Information Collection

PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules)

IC 236587 under ICR 202211-0920-018 · OMB 0920-1273.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1273 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules)	Form and Instruction
PRAMS Phase 8 Web Survey - MD Att 2a - PRAMS Phase 8 Web Survey - MD.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - MD Att 2a - PRAMS Phase 8 Web Survey - MD.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - PR Att 2b - PRAMS Phase 8 Web Survey - PR.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - PR Att 2b - PRAMS Phase 8 Web Survey - PR.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - SC Att 2c - PRAMS Phase 8 Web Survey - SC.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - SC Att 2c - PRAMS Phase 8 Web Survey - SC.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - VA Att 2d - PRAMS Phase 8 Web Survey - VA.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - VA Att 2d - PRAMS Phase 8 Web Survey - VA.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - WY Att 2e - PRAMS Phase 8 Web Survey - WY.pdf	Form and Instruction
PRAMS Phase 8 Web Survey - WY Att 2e - PRAMS Phase 8 Web Survey - WY.pdf	Form and Instruction
PRAMS Livebirth Phase 8 Core Mail Questionnaire (English Att 8a - PRAMS Livebirth Phase 8 Core Mail Questionnaire_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Mail Questionnaire (English Att 8a - PRAMS Livebirth Phase 8 Core Mail Questionnaire_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Mail Questionnaire (Spanish Att 8b - PRAMS Livebirth Phase 8 Core Mail Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Mail Questionnaire (Spanish Att 8b - PRAMS Livebirth Phase 8 Core Mail Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Phone Questionnaire (Englis Att 8c - PRAMS Livebirth Phase 8 Core Phone Questionnaire_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Phone Questionnaire (Englis Att 8c - PRAMS Livebirth Phase 8 Core Phone Questionnaire_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Phone Questionnaire (Englis Att 8d - PRAMS Livebirth Phase 8 Core Phone Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Core Phone Questionnaire (Englis Att 8d - PRAMS Livebirth Phase 8 Core Phone Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Mail Questionnaire (English Att 8e - PRAMS Livebirth Phase 9 Core Mail Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Mail Questionnaire (English Att 8e - PRAMS Livebirth Phase 9 Core Mail Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Mail Questionnaire (Spanish Att 8f - PRAMS Livebirth Phase 9 Core Mail Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Mail Questionnaire (Spanish Att 8f - PRAMS Livebirth Phase 9 Core Mail Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Phone Questionnaire (Englis Att 8g - PRAMS Livebirth Phase 9 Core Phone Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Phone Questionnaire (Englis Att 8g - PRAMS Livebirth Phase 9 Core Phone Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Phone Questionnaire (Spanis Att 8h - PRAMS Livebirth Phase 9 Core Phone Questionnaire - SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Phone Questionnaire (Spanis Att 8h - PRAMS Livebirth Phase 9 Core Phone Questionnaire - SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Web Questionnaire (English) Att 8i - PRAMS Livebirth Phase 9 Core Web Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Web Questionnaire (English) Att 8i - PRAMS Livebirth Phase 9 Core Web Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Web Questionnaire (Spanish) Att 8j - PRAMS Livebirth Phase 9 Core Web Questionniare - SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Core Web Questionnaire (Spanish) Att 8j - PRAMS Livebirth Phase 9 Core Web Questionniare - SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Mail Modules (English) Att 10a - PRAMS Livebirth Phase 8 Standard Mail Module_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Mail Modules (English) Att 10a - PRAMS Livebirth Phase 8 Standard Mail Module_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Mail Modules (Spanish) Att 10b - PRAMS Livebirth Phase 8 Standard Mail Module_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Mail Modules (Spanish) Att 10b - PRAMS Livebirth Phase 8 Standard Mail Module_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Phone Module (English) Att 10c - PRAMS Livebirth Phase 8 Standard Phone Module_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Phone Module (English) Att 10c - PRAMS Livebirth Phase 8 Standard Phone Module_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Phone Module (Spanish) Att 10d - PRAMS Livebirth Phase 8 Standard Phone Module_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 8 Standard Phone Module (Spanish) Att 10d - PRAMS Livebirth Phase 8 Standard Phone Module_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Mail Questionnaire (Eng Att 10e - PRAMS Livebirth Phase 9 Standard Mail Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Mail Questionnaire (Eng Att 10e - PRAMS Livebirth Phase 9 Standard Mail Questionnaire - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Mail Questionnaire (Spa Att 10f - PRAMS Livebirth Phase 9 Standard Mail Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Mail