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
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
View ICR - Agency Submission
COMMENT
Time Remaining
Days
HR
Min
Sec
OMB Control No:
0920-1273
ICR Reference No:
202602-0920-010
Status:
Received in OIRA
Previous ICR Reference No:
202504-0920-014
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1273
Title:
[NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
03/09/2026
Requested
Previously Approved
Expiration Date
36 Months From Approved
03/31/2026
Responses
105,300
108,240
Time Burden (Hours)
29,773
31,268
Cost Burden (Dollars)
0
0
Abstract:
Pregnancy Risk Assessment Monitoring System (PRAMS) is designed to collect jurisdiction-specific (states, cities, and U.S territories), population-based data on maternal behaviors and experiences before, during, and shortly after pregnancy. PRAMS is a jurisdiction customized survey conducted in 50 jurisdictions in the United States (U.S.). The data are used to identify groups of women and infants at high risk for health problems, monitor changes in health status, and measure progress towards state and national objectives in improving the health of mothers and infants. This Revision is submitted to request approval for an additional three years. Some components of the data collection have been completed (i.e., call back surveys, cognitive and field testing) resulting in reduced burden hours. Specifically, removal of call back surveys decreased annual burden by 1,395 hours and removal of cognitive and field testing decreased annual burden by 100 hours.
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
US Code:
42 USC 247b-12
Name of Law: Safe Motherhood and Infant Health
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:
90 FR 52666
11/21/2025
30-day Notice:
Federal Register Citation:
Citation Date:
91 FR 11314
03/09/2026
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
PRAMS Call-back Surveys (with Opioid Call-back Survey Example)
n/a, n/a
PRAMS Opioid Call-back Survey (English)
,
PRAMS Opioid Call-back Survey (Spanish)
PRAMS Field Test
None
PRAMS Field Testing Questionnaire (English and Spanish)
PRAMS Phase 9 Questionnaires (Core Questions plus Jurisdiction-selected Standard Modules)
0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273, 0920-1273
Phase 9 Core Mail Questionnaire – English
,
Phase 9 Core Mail Questionnaire – Spanish
,
Phase 9 Core Phone Questionnaire – English
,
Phase 9 Core Phone Questionnaire – Spanish
,
Phase 9 Core Web Questionnaire – English
,
Phase 9 Core Web Questionnaire – Spanish
,
Phase 9 Standard Mail Questionnaire – English
,
Phase 9 Standard Mail Questionnaire – Spanish
,
Phase 9 Standard Phone Questionnaire – English
,
Phase 9 Standard Phone Questionnaire – Spanish
,
Phase 9 Standard Web Module – English
,
Phase 9 Standard Web Module – Spanish
PRAMS Stillbirth Questionnaire
0920-1273, 0920-1273, 0920-1273, 0920-1273
PRAMS Stillbirth Mail Questionnaire (English)
,
PRAMS Stillbirth Mail Questionnaire (Spanish)
,
PRAMS Stillbirth Phone Questionnaire (English)
,
PRAMS Stillbirth Phone Questionnaire (Spanish)
PRAMS Supplemental Modules
None, None, None, None, None, None, None, None, None, None, None, None
PRAMS Social Determinants of Health Supplement (mail and phone)
,
PRAMS Social Determinants of Health Supplement (web mode)
,
PRAMS COVID-19 Vaccine Supplement (mail and phone)
,
PRAMS COVID-19 Vaccine Supplement (web mode)
,
PRAMS COVID-19 Experience Supplement (mail and phone)
,
PRAMS COVID-19 Experience Supplement (web mode)
,
PRAMS Opioid Use Supplement (mail and phone)
,
PRAMS Opioid Use Supplement (web mode)
,
PRAMS Marijuana Use Supplement (mail and phone)
,
PRAMS Marijuana Use Supplement (web mode)
,
PRAMS Disabilities Supplement (mail and phone)
,
PRAMS Disabilities Supplement (web mode)
Submission of Data File to CDC
ICR Summary of Burden
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
105,300
108,240
0
-2,940
0
0
Annual Time Burden (Hours)
29,773
31,268
0
-1,495
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Revision package for 0920-1273 is submitted to request approval for an additional three years. Some components of the data collection have been completed (i.e., call back surveys, cognitive and field testing) resulting in reduced burden hours. Specifically, removal of call back surveys decreased annual burden by 1,395 hours and removal of cognitive and field testing decreased annual burden by 100 hours. Total burden is decreased to 29,773 annual burden hours.
Annual Cost to Federal Government:
$13,714,785
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?
Yes
Agency Contact:
Jeffrey Zirger 404 639-7118 wtj5@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:
03/09/2026
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.