Cognitive Test for the Pregnancy Risk Assessment Monitoring System (PRAMS)

Collaborating Center for Questionnaire Design and Evaluation Research

OMB: 0920-0222

IC ID: 236175

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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
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Cognitive Test for the Pregnancy Risk Assessment Monitoring System (PRAMS) 0920-0222-19BCQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222 2019 Questions for Cognitive Testing 0920 0222 PRAMS Attach 1 Questions final.docx Yes No Fillable Fileable
Form and Instruction 0920-0222 Screener 0920 0222 PRAMS Attach 3 Screener.docx Yes No Fillable Fileable
Form and Instruction 0920-0222 Respondent Data 0920 0222 PRAMS Attach 5 Respondent Data.docx Yes No Fillable Fileable

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population 09-20-0164   49 FR 37693

80 0
   
Individuals or Households
 
   0 %

  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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 35 0 35 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Ads 0920 0222 PRAMS Attach 2abc Ads.docx 05/23/2019
Informed Consent 0920 0222 PRAMS Attach 4 Informed Consent.docx 05/23/2019
Thank You Letter 0920 0222 PRAMS Attach 6 Thank You Letter.docx 05/23/2019
10 Day Letter 0920-0222 PRAMS 2019 10-Day Letter final.docx 05/23/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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