OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age

ICR 199908-0920-004 · 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
6776 Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age Migrated
ICR Details
0920-0356 199908-0920-004
Historical Active 199703-0920-003
HHS/CDC
Measurement of Stress and Stressful Life Events in Black Women of Reproductive Age
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 10/13/1999
Retrieve Notice of Action (NOA) 08/09/1999
Approved, consistent with the CDC memo dated 10/13/99.
  Inventory as of this Action Requested Previously Approved
10/31/2002 10/31/2002
2,191 0 0
983 0 0
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 examine existing stress and stressful life events instruments for use in Black women of reproductive age. This study will include 154 women who live in Atlanta. Half of these women will be pregnant.
None
None
No
1
IC Title Form No. Form Name
Measurement of Stress and 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 2,191 0 0 2,191 0 0
Annual Time Burden (Hours) 983 0 0 983 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$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.
08/09/1999