Noise Subsample Study

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

Documents and Forms

Document Name Document Type
Form 40.1 Noise Subsample Study Form and Instruction
NoiseMonitorInstructions.docx Instruction
40.1 Survey NoiseMeasurementSAQ.docx Form and Instruction
40.2 Survey NoiseMeasurementSetUpInstrument.docx Form and Instruction
40.3 Survey NoiseMeasurementPickUpInstrument.docx Form and Instruction
NoiseMonitorShippingInstructions.docx NoiseMonitorShippingInstructions IC Document

Information Collection (IC) Details

IC Title:	Noise Subsample Study	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	40.1	Survey	NoiseMeasurementSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	40.2	Survey	NoiseMeasurementSetUpInstrument.docx	Yes	Yes	Paper Only
Instruction			NoiseMonitorInstructions.docx	Yes	Yes	Paper Only
Form and Instruction	40.3	Survey	NoiseMeasurementPickUpInstrument.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: 200	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	400	400
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NoiseMonitorShippingInstructions	NoiseMonitorShippingInstructions.docx	01/15/2014

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