Information Collection Request
Pregnancy Risk Assessment Monitoring System (PRAMS)
ICR 202211-0920-018 · OMB 0920-1273 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1273 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 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 | Repair queued |
| 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 | Repair queued |
| Att 7 - PRAMS Livebirth Phase 8 and Phase 9 Questionnaire Topic Reference.docx |
Supplementary Document | Uploaded 2022-11-29 | Missing upstream |
 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 ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1273 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202207-0920-006 |
| Agency Tracking No | 0920-1273 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |