Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Enhanced Household: Birth Visit Interview
Modified
516
206
0
Form and Instruction
8
Survey
Enhanced Household: Household Enumeration Script
Modified
120000
39600
0
Form and Instruction
1
Survey
Enhanced Household: Neighbor Report
Modified
12000
600
0
Form
10
Form
Enhanced Household: Pre-pregnancy Interview
Modified
211
158
0
Form and Instruction
4
Survey
Enhanced Household: Pregnancy Probability Group Follow Up Script
Modified
1266
127
0
Form and Instruction
5.1
Survey
Form and Instruction
5.2
Survey
Enhanced Household: Pregnancy Screening
Modified
51198
21503
0
Form and Instruction
2
Survey
Enhanced Household: Pregnancy Visit 1 Interview
Modified
986
986
0
Form and Instruction
6
Survey
Enhanced Household: Pregnancy Visit 2 Interview
Modified
986
740
0
Form and Instruction
7
Survey
Enhanced Household: Women's Informed Consent Form
Modified
2586
1733
0
Form and Instruction
3.1
Consent
Provider-Based: Address Look-Up
Modified
7500
750
0
Instruction
Provider-Based: Birth Visit Interview
Modified
299
120
0
Form and Instruction
8
Survey
Provider-Based: Pre-Pregnancy Visit
Modified
123
92
0
Form and Instruction
4
Survey
Provider-Based: Pregnancy Probability Group Follow Up Script
Modified
738
74
0
Form and Instruction
5.1
Survey
Form and Instruction
5.2
Survey
Provider-Based: Pregnancy Screening
Modified
1500
630
0
Form and Instruction
2.3
Survey
Provider-Based: Pregnancy Visit 1 Interview
Modified
572
572
0
Form and Instruction
6
Survey
Provider-Based: Pregnancy Visit 2 Interview
Modified
572
429
0
Form and Instruction
7
Survey
Provider-Based: Women's Informed Consent Form
Modified
1500
1005
0
Form and Instruction
3.1
Consent
Two Tier (High): Pre-Pregnancy Interview
Modified
761
571
0
Form and Instruction
4
Survey
Two Tier (High): Pregnancy Probability Group Follow Up Script
Modified
4566
457
0
Form and Instruction
5.1
Survey
Form and Instruction
5.2
Survey
Two Tier (High): Pregnancy Screening
Modified
15840
6653
0
Form and Instruction
2
Survey
Two Tier (High): Pregnancy Visit 1 Interview
Modified
3552
3552
0
Form and Instruction
6
Survey
Two Tier (High): Pregnancy Visit 2 Interview
Modified
3552
2664
0
Form and Instruction
7
Survey
Two Tier (High): Women's Informed Consent Form
Modified
9504
6368
0
Form and Instruction
3.1
Consent
Two Tier (Low): Low-Intensity CATI Pregnancy Screener
Modified
48000
16800
0
Form and Instruction
2.2
Survey
Two Tier (Low): Low-Intensity CATI Questionnaire (Age-Eligible Women)
Modified
10057
5029
0
Form and Instruction
9
Survey
Two Tier (Low): Low-Intensity CATI Questionnaire (Birth-Related Activities)
Modified
166
83
0
Form and Instruction
9
Survey
Two Tier (Low): Low-Intensity CATI Questionnaire (Pregnancy Activities)
Modified
518
259
0
Form and Instruction
9
Survey
Two Tier (Low): Low-Intensity Consent Script
Modified
28800
9504
0
Form and Instruction
3.2
Consent
Form and Instruction
3.3
Consent
Two Tier (Low): Pregnancy Probability Group Follow Up Script
Modified
60342
6034
0
Form and Instruction
5.2
Survey
Form and Instruction
5.1
Survey
Two-Tier (High): Birth Visit Interview
Modified
1857
743
0
Form and Instruction
8
Survey
Total burden requested under this ICR:
390068
128042
0
To view an IC, click on IC Title