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

View Information Collection (IC)

PRAMS Phase 8 Questionnaire (Core Questions plus State-selected Standard Modules)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Fillable Fileable
Form and Instruction n/a No   Fillable Fileable
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Paper Only
Form and Instruction n/a No   Paper Only
Other-Reference Material: Phase 8 Core and Standard Questions, by Topic Area No   Paper Only
Form 0920-1273 Yes Yes Fillable Fileable
Form 0920-1273 Yes Yes Fillable Fileable
Form 0920-1273 Yes Yes Fillable Fileable
Form 0920-1273 Yes Yes Fillable Fileable
Form 0920-1273 Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0160 Records of Subjects in Health Promotion and Education Studies  51 FR 42484

52,070 0
   
Individuals or Households
 
   0 %

  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 52,070 0 0 0 0 52,070
Annual IC Time Burden (Hours) 22,564 0 0 0 0 22,564
Annual IC Cost Burden (Dollars) 553,712 0 0 0 0 553,712

Title Document Date Uploaded
PRAMS Livebirth Introduction and Informed Consent for Mail Survey (English) 06/20/2019
PRAMS Livebirth Introduction and Informed Consent for Mail Survey (Spanish) 06/20/2019
PRAMS Livebirth Introduction and Informed Consent for Phone Survey (English) 06/20/2019
PRAMS Livebirth Introduction and Informed Consent for Phone Survey (Spanish) 06/20/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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