View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Supplemental CATI about Stillbirth
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

640 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 640 0 0 0 0 640
Annual IC Time Burden (Hours) 267 0 0 0 0 267
Annual IC Cost Burden (Dollars) 2,667 0 0 0 0 2,667

Title Document Date Uploaded
Introductory Letter for the Supplemental Interview about Stillbirth (English) 08/26/2019
Introductory Letter for the Supplemental Interview about Stillbirth (Spanish) 08/26/2019
Thankyou Letter for the Supplemental Interview about Stillbirth (English) 01/21/2021
Thankyou Letter for the Supplemental Interview about Stillbirth (Spanish) 01/21/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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