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SEED - Biosamples
The Study to Explore Early Development (SEED)
OMB: 0920-0741
IC ID: 178556
OMB.report
HHS/CDC
OMB 0920-0741
ICR 200709-0920-004
IC 178556
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0741 can be found here:
2010-05-13 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form No number
SEED - Biosamples
Form and Instruction
No number Appendix R.20 Buccal IC bioMom
Appendix E.20 Buccal Consent Mom 2007 06.doc
Form and Instruction
No number Appendix E.20 Buccal IC bio Dad
Appendix E.20 Buccal IC bioDad.doc
Form and Instruction
No number Appendix E.21 Buccal Transmittal Form
Appendix E.21 Buccal Transmittal Form 2007 06.doc
Form and Instruction
No number Appendix R.2 Blood Draw Form
Appendix R.2 Blood Draw form.pdf
Form and Instruction
No number Appendix E.19 How to Collect Cheek Cell
Appendix E.19 Buccal Swab Instructions 2007 06.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SEED - Biosamples
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 and Instruction
No number
Appendix E.21 Buccal Transmittal Form
Appendix E.21 Buccal Transmittal Form 2007 06.doc
Yes
Yes
Fillable Printable
Form and Instruction
No number
Appendix R.2 Blood Draw Form
Appendix R.2 Blood Draw form.pdf
Yes
Yes
Fillable Printable
Form and Instruction
No number
Appendix R.20 Buccal IC bioMom
Appendix E.20 Buccal Consent Mom 2007 06.doc
Yes
Yes
Fillable Printable
Form and Instruction
No number
Appendix E.20 Buccal IC bio Dad
Appendix E.20 Buccal IC bioDad.doc
Yes
Yes
Fillable Printable
Form and Instruction
No number
Appendix E.19 How to Collect Cheek Cell
Appendix E.19 Buccal Swab Instructions 2007 06.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
3,456
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30,078
0
0
0
0
30,078
Annual IC Time Burden (Hours)
12,362
0
0
0
0
12,362
Annual IC Cost Burden (Dollars)
0
0
0
0
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.