Information Collection

Child-Focused Biospecimen Collection (Birth)

IC 210025 under ICR 201407-0925-005 · OMB 0925-0593.

Documents and Forms

Document Name Document Type
Form 33.1 Child-Focused Biospecimen Collection (Birth) Form and Instruction
33.1 Survey Birth_InfantBloodSpotInstrument.docx Form and Instruction
Birth_ChildBiospecimenPickUpInstrument.docx Birth_ChildBiospecimenPickUpInstrument IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Child-Focused Biospecimen Collection (Birth)	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	33.1	Survey	Birth_InfantBloodSpotInstrument.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: 253	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	253	253
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Birth_ChildBiospecimenPickUpInstrument	Birth_ChildBiospecimenPickUpInstrument.docx	11/08/2013

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