Information Collection Request

National Birth Defects Prevention Study (formerly titled: Metro Atlanta Birth Defects & Factor Surveillance Program)

ICR 200812-0920-001 · OMB 0920-0010 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
OMB_Memorandum_Conference_Call_issues_0920_0010.doc Supplementary Document Uploaded 2009-03-03 Available
Attachment_O_REVISED_Feb_09_WrittenConsentforCheekCells.doc Supplementary Document Uploaded 2009-03-03 Available
Dietary information collection_letter.doc Supplementary Document Uploaded 2009-03-03 Available
Attachment_O_REVISED_Feb_09_WrittenConsentforCheekCells.doc Supplementary Document Uploaded 2009-03-03 Repair queued
SS_Part_B_ICRO Final.doc Supporting Statement B Uploaded 2008-11-19 Available
Att S_List of CATI Changes.doc Supplementary Document Uploaded 2008-11-19 Available
Att P_Thank You Letter.doc Supplementary Document Uploaded 2008-11-19 Available
Att M_Human Subjects Fact Sheet.doc Supplementary Document Uploaded 2008-11-19 Available
Att L_Intoductory Letter.doc Supplementary Document Uploaded 2008-11-19 Repair queued
Att K_NBDPS Q&A Pamphlet.pdf Supplementary Document Uploaded 2008-11-19 Available
Att J_Confidentiality Oath.doc Supplementary Document Uploaded 2008-11-19 Repair queued
Att I_Certificate of Confidentiality.pdf Supplementary Document Uploaded 2008-11-19 Available
Att H_CBDRP Collaborators List.doc Supplementary Document Uploaded 2008-11-19 Repair queued
Att G_Birth Defects Prevention Act of 1998.pdf Supplementary Document Uploaded 2008-11-19 Available
Att F_List of Birth Defects.doc Supplementary Document Uploaded 2008-11-19 Available
Att D_List of Study Ctrs.doc Supplementary Document Uploaded 2008-11-19 Available
Att C_CDC IRB Appr Ltr.doc Supplementary Document Uploaded 2008-11-19 Repair queued
Att B_ FRN 60d.pdf Supplementary Document Uploaded 2008-11-19 Available
Att A_GA DHR Ltr for MACDP.pdf Supplementary Document Uploaded 2008-11-19 Repair queued
Att A.1_Birth Defects Prevention Act of 1998.pdf Supplementary Document Uploaded 2008-11-19 Available
Att R_Cheek Cell Instructions.doc Supplementary Document Uploaded 2008-11-19 Available
Att O_Written Consent for Cheek Cells.doc Supplementary Document Uploaded 2008-11-19 Available
Att N_Intro Phone Scripts.doc Supplementary Document Uploaded 2008-11-19 Available
SS_Part_A_Final.doc Supporting Statement A Uploaded 2008-11-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6608 National Birth Defects Prevention Study (formerly titled: Metro Atlanta Birth Defects & Factor Surveillance Program) Other-WORD Modified
187391 Biologic Specimen Collection Kit Other-word New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2012 36 Months From Approved 05/31/2009
14,400 0 400
5,400 0 600
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
National Birth Defects Prevention Study (formerly titled: Metro Atlanta Birth Defects & Factor Surveillance Program)
Biologic Specimen Collection Kit

table that charts list of burden
  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 14,400 400 0 14,000 0 0
Annual Time Burden (Hours) 5,400 600 0 4,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No