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A Tailored Communications Campaign to Reduce Pregnancy-related Complications and Death 0920-19BLV
 
New
 
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

Health Illness Prevention

 

150 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 245 0 245 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Template with Project Overview 07/22/2019
Additional Project Background and Description 07/22/2019
Focus Group Consent Form 07/22/2019
Script for Notifying Respondents of Eligibility 07/22/2019
Recruitment Flyer 07/22/2019
Creative Concepts to be Tested 07/22/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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