[NCCDPHP] Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories

Forms and Documents

Document Name	Status
Form 0920-0743 mPINC Hospital Survey Form and Instruction	Modified
Form 0920-0743 Screening Part B Form and Instruction	Modified
Form 0920-0743 Screening Part A Form and Instruction	Modified
Attachment 5h Survey Cover Letter Email-Spanish.docx Supplementary Document	2026-01-23
Attachment 5g Survey Cover Letter Email-English.docx Supplementary Document	2026-01-23
Attachment 5f Screener Cover Letter Email-Spanish.docx Supplementary Document	2026-01-23
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document	2026-01-23
Attachment 5e Screener Cover Letter Email-English.docx Supplementary Document	2026-01-23
Attachment 5d Screener Cover Letter Paper-Spanish.docx Supplementary Document	2026-01-23
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document	2026-01-23
Attachment 3b 2026 Hospital Report.pdf Supplementary Document	2026-01-23
Attachment 5b Advance Notification Letter-Spanish.docx Supplementary Document	2026-01-22
Attachment 5a Advance Notification Letter-English.docx Supplementary Document	2026-01-22
Attachment 5c Screener Cover Letter Paper-English.docx Supplementary Document	2026-01-22
Attachment 5k Reminder Email-English.docx Supplementary Document	2026-01-22
Attachment 5l Reminder Email-Spanish.docx Supplementary Document	2026-01-22
Attachment 5m Reminder Telephone Call Script-English.docx Supplementary Document	2026-01-22
Attachment 5n Reminder Telephone Call-Spanish.docx Supplementary Document	2026-01-22
Attachment 6 Privacy Narrative Form 0920-0743 Dec2025.pdf Supplementary Document	2026-01-22
Attachment 7a Human Subjects Document-CDC.docx Supplementary Document	2026-01-22
Attachment 7b Human Subjects Document-Contractor.pdf Supplementary Document	2026-01-22
Attachment 3f Screenshots mPINC 2026 Survey-English.docx Supplementary Document	2026-01-22
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document	2026-01-22
Attachment 3g Screenshots mPINC 2026 Survey-Spanish.docx Supplementary Document	2026-01-22
Attachment 3e Screenshots mPINC 2026 Screening B-Spanish.docx Supplementary Document	2026-01-22
Attachment 3d Screenshots mPINC 2026 Screening B-English.docx Supplementary Document	2026-01-22
Attachment 3c Frequently Asked Questions.pdf Supplementary Document	2026-01-22
Attachment 3a CDC Survey Website.pdf Supplementary Document	2026-01-22
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document	2026-01-22
OMB SS PART A_Control No 0920-0743.docx Supporting Statement B	2026-01-22
OMB SS PART A_Control No 0920-0743.docx Supporting Statement A	2026-01-22
mPINC 2278 PIA_Reauth_PO_approved.pdf Supplementary Document	2021-09-29
Attachment 3c Frequently Asked Questions.docx Supplementary Document	2021-09-29
Attachment 2a 60 day Federal Register Notice.pdf Supplementary Document	2021-09-29
Attachment 1 Public Health Service Act [42 U.S.C. 241].pdf Supplementary Document	2021-09-29
Attachment 7 Human Subjects Document.pdf Supplementary Document	2021-09-29
Attachment 8 mPINC Scoring Algorithm.pdf Supplementary Document	2021-09-29
Attachment 3b 2018 Hospital Report.pdf Supplementary Document	2021-09-29
Attachment 3a CDC Survey Website.pdf Supplementary Document	2021-08-31

IC Document Collections

IC ID	Document Title	Status
239965	mPINC Hospital Survey Form and Instruction	Modified
189526	Screening Part B Form and Instruction	Modified
179024	Screening Part A Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0743	ICR Reference No: 202601-0920-008
Status: Received in OIRA	Previous ICR Reference No: 202108-0920-021
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0743
Title: [NCCDPHP] Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/23/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	3,718	0
Time Burden (Hours)	777	0
Cost Burden (Dollars)	0	0

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Abstract: This is a national census of hospitals routinely providing maternity care in the United States and territories to gather information about their breastfeeding-related maternity care practices and to analyze trends and changes in these breastfeeding-related maternity practices over time. Data are collected via secure Web-based survey, and are the hospital level, related to the hospital's practices and policies. In this Reinstatement ICR, we request OMB approval to support two cycles of data collection in 2026 and 2028. There is no change to the estimated burden per response for survey completion. There are minor changes to survey content for the 2026 and 2028 surveys based on experience in fielding the 2022 and 2024 surveys.

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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:
	90 FR 25280	06/16/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 1792	01/15/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Screening Part A	0920-0743, 0920-0743	Attachment 4a Screening Part A-English ,   Attachment 4b Screening Part A-Spanish
Screening Part B	0920-0743, 0920-0743	Attachment 4c Screening Part B-English ,   Attachment 4d Screening Part B-Spanish
mPINC Hospital Survey	0920-0743, 0920-0743	mPINC Hospital Survey- English ,   mPINC Hospital Survey-Spanish

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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	3,718	0	0	3,718	0	0
Annual Time Burden (Hours)	777	0	0	777	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This Reinstatement is for approval of 777 annual burden hours.

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Annual Cost to Federal Government: $685,783

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.     No

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.     No

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: 01/23/2026

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