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Federal forms, ICRs, and supporting documents

Information Collection

KAB for Antibiotic Use, Focus Groups about Down Syndrome, and Focus Groups about CigaretteSmoking and Birth Defects

IC 192429 under ICR 200807-0920-007 · OMB 0920-0798.

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Information Collection (IC) Details

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KAB for Antibiotic Use, Focus Groups about Down Syndrome, and Focus Groups about CigaretteSmoking and Birth Defects
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Focus Groups about Women's Perception of Down Syndrome - focus group guide Attachment 2.doc No No Paper Only
Form none Focus Group about Women's Perception of Down Syndrome - screener Attachment 4.doc No No Paper Only
Form none Focus Group about Women's Perception of Down Syndrome - questionnaire Attachment 3.doc No No Paper Only
Form none Focus Group about Women's Perception of Down Syndrome - consent Attachment 7.doc No No Paper Only
Form none KAB for Antibiotic Use - prescreener OMBAttachment 1 - Pre-Screener.doc No No Paper Only
Form none KAB for Antibiotic Use - screener OMB Att 2 - Recruitment Specs and Screening-Invitation Instr.doc No No Paper Only
Form none KAB for Antibiotic Use - discussion guides OMB Attachment 5 - Discussion Guides.doc No No Paper Only
Form none Focus Group about Cigarette Smoking during Pregnancy - focus group guide Attachment 2.doc No No Paper Only
Form none Focus Group about Cigarette Smoking during Pregnancy - participant questionnaire Attachment 3.doc No No Paper Only
Form none Focus Group about Cigarette Smoking during Pregnancy - screener Attachment 4.doc No No Paper Only
Form none Focus Group about Cigarette Smoking during Pregnancy - consent Attachment 7.doc No No Paper Only

Health Illness Prevention

 

3,252 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 3,252 0 0 0 0 0
Annual IC Time Burden (Hours) 761 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Focus Group about Women's Percpetion of Down Syndrome - confirmation letter Attachment 5.doc 03/08/2010
Focus Group about Women's Perception of Down Syndrome - authorizing legislation Attachment 1.pdf 03/08/2010
Focus Group about Women's Perception of Down Syndrome - incentive letters Attachment 6.pdf 03/08/2010
Focus Group about Women's Perception of Down Syndrome - IRB approval Attachment 8.pdf 03/08/2010
Focus Group about Women's Perception of Down Syndrome - supporting statement Project 4 OMB Ap SecA.doc 03/08/2010
KAB on Antibiotic Use - CAT Focus Group Information Sheet OMB Attachment 3 - CAT blurb 9-1-09.doc 03/15/2010
Focus Group about Cigarette Smoking during Pregnancy - legislative authority Attachment 1.pdf 03/18/2010
Focus Group about Cigarette Smoking during Pregnancy - confirmation letter Attachment 5.doc 03/18/2010
Focus Group about Cigarette Smoking during Pregnancy - incentive letters Attachment 6.pdf 03/18/2010
Focus Group about Cigarette Smoking during Pregnancy - IRB approval Attachment 8.pdf 03/18/2010
Focus Group about Cigarette Smoking during Pregnancy - supporting statement Project 5 OMB Ap SecA.doc 03/18/2010
KAB on Antibiotic Use - participant information OMB Attachment 4 Participant Information.doc 03/22/2010
KAB on Antibiotic Use - supporting statement OMB Application for Get Smart ADE project 12-7-09A.doc 03/22/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.