Information Collection Request

Pregnancy Risk Assessment Monitoring System (PRAMS)

ICR 202211-0920-018 · OMB 0920-1273 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
PRAMS Stillbirth Survey Form and Instruction Modified Repair queued
PRAMS Field Test Form and Instruction Modified Repair queued
PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Form and Instruction Modified Repair queued
PRAMS Supplemental Modules Form and Instruction Modified Repair queued
PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules) Form and Instruction Modified Repair queued
Att 2f - PRAMS Phase 8 Web Mode Data Collection Metrics.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 16 Summary of Changes between Phase 8 and 9.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 15a - PRAMS Field Testing Methodology.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 14 - PRAMS Live Birth Sample Size by Jurisdiction.xlsx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 13 - PRAMS IRB Approval_2022.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12j - Livebirth Web Introduction and Informed Consent - SPANISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12i - PRAMS Livebirth Web Introduction and Informed Consent - ENGLISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12h - Stillbirth Phone Introduction and Informed Consent_SPANISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12g - Stillbirth Phone Introduction and Informed Consent_ENGLISH.docx Supplementary Document Uploaded 2022-11-29 Missing upstream
Att 12f - PRAMS Livebirth Phone Introduction and Informed Consent - SPANISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12e - PRAMS Livebirth Phone Introduction and Informed Consent - ENGLISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12d - Stillbirth Mail Introduction and Informed Consent - SPANISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12c - Stillbirth Mail Introduction and Informed Consent_ENGLISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12b - PRAMS Livebirth Mail Introduction and Informed Consent - SPANISH.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 12a - PRAMS Livebirth Mail Introduction and Informed Consent - ENGLISH.docx Supplementary Document Uploaded 2022-11-29 Missing upstream
Att 7 - PRAMS Livebirth Phase 8 and Phase 9 Questionnaire Topic Reference.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 6 - PIDS Privacy Impact Assessment.pdf Supplementary Document Uploaded 2022-11-29 Repair queued
Att 5 - PRAMS Response Gifts and Rewards by Jurisdiction.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 4 - PRAMS Questionnaire Development Process.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 3b - Program Response to Comments 60 Day FRN.pdf Supplementary Document Uploaded 2022-11-29 Repair queued
Att 3a - Published 60 Day FRN.pdf Supplementary Document Uploaded 2022-11-29 Repair queued
Att 1c PREEMIE Reauthorization Act of 2018.pdf Supplementary Document Uploaded 2022-11-29 Repair queued
Att 1b Safe Motherhood and Infant Health Authorization.docx Supplementary Document Uploaded 2022-11-29 Repair queued
Att 1a-Section 301 of the Public Health Service Act (42 U.S.C. 241).docx Supplementary Document Uploaded 2022-11-29 Repair queued
PRAMS SS-B_30 Day_11-16-2022 clean.docx Supporting Statement B Uploaded 2022-11-29 Repair queued
1273 PRAMS SSA 11-16-2022 clean.docx Supporting Statement A Uploaded 2022-11-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
257195 Submission of Data File to CDC Instruction New
236591 PRAMS Stillbirth Survey Form and Instruction Modified
236590 PRAMS Field Test Form and Instruction Modified
236589 PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Form and Instruction Modified
236588 PRAMS Supplemental Modules Form and Instruction Modified
236587 PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules) Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CDC
OMB Control No0920-1273
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No202207-0920-006
Agency Tracking No0920-1273
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31