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Mothers at Risk for Postpartum Depression
Prevention Communication Formative Research
OMB: 0990-0281
IC ID: 253014
OMB.report
HHS/HHSDM
OMB 0990-0281
ICR 202407-0990-002
IC 253014
( )
Documents and Forms
Document Name
Document Type
OWH Phase 1 Focus Group Recruitment Screener 4-4-22 Submit CM.LS.docx
Other-Recruitment screener
OWH FG Group Phase 2 Screener 4-4-22 (002).docx
Other-Screener 2
Recruitment Screening.docx
Other-Screening
OWH PPD Draft Concept Testing - Moderators Guide 4.5.22 Submitted.CM.LS.docx
Guidance
IC Document
Supporting Statement A 4.5.22 Submitted CM.LS.docx
Supporting A
IC Document
Supporting Statement B 4.5.22 Submitted CM.LS.docx
Supporting B
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Mothers at Risk for Postpartum Depression
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Recruitment screener
OWH Phase 1 Focus Group Recruitment Screener 4-4-22 Submit CM.LS.docx
Yes
Yes
Fillable Fileable
Other-Screener 2
OWH FG Group Phase 2 Screener 4-4-22 (002).docx
Yes
Yes
Fillable Fileable
Other-Screening
Recruitment Screening.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,124
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
1,124
0
0
0
0
1,124
Annual IC Time Burden (Hours)
682
0
0
0
0
682
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Guidance
OWH PPD Draft Concept Testing - Moderators Guide 4.5.22 Submitted.CM.LS.docx
04/21/2022
Supporting A
Supporting Statement A 4.5.22 Submitted CM.LS.docx
04/21/2022
Supporting B
Supporting Statement B 4.5.22 Submitted CM.LS.docx
04/21/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.