Information Collection

Primary Data Collection Interview-First Time Mom

IC 203256 under ICR 201207-0925-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9 Primary Data Collection Interview-First Time Mom	Form and Instruction
9 Primary Data Collection Interview-Prenatal First Time Mo Attach 9 Primary Data Collection Interview-Prenatal First Time Mom.docx	Form and Instruction
10 Primary Data Collection Interview-Postnatal First Time M Attach 10 Primary Data Collection Interview-Postnatal First Time Mom.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9	Primary Data Collection Interview-Prenatal First Time Mom	Attach 9 Primary Data Collection Interview-Prenatal First Time Mom.docx		Yes	Yes	Paper Only
Form and Instruction	10	Primary Data Collection Interview-Postnatal First Time Mom	Attach 10 Primary Data Collection Interview-Postnatal First Time Mom.docx		Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	1,300	1,300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.