Information Collection

Biospecimen Collection from Sentinel Cohort (Students and Household Members)

IC 214478 under ICR 201412-0920-016 · OMB 0920-1056.

Documents and Forms

Document Name Document Type
Biospecimen Collection from Sentinel Cohort (Students and Household Members) Form and Instruction
SMART2 Cohort Project Consent Form 23MAR2015 Attachment G SMART Cohort consent form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Biospecimen Collection from Sentinel Cohort (Students and Household Members)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	None	SMART2 Cohort Project Consent Form 23MAR2015	Attachment G SMART Cohort consent form.pdf	None	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0160, Records of Subjects in Health Promotion and Eductaion Studie	FR Citation: 51 FR 42484

Number of Respondents: 1,440	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,440	1,440
Annual IC Time Burden (Hours)	120	120
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.