Birth Activities-Mother and Children

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0593 can be found here:

Documents and Forms

Document Name Document Type
Form A.2.3.L5 Birth Activities-Mother and Children Form and Instruction
A.3.2 Survey A.3.2 NICU Network Neurobehavioral Scale.doc Form and Instruction
A.2.1.h Survey A.2.1.h Participant Satisfaction Questionnaire.doc Form and Instruction
A.2.3.L5 Survey A.2.3.l 5-Blood Draw Data Collection Form Birth Maternal.doc Form and Instruction
A.1.1.a Survey A.1.1.a Household Enumeration.doc Form and Instruction
A.1.1.c Survey A.1.1.c Neighbor Information.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Birth Activities-Mother and Children	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	A.2.3.L5	Survey	A.2.3.l 5-Blood Draw Data Collection Form Birth Maternal.doc	Yes	Yes	Paper Only
Form and Instruction	A.1.1.a	Survey	A.1.1.a Household Enumeration.doc	Yes	Yes	Paper Only
Form and Instruction	A.1.1.c	Survey	A.1.1.c Neighbor Information.doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	A.3.2	Survey	A.3.2 NICU Network Neurobehavioral Scale.doc	Yes	Yes	Paper Only
Form and Instruction	A.2.1.h	Survey	A.2.1.h Participant Satisfaction Questionnaire.doc	Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 912	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,824	1,824
Annual IC Time Burden (Hours)	-693	693
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.