Pregnancy Visit 2 Interview (PB, EH, TT-HI, PBS)

Provider-Based Sampling Feasibility Study for the Vanguard (Pilot) Study and Data Collection Updates for the National Children's Study (NICHD)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 9.1 Pregnancy Visit 2 Interview (PB, EH, TT-HI, PBS) Form and Instruction
9.1 Survey Pregnancy Visit 2 Interview 20120413.docx Form and Instruction
9.2 Survey Pregnancy Visit 2 SAQ 20120413.docx Form and Instruction
Pregnancy Visit 2 Visit Information Sheet.docx Pregnancy Visit 2 Visit Information Sheet IC Document

Information Collection (IC) Details

IC Title:	Pregnancy Visit 2 Interview (PB, EH, TT-HI, PBS)	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
Form and Instruction	9.1	Survey	Pregnancy Visit 2 Interview 20120413.docx		Yes	Yes	Paper Only
Form and Instruction	9.2	Survey	Pregnancy Visit 2 SAQ 20120413.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: 1,817	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,817	-3,293	5,110
Annual IC Time Burden (Hours)	757	-3,076	3,833
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Pregnancy Visit 2 Visit Information Sheet	Pregnancy Visit 2 Visit Information Sheet.docx	04/13/2012

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