Pregnancy Activities

Recruitment Strategy Substudy for the National Children's Study (NICHD)

OMB: 0925-0593

IC ID: 184277

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Results Letter
Form and Instruction
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Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Pregnancy Activities
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey A.1.3.c T16_17 week phone call_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.3.a T1 Mother Interview_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.3.d T3 Interview_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.3.e T36 week phone call_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.a 2-T3 Dietary Script.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.a.3 3-Day Food Checklist_Revised.pdf Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.b.2-T1 FFQ (3 months)_Revised.pdf Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.b.3-T3 FFQ (3 months)_Revised.pdf Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.c Pregnancy Diary.xls Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.e 1-Cover.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.e 2-Instructions for Log.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.e 3-Pregnancy Care Log.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.f Time Place and Activity Diary_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.b 1-T1 First Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.b 2-T1 Prior Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.c 1-T3 First Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.c 2-T3 Prior Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.j Adult Saliva Collection_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.j 2-Adult Saliva Data Collection Form Day 1.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.j 3-Adult Saliva Data Collection Form Day 2.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.l.2 Blood Draw Data Collection Form_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.l.4 Blood Draw Data Collection Form_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.m.1 Adult Hair Data 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 2-T3_24 Month One Air badge questionnaire.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.q 4-T3_24 month Two Air badges questionnaire.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.s 1-T1 Environmental T1.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.3.f Pregnancy Loss Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.l Life Experiences Survey.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.q Air Badge Questionnaire.doc Yes Yes Paper Only
Other-Results Letter A.2.3.u Environmental Letter -- Water.doc No   Paper Only
Form and Instruction 1 Survey A.2.1.a.2 P1 T1 Dietary Script_Revised.pdf Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.e Medical Care Log_Revised.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.g Consent Evaluation Questionnaire.doc Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

954 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 0 0 -6,678 0 0 6,678
Annual IC Time Burden (Hours) 0 0 -4,140 0 0 4,140
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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