Information Collection

mPINC (National Survey of Maternity Practices in Infant Nutrition and Care) Survey (for ALL facilities)

IC 179025 under ICR 201308-0920-008 · OMB 0920-0743.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0743 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appx H 2013 & 2015 mPINC Survey.Instrument_0743.docx	Other-WORD
Appx H-3 Thank You Reminder (paper letter) 7 30 2013.docx Appx H-3 Thank You Reminder (paper letter) 7 30 2013	IC Document
Appx H-4 Thank You Reminder (email letter) 7 30 2013.docx Appx H-4 Thank You Reminder (email letter) 7 30 2013	IC Document
Appx H-5 Non-Responder Follow-Up (paper letter) 7 30 2013.docx Appx H-5 Non-Responder Follow-Up (paper letter) 7 30 2013	IC Document
Appx H-6 Non-Responder Reminder Call Telephone Script 7 30 2013.docx Appx H-6 Non-Responder Reminder Call Telephone Script 7 30 2013	IC Document

IC Title:

mPINC (National Survey of Maternity Practices in Infant Nutrition and Care) Survey (for ALL facilities)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-WORD			Appx H 2013 & 2015 mPINC Survey.Instrument_0743.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,825

Number of Respondents for Small Entity: 181

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 56 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,825	1,825
Annual IC Time Burden (Hours)	913	913
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appx H-3 Thank You Reminder (paper letter) 7 30 2013	Appx H-3 Thank You Reminder (paper letter) 7 30 2013.docx	08/12/2013
Appx H-4 Thank You Reminder (email letter) 7 30 2013	Appx H-4 Thank You Reminder (email letter) 7 30 2013.docx	08/12/2013
Appx H-5 Non-Responder Follow-Up (paper letter) 7 30 2013	Appx H-5 Non-Responder Follow-Up (paper letter) 7 30 2013.docx	08/12/2013
Appx H-6 Non-Responder Reminder Call Telephone Script 7 30 2013	Appx H-6 Non-Responder Reminder Call Telephone Script 7 30 2013.docx	08/12/2013

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