Telephone Screening Interview for Birth Centers

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

OMB: 0920-0743

IC ID: 189526

Information Collection (IC) Details

View Information Collection (IC)

Telephone Screening Interview for Birth Centers
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Appx G-2_Telephone Screening Interview - Birth Centers.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

192 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 192 0 0 0 0 192
Annual IC Time Burden (Hours) 16 0 0 0 0 16
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appx I_Cover Letter Appx I_Cover Letter.doc 09/20/2010
Appx J_Thank You Reminder Postcard Appx J_Thank You Reminder Postcard.doc 09/20/2010
App K_Non-Responders Follow-Up Letter App K_Non-Responders Follow-Up Letter.doc 09/20/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy