Information Collection

National Maternal Mental Health Hotline

IC 282557 under ICR 202609-0906-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A_0906-0084_MCHB_Hotline_Script_2027 Renewal.docx	Instruction
B_0906-0084_MCHB_Hotline_Data Dictionary_2027 Renewal.xlsx	Instruction

IC Title:

Agency IC Tracking Number:

IC Status: New

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
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 46,200

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46,200	46,200
Annual IC Time Burden (Hours)	14,234	14,234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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