Questionnaire (Spa Att 10f - PRAMS Livebirth Phase 9 Standard Mail Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Phone Questionnaire (En Att 10g - PRAMS Livebirth Phase 9 Standard Phone Questionnaire_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Phone Questionnaire (En Att 10g - PRAMS Livebirth Phase 9 Standard Phone Questionnaire_ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Phone Questionnaire (Sp Att 10h - PRAMS Livebirth Phase 9 Standard Phone Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Phone Questionnaire (Sp Att 10h - PRAMS Livebirth Phase 9 Standard Phone Questionnaire_SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Web Module (English) Att 10i - PRAMS Livebirth Phase 9 Standard Web Module - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Web Module (English) Att 10i - PRAMS Livebirth Phase 9 Standard Web Module - ENGLISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Web Module (Spanish) Att 10j - PRAMS Livebirth Phase 9 Standard Web Module - SPANISH.docx	Form and Instruction
PRAMS Livebirth Phase 9 Standard Web Module (Spanish) Att 10j - PRAMS Livebirth Phase 9 Standard Web Module - SPANISH.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	PRAMS Phase 8 Web Survey - MD	Att 2a - PRAMS Phase 8 Web Survey - MD.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Phase 8 Web Survey - PR	Att 2b - PRAMS Phase 8 Web Survey - PR.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Phase 8 Web Survey - SC	Att 2c - PRAMS Phase 8 Web Survey - SC.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Phase 8 Web Survey - VA	Att 2d - PRAMS Phase 8 Web Survey - VA.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Phase 8 Web Survey - WY	Att 2e - PRAMS Phase 8 Web Survey - WY.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Livebirth Phase 8 Core Mail Questionnaire (English)	Att 8a - PRAMS Livebirth Phase 8 Core Mail Questionnaire_ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 8 Core Mail Questionnaire (Spanish)	Att 8b - PRAMS Livebirth Phase 8 Core Mail Questionnaire_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 8 Core Phone Questionnaire (English)	Att 8c - PRAMS Livebirth Phase 8 Core Phone Questionnaire_ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 8 Core Phone Questionnaire (English)	Att 8d - PRAMS Livebirth Phase 8 Core Phone Questionnaire_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Core Mail Questionnaire (English)	Att 8e - PRAMS Livebirth Phase 9 Core Mail Questionnaire - ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Core Mail Questionnaire (Spanish)	Att 8f - PRAMS Livebirth Phase 9 Core Mail Questionnaire_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Core Phone Questionnaire (English)	Att 8g - PRAMS Livebirth Phase 9 Core Phone Questionnaire - ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Core Phone Questionnaire (Spanish)	Att 8h - PRAMS Livebirth Phase 9 Core Phone Questionnaire - SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Core Web Questionnaire (English)	Att 8i - PRAMS Livebirth Phase 9 Core Web Questionnaire - ENGLISH.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Livebirth Phase 9 Core Web Questionnaire (Spanish)	Att 8j - PRAMS Livebirth Phase 9 Core Web Questionniare - SPANISH.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Livebirth Phase 8 Standard Mail Modules (English)	Att 10a - PRAMS Livebirth Phase 8 Standard Mail Module_ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 8 Standard Mail Modules (Spanish)	Att 10b - PRAMS Livebirth Phase 8 Standard Mail Module_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 8 Standard Phone Module (English)	Att 10c - PRAMS Livebirth Phase 8 Standard Phone Module_ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 8 Standard Phone Module (Spanish)	Att 10d - PRAMS Livebirth Phase 8 Standard Phone Module_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Standard Mail Questionnaire (English)	Att 10e - PRAMS Livebirth Phase 9 Standard Mail Questionnaire - ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Standard Mail Questionnaire (Spanish)	Att 10f - PRAMS Livebirth Phase 9 Standard Mail Questionnaire_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Standard Phone Questionnaire (English)	Att 10g - PRAMS Livebirth Phase 9 Standard Phone Questionnaire_ENGLISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Standard Phone Questionnaire (Spanish)	Att 10h - PRAMS Livebirth Phase 9 Standard Phone Questionnaire_SPANISH.docx	No		Paper Only
Form and Instruction	None	PRAMS Livebirth Phase 9 Standard Web Module (English)	Att 10i - PRAMS Livebirth Phase 9 Standard Web Module - ENGLISH.docx	Yes	Yes	Fillable Fileable
Form and Instruction	None	PRAMS Livebirth Phase 9 Standard Web Module (Spanish)	Att 10j - PRAMS Livebirth Phase 9 Standard Web Module - SPANISH.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0160 Records of Subjects in Health Promotion and Education Studies

FR Citation: 51 FR 42484

Number of Respondents: 51,556

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 34 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51,556	-514	52,070
Annual IC Time Burden (Hours)	22,341	-223	22,564
Annual IC Cost Burden (Dollars)	0	-553,712	553,712

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.