Information Collection

Child-Focused Biospecimen Collection (Postnatal)

IC 202211 under ICR 201401-0925-004 · OMB 0925-0593.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 23.1 Child-Focused Biospecimen Collection (Postnatal)	Form and Instruction
23.1 Survey ChildBloodInstrument.docx	Form and Instruction
23.2 Survey ChildUrineInstrument.docx	Form and Instruction
23.3 Survey ChildSalivaInstrument.docx	Form and Instruction
23.4 Survey ChildMicrobiomeSwabInstrument.docx	Form and Instruction
23.5 Survey 60M_ChildTeethInstrument.docx	Form and Instruction
23.6 Survey 60M_ChildTeethSAQ.docx	Form and Instruction
23.7 Survey 24M_ChildMicrobiomeStoolSAQ.docx	Form and Instruction
23.8 Survey ChildBloodPreScreeningInstrument.docx	Form and Instruction
60M_ChildTeethInstructions.docx 60M_ChildTeethInstructions	IC Document
ChildUrineInstructions.docx ChildUrineInstructions	IC Document
ChildUrineBagInstructions.docx ChildUrineBagInstructions	IC Document
24M_ChildMicrobiomeStoolInstructions.docx 24M_ChildMicrobiomeStoolInstructions	IC Document

IC Title:

Child-Focused Biospecimen Collection (Postnatal)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	23.1	Survey	ChildBloodInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.2	Survey	ChildUrineInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.3	Survey	ChildSalivaInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.4	Survey	ChildMicrobiomeSwabInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.5	Survey	60M_ChildTeethInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.6	Survey	60M_ChildTeethSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	23.7	Survey	24M_ChildMicrobiomeStoolSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	23.8	Survey	ChildBloodPreScreeningInstrument.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: 886

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,404	9,360	3,044
Annual IC Time Burden (Hours)	9,027	7,885	1,142
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60M_ChildTeethInstructions	60M_ChildTeethInstructions.docx	11/07/2013
ChildUrineInstructions	ChildUrineInstructions.docx	11/07/2013
ChildUrineBagInstructions	ChildUrineBagInstructions.docx	11/07/2013
24M_ChildMicrobiomeStoolInstructions	24M_ChildMicrobiomeStoolInstructions.docx	11/07/2013

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