View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-1273
ICR Reference No:
201905-0920-003
Status:
Historical Inactive
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-16JO
Title:
Pregnancy Risk Assessment Monitoring System (PRAMS)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Improperly submitted
Conclusion Date:
10/30/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/21/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
36 Months From Approved
Responses
0
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Pregnancy Risk Assessment Monitoring System (PRAMS) collects state-, territory-, and tribal-specific information on maternal experiences and behaviors that occur before, during and shortly after pregnancy. Self-reported survey data are collected by mixed mode methods (mailing, telephone calls). Data collection procedures and instruments are standardized to allow comparison across jurisdictions. Data are used to inform maternal and infant health programs and policy to reduce maternal and infant morbidity and mortality. Data are used to monitor prevalence of behaviors and progress toward various targets (e.g., Healthy People 2020, Title V performance indicators, Healthy Start evaluation).
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: Public Health Service Act: Research and Investigations
PL:
Pub.L. 109 - 450 3
Name of Law: PREEMIE Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 44630
08/31/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 28817
06/20/2019
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
PRAMS Field Test
n/a
PRAMS Field Testing
PRAMS Opioid Call-back Surveys
n/a, n/a
PRAMS Opioid Call-back Survey (English)
,
PRAMS Opioid Call-back Survey (Spanish)
PRAMS Phase 8 Questionnaire (Core Questions plus State-selected Standard Modules)
n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a
PRAMS Livebirth Core Phase 8 Mail Questionnaire (English)
,
PRAMS Livebirth Core Phase 8 Mail Questionnaire (Spanish)
,
PRAMS Livebirth Core Phase 8 Phone Questionnaire (English)
,
PRAMS Livebirth Core Phase 8 Phone Questionnaire (Spanish)
,
PRAMS Livebirth Standard Phase 8 Mail Modules (English)
,
PRAMS Livebirth Standard Phase 8 Mail Modules (Spanish)
,
PRAMS Livebirth Standard Phase 8 Phone Modules (English)
,
PRAMS Livebirth Standard Phase 8 Phone Modules (Spanish)
PRAMS Stillbirth Survey
n/a, n/a, n/a, n/a
PRAMS Stillbirth Mail Questionnaire (English)
,
PRAMS Stillbirth Mail Questionnaire (Spanish)
,
PRAMS Stillbirth Phone Questionnaire (English)
,
PRAMS Stillbirth Phone Questionnaire (Spanish)
PRAMS Supplemental Modules
n/a, n/a, n/a
Family History of Breast and Ovarian Cancer Supplement
,
Prescription and Illicit Opioid Use Supplement
,
Disabilities Supplement
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new request for OMB approval.
Annual Cost to Federal Government:
$7,025,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Renita Macaluso 770 488-6458 arp5@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
06/21/2019
An official website of the United States government
The .gov means it's official.
The site is secure.
