Formative - Developmental

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

OMB: 0925-0593

IC ID: 193580

Documents and Forms
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Document Type
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Information Collection (IC) Details

View Information Collection (IC)

Formative - Developmental
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Burden 2800 B.3.2 LOI3-QUEX-01 Exemplar Screening Tool.docx Yes Yes Paper Only
Instruction Burden 2800 B.3.4 LOI3-QUEX-01 Participant Contact Information Sheet.docx Yes Yes Paper Only
Instruction Burden 2800 B.3.5 LOI3-QUEX-01 Enrollment Medical Record Abstraction Form.doc Yes Yes Paper Only
Instruction Burden 2800 B.3.6 LOI3-QUEX-01 Exemplar Demographic and Health Survey.docx Yes Yes Paper Only
Instruction Burden 2800 B.3.7 LOI3-QUEX-01 Visit 1 Stress Questionnaire.docx Yes Yes Paper Only
Instruction Burden 2800 B.3.8 LOI3-QUEX-01Take Home Packet.docx Yes Yes Paper Only
Instruction Burden 2800 B.3.9 LOI3-QUEX-01 Visit 2 Stress Questionnaire.docx Yes Yes Paper Only
Instruction Burden 324 B.4.3 LOI2-QUEX-5 Exemplar Telephone Screener.docx Yes Yes Paper Only
Instruction Burden 324 B.4.4 LOI2-QUEX-5 Assessment Description Bayley-3 Short Form.docx Yes Yes Paper Only
Instruction Burden 2178 B.5.2 LOI2-QUEX-13 Cognitive Interview Phone Screen Script.doc Yes Yes Paper Only
Instruction Burden 2178 B.5.4 LOI2-QUEX-13 Cognitive Interviewing Guide.docx Yes Yes Paper Only
Instruction Burden 2178 B.5.5 LOI2-QUEX-13 Interview Phone Screen Script.docx Yes Yes Paper Only
Instruction Burden 2178 B.5.8 LOI2-QUEX-13 Exemplar Interview.doc Yes Yes Paper Only
Instruction Burden 2800 B.3.11 LOI3-QUEX-01 Postpartum Abstraction Form.doc Yes Yes Paper Only
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 20110909).docx Yes Yes Paper Only
Instruction Burden 900 B.1.2 LOI3-BIO-02 Exemplar Screening Interview.docx Yes Yes Paper Only
Instruction Burden 900 B.1.7 LOI3-BIO-02 Exemplar Interview.docx Yes Yes Paper Only
Instruction Burden 225 B.2.4 LOI2-PHYS-15 Exemplar Participant Experience Survey.docx Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

14,542 0
   
Individuals or Households
 
   0 %

  Requested 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

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