Information Collection

Two Tier (High): Pregnancy Visit 2 Interview

IC 193579 under ICR 201012-0925-006 · OMB 0925-0593.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7 Two Tier (High): Pregnancy Visit 2 Interview	Form and Instruction
7 Survey Pregnancy Visit 2 July Launch 20100607a.docx	Form and Instruction
Pregnancy Visit 2 July Launch Visit Information Sheet 20100607.pdf National Children's Study Visit Information Sheet: Pregnancy Visit 2	IC Document

IC Title:

Two Tier (High): Pregnancy Visit 2 Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7	Survey	Pregnancy Visit 2 July Launch 20100607a.docx		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: 3,552

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,552	3,552
Annual IC Time Burden (Hours)	2,664	2,664
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
National Children's Study Visit Information Sheet: Pregnancy Visit 2	Pregnancy Visit 2 July Launch Visit Information Sheet 20100607.pdf	06/07/2010

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