Information Collection Request

Pilot Study for the National Children's Study (NICHD)

ICR 200803-0925-005 · OMB 0925-0593 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form C.10.5 Child Care Providers Form and Instruction New Available
Form C.9.4 Community Leaders Form and Instruction New Available
Form C.9.3 Health Care Providers Form and Instruction New Repair queued
Form A.2.2.c Fathers Form and Instruction New Repair queued
Form 1 Postnatal Activities - Mother and Children Form and Instruction New Repair queued
Form A.2.3.L5 Birth Activities-Mother and Children Form and Instruction New Available
Form 1 Pregnancy Activities Form and Instruction New Available
Form A.1.2.b Low Probability Women Form and Instruction New Repair queued
Form A.1.2.b Moderate Probability Women Form and Instruction New Available
Form A.1.2.b High Probability Women w/o Pre-pregnancy Visit Form and Instruction New Repair queued
Form 1 High Probability Women w/Pre-pregnancy Visit Form and Instruction New Repair queued
Form A.1.1.b Eligibility Screening Form and Instruction New Repair queued
Form A.1.1.a2 Household Enumeration Form and Instruction New Available
Appendix C Revised.pdf Supplementary Document Uploaded 2008-09-22 Available
Appendix B Revised.pdf Supplementary Document Uploaded 2008-09-22 Repair queued
IRB Certifications.pdf Supplementary Document Uploaded 2008-09-09 Available
Itemized Burden.doc Supplementary Document Uploaded 2008-09-09 Available
NCS Supporting Statement B.doc Supporting Statement B Uploaded 2008-09-09 Available
C.13 Itemized Burden Estimate Tables.doc Supplementary Document Uploaded 2008-03-24 Repair queued
Appendix C1.pdf Supplementary Document Uploaded 2008-02-28 Available
Appendix B.pdf Supplementary Document Uploaded 2008-02-14 Available
NCS Pilot - Westat IRB Approval Ltr - 2008-01-29.pdf Supplementary Document Uploaded 2008-02-06 Available
NCS Supporting Statement A.doc Supporting Statement A Uploaded 2008-09-09 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
184283 Child Care Providers Form and Instruction New
184282 Community Leaders Form and Instruction New
184281 Health Care Providers Form and Instruction New
184280 Fathers Form and Instruction New
184279 Postnatal Activities - Mother and Children Form and Instruction New
184278 Birth Activities-Mother and Children Form and Instruction New
184277 Pregnancy Activities Form and Instruction New
184276 Low Probability Women Form and Instruction New
184275 Moderate Probability Women Form and Instruction New
184274 High Probability Women w/o Pre-pregnancy Visit Form and Instruction New
184273 High Probability Women w/Pre-pregnancy Visit Form and Instruction New
184272 Eligibility Screening Form and Instruction New
184271 Household Enumeration Form and Instruction New
ICR Details
0925-0593 200803-0925-005
Historical Active
HHS/NIH
Pilot Study for the National Children's Study (NICHD)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/22/2008
Retrieve Notice of Action (NOA) 03/28/2008
The National Children's Study Pilot cohort is approved for the first three years with the following terms of clearance: NIH has agreed to continue to work with OMB regarding clearance of the items that are still in the developmental stage, particularly the Data Access and Confidentiality plan and the consent video. In addition, NIH has agreed to submit changes to forms, protocols, and design elements, including but not limited to those that undergo additional testing, through the regular PRA process. Most of these changes will qualify as nonsubstantive changes. NIH will provide the OIRA desk officer with quarterly updates on its progress in testing the many design- and protocol-related hypotheses embedded into this pilot study. These updates should focus on the progress NIH is making in obtaining sufficient sample sizes to allow addressing the pilot questions; the analysis of the data needed to address those hypotheses; the implications of those analyses for the feasibility of the design, protocol, and data quality of the full study; the timing of additional testing that might be necessary before finalizing the design of the full study. NIH will provide OIRA with an understanding of the implications of the pilot study results before it submits the full package to OMB for review under the PRA.
  Inventory as of this Action Requested Previously Approved
09/30/2011 36 Months From Approved
64,598 0 0
13,797 0 0
0 0 0

7. Abstract (4000 characters maximum, attach additional sheets as necessary) The purpose of this data collection is to Pilot Test protocols, policies, and procedures for the National Children's Study (NCS) with the goal of improving the efficiency of study procedures and enhancing the subsequent implementation of the NCS. The NCS is a long-term cohort study of environmental influences on child health and development authorized under the Children's Health Act of 2000. This data collection will test procedures for population-based sampling and recruitment of pregnant women and women of child-bearing age, test study logistics, and estimates of subject burden, and evaluate data collection strategies including interviews and acquisition of biologic and environmental samples.

PL: Pub.L. 106 - 310 1004 Name of Law: Childrens Health Act of 2000
  
None

Not associated with rulemaking

  72 FR 65049 11/19/2007
73 FR 5857 01/31/2008
Yes

13
IC Title Form No. Form Name
Moderate Probability Women A.1.2.b Survey
Low Probability Women A.1.2.b Survey
Pregnancy Activities 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey
Birth Activities-Mother and Children A.3.2, A.2.1.h, A.2.3.L5, A.1.1.a, A.1.1.c Survey ,   Survey ,   Survey ,   Survey ,   Survey
Postnatal Activities - Mother and Children 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survery ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey
Fathers A.2.3.f, A.1.3.b, A.2.2.a, A.2.2.b, A.2.2.c, A.2.2.d, A.2.2.e, A.2.3.b3, A.2.3.f, A.2.3.i, A.2.3.i, A.2.3.j1, A.2.3.j2, A.2.3.j3, A.2.3.L3, A.2.3.m1, A.3.1, A.3.3 Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey
Health Care Providers C.9.3, A.2.1, A.2.3 Instruments ,   Instruments ,   Instruments
Child Care Providers C.10.5 Instruments
High Probability Women w/Pre-pregnancy Visit 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1 Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey ,   Survey
High Probability Women w/o Pre-pregnancy Visit A.1.2.b Survey
Household Enumeration A.1.1.a2, A.1.1.a1, A.1.1.c, A.1.1.a2, A.1.1.c Survey ,   Survey ,   Survey ,   Survey ,   Survey
Eligibility Screening A.1.1.b Survey
Community Leaders C.9.4 Instruments

  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 64,598 0 0 64,598 0 0
Annual Time Burden (Hours) 13,797 0 0 13,797 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.

$35,000,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Mikia Currie 3014350941

  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.
03/28/2008