Information Collection Request

Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS)

ICR 201908-0920-005 · OMB 0920-0010 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Mother's Consent Script and Computer Assisted Telephone Interview Form and Instruction Modified Repair queued
Supplemental CATI about Stillbirth Form and Instruction Modified Available
Consent for Linkage to Reportable Infectious Diseases Results Form and Instruction Modified Repair queued
Occupational Questionnaires Form and Instruction Modified Available
Consent for Bloodspot Retrieval Form and Instruction Modified Repair queued
AttBB2_IntvThankYou_Infection_BloodspotIntroLtr_MULTI_SPAN.docx Supplementary Document Uploaded 2019-08-26 Available
AttBB1_IntvThankYou_Infection_BloodspotIntroLtr_MULTI.docx Supplementary Document Uploaded 2019-08-26 Available
AttAA2_IntvThankYou_Infection_Bloodspot_IntroLtr_SPAN.docx Supplementary Document Uploaded 2019-08-26 Available
AttAA1_IntvThankYou_Infection_Bloodspot_IntroLtr.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttK_Collaborators List.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttI_Stillbirth_Case_Definition.docx Supplementary Document Uploaded 2019-08-26 Available
AttZ_JustificationNewQuestions.docx Supplementary Document Uploaded 2019-08-26 Available
AttH_ Birth_Defects_Case_Definition.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttW_CBDRP_ConfidentialityOaths.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttX_PrivacyImpactAssessment.pdf Supplementary Document Uploaded 2019-08-26 Available
AttDD1_PrivacyActStatement.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttE_ListofBDSTEPSCenters.pdf Supplementary Document Uploaded 2019-08-26 Available
AttCC_NBDPS-Publications.docx Supplementary Document Uploaded 2019-08-26 Available
AttD_CDC-IRB_ApprovalLetter.pdf Supplementary Document Uploaded 2019-08-26 Available
AttC2_CDC-IRB_AmendmentApproval_92.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttC1_CDC-IRB_AmendmentApproval_89.docx Supplementary Document Uploaded 2019-08-26 Available
AttB_60dayFRN.pdf Supplementary Document Uploaded 2019-08-26 Available
AttA_BDPreventionActof1998.pdf Supplementary Document Uploaded 2019-08-26 Available
BD-STEPS_OMBStatementB_20190813-Final.docx Supporting Statement B Uploaded 2019-08-26 Available
BD-STEPS_OMBStatementA_20190813-Final.docx Supporting Statement A Uploaded 2019-08-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
6608 Mother's Consent Script and Computer Assisted Telephone Interview Form and Instruction Modified
222820 Supplemental CATI about Stillbirth Form and Instruction Modified
216978 Medical Record Review Instruction Removed
216974 Consent for Linkage to Reportable Infectