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c) Coaching calls
Safety Program in Perinatal Care (SPPC)-II Demonstration Project
OMB: 0935-0246
IC ID: 237411
OMB.report
HHS/AHRQ
OMB 0935-0246
ICR 202009-0935-005
IC 237411
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0246 can be found here:
2021-06-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form D
c) Coaching calls
Form
D Coaching calls
Attachment D - List of coaching call participants and topics addressed.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
c) Coaching calls
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
D
Coaching calls
Attachment D - List of coaching call participants and topics addressed.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
129
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,322
0
0
0
0
2,322
Annual IC Time Burden (Hours)
2,322
0
0
0
0
2,322
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.