Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Removed 0 0 0 Form and Instruction n/a
Form and Instruction n/a
PRAMS Field Test Removed 0 0 0 Form and Instruction None
PRAMS Phase 9 Questionnaires (Core Questions plus Jurisdiction-selected Standard Modules) Modified 51556 22341 0 Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
PRAMS Stillbirth Questionnaire Modified 160 67 0 Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
Form and Instruction 0920-1273
PRAMS Supplemental Modules Modified 52984 7065 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Submission of Data File to CDC Unchanged 600 300 0 Instruction
Total burden requested under this ICR: 105300 29773 0  
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