Information Collection

Environmental Sample Collection (Prenatal)

IC 210035 under ICR 201407-0925-005 · OMB 0925-0593.

Documents and Forms

Document Name Document Type
Form 43.1 Environmental Sample Collection (Prenatal) Form and Instruction
43.1 Survey VacuumBagDustInstrument.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Environmental Sample Collection (Prenatal)	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	43.1	Survey	VacuumBagDustInstrument.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: 283	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	283	283
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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