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Federal forms, ICRs, and supporting documents

Information Collection Request

Reliability and Validity Assessment of the Use of Scales of Stressful Life Events in Black Women of Reproductive Age

ICR 199703-0920-003 · OMB 0920-0356 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6775 Reliability and Validity Assessment of the Use of Scales of Stressful Life Events in Black Women of Reproductive Age Migrated
ICR Details
0920-0356 199703-0920-003
Historical Active 199409-0920-001
HHS/CDC
Reliability and Validity Assessment of the Use of Scales of Stressful Life Events in Black Women of Reproductive Age
Extension without change of a currently approved collection   No
Regular
Approved without change 04/17/1997
Retrieve Notice of Action (NOA) 03/10/1997
OMB approves this study of the use of scales of stressful life events in black women of reproductive age, as amended by the correspondence of April 16, 1997. OMB extends the current approval by one year from the end of the contract, recognizing the difficulty the agency has had with its contractor. However, OMB emphasizes that CDC must make every effort to complete this study without any additional delay.
  Inventory as of this Action Requested Previously Approved
06/30/1998 06/30/1998 04/30/1997
1,400 0 600
1,134 0 2,028
0 0 0
High levels of exposure to stressful life experiences put women at increased risk for adverse reproductive outcomes, especially preterm delivery and very low birth weight. The purpose of this study is to evaluate the reliability and validity of existing stressful life events instruments for use in black women of reproductive age. This study will include 130 black women who live in Atlanta; half of these women will be pregnant.
None
None
No
1
IC Title Form No. Form Name
Reliability and Validity Assessment of the Use of Scales of Stressful Life Events in Black Women of Reproductive Age
  Total Approved 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 1,400 600 0 800 0 0
Annual Time Burden (Hours) 1,134 2,028 0 -894 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/10/1997