Privacy Narrative Form

Attachment 6 Privacy Narrative Form 0920-0743 Dec2025.pdf

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

Privacy Narrative Form

OMB: 0920-0743

Document [pdf]
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Date

Information Collection Request - Privacy Narrative
Maternity Practices in Infant Nutrition and Care (mPINC)
Title: ______________________________________________________________________________________
Kristin Marks
Point of Contact: _____________________________________________________________________________

Description

The purpose of this information collection is to conduct the 2026 and 2028 Maternity Practices in
Infant Nutrition and Care (mPINC) surveys. This survey is a national census conducted every two
years to assess breastfeeding related maternity care practices in hospitals in the United States and
territories that provide intrapartum care, and to analyze trends and changes in these
breastfeeding-related maternity practices over time. Hospitals that have provided maternity care in the
previous year are eligible to participate. Participation is completely voluntary.
The survey collects hospital level data related to the hospital's practices and policies related to
maternity care. Because the mPINC survey is administered to hospitals and not to individuals, all data
provided in the mPINC survey are at the hospital level, related to organizational practices for the entire
maternity population under that hospital's care. The items of information to be collected are hospital
size and other characteristics; maternity care and infant feeding practices; the nature of breastfeeding
education and support the health care facility makes available to mothers; staff training; and prevalence
of specific hospital policies that have been identified as influential for breastfeeding and maternal and
infant health.
Through the screening process, a contact person at each participating hospital is identified as the
survey recipient. Minimal information in identifiable form (IIF) is collected from this contact person
and is used as a means to invite participation, deliver login instructions for completing the survey using
the web-based system, distribute the Hospital Report, and inform the contact person about mPINC
survey related opportunities. The IIF collected is business contact information including name,
position, telephone number, official hospital email address, and mailing/FedEx address. The PII for
each hospital's contact person has no analytic or empiric value in connection to that hospital's data. It is
therefore securely maintained in a file separate from analytic files. No data are collected to allow
identification of the individual(s) who completes the web-based survey for a given hospital.
The contractor assigns a unique study identified number to each
respondent
hospital.
Data
are collected
Business
contact
information
only
✔ Yes
No If yes, describe: _____________________________________
via a secure Web-based survey. The electronic data files containing the survey response data are
identified
only
by the
study
identified
and Act
does
not include PII.
will transfer the
Does
this ICR
include
a form
that
requires code
a Privacy
Statement?
YesThe✔contractor
No
password protected hospital specific dataset to CDC. The dataset containing the PII will be transferred
✔ No
Does
this ICR require
a PIA?
Yes specific
yes,bedoes
a signed
PIA already exist?
No
in a separate
file from
the hospital
data and Ifwill
linked
by identification
number.✔ Yes
Does this ICR request any PII?

The Privacy Act DOES/DOES NOT apply.

C/I/O Approval
Associate Director for Science

Joan Redmondleonard -S
Comments:

Digitally signed by Joan
Redmond-leonard -S
Date: 2025.12.10
16:20:42 -05'00'

Information Systems Security Officer

Cynthia
Allen -S

Digitally signed by
Cynthia Allen -S
Date: 2025.04.11
09:33:51 -04'00'


File Typeapplication/pdf
File TitleInformation Collection Request - Privacy Narrative
SubjectInformation Collection Request - Privacy Narrative, ICR, PII
AuthorCenters for Disease Control and Prevention (CDC)
File Modified2025-12-10
File Created2019-07-10

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