STUDY OF BIRTH DEFECTS RISK FACTORS INCLUDING MILITARY SERVICE IN VIETNAM

ICR 198012-0920-004

OMB: 0920-0094

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
0920-0094 198012-0920-004
Historical Active
HHS/CDC
STUDY OF BIRTH DEFECTS RISK FACTORS INCLUDING MILITARY SERVICE IN VIETNAM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/29/1981
Retrieve Notice of Action (NOA) 12/30/1980
This information collection request is approved with the condition that any change in sampling design and/or significant changes in questionnaires must be submitted for OMB approval.
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983
25,100 0 0
10,800 0 0
0 0 0

THE MAJOR OBJECTIVE OF THIS STUDY IS TO DETERMINE WHETHER AN UNUSUALLY HIGH PROPORTION OF FATHERS OF BABIES BORN WITH DEFECTS SERVED IN VIETNAM. THIS COMPARISON WILL YIELD AN ESTIMATE OF THE RISK OF SIRING A CHILD WITH A DEFECT FOR VIETNAM VETERANS RELATIVE TO THAT RISK FOR NON-VETERANS. WILL BEGIN AS SOON AS CLEARANCE RECEIVED, INTERVIEWS WILL LAST ABOUT ONE YEAR. (IF DONE UNDER CONTRACT, MAY BE DELAYED UP TO ONE YEAR.

None
None


No

1
IC Title Form No. Form Name
STUDY OF BIRTH DEFECTS RISK FACTORS INCLUDING MILITARY SERVICE IN VIETNAM

  Total Approved 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 25,100 0 0 25,100 0 0
Annual Time Burden (Hours) 10,800 0 0 10,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/30/1980


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