Information Collection

The Preconception, Pregnancy and Parenting (3P's) Information Form

IC 211288 under ICR 201404-0915-007 · OMB 0915-0338.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0338 can be found here:

Documents and Forms

Document Name Document Type
Form 1 The Preconception, Pregnancy and Parenting (3P's) Information Form Form
1 The Preconception, Pregnancy and Parenting (3P’s) Inform C. 3 P's Information Form.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Preconception, Pregnancy and Parenting (3P's) Information Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	The Preconception, Pregnancy and Parenting (3Pâs) Information Form	C. 3 P's Information Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,675	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,675	40,675
Annual IC Time Burden (Hours)	20,338	20,338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.