Information Collection Request

Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS)

ICR 201312-0920-002 · OMB 0920-0010 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Mother Questionnaire Form Modified Available
OMBSupportingStatementB_Oct17.docx Supporting Statement B Uploaded 2013-12-02 Available
AttX_DRAFTMedRecordReleaseForm.docx Supplementary Document Uploaded 2013-12-02 Available
AttW_MedRecPatientRequestLtr_Nov5.doc Supplementary Document Uploaded 2013-12-02 Available
AttT_IntroEmailScripts_CellphoneTexts_Nov5.doc.docx Supplementary Document Uploaded 2013-12-02 Available
AttS_NBDPS Publications 6_14_2013.docx Supplementary Document Uploaded 2013-12-02 Available
AttP_RightsofResearchSubjects_Oct23.docx Supplementary Document Uploaded 2013-12-02 Available
AttO_IntroLetter_Nov5.docx Supplementary Document Uploaded 2013-12-02 Available
AttN_IntroQandA_Oct23.docx Supplementary Document Uploaded 2013-12-02 Available
AttM_BD_STEPS_Blank_ConfidentialityOathPledges_Jul15_2013.doc Supplementary Document Uploaded 2013-12-02 Available
AttJ_CertificateofConfidentialityExp1-14.pdf Supplementary Document Uploaded 2013-12-02 Available
AttI_CollaboratorsList_CBDRP.docx Supplementary Document Uploaded 2013-12-02 Available
AttH_BDSTEPSBirthDefects.docx Supplementary Document Uploaded 2013-12-02 Available
AttF_ListofBDSTEPSCenters.docx Supplementary Document Uploaded 2013-12-02 Repair queued
AttE_2087IRBAmendmentApproval.docx Supplementary Document Uploaded 2013-12-02 Repair queued
AttD_2087IRBContinuationApproval.docx Supplementary Document Uploaded 2013-12-02 Available
AttC_LetterofAuthorizationDCH2012-13.pdf Supplementary Document Uploaded 2013-12-02 Available
AttB_60dy_0920_0010.pdf Supplementary Document Uploaded 2013-12-02 Available
AttA_BDPreventionActof1998.pdf Supplementary Document Uploaded 2013-12-02 Available
42 USC 247b_4.pdf Supplementary Document Uploaded 2013-12-02 Available
AttU_SalIntroLtrLiving_Nov5.doc Supplementary Document Uploaded 2013-12-02 Repair queued
AttVSalThankYouLtr_Nov5.docx Supplementary Document Uploaded 2013-12-02 Available
AttK_IntroPhoneScript_Nov5.doc Supplementary Document Uploaded 2013-12-02 Repair queued
OMBSupportingStatementA_Nov21_OMBFeedback_CLEAN.docx Supporting Statement A Uploaded 2013-12-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6608 Mother Questionnaire Form Modified
187391 Biologic Specimen Collection Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2017 36 Months From Approved 04/30/2015
7,700 0 14,400
2,888 0 5,640
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Mother Questionnaire none BD-STEPS
Biologic Specimen Collection none Consent

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,700 14,400 0 -6,700 0 0
Annual Time Burden (Hours) 2,888 5,640 0 -2,752 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No