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

View Information Collection (IC)

Audience: Mothers at Risk for Postpartum Depression
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screening Instrument 02_Attachment A_Segmentation Survey Screening Instrument_Final_2_of_10.docx Yes Yes Fillable Fileable
Other-Survey 03_Attachment B_Segmentation Survey_Final_3_of_10.docx Yes Yes Fillable Printable
Other-Survey Screenshots 04_Attachment C_Survey Screenshots_Final_4_of_10.docx Yes Yes Fillable Fileable
Other-Statistical Methods 05_Section B Statistical Methods_Final_5_of_10.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,500 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 2,500 0 2,500 0 0 0
Annual IC Time Burden (Hours) 833 0 833 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 01_Supporting Statement A_Final_1_of_10.docx 12/15/2020
Recruitment Flyer 06_Attachment D_Mom Recruitment Flyer for Partners_Final_6_of_10.pdf 12/15/2020
Invitation Postcards 07_Attachment E_Moms Invitation Postcard for Partners_Final_7_of_10.pdf 12/15/2020
Email Language 09_Attachment G_Moms Amerispeak Email Invitation Language_Final_9_of_10.pdf 12/15/2020
Dynata Email Language 10_Attachment H_Moms Dynata Email Language_Final_10_of_10.pdf 12/15/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.