OMB control number

[NCCDPHP] Maternal Mortality Review Information Application (MMRIA)

OMB 0920-1294 · HHS/CDC.

OMB 0920-1294

Maternal Mortality Review Committees (MMRCs) review cases of pregnancy-associated deaths in their jurisdiction to determine and understand pregnancy-relatedness. MMRIA is a comprehensive and standardized data collection system for abstracting data from clinical and nonclinical sources and documenting MMRC decisions. MMRIA will provide comprehensive, timely, and accurate data surrounding these deaths to inform future prevention efforts. For this change request CDC is making minor changes to comply with recent executive orders.

The latest form for [NCCDPHP] Maternal Mortality Review Information Application (MMRIA) expires 2026-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Data Abstraction Second Funding Support Form and Instruction
Committee Decision Form and Instruction
Data Abstraction Form and Instruction
Change Request Memo_0920-1294_Maternal Mortatlity Review Information Application_final.docx Justification for No Material/Nonsubstantive Change
Attachment 8. List of changes to MMRIA forms .docx Supplementary Document
Attachment 7. MMRIA Request for Determination of Research Status.pdf Supplementary Document
Attachment 6. MMRIA Memorandum of Understanding for Central Hosting of MMRIA.docx Supplementary Document
Attachment 5. Privacy Impact Assessment.pdf Supplementary Document
Attachment 4b. Response to Public Comments on the 60-Day Federal Register Notice.docx Supplementary Document
Attachment 4a. MMRIA 60-Day Federal Register Notice.pdf Supplementary Document
Attachment 2. Data Flow Diagram.pdf Supplementary Document
Attachment 1b. Preventing Maternal Deaths Act.pdf Supplementary Document
Attachment 1a. Section 301 of the Public Health Service Act (42 U.S.C. 241).docx Supplementary Document
MMRIA SSB_30 day_3_30_2023.docx Supporting Statement B
MMRIA SSA_30 day_3_30_2023_final.docx Supporting Statement A
Data Abstraction Second Funding Support Form and Instruction
Committee Decision Form and Instruction
Data Abstraction Form and Instruction

All Historical Document Collections

202504-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-08-07
202304-0920-003 Approved without change	Revision of a currently approved collection	2023-04-17
201912-0920-002 Approved without change	New collection (Request for a new OMB Control Number)	2019-12-23

OMB Details

Data Abstraction

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a

Data Abstraction

Fillable Fileable

Form and instruction

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