Adult-Focused Biospecimen Collection (Preconception)

Continuation of National Children's Study Vanguard (Pilot) Study Data Collection: Study Visits through 60-Months

Documents and Forms

Document Name Document Type
Form 30.2 Adult-Focused Biospecimen Collection (Preconception) Form and Instruction
30.2 Survey AdultUrineInstrument.docx Form and Instruction
30.1 Survey AdultBloodInstrument.docx Form and Instruction
30.3 Survey AdultBloodPreScreeningInstrument.docx Form and Instruction
AdultUrineInstructions.doc AdultUrineInstructions IC Document

Information Collection (IC) Details

IC Title:	Adult-Focused Biospecimen Collection (Preconception)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	30.2	Survey	AdultUrineInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	30.1	Survey	AdultBloodInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	30.3	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: 356	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	356	356
Annual IC Time Burden (Hours)	154	154
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
AdultUrineInstructions	AdultUrineInstructions.doc	11/07/2013

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