementary Document Uploaded 2010-09-20 Available
Appx C-3_CDC_Web_Resources.pdf Supplementary Document Uploaded 2010-09-20 Available
Appx C_ 2007 mPINC Results Report_0743.pdf Supplementary Document Uploaded 2010-09-20 Available
Appx C-2_2007_mPINC_Facility_Benchmark_Report.pdf Supplementary Document Uploaded 2010-09-20 Available
Appx C-1_CDC_MMWR.pdf Supplementary Document Uploaded 2010-09-20 Available
Appx B-2_Public Comments and CDC Response.docx Supplementary Document Uploaded 2010-09-20 Available
Appx B_60d FRN_0743.pdf Supplementary Document Uploaded 2010-09-20 Available
Appx A_Autho Leg.pdf Supplementary Document Uploaded 2010-09-20 Available
App K_Non-Responders Follow-Up Letter.doc Supplementary Document Uploaded 2010-09-20 Available
Appx J_Thank You Reminder Postcard.doc Supplementary Document Uploaded 2010-09-20 Available
Appx I_Cover Letter.doc Supplementary Document Uploaded 2010-09-20 Available
App K_Non-Responders Follow-Up Letter.doc Supplementary Document Uploaded 2010-09-20 Available
Appx J_Thank You Reminder Postcard.doc Supplementary Document Uploaded 2010-09-20 Available
Appx I_Cover Letter.doc Supplementary Document Uploaded 2010-09-20 Available
Supporting_Statement_A_092310 (2).doc Supporting Statement A Uploaded 2010-09-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
189527 2011 mPINC Survey for Birth Centers Other-WORD Modified
189526 Telephone Screening Interview for Birth Centers Other-WORD Modified
179025 2011 mPINC Survey for Hospitals Other-WORD Modified
179024 Telephone Screening Interview for Hospitals Other-WORD Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2011 12 Months From Approved 12/31/2010
6,779 0 6,779
1,686 0 1,686
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
2011 mPINC Survey for Hospitals
Telephone Screening Interview for Hospitals
Telephone Screening Interview for Birth Centers
2011 mPINC Survey for Birth Centers

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,779 6,779 0 0 0 0
Annual Time Burden (Hours) 1,686 1,686 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No