PRAMS Field Test

[NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)

OMB: 0920-1273

IC ID: 236590

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

PRAMS Field Test
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None PRAMS Field Testing Questionnaire (English and Spanish) Att 15b - PRAMS Field Testing Questionnaire English and Spanish.docx No   Paper Only

Health Public Health Monitoring

09-20-0160 Records of Subjects in Health Promotion and Education Studies  51 FR 42484

150 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150 0 0 0 0 150
Annual IC Time Burden (Hours) 100 0 0 0 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PRAMS Field Testing Questionnaire Informed Consent (English) Att 15c - PRAMS Field Testing Questionnaire Informed Consent_ENGLISH.docx 11/29/2022
PRAMS Field Testing Questionnaire Informed Consent (Spanish) Att 15d - PRAMS Field Testing Questionnaire Informed Consent_SPANISH.docx 11/29/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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