Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PRAMS Phase 9 Questionnaires (Core Questions plus Jurisdiction-selected Standard Modules) Unchanged 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 Unchanged 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 Unchanged 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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