Information Collection

Longitudinal Investigation of Fertility and the Environment

IC 7467 under ICR 200610-0925-004 · OMB 0925-0543.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0543 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Longitudinal Investigation of Fertility and the Environment	Form
1 SalivaSample1 SalivaSample1_09_20_06[1].doc	Form
2 SalivaSample2 SalivaSample2_09_20_06[1].doc	Form

IC Title:

Longitudinal Investigation of Fertility and the Environment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	SalivaSample1	SalivaSample1_09_20_06[1].doc		Yes	Yes	Printable Only
Form	2	SalivaSample2	SalivaSample2_09_20_06[1].doc		Yes	Yes	Printable Only

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	15,380	15,380
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.