Feeding My Baby and Me: Infant Feeding Practices Study III

Forms and Documents

Document Name	Status
24-Month Survey Form and Instruction	New
21-Month Survey Form and Instruction	New
18-Month Survey Form and Instruction	New
15-Month Survey Form and Instruction	New
12-Month Survey Form and Instruction	New
10-Month Survey Form and Instruction	New
8-Month Survey Form and Instruction	New
6-Month Survey Form and Instruction	New
5-Month Survey Form and Instruction	New
4-Month Survey Form and Instruction	New
3-Month 24-Hour Dietary Recall (Replicate) Form and Instruction	New
3-Month 24-Hour Dietary Recall Form and Instruction	New
3-Month Survey Form and Instruction	New
2-Month Survey Form and Instruction	New
1-Month Survey Form and Instruction	New
Birth Screener Form and Instruction	New
Request for Notification of Child's Birth Form and Instruction	New
Prenatal 24-Hour Dietary Recall (Replicate) Form and Instruction	New
Prenatal 24-Hour Dietary Recall Form and Instruction	New
Prenatal Survey Form and Instruction	New
Study Consent and Contact Information Form and Instruction	New
Screening Form and Instruction	New
IFP3 Att 6 Confidentiality Nondisclose Stmt Final.pdf Supplementary Document	2020-10-28
Att.5k-Study removal email and text.docx Supplementary Document	2020-10-28
Att.5j-Participant follow up letter.docx Supplementary Document	2020-10-28
Att.5i-Missed survey email and text.docx Supplementary Document	2020-10-28
Att.5h-Survey thank you email and text.docx Supplementary Document	2020-10-28
Att.5g Survey Reminder email and text.docx Supplementary Document	2020-10-28
Att.5f-Survey invitation email and text.docx Supplementary Document	2020-10-28
Att.5c-Telephone & VM Script for Elig Resp Final.docx Supplementary Document	2020-10-28
Att.5b-Social Media Recruit Mess Final.docx Supplementary Document	2020-10-28
Att.5a-Recruit Enroll Flow Cht Final.pdf Supplementary Document	2020-10-28
Att.4r-Common Items across National-level Surveys.docx Supplementary Document	2020-10-28
Att.3-IRB Deter Final.pdf Supplementary Document	2020-10-28
Att.2-60-day FRN published Final.pdf Supplementary Document	2020-10-28
Att.1-Authorizing Leg Final.pdf Supplementary Document	2020-10-28
SSB_IFPSIII_10282020.docx Supporting Statement B	2020-10-28
SSA_IFPSIII_10282020.docx Supporting Statement A	2020-10-28

IC Document Collections

IC ID	Document Title	Status
244224	24-Month Survey Form and Instruction	New
244223	21-Month Survey Form and Instruction	New
244222	18-Month Survey Form and Instruction	New
244221	15-Month Survey Form and Instruction	New
244220	12-Month Survey Form and Instruction	New
244219	10-Month Survey Form and Instruction	New
244218	8-Month Survey Form and Instruction	New
244217	6-Month Survey Form and Instruction	New
244216	5-Month Survey Form and Instruction	New
244215	4-Month Survey Form and Instruction	New
244214	3-Month 24-Hour Dietary Recall (Replicate) Form and Instruction	New
244213	3-Month 24-Hour Dietary Recall Form and Instruction	New
244212	3-Month Survey Form and Instruction	New
244211	2-Month Survey Form and Instruction	New
244210	1-Month Survey Form and Instruction	New
244209	Birth Screener Form and Instruction	New
244208	Request for Notification of Child's Birth Form and Instruction	New
244207	Prenatal 24-Hour Dietary Recall (Replicate) Form and Instruction	New
244206	Prenatal 24-Hour Dietary Recall Form and Instruction	New
244205	Prenatal Survey Form and Instruction	New
244204	Study Consent and Contact Information Form and Instruction	New
244203	Screening Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202010-0920-014
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-20NE
Title: Feeding My Baby and Me: Infant Feeding Practices Study III
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/14/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	23,352	0
Time Burden (Hours)	5,052	0
Cost Burden (Dollars)	143,685	0

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Abstract: The Feeding My Baby and Me: Infant Feeding Practices Study III (IFPS III) is a longitudinal study that will follow pregnant women and their new baby for two years. This study will assess the current state of mothers' intentions, behaviors, feeding decisions, and practices from pregnancy through their child's first two years of life, assess how these change, and their association with different health outcomes. Data will be used to inform CDC's programmatic work to improve feeding practices.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 29453	05/15/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 80109	12/11/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 22

IC Title	Form No.	Form Name
3-Month 24-Hour Dietary Recall	n/a	ASA24
Screening	n/a	Screener
Study Consent and Contact Information	n/a	Informed Consent and Contact Information
Prenatal Survey	n/a	Prenatal Survey
Prenatal 24-Hour Dietary Recall	n/a	ASA24
Prenatal 24-Hour Dietary Recall (Replicate)	n/a	ASA24
Request for Notification of Child's Birth	n/a	Request for Notification of Child's Birth
Birth Screener	n/a	Birth Screener
1-Month Survey	n/a	IFPS-3: Month 1
2-Month Survey	n/a	IFPS-3: Month 2
3-Month Survey	n/a	IFPS-3: Month 3
3-Month 24-Hour Dietary Recall (Replicate)	n/a	ASA24
4-Month Survey	n/a	IFPS-3: Month 4
5-Month Survey	n/a	IFPS-3: Month 5
6-Month Survey	n/a	IFPS-3: Month 6
8-Month Survey	n/a	IFPS-3: Month 8
10-Month Survey	n/a	IFPS-3: Month 10
12-Month Survey	n/a	IFPS-3: Month 12
15-Month Survey	n/a	IFPS-3: Month 15
18-Month Survey	n/a	IFPS-3: Month 18
21-Month Survey	n/a	IFPS-3: Month 21
24-Month Survey	n/a	IFPS-3: Month 24

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ICR Summary of Burden

	Total Request	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	23,352	0	0	23,352	0	0
Annual Time Burden (Hours)	5,052	0	0	5,052	0	0
Annual Cost Burden (Dollars)	143,685	0	0	143,685	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $683,294

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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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: 12/14/2020

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