Safe to Sleep Campaign Focus Groups with the Breastfeeding/Lactation Support Community

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NICHD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0643 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Safe to Sleep Campaign Focus Groups with the Breastfeeding/Lactation Support Community Form and Instruction
1 Recruitment Screener for Breastfeeding Women NICHD_focus_group_breastfeeding_women_RECRUITMENT_SCREENER.docx Form and Instruction
2 Moderator's Guide for Breastfeeding Women NICHD_focus_group_breastfeeding_women_MODERATOR_GUIDE.docx Form and Instruction
3 Recruitment Screener for Pregnant Women NICHD_focus_group_pregnant_women_RECRUITMENT_SCREENER.docx Form and Instruction
4 Moderator's Guide for Pregnant Women NICHD_focus_group_pregnant_women_MODERATOR_GUIDE.docx Form and Instruction
0925-0643_STS_Breastfeeding_Focus Groups_Indiv-HH.docx 0925-0643_STS_Breastfeeding_Focus Groups_Indiv-HH IC Document
AAP Breastfeeding and Safe Infant Sleep Recommendations.docx AAP Breastfeeding and Safe Infant Sleep Recommendations IC Document

Information Collection (IC) Details

IC Title:	Safe to Sleep Campaign Focus Groups with the Breastfeeding/Lactation Support Community	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Recruitment Screener for Breastfeeding Women	NICHD_focus_group_breastfeeding_women_RECRUITMENT_SCREENER.docx	No	No	Paper Only
Form and Instruction	2	Moderator's Guide for Breastfeeding Women	NICHD_focus_group_breastfeeding_women_MODERATOR_GUIDE.docx	No	No	Paper Only
Form and Instruction	3	Recruitment Screener for Pregnant Women	NICHD_focus_group_pregnant_women_RECRUITMENT_SCREENER.docx	No	No	Paper Only
Form and Instruction	4	Moderator's Guide for Pregnant Women	NICHD_focus_group_pregnant_women_MODERATOR_GUIDE.docx	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	18	0	0	0	0	0
Annual IC Time Burden (Hours)	18	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0925-0643_STS_Breastfeeding_Focus Groups_Indiv-HH	0925-0643_STS_Breastfeeding_Focus Groups_Indiv-HH.docx	08/06/2013
AAP Breastfeeding and Safe Infant Sleep Recommendations	AAP Breastfeeding and Safe Infant Sleep Recommendations.docx	08/06/2013

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