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

View Information Collection (IC)

PRAMS Stillbirth Survey
 
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 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

Health Public Health Monitoring

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

160 0
   
Individuals or Households
 
   0 %

  Requested 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 160 0 0 0 0 160
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 1,636 0 0 0 0 1,636

Title Document Date Uploaded
Introduction and Informed Consent for the Stillbirth Mail Survey (English) 06/20/2019
Introduction and Informed Consent for the Stillbirth Mail Survey (Spanish) 06/20/2019
Introduction and Informed Consent for the Stillbirth Phone Survey (English) 06/20/2019
Introduction and Informed Consent for the Stillbirth 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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