PRAMS Field Test

Pregnancy Risk Assessment Monitoring System (PRAMS)

OMB: 0920-1273

IC ID: 236590

Information Collection (IC) Details

View Information Collection (IC)

PRAMS Field Test
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a PRAMS Field Testing Att 18-Field Testing Questionnaire.docx No   Paper Only

Health Public Health Monitoring

09-20-0160 Records of Subjects in Health Promotion and Education Studies  51 FR 42484

150 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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 1,227 0 0 0 0 1,227

Title Document Date Uploaded
Informed Consent for Field Test (English) Att19a-PRAMS Field Testing Questionnaire Informed Consent_English.docx 06/20/2019
Informed Consent for Field Test (Spanish) Att19b-PRAMS Field Testing Questionnaire Informed Consent_Spanish.docx 06/20/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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