Postnatal Activities - Mother and Children

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

OMB: 0925-0593

IC ID: 184279

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Form and Instruction
Form and Instruction
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Form and Instruction
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Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Postnatal Activities - Mother and Children
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey A.1.4.a 3 Month Phone Call.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.4.e 18 month phone interview topics only.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.4.f 24 Month Phone Interview Subject Areas.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.b 4-M1 (Lactation) FFQ.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.k 2-Infant Feeding Form 6 months.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.n Infant 3-Day Checklist.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.o 1-6 Mo Time and Place Diary.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.o 2-Dust Plate Self Collect Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.q 2-T3_24 Month One Air badge questionnaire.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.p 2-24 month Vacuum Dust Self Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.q 1-T3_24 month One Air badge collection instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.q 3-T3_24 month Two Air badges collection instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.r 2-24 month Pesticide Wipe Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.3.1 KBIT-2.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.o 1-Dust Plate Self Collect Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.p 2-24 month Vacuum Dust Self Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.d 6 Month Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.e 12 month Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.j 4-Child Saliva Collection Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.j 5-Child Saliva Data Collection Form Day 1.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.j 6-Child Saliva Data Collection Form Day 2.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.k 2-Breast Milk Data Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.l 6-Blood Draw Data Collection Form 12 months Child.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.3.5 Three Bags Task.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.n Infant 3-Day Checklist.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.3.6 Bayley Scales of Infant and Toddler Development.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.m Child Food Frequency Questionnaire.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.4.d 12 Month Mother Interview_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.4.c 9 Month Phone Call.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.t_Environmental_Brochure_Air.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.u Environmental Letter -- Water.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.m.2 Child Hair Data Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survery A.2.3.j.7 Child Saliva Collection Form_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.s Environmental Questions_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.p Infant Medical Care Log.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.j 12 month SAQ.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.k Infant Feeding Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.l.6 Blood Draw Data Collection Form_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.h Participant Evaluation Questionnaire_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.k Breast Milk Data Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.r 24 month Pesticide Wipe Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.i 6 month SAQ.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.o Infant Child 3-Day Time and Place Diaries.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.p 24 month Vacuum Dust Self Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.4.b 6 Month Mother Interview_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.q Air Badge Questionnaire.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.d Family Medical History.doc Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

893 0
   
Individuals or Households
 
   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 3,572 0 3,572 0 0 0
Annual IC Time Burden (Hours) 2,893 0 2,893 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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