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Cognitive testing of maternal health in local jails survey

IC 275986 under ICR 202504-1121-002 · OMB 1121-0339.

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Form and Instruction
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Cognitive testing of maternal health in local jails survey BJS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1121-0339 Understanding Maternal Health in Local Jails Attachment A - Instrument.pdf Yes Yes Fillable Fileable

Correctional Activities Criminal Incarceration

 

60 0
   
State, Local, and Tribal Governments
 
   50 %

  Approved 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 115 0 115 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Maternal Health in Local Jails Memo BJS-SSP_Maternal_Health_Generic Clearance Memo - 05-29-25.docx 06/30/2025
Maternal Health GEN IC template Generic Clearance IC Template 1121-0339_SSPMaternalHealth.docx 06/30/2025
All SSP Maternal Health Attachments All SSP Maternal Health Attachments.pdf 07/01/2025
Attachment A - Instrument Attachment A - Instrument.pdf 07/11/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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