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POP - POST ENROLLMENT_F/U Phone Call Script and Pregnancy Ref Form (Mother)

IC 224023 under ICR 202102-0920-008 · OMB 0920-1171.

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POP - POST ENROLLMENT_F/U Phone Call Script and Pregnancy Ref Form (Mother) 16PA
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment 21.d. Follow-up Call Items Checklist SEED 3.docx No   Paper Only
Other-WORD Attachment 7.a. Pregnancy Reference Form Script SEED 3_9-19-16.doc No   Fillable Fileable
Other-WORD Attachment 7.b. Pregnancy Reference Form SEED 3_9_19_16.docx No   Fillable Fileable

Health Public Health Monitoring

09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

301 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 301 0 0 0 0 301
Annual IC Time Burden (Hours) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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