[NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)

OMB 0920-1273

The Pregnancy Risk Assessment Monitoring System (PRAMS) collects state-, territory-, and tribal-specific information on maternal experiences and behaviors that occur before, during and shortly after pregnancy. Self-reported survey data are collected by mixed mode methods (mailing, telephone calls). Data collection procedures and instruments are standardized to allow comparison across jurisdictions. Data are used to inform maternal and infant health programs and policy to reduce maternal and infant morbidity and mortality. Data are used to monitor prevalence of behaviors and progress toward various targets (e.g., Healthy People 2020, Title V performance indicators, Healthy Start evaluation).

The latest form for [NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS) expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
PRAMS Stillbirth Survey Form and Instruction
PRAMS Field Test Form and Instruction
PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Form and Instruction
PRAMS Supplemental Modules Form and Instruction
PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules) Form and Instruction
OMB_Change Request_PRAMS 11-13-24.docx Justification for No Material/Nonsubstantive Change
Att 17 - PRAMS Phase 9 Cognitive Testing Report.pdf Supplementary Document
0920-1273 Response to Terms of Clearance _05_23_2023.docx Justification for No Material/Nonsubstantive Change
FINAL for signature - Stacey Y Brayboy_March of Dimes - CAPS 00264282_signed.docx Supplementary Document
Attachment 19a. Nonresponse Bias Assessment of 2020 and 2021 Data.docx Supplementary Document
Att 18 - PRAMS Phase 9 Field Testing Report.pdf Supplementary Document
Att 2f - PRAMS Phase 8 Web Mode Data Collection Metrics_03132023.docx Supplementary Document
Att 16 Summary of Changes between Phase 8 and 9.docx Supplementary Document
Att 15a - PRAMS Field Testing Methodology _03 13 2023 clean.docx Supplementary Document
Att 14 - PRAMS Live Birth Sample Size by Jurisdiction.xlsx Supplementary Document
Att 13 - PRAMS IRB Approval_2022.docx Supplementary Document
Att 12j - Livebirth Web Introduction and Informed Consent - SPANISH.docx Supplementary Document
Att 12i - PRAMS Livebirth Web Introduction and Informed Consent - ENGLISH.docx Supplementary Document
Att 12h - Stillbirth Phone Introduction and Informed Consent_SPANISH.docx Supplementary Document
Att 12g - Stillbirth Phone Introduction and Informed Consent_ENGLISH.docx Supplementary Document
Att 12f - PRAMS Livebirth Phone Introduction and Informed Consent - SPANISH.docx Supplementary Document
Att 12e - PRAMS Livebirth Phone Introduction and Informed Consent - ENGLISH.docx Supplementary Document
Att 12d - Stillbirth Mail Introduction and Informed Consent - SPANISH.docx Supplementary Document
Att 12c - Stillbirth Mail Introduction and Informed Consent_ENGLISH.docx Supplementary Document
Att 12b - PRAMS Livebirth Mail Introduction and Informed Consent - SPANISH.docx Supplementary Document
Att 12a - PRAMS Livebirth Mail Introduction and Informed Consent - ENGLISH.docx Supplementary Document
Att 7 - PRAMS Livebirth Phase 8 and Phase 9 Questionnaire Topic Reference.docx Supplementary Document
Att 6 - PIDS Privacy Impact Assessment.pdf Supplementary Document
Att 5 - PRAMS Response Gifts and Incentives by Jurisdiction 03 13 2023 clean.docx Supplementary Document
Att 4 - PRAMS Questionnaire Development Process.docx Supplementary Document
Att 3b - Program Response to Comments 60 Day FRN.pdf Supplementary Document
Att 3a - Published 60 Day FRN.pdf Supplementary Document
Att 1c PREEMIE Reauthorization Act of 2018.pdf Supplementary Document
Att 1b Safe Motherhood and Infant Health Authorization.docx Supplementary Document
Att 1a-Section 301 of the Public Health Service Act (42 U.S.C. 241).docx Supplementary Document
PRAMS SS-B_30 Day_11_13_2024_clean.docx Supporting Statement B
1273 PRAMS SSA 11_13_24_clean.docx Supporting Statement A
Submission of Data File to CDC Instruction
PRAMS Stillbirth Survey Form and Instruction
PRAMS Field Test Form and Instruction
PRAMS Call-back Surveys (with Opioid Call-back Survey Example) Form and Instruction
PRAMS Supplemental Modules Form and Instruction
PRAMS Phase 8 and Phase 9 Questionnaires (Core Questions plus State-selected Standard Modules) Form and Instruction

All Historical Document Collections

202411-0920-014	No material or nonsubstantive change to a currently approved collection	2024-11-22
202305-0920-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-05-26
202211-0920-018 Approved with change	Revision of a currently approved collection	2022-11-30
202207-0920-006 Approved with change	No material or nonsubstantive change to a currently approved collection	2022-07-28
202203-0920-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-03-31
202109-0920-010 Approved with change	No material or nonsubstantive change to a currently approved collection	2021-09-30
202106-0920-014 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2021-06-22
201910-0920-012 Approved with change	Existing collection in use without an OMB Control Number	2019-11-04
201905-0920-003 Improperly submitted	New collection (Request for a new OMB Control Number)	2019-06-21

OMB Details

PRAMS Phase 8 Questionnaire (Core Questions plus State-selected Standard Modules)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a	PRAMS Livebirth Core Phase 8 Mail Questionnaire (English)	Paper Only	Form and instruction
Form n/a	PRAMS Livebirth Standard Phase 8 Mail Modules (English)	Paper Only	Form and instruction
Form n/a	PRAMS Livebirth Core Phase 8 Phone Questionnaire (English)	Fillable Fileable	Form and instruction
Form n/a	PRAMS Livebirth Core Phase 8 Mail Questionnaire (Spanish)	Paper Only	Form and instruction
Form n/a	PRAMS Livebirth Standard Phase 8 Phone Modules (Spanish)	Paper Only	Form and instruction
Form n/a	PRAMS Livebirth Standard Phase 8 Phone Modules (English)	Paper Only	Form and instruction
Form n/a	PRAMS Livebirth Standard Phase 8 Mail Modules (Spanish)	Paper Only	Form and instruction
Form n/a	PRAMS Livebirth Core Phase 8 Phone Questionnaire (Spanish)	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.