Information Collection

NICHD Postpartum Depression (PPD) Focus Groups

IC 209998 under ICR 201110-0925-003 · OMB 0925-0643.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6 Recruitment Screener Mom telephone focus group NICHD Postpartum Depression (PPD) Focus Groups	Form and Instruction
Form 1 Recruitment Screener Fathers NICHD Postpartum Depression (PPD) Focus Groups	Form
Form 2 Recruitment Screener Mom In-person Focus Group NICHD Postpartum Depression (PPD) Focus Groups	Form
Form 3 Moderator Guide Fathers NICHD Postpartum Depression (PPD) Focus Groups	Form and Instruction
Form 4 Moderators Guide general mom NICHD Postpartum Depression (PPD) Focus Groups	Form and Instruction
Form 5 Moderators Guide PPD Moms NICHD Postpartum Depression (PPD) Focus Groups	Form and Instruction
Form 7 Recruitment Screener PPD Moms NICHD Postpartum Depression (PPD) Focus Groups	Form and Instruction
1 Recruitment Screener Fathers 0925-0643_RECRUITMENT_SCREENER_FATHERS_final.docx	Form
2 Recruitment Screener Mom In-person Focus Group 0925-0643_RECRUITMENT_SCREENER_GENERAL MOMS_IN-PERSON FOCUS GROUP_final.docx	Form
3 Moderator Guide Fathers 0925-0643_MODERATOR_GUIDE_FATHERS_final.docx	Form and Instruction
4 Moderators Guide general mom 0925-0643_MODERATOR_GUIDE_GENERAL MOMS_final.docx	Form and Instruction
5 Moderators Guide PPD Moms 0925-0643_MODERATOR_GUIDE_PPD MOMS_final.docx	Form and Instruction
6 Recruitment Screener Mom telephone focus group 0925-0643_RECRUITMENT_SCREENER_GENERAL MOMS_TELEPHONE FOCUS GROUPS_final.docx	Form and Instruction
7 Recruitment Screener PPD Moms 0925-0643_RECRUITMENT_SCREENER_PPD MOMS_final.docx	Form and Instruction
0925-0643_Generic Template_NICHD Postpartum Depression Focus Groups_final.docx 0925-0643_Generic Template_NICHD Postpartum Depression Focus Groups_final	IC Document
0925-0643_Handout_Messages for mothers focus group_final.docx 0925-0643_Handout_Messages for mothers focus group_final	IC Document
0925-0643_Handout_Messages for fathers focus group_final.docx 0925-0643_Handout_Messages for fathers focus group_final	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

NICHD Postpartum Depression (PPD) Focus Groups

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6	Recruitment Screener Mom telephone focus group	0925-0643_RECRUITMENT_SCREENER_GENERAL MOMS_TELEPHONE FOCUS GROUPS_final.docx	No	No	Paper Only
Form and Instruction	7	Recruitment Screener PPD Moms	0925-0643_RECRUITMENT_SCREENER_PPD MOMS_final.docx	No	No	Paper Only
Form	1	Recruitment Screener Fathers	0925-0643_RECRUITMENT_SCREENER_FATHERS_final.docx	No	No	Paper Only
Form	2	Recruitment Screener Mom In-person Focus Group	0925-0643_RECRUITMENT_SCREENER_GENERAL MOMS_IN-PERSON FOCUS GROUP_final.docx	No	No	Paper Only
Form and Instruction	3	Moderator Guide Fathers	0925-0643_MODERATOR_GUIDE_FATHERS_final.docx	No	No	Paper Only
Form and Instruction	4	Moderators Guide general mom	0925-0643_MODERATOR_GUIDE_GENERAL MOMS_final.docx	No	No	Paper Only
Form and Instruction	5	Moderators Guide PPD Moms	0925-0643_MODERATOR_GUIDE_PPD MOMS_final.docx	No	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

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	96	0	0	0	0	0
Annual IC Time Burden (Hours)	108	0	0	0	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
0925-0643_Generic Template_NICHD Postpartum Depression Focus Groups_final	0925-0643_Generic Template_NICHD Postpartum Depression Focus Groups_final.docx	01/09/2014
0925-0643_Handout_Messages for mothers focus group_final	0925-0643_Handout_Messages for mothers focus group_final.docx	01/09/2014
0925-0643_Handout_Messages for fathers focus group_final	0925-0643_Handout_Messages for fathers focus group_final.docx	01/09/2014

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