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Formative - Developmental
Recruitment Strategy Substudy for the National Children's Study (NICHD)
OMB: 0925-0593
IC ID: 193580
OMB.report
HHS/NIH
OMB 0925-0593
ICR 201107-0925-001
IC 193580
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0593 can be found here:
2014-07-25 - No material or nonsubstantive change to a currently approved collection
2014-01-13 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Burden 19 HiLo Household Inventory Questionnaire 20110420 - LOIx-QUEX-01-B-1.DOCX
Instruction
Burden 20 Participant Internet Usage and Contact Preference Survey 20110420 - LOI2-INF-17.docx
Instruction
Burden 125 Exemplar Demographics 20110621 - LOI3-PHYS-02.docx
Instruction
Burden 250 Measurement Form 20110621 - LOI3-PHYS-02.pdf
Instruction
Burden 38 Contact Info 20110621 - LOI3-PHYS-01.docx
Instruction
Burden 38 Exit Survey 20110621 - LOI3-PHYS-01.docx
Instruction
Burden 38 Visit Screen 20110621 - LOI3-PHYS-01.docx
Instruction
Burden 75 Questionnaire 20110621 - LOI3-PHYS-01.docx
Instruction
Burden 15 Acculturation Instrument 20110621 - LOI2-QUEX-14.docx
Instruction
Burden 37 Second Acceptability Questionnaire 20110621 - LOI2-QUEX-14.doc
Instruction
Burden 38 Initial Acceptability Questionnaire 20110621 - LOI2-QUEX-14.doc
Instruction
Burden 90 Food Record 20110621 - LOI2-QUEX-14.docx
Instruction
Burden 100 NCS FFQ 20110621 - LOI2-QUEX-14.pdf
Instruction
Burden 38 Screening 20110621 - LOI3-PHYS-01.docx
Instruction
Burden 250 NCS ASA24 Protocol (Placeholder for web survey) 20110621 - LOI2-QUEX-14.docx
Instruction
Note to File - Formative Research (updated 20110617).docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Formative - Developmental
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Burden 19 HiLo Household Inventory Questionnaire 20110420 - LOIx-QUEX-01-B-1.DOCX
Yes
Yes
Paper Only
Instruction
Burden 20 Participant Internet Usage and Contact Preference Survey 20110420 - LOI2-INF-17.docx
Yes
Yes
Paper Only
Instruction
Burden 125 Exemplar Demographics 20110621 - LOI3-PHYS-02.docx
Yes
Yes
Paper Only
Instruction
Burden 250 Measurement Form 20110621 - LOI3-PHYS-02.pdf
Yes
Yes
Paper Only
Instruction
Burden 38 Contact Info 20110621 - LOI3-PHYS-01.docx
Yes
Yes
Paper Only
Instruction
Burden 38 Exit Survey 20110621 - LOI3-PHYS-01.docx
Yes
Yes
Paper Only
Instruction
Burden 38 Visit Screen 20110621 - LOI3-PHYS-01.docx
Yes
Yes
Paper Only
Instruction
Burden 75 Questionnaire 20110621 - LOI3-PHYS-01.docx
Yes
Yes
Paper Only
Instruction
Burden 15 Acculturation Instrument 20110621 - LOI2-QUEX-14.docx
Yes
Yes
Paper Only
Instruction
Burden 37 Second Acceptability Questionnaire 20110621 - LOI2-QUEX-14.doc
Yes
Yes
Paper Only
Instruction
Burden 38 Initial Acceptability Questionnaire 20110621 - LOI2-QUEX-14.doc
Yes
Yes
Paper Only
Instruction
Burden 90 Food Record 20110621 - LOI2-QUEX-14.docx
Yes
Yes
Paper Only
Instruction
Burden 100 NCS FFQ 20110621 - LOI2-QUEX-14.pdf
Yes
Yes
Paper Only
Instruction
Burden 38 Screening 20110621 - LOI3-PHYS-01.docx
Yes
Yes
Paper Only
Instruction
Burden 250 NCS ASA24 Protocol (Placeholder for web survey) 20110621 - LOI2-QUEX-14.docx
Yes
Yes
Paper Only
Instruction
Note to File - Formative Research (updated 20110617).docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
14,542
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
14,542
0
0
0
0
14,542
Annual IC Time Burden (Hours)
14,542
0
0
0
0
14,542
Annual IC Cost Burden (Dollars)
0
0
0
0
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.