OMB control number
Fetal-Infant Mortality Review: Human Immunodeficiency Virus Prevention Methodology (FHPM)
OMB 0920-0902 ยท HHS/CDC.
OMB 0920-0902
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 2 FIMR/HIV Maternal Interview Form | Form and Instruction |
 0920-09XX_Stats_SectB_FIMR-HIV_Final.doc | Supporting Statement B |
| Attachment 4.b Maternal Interview Consent Form - French.doc | Supplementary Document |
| Attachment 4.c Maternal Interview Consent Form - Creole.doc | Supplementary Document |
| Attachment 4.d Maternal Interview Consent Form - Spanish.doc | Supplementary Document |
 Attachment 3.b Maternal Interview Form - French.pdf | Supplementary Document |
| Attachment 3.d Maternal Interview Form - Spanish.pdf | Supplementary Document |
| Attachment 3.c Maternal Interview Form - Creole.pdf | Supplementary Document |
| Maternal Interview Consent Form - Spanish.doc | Supplementary Document |
| Maternal Interview Consent Form - French.doc | Supplementary Document |
| Supporting Statement A.doc | Supporting Statement A |
 FIMR/HIV Maternal Interview Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201107-0920-001 | New collection (Request for a new OMB Control Number) | 2011-07-06 | Approved with change |