National Evaluation of Fetal and Infant Mortality Review (FIMR)

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
6481	National Evaluation of Fetal and Infant Mortality Review (FIMR)	Migrated

ICR Details

OMB Control No: 0915-0237	ICR Reference No: 199908-0915-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: National Evaluation of Fetal and Infant Mortality Review (FIMR)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/04/1999
	Date Received in OIRA: 08/03/1999
Terms of Clearance: Approved, consistent with the changes in the HRSA memos from 9/28/99, and with the following conditions, agreed upon by Susan Queen from HRSA, on 9/30/99. Based on discussions between OMB and HRSA, it is understood that HRSA will provide an evaluation of the utility of the open-ended responses in the three survey instruments used in this study. This evaluation will include an estimate of the additional_cost imposed by these open-ended questions, where cost is based on the avergae number of these questions answered by the respondents, on the length of time it took to respond to these questions, and the additional time it took to analyze these responses. (The report should state the explicit method used to code and analyze these responses.) The report should also explain the benefits of including these questions, as indicated by the utility of the information collected from the responses. If this report indicates that the benefits of these questions do not clearly outweigh the costs,it is understood that HRSA will reduce the number of open-ended question before re- implementing this study or another study that tries to collect this type of information. Because HRSA plans on completing this study 12 months after OMB approval, HRSA will have up to 18 months after OMB approval to complete this evaluation.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2000	11/30/2000
Responses	320	0	0
Time Burden (Hours)	460	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this study is to evaluate the Fetal and Infant Mortality Review (FIMR) program as a means to improve assessment and influence change in community resources and the service delivery system for pregnant women and their infants. This information will guide national policy development in the realm of perinatal health.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
National Evaluation of Fetal and Infant Mortality Review (FIMR)

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ICR Summary of Burden

	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	320	0	0	320	0	0
Annual Time Burden (Hours)	460	0	0	460	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/03/1999

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