Information Collection Request

[NCCDPHP] Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

ICR 202601-0920-008 · OMB 0920-0743 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0743 mPINC Hospital Survey-Spanish Form and Instruction Modified Available
Form 0920-0743 mPINC Hospital Survey- English Form and Instruction Modified Available
Form 0920-0743 mPINC Hospital Survey Form and Instruction Modified Available
Form 0920-0743 Attachment 4d Screening Part B-Spanish Form and Instruction Modified Available
Form 0920-0743 Attachment 4c Screening Part B-English Form and Instruction Modified Available
Form 0920-0743 Screening Part B Form and Instruction Modified Repair queued
Form 0920-0743 Attachment 4b Screening Part A-Spanish Form and Instruction Modified Available
Form 0920-0743 Attachment 4a Screening Part A-English Form and Instruction Modified Available
Form 0920-0743 Screening Part A Form and Instruction Modified Repair queued
mPINC 30 Day FRN Public Comments Responses.docx Supplementary Document Uploaded 2026-03-09 Available
mPINC Comments 2026.docx.pdf Public Comments Uploaded 2026-02-13 Available
PC_202601-0920-008_021326_064510_1.pdf Public Comments Uploaded 2026-02-13 Available
USBC_OMB mPINC survey comment.pdf Public Comments Uploaded 2026-02-13 Available
PC_202601-0920-008_021326_024615_1.pdf Public Comments Uploaded 2026-02-13 Available
PC_202601-0920-008_021326_074852_1.pdf Public Comments Uploaded 2026-02-13 Available
mPINC Comment 2026-2.pdf Public Comments Uploaded 2026-02-12 Available
PC_202601-0920-008_021226_111012_1.pdf Public Comments Uploaded 2026-02-12 Available
OMB_mPINC Public Comment LOS.pdf Public Comments Uploaded 2026-02-12 Available
PC_202601-0920-008_021226_025051_1.pdf Public Comments Uploaded 2026-02-12 Available
MBC mPINC comment.pdf Public Comments Uploaded 2026-02-12 Repair queued
PC_202601-0920-008_021226_091535_1.pdf Public Comments Uploaded 2026-02-12 Available
PC_202601-0920-008_021126_103008_1.pdf Public Comments Uploaded 2026-02-11 Available
PC_202601-0920-008_020626_060852_1.pdf Public Comments Uploaded 2026-02-06 Available
PC_202601-0920-008_020626_073221_1.pdf Public Comments Uploaded 2026-02-06 Available
PC_202601-0920-008_020526_022235_1.pdf Public Comments Uploaded 2026-02-05 Available
Public Comment in Support of Reinstating and Continuing the mPINC Survey-Logo.pdf Public Comments Uploaded 2026-02-05 Available
PC_202601-0920-008_020526_124937_1.pdf Public Comments Uploaded 2026-02-05 Available
PC_202601-0920-008_020526_100738_1.pdf Public Comments Uploaded 2026-02-05 Available
PC_202601-0920-008_020526_101608_1.pdf Public Comments Uploaded 2026-02-05 Available
PC_202601-0920-008_020426_123119_1.pdf Public Comments Uploaded 2026-02-04 Repair queued
PC_202601-0920-008_020426_101353_1.pdf Public Comments Uploaded 2026-02-04 Available
PC_202601-0920-008_020326_113257_1.pdf Public Comments Uploaded 2026-02-03 Available
PC_202601-0920-008_020226_093755_1.pdf Public Comments Uploaded 2026-02-02 Available
PC_202601-0920-008_013026_065556_1.pdf Public Comments Uploaded 2026-01-30 Available
NB mPINC comment 01292026.pdf Public Comments Uploaded 2026-01-29 Repair queued
PC_202601-0920-008_012926_112459_1.pdf Public Comments Uploaded 2026-01-29 Available
PC_202601-0920-008_012826_013631_1.pdf Public Comments Uploaded 2026-01-28 Available
INFACT USA Comment - OMB Control No. 0920-0743 - Jan 28 2026.pdf Public Comments Uploaded 2026-01-28 Available
KBC mPINC Comments 2026.pdf Public Comments Uploaded 2026-01-27 Available
PC_202601-0920-008_012726_021100_1.pdf Public Comments Uploaded 2026-01-27 Available
mPINC comments 2026.docx Public Comments Uploaded 2026-01-26 Available
Attachment 5h Survey Cover Letter Email-Spanish.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 5h Survey Cover Letter Email-Spanish.docx Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 5g Survey Cover Letter Email-English.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 5g Survey Cover Letter Email-English.docx Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 5f Screener Cover Letter Email-Spanish.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 5f Screener Cover Letter Email-Spanish.docx Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 5d Screener Cover Letter Paper-Spanish.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 5d Screener Cover Letter Paper-Spanish.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document Uploaded 2026-01-23 Available
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 3b 2026 Hospital Report.pdf Supplementary Document Uploaded 2026-01-23 Available
Attachment 3b 2026 Hospital Report.pdf Supplementary Document Uploaded 2026-01-23 Repair queued
Attachment 5b Advance Notification Letter-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5b Advance Notification Letter-Spanish.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 5a Advance Notification Letter-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5a Advance Notification Letter-English.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 5c Screener Cover Letter Paper-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5c Screener Cover Letter Paper-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5k Reminder Email-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5k Reminder Email-English.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 5l Reminder Email-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5l Reminder Email-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5m Reminder Telephone Call Script-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5m Reminder Telephone Call Script-English.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 5n Reminder Telephone Call-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 5n Reminder Telephone Call-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 6 Privacy Narrative Form 0920-0743 Dec2025.pdf Supplementary Document Uploaded 2026-01-22 Available
Attachment 6 Privacy Narrative Form 0920-0743 Dec2025.pdf Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 7a Human Subjects Document-CDC.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 7a Human Subjects Document-CDC.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 7b Human Subjects Document-Contractor.pdf Supplementary Document Uploaded 2026-01-22 Available
Attachment 7b Human Subjects Document-Contractor.pdf Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document Uploaded 2026-01-22 Available
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 3g Screenshots mPINC 2026 Survey-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 3g Screenshots mPINC 2026 Survey-Spanish.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 2b Summary Public Comments.docx Public Comments Uploaded 2026-01-22 Available
Attachment 3e Screenshots mPINC 2026 Screening B-Spanish.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 3e Screenshots mPINC 2026 Screening B-Spanish.docx Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 3d Screenshots mPINC 2026 Screening B-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 3d Screenshots mPINC 2026 Screening B-English.docx Supplementary Document Uploaded 2026-01-22 Available
Attachment 3c Frequently Asked Questions.pdf Supplementary Document Uploaded 2026-01-22 Available
Attachment 3c Frequently Asked Questions.pdf Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 3a CDC Survey Website.pdf Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 3a CDC Survey Website.pdf Supplementary Document Uploaded 2026-01-22 Repair queued
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document Uploaded 2026-01-22 Available
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document Uploaded 2026-01-22 Repair queued
OMB SS PART A_Control No 0920-0743.docx Supporting Statement B Uploaded 2026-01-22 Available
OMB SS PART A_Control No 0920-0743.docx Supporting Statement B Uploaded 2026-01-22 Available
OMB SS PART A_Control No 0920-0743.docx Supporting Statement A Uploaded 2026-01-22 Available
OMB SS PART A_Control No 0920-0743.docx Supporting Statement A Uploaded 2026-01-22 Repair queued
mPINC 2278 PIA_Reauth_PO_approved.pdf Supplementary Document Uploaded 2021-09-29 Available
mPINC 2278 PIA_Reauth_PO_approved.pdf Supplementary Document Uploaded 2021-09-29 Repair queued
Attachment 3c Frequently Asked Questions.docx Supplementary Document Uploaded 2021-09-29 Available
Attachment 3c Frequently Asked Questions.docx Supplementary Document Uploaded 2021-09-29 Repair queued
Attachment 2a 60 day Federal Register Notice.pdf Supplementary Document Uploaded 2021-09-29 Available
Attachment 2a 60 day Federal Register Notice.pdf Supplementary Document Uploaded 2021-09-29 Repair queued
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document Uploaded 2021-09-29 Available
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document Uploaded 2021-09-29 Repair queued
Attachment 7 Human Subjects Document.pdf Supplementary Document Uploaded 2021-09-29 Available
Attachment 7 Human Subjects Document.pdf Supplementary Document Uploaded 2021-09-29 Available
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document Uploaded 2021-09-29 Available
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document Uploaded 2021-09-29 Repair queued
Attachment 3b 2018 Hospital Report.pdf Supplementary Document Uploaded 2021-09-29 Available
Attachment 3b 2018 Hospital Report.pdf Supplementary Document Uploaded 2021-09-29 Repair queued
Attachment 3a CDC Survey Website.pdf Supplementary Document Uploaded 2021-08-31 Available
Attachment 3a CDC Survey Website.pdf Supplementary Document Uploaded 2021-08-31 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
239965 mPINC Hospital Survey Form and Instruction ModifiedmPINC Hospital Survey-Spanish
239965 mPINC Hospital Survey Form and Instruction ModifiedmPINC Hospital Survey- English
239965 mPINC Hospital Survey Form and Instruction Modified
189526 Screening Part B Form and Instruction ModifiedAttachment 4d Screening Part B-Spanish
189526 Screening Part B Form and Instruction ModifiedAttachment 4c Screening Part B-English
189526 Screening Part B Form and Instruction Modified
179024 Screening Part A Form and Instruction ModifiedAttachment 4b Screening Part A-Spanish
179024 Screening Part A Form and Instruction ModifiedAttachment 4a Screening Part A-English
179024 Screening Part A Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2029 36 Months From Approved
3,718 0 0
777 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Screening Part A 0920-0743, 0920-0743 ,  
Screening Part B 0920-0743, 0920-0743 ,  
mPINC Hospital Survey 0920-0743, 0920-0743 ,  

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 3,718 0 0 3,718 0 0
Annual Time Burden (Hours) 777 0 0 777 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No