Information Collection

Mothers at Risk for Postpartum Depression

IC 253014 under ICR 202407-0990-002 · OMB 0990-0281.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OWH Phase 1 Focus Group Recruitment Screener 4-4-22 Submit CM.LS.docx	Other-Recruitment screener
OWH FG Group Phase 2 Screener 4-4-22 (002).docx	Other-Screener 2
Recruitment Screening.docx	Other-Screening
OWH PPD Draft Concept Testing - Moderators Guide 4.5.22 Submitted.CM.LS.docx Guidance	IC Document
Supporting Statement A 4.5.22 Submitted CM.LS.docx Supporting A	IC Document
Supporting Statement B 4.5.22 Submitted CM.LS.docx Supporting B	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment screener	OWH Phase 1 Focus Group Recruitment Screener 4-4-22 Submit CM.LS.docx	Yes	Yes	Fillable Fileable
Other-Screener 2	OWH FG Group Phase 2 Screener 4-4-22 (002).docx	Yes	Yes	Fillable Fileable
Other-Screening	Recruitment Screening.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,124

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,124	1,124
Annual IC Time Burden (Hours)	682	682
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Guidance	OWH PPD Draft Concept Testing - Moderators Guide 4.5.22 Submitted.CM.LS.docx	04/21/2022
Supporting A	Supporting Statement A 4.5.22 Submitted CM.LS.docx	04/21/2022
Supporting B	Supporting Statement B 4.5.22 Submitted CM.LS.docx	04/21/2022

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