Information Collection

Child-Focused Biospecimen Collection (Birth)

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.