PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Background Information Form
Modified
55550
27775
0
Form and Instruction
1
FINAL NewBackground_Jan 2020.docx
Healthy Start Focus Group Protocol
Removed
0
0
0
Instruction
Healthy Start Site Visit Protocol
Removed
0
0
0
Instruction
Parent/Child Form
Modified
30300
12726
0
Form and Instruction
3
FINAL New ParentChild Jan 2020.docx
Prenatal Form
Modified
30300
5151
0
Form and Instruction
2
FINALNew Prenatal Jan 2020.docx
Redesigned Preconception, Pregnancy and Parenting (3P's) Information Form: Pregnancy
Removed
0
0
0
Form and Instruction
B2
B2 3Ps_Pregnancy History Form_revised.doc
Redesigned Preconception, Pregnancy and Parenting (3P's) Information Forms 3-6
Removed
0
0
0
Form and Instruction
B3
B3 3Ps_Preconception Form_revised.doc
Form and Instruction
B4
B4 3Ps_Prenatal Form_revised.doc
Form and Instruction
B5
B5 3Ps_Postpartum Form_revised.doc
Form and Instruction
B6
B6 3Ps_Interconception_Parenting Form_revised.doc
Total burden requested under this ICR:
116150
45652
0
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