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OMB Control No: 0920-1294	ICR Reference No: 202605-0920-001
Status: Received in OIRA	Previous ICR Reference No: 202504-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: [NCCDPHP] Maternal Mortality Review Information Application (MMRIA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/20/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2026
Responses	5,720	4,452
Time Burden (Hours)	41,789	33,482
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,720	4,452	1,268
Annual Time Burden (Hours)	41,789	33,482	8,307
Annual Cost Burden (Dollars)	0	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision for 0920-1294 involves increase (due to use of actual case counts among CDC-RFA-DP24-0053 funding recipients) and decrease (initiative that enables CDC to transfer vital records data associated with CDC identified pregnancy-associated deaths directly into a jurisdiction’s MMRIA) in burden hours. There is a net increase of 8,307 Burden Hours for a TOTAL of 41,789.

Annual Cost to Federal Government: $25,269,165

Does this IC contain surveys, censuses, or employ statistical methods? No

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. Yes

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? No

Agency Contact: Jeffrey Zirger 404 639-7118 wtj5@cdc.gov

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