Prenatal Patient and Parent of Minor Consent

Evaluation of the Text4baby Program

OMB: 0915-0347

IC ID: 200144

Documents and Forms
Document Name
Document Type
Other-Explanation of burden associat
Information Collection (IC) Details

View Information Collection (IC)

Prenatal Patient and Parent of Minor Consent
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Explanation of burden associated with consent Consent.docx No No Paper Only

Health Health Care Services

 

3,260 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested 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 3,260 0 0 0 0 3,260
Annual IC Time Burden (Hours) 325 0 0 0 0 325
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy