List of Instruments

OMB Collection #: 0925-0593

Expiration Date: 7/31/2013

List of Instruments

FOR POSTING UNDER IC #30

File #	File Title	Instrument Title	Document Type	NOTES
N/A	Note To File – Formative Research (updated 20111221)	Note To File – Formative Research	Instruction	Replaces current note to file
B.1.2	Burden 900 B.1.2 LOI3-BIO-02 Exemplar Screening Interview	B.1.2. Exemplar Screening Interview	Instruction	Supports LOI3-BIO-02 and LOI3-BIO-05
B.1.7	Burden 900 B.1.7 LOI3-BIO-02 Exemplar Interview	B.1.7 Exemplar Interview	Instruction	Supports LOI3-BIO-02 and LOI3-BIO-05
B.2.4	Burden 225 B.2.4 LOI2-PHYS-15 Exemplar Participant Experience Survey	B.2.4 Exemplar Participant Experience Survey	Instruction	Supports LOI2-PHYS-15

FOR POSTING UNDER “FILES” TAB

File #		Instrument Title	Document Type	NOTES
N/A	Cover Memorandum 20111221	Cover Memorandum	Justification for No Material/Nonsubstantive Change
N/A	List of Instruments	List of Instruments	Supplementary / Other
B.1.1	B.1.1 LOI3-BIO-02 Recruitment Flyer	B.1.1 Exemplar Recruitment Flyer	Supplementary / Other	Supports LOI3-BIO-02 and-05
B.1.3	B.1.3 LOI3-BIO-02 Exemplar Consent	B.1.3 Exemplar Breast Milk Collection Consent Form (for Non-NCS Vanguard Study Participants)	Supplementary / Other	Supports LOI3-BIO-02 and-05
B.1.4	B.1.4 LOI3-BIO-02-C Exemplar VIS NCS Vanguard	B.1.4 NCS Visit Information Sheet (for NCS Vanguard Study Participants)	Supplementary / Other	Supports LOI3-BIO-02 and-05
B.1.5	B.1.5 LOI3-BIO-05 Collection Inst	B.1.5 Exemplar Collection Instructions	Supplementary / Other	Supports LOI3-BIO-02 and-05
B.1.6	B.1.6 LOI3-BIO-02 Exemplar Phone Script	B.1.6 Exemplar Phone Script to Schedule Study Visits	Supplementary / Other	Supports LOI3-BIO-02 and-05
B.1.8	B.1.8 LOI3-BIO-02-A Protocol Summary	B.1.8 Protocol Summary (Excerpted from local IRB protocol	Supplementary / Other	Supports LOI3-BIO-02 and-05
B.2.1	B.2.1 LOI2-PHYS-15 Exemplar Recruitment Flyer	B.2.1 Exemplar Recruitment Flyer (Non-NCS Vanguard Study Participants)	Supplementary / Other	Supports LOI2-PHYS-15
B.2.2	B.2.2 LOI2-PHYS-15 Exemplar Consent Form	B.2.2 Exemplar Dysmorphology Assessment Consent Form (for Non-NCS Vanguard Study Participants)	Supplementary / Other	Supports LOI2-PHYS-15
B.2.3	B.2.3 LOI2-PHYS-15 Exemplar VIS NCS Vanguard	B.2.3 NCS Visit Information Sheet (for NCS Vanguard Study Participants)	Supplementary / Other	Supports LOI2-PHYS-15
B.2.5	B.2.5 LOI2-PHYS-15 Protocol Summary	B.2.5 Protocol Summary (Excerpted from local IRB protocol)	Supplementary / Other	Supports LOI2-PHYS-15
B.2.6	B.2.6 LOI2-PHYS-15 IRB Approval Letters	B.2.6 Protocol Summary (Excerpted from local IRB protocol)	Supplementary / Other	Supports LOI2-PHYS-15

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