[NCCDPHP] Maternal Mortality Review Information Application (MMRIA)

ICR 202304-0920-003

OMB: 0920-1294

Federal Form Document

Forms and Documents

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

IC Document Collections

IC ID	Document Title	Status
259715	Data Abstraction Second Funding Support Form and Instruction	New
239003	Committee Decision Form and Instruction	Modified
238999	Data Abstraction Form and Instruction	Modified