Information Collection Request

[NCCDPHP] Maternal Mortality Review Information Application (MMRIA)

ICR 202304-0920-003 · OMB 0920-1294 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Data Abstraction Second Funding Support Form and Instruction New Repair queued
Committee Decision Form and Instruction Modified Available
Data Abstraction Form and Instruction Modified Repair queued
Attachment 8. List of changes to MMRIA forms .docx Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 7. MMRIA Request for Determination of Research Status.pdf Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 6. MMRIA Memorandum of Understanding for Central Hosting of MMRIA.docx Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 5. Privacy Impact Assessment.pdf Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 4b. Response to Public Comments on the 60-Day Federal Register Notice.docx Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 4a. MMRIA 60-Day Federal Register Notice.pdf Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 2. Data Flow Diagram.pdf Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 1b. Preventing Maternal Deaths Act.pdf Supplementary Document Uploaded 2023-04-14 Repair queued
Attachment 1a. Section 301 of the Public Health Service Act (42 U.S.C. 241).docx Supplementary Document Uploaded 2019-12-19 Repair queued
MMRIA SSB_30 day_3_30_2023.docx Supporting Statement B Uploaded 2023-04-14 Missing upstream
MMRIA SSA_30 day_3_30_2023_final.docx Supporting Statement A Uploaded 2023-04-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
259715 Data Abstraction Second Funding Support Form and Instruction New
239003 Committee Decision Form and Instruction Modified
238999 Data Abstraction Form and Instruction Modified

ICR Details

Record metadata
Received in OIRA
HHS/CDC
0920-1294
Revision of a currently approved collection
201912-0920-002
0920-1294
1969-12-31
1969-12-31