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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.