Information Collection Request
[NCCDPHP] Maternal Mortality Review Information Application (MMRIA)
ICR 202304-0920-003 · OMB 0920-1294 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1294 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Data Abstraction Second Funding Support |
Form and Instruction | New | Missing upstream |
| Committee Decision |
Form and Instruction | Modified | Repair queued |
| Data Abstraction |
Form and Instruction | Modified | Repair queued |
 Attachment 8. List of changes to MMRIA forms .docx |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
 Attachment 7. MMRIA Request for Determination of Research Status.pdf |
Supplementary Document | Uploaded 2023-04-14 | Missing upstream |
| Attachment 6. MMRIA Memorandum of Understanding for Central Hosting of MMRIA.docx |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
| Attachment 5. Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
| Attachment 4b. Response to Public Comments on the 60-Day Federal Register Notice.docx |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
| Attachment 4a. MMRIA 60-Day Federal Register Notice.pdf |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
| Attachment 2. Data Flow Diagram.pdf |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
| Attachment 1b. Preventing Maternal Deaths Act.pdf |
Supplementary Document | Uploaded 2023-04-14 | Repair queued |
| Attachment 1a. Section 301 of the Public Health Service Act (42 U.S.C. 241).docx |
Supplementary Document | Uploaded 2019-12-19 | Repair queued |
| MMRIA SSB_30 day_3_30_2023.docx |
Supporting Statement B | Uploaded 2023-04-14 | Repair queued |
| MMRIA SSA_30 day_3_30_2023_final.docx |
Supporting Statement A | Uploaded 2023-04-17 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 259715 |  Data Abstraction Second Funding Support |
Form and Instruction | New | |
| 239003 | Committee Decision |
Form and Instruction | Modified | |
| 238999 | Data Abstraction |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1294 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201912-0920-002 |
| Agency Tracking No | 0920-1294 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |