LOI3-RT-01-N GC/MS methods to determine environmental factors on fetal and newborn gene expression

Biospecimen and Physical Measurements Formative Research Methodology Studies for the National Children?s Study (NICHD)

Documents and Forms

Document Name Document Type
Attach 5. LOI3-RT-01-N - IRB Protocol.pdf Instruction
Attach 1. LOI-3-RT-01-N - Recruitment Script new.docx Instruction
LOI3-RT-01-N - OIRA Template 20121016.docx LOI3-RT-01-N-OIRA Template IC Document
Attach 3. LOI3-RT-01-N - IRB Approval.pdf LOI3-RT-01-N- IRB Approval IC Document
Attach 4. LOI3-RT-01-N - IRB Continuation Approval.pdf LOI3-RT-01-N- IRB Continuation Approval IC Document
Attach 2. LOI3-RT-01-N - Exemplar Consent Form new.docx Consent IC Document

Information Collection (IC) Details

IC Title:	LOI3-RT-01-N GC/MS methods to determine environmental factors on fetal and newborn gene expression	Agency IC Tracking Number:

IC Status: New

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			Attach 5. LOI3-RT-01-N - IRB Protocol.pdf		Yes	Yes	Paper Only
Instruction			Attach 1. LOI-3-RT-01-N - Recruitment Script new.docx		No		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: 900	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	1,300	0	0	0	0	0
Annual IC Time Burden (Hours)	150	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
LOI3-RT-01-N-OIRA Template	LOI3-RT-01-N - OIRA Template 20121016.docx	10/16/2012
LOI3-RT-01-N- IRB Approval	Attach 3. LOI3-RT-01-N - IRB Approval.pdf	10/16/2012
LOI3-RT-01-N- IRB Continuation Approval	Attach 4. LOI3-RT-01-N - IRB Continuation Approval.pdf	10/16/2012
Consent	Attach 2. LOI3-RT-01-N - Exemplar Consent Form new.docx	12/28/2012

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