[NCCDPHP] Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

OMB 0920-0743

This Reinstatement with change ICR reflects a reduction in the number of respondents and an annualized reduction of 248 burden hours (from the estimate for 2013-2015 to the estimate for 2018-2020). Reductions are primarily due to the elimination of birth centers from the sample. The previous OMB approval covered two cycles of data collection in 2013 and 2015 (OMB No. 0920-0743, exp. 9/30/2016). In the current Reinstatement with change ICR, we request OMB approval to support two cycles of data collection in 2018 and 2020.

The latest form for [NCCDPHP] Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories expires 2021-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-0743 mPINC Hospital Survey Form and Instruction
Form 0920-0743 Screening Part B Form and Instruction
Form 0920-0743 Screening Part A Form and Instruction
Attachment 5h Survey Cover Letter Email-Spanish.docx Supplementary Document
Attachment 5g Survey Cover Letter Email-English.docx Supplementary Document
Attachment 5f Screener Cover Letter Email-Spanish.docx Supplementary Document
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document
Attachment 5d Screener Cover Letter Paper-Spanish.docx Supplementary Document
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document
Attachment 3b 2026 Hospital Report.pdf Supplementary Document
Attachment 5b Advance Notification Letter-Spanish.docx Supplementary Document
Attachment 5a Advance Notification Letter-English.docx Supplementary Document
Attachment 5c Screener Cover Letter Paper-English.docx Supplementary Document
Attachment 5k Reminder Email-English.docx Supplementary Document
Attachment 5l Reminder Email-Spanish.docx Supplementary Document
Attachment 5m Reminder Telephone Call Script-English.docx Supplementary Document
Attachment 5n Reminder Telephone Call-Spanish.docx Supplementary Document
Attachment 6 Privacy Narrative Form 0920-0743 Dec2025.pdf Supplementary Document
Attachment 7a Human Subjects Document-CDC.docx Supplementary Document
Attachment 7b Human Subjects Document-Contractor.pdf Supplementary Document
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document
Attachment 3g Screenshots mPINC 2026 Survey-Spanish.docx Supplementary Document
Attachment 3e Screenshots mPINC 2026 Screening B-Spanish.docx Supplementary Document
Attachment 3d Screenshots mPINC 2026 Screening B-English.docx Supplementary Document
Attachment 3c Frequently Asked Questions.pdf Supplementary Document
Attachment 3a CDC Survey Website.pdf Supplementary Document
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document
OMB SS PART A_Control No 0920-0743.docx Supporting Statement B
OMB SS PART A_Control No 0920-0743.docx Supporting Statement A
mPINC 2278 PIA_Reauth_PO_approved.pdf Supplementary Document
Attachment 3c Frequently Asked Questions.docx Supplementary Document
Attachment 2a 60 day Federal Register Notice.pdf Supplementary Document
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document
Attachment 7 Human Subjects Document.pdf Supplementary Document
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document
Attachment 3b 2018 Hospital Report.pdf Supplementary Document
Attachment 3a CDC Survey Website.pdf Supplementary Document
mPINC Hospital Survey Form and Instruction
Screening Part B Form and Instruction
Screening Part A Form and Instruction

All Historical Document Collections

202601-0920-008	Reinstatement without change of a previously approved collection	2026-01-23
202108-0920-021 Approved with change	Revision of a currently approved collection	2021-10-21
202002-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-02-14
201810-0920-001 Approved with change	Reinstatement with change of a previously approved collection	2018-10-04
201808-0920-010 Improperly submitted	Reinstatement without change of a previously approved collection	2018-09-20
201308-0920-008 Approved without change	Reinstatement with change of a previously approved collection	2013-08-16
201106-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-06-03
201010-0920-001 Approved with change	Revision of a currently approved collection	2010-10-04
200906-0920-005 Approved with change	Revision of a currently approved collection	2009-06-11
200703-0920-004 Approved with change	New collection (Request for a new OMB Control Number)	2007-03-14

OMB Details

Att 5_Screening Call Script_Part A (all respondents)

Federal Enterprise Architecture: Health - Health Care Services