Information Collection Request

[NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)

ICR 202305-0920-012 · 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⚠️ Notice: This information collection may be outdated.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	Unchanged	Repair queued
PRAMS Field Test	Form and Instruction	Unchanged	Repair queued
PRAMS Call-back Surveys (with Opioid Call-back Survey Example)	Form and Instruction	Unchanged	Repair queued
PRAMS Supplemental Modules	Form and Instruction	Unchanged	Repair queued
PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules)	Form and Instruction	Unchanged	Missing upstream
Att 17 - PRAMS Phase 9 Cognitive Testing Report.pdf	Supplementary Document	Uploaded 2023-05-25	Repair queued
0920-1273 Response to Terms of Clearance _05_23_2023.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-05-25	Repair queued
FINAL for signature - Stacey Y Brayboy_March of Dimes - CAPS 00264282_signed.docx	Supplementary Document	Uploaded 2023-05-25	Repair queued
Att 19 - PRAMS Nonresponse Bias Assessment of 2019 Data.pdf	Supplementary Document	Uploaded 2023-03-22	Available
Att 18 - PRAMS Phase 9 Field Testing Report.pdf	Supplementary Document	Uploaded 2023-03-22	Repair queued
Att 2f - PRAMS Phase 8 Web Mode Data Collection Metrics_03132023.docx	Supplementary Document	Uploaded 2023-03-22	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 _03 13 2023 clean.docx	Supplementary Document	Uploaded 2023-03-22	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	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	Missing upstream
Att 5 - PRAMS Response Gifts and Incentives by Jurisdiction 03 13 2023 clean.docx	Supplementary Document	Uploaded 2023-03-22	Repair queued
Att 4 - PRAMS Questionnaire Development Process.docx	Supplementary Document	Uploaded 2022-11-29	Missing upstream
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_3-21-2023.docx	Supporting Statement B	Uploaded 2023-03-22	Repair queued
1273 PRAMS SSA 11-16-2022_3-21-2023.docx	Supporting Statement A	Uploaded 2023-03-22	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
257195	Submission of Data File to CDC	Instruction	Unchanged
236591	PRAMS Stillbirth Survey	Form and Instruction	Unchanged
236590	PRAMS Field Test	Form and Instruction	Unchanged
236589	PRAMS Call-back Surveys (with Opioid Call-back Survey Example)	Form and Instruction	Unchanged
236588	PRAMS Supplemental Modules	Form and Instruction	Unchanged
236587	PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules)	Form and Instruction	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1273
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202211-0920-018
Agency Tracking No	0920-23FL
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31