Information Collection

Adult-Focused Biospecimen Collection (Postnatal)

IC 202213 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 25.1 Adult-Focused Biospecimen Collection (Postnatal) Form and Instruction
25.1 Survey AdultBloodInstrument.docx Form and Instruction
25.2 Survey AdultUrineInstrument.docx Form and Instruction
25.3 Survey AdultSalivaIntstrument.docx Form and Instruction
25.4 Survey AdultMicrobiomeSwabInstrument.docx Form and Instruction
25.5 Survey BreastMilkSAQ.docx Form and Instruction
25.6 Survey BreastMilkKitDistributionInstrument.docx Form and Instruction
25.7 Survey BreastMilkPickUpInstrument.docx Form and Instruction
25.8 Survey AdultBloodPreScreeningInstrument.docx Form and Instruction
BreastMilkKitLetter.docx BreastMilkKitLetter IC Document
AdultUrineInstructions.doc AdultUrineInstructions IC Document
BreastMilkInstructions.docx BreastMilkInstructions IC Document
AdultMicrobiomeRectalSwabInstructions.docx AdultMicrobiomeRectalSwabInstructions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Adult-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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	25.1	Survey	AdultBloodInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	25.2	Survey	AdultUrineInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	25.3	Survey	AdultSalivaIntstrument.docx	Yes	Yes	Paper Only
Form and Instruction	25.4	Survey	AdultMicrobiomeSwabInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	25.5	Survey	BreastMilkSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	25.6	Survey	BreastMilkKitDistributionInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	25.7	Survey	BreastMilkPickUpInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	25.8	Survey	AdultBloodPreScreeningInstrument.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: 832	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	11,648	10,298	1,350
Annual IC Time Burden (Hours)	7,811	7,586	225
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
BreastMilkKitLetter	BreastMilkKitLetter.docx	11/06/2013
AdultUrineInstructions	AdultUrineInstructions.doc	11/07/2013
BreastMilkInstructions	BreastMilkInstructions.docx	11/07/2013
AdultMicrobiomeRectalSwabInstructions	AdultMicrobiomeRectalSwabInstructions.docx	11/07/2013

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