Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Birth Activities-Mother and Children New 1824 693 0 Form and Instruction A.3.2 Survey
Form and Instruction A.2.1.h Survey
Form and Instruction A.2.3.L5 Survey
Form and Instruction A.1.1.a Survey
Form and Instruction A.1.1.c Survey
Child Care Providers New 120 120 0 Form and Instruction C.10.5 Instruments
Community Leaders New 165 8 0 Form and Instruction C.9.4 Instruments
Eligibility Screening New 14954 1196 0 Form and Instruction A.1.1.b Survey
Fathers New 1908 1374 0 Form and Instruction A.2.3.f Survey
Form and Instruction A.1.3.b Survey
Form and Instruction A.2.2.a Survey
Form and Instruction A.2.2.b Survey
Form and Instruction A.2.2.c Survey
Form and Instruction A.2.2.d Survey
Form and Instruction A.2.2.e Survey
Form and Instruction A.2.3.b3 Survey
Form and Instruction A.2.3.f Survey
Form and Instruction A.2.3.i Survey
Form and Instruction A.2.3.i Survey
Form and Instruction A.2.3.j1 Survey
Form and Instruction A.2.3.j2 Survey
Form and Instruction A.2.3.j3 Survey
Form and Instruction A.2.3.L3 Survey
Form and Instruction A.2.3.m1 Survey
Form and Instruction A.3.1 Survey
Form and Instruction A.3.3 Survey
Health Care Providers New 165 8 0 Form and Instruction C.9.3 Instruments
Form and Instruction A.2.1 Instruments
Form and Instruction A.2.3 Instruments
High Probability Women w/Pre-pregnancy Visit New 646 601 0 Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
High Probability Women w/o Pre-pregnancy Visit New 2504 200 0 Form and Instruction A.1.2.b Survey
Household Enumeration New 25381 2030 0 Form and Instruction A.1.1.a2 Survey
Form and Instruction A.1.1.a1 Survey
Form and Instruction A.1.1.c Survey
Form and Instruction A.1.1.a2 Survey
Form and Instruction A.1.1.c Survey
Low Probability Women New 1181 94 0 Form and Instruction A.1.2.b Survey
Moderate Probability Women New 5500 440 0 Form and Instruction A.1.2.b Survey
Postnatal Activities - Mother and Children New 3572 2893 0 Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survery
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Pregnancy Activities New 6678 4140 0 Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Other-Results Letter
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Form and Instruction 1 Survey
Total burden requested under this ICR: 64598 13797 0  
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