[NCCDPHP] Maternal Mortality Review Information Application (MMRIA)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Data Abstraction	Form and Instruction	Modified	Available
Committee Decision	Form and Instruction	Unchanged	Available
Data Abstraction	Form and Instruction	Modified	Available
Change Request Memo_0920-1294_Maternal Mortatlity Review Information Application_final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-08-07	Available
Attachment 8. List of changes to MMRIA forms .docx	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 7. MMRIA Request for Determination of Research Status.pdf	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 6. MMRIA Memorandum of Understanding for Central Hosting of MMRIA.docx	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 5. Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 4b. Response to Public Comments on the 60-Day Federal Register Notice.docx	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 4a. MMRIA 60-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 2. Data Flow Diagram.pdf	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 1b. Preventing Maternal Deaths Act.pdf	Supplementary Document	Uploaded 2023-04-14	Available
Attachment 1a. Section 301 of the Public Health Service Act (42 U.S.C. 241).docx	Supplementary Document	Uploaded 2019-12-19	Available
MMRIA SSB_30 day_3_30_2023.docx	Supporting Statement B	Uploaded 2023-04-14	Available
MMRIA SSA_30 day_3_30_2023_final.docx	Supporting Statement A	Uploaded 2023-04-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
259715	Data Abstraction Second Funding Support	Form and Instruction	Modified	Data Abstraction
239003	Committee Decision	Form and Instruction	Unchanged	Committee Decision
238999	Data Abstraction	Form and Instruction	Modified	Data Abstraction

ICR Details

OMB Control No: 0920-1294	ICR Reference No: 202504-0920-001
Status: Historical Active	Previous ICR Reference No: 202304-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25-0071
Title: [NCCDPHP] Maternal Mortality Review Information Application (MMRIA)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/07/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/07/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	05/31/2026	05/31/2026
Responses	4,452	0	4,452
Time Burden (Hours)	33,482	0	33,482
Cost Burden (Dollars)	0	0	0

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Abstract: Maternal Mortality Review Committees (MMRCs) review cases of pregnancy-associated deaths in their jurisdiction to determine and understand pregnancy-relatedness. MMRIA is a comprehensive and standardized data collection system for abstracting data from clinical and nonclinical sources and documenting MMRC decisions. MMRIA will provide comprehensive, timely, and accurate data surrounding these deaths to inform future prevention efforts. For this change request CDC is making minor changes to comply with recent executive orders.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 1580	01/11/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 23425	04/17/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Committee Decision	n/a	Committee Decision
Data Abstraction	n/a	Data Abstraction
Data Abstraction Second Funding Support	n/a	Data Abstraction

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,452	4,452	0	0	0	0
Annual Time Burden (Hours)	33,482	33,482	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden increase is due to 1) an increase in the number of funding recipients that are required to use the MMRIA system, 2) an increase in the estimated number of pregnancy-associated deaths for which data is abstracted per jurisdiction, 3) application of processes that reduce the per case burden for some jurisdictions. These changes each impact the burden resulting in an overall increase to the estimated burden from 11,550 (last approval) to 33,482 for a total increase of 21,932 hours.

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Annual Cost to Federal Government: $19,757,689

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/07/2025

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