Information Collection

National Maternal Mental Health Hotline

IC 271017 under ICR 202503-0906-002 · OMB 0906-0084.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A_0906-0084_MCHB_Hotline_Script_Redline 03052025.docx	Instruction
A_0906-0084_MCHB_Hotline_Script_Redline 03052025.docx	Instruction
B_0906-0084_MCHB_Hotline_Data Dictionary_Redline 03052025.xlsx	Other-Data Dictionary
B_0906-0084_MCHB_Hotline_Data Dictionary_Redline 03052025.xlsx	Other-Data Dictionary
Generic IC Memo - NMMHH.docx Generic IC Memo - NMMHH	IC Document
Generic IC Memo - NMMHH.docx Generic IC Memo - NMMHH	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					Yes	Yes	Fillable Fileable
Other-Data Dictionary					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	33,000	33,000
Annual IC Time Burden (Hours)	9,660	9,660
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic IC Memo - NMMHH		09/17/2024

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

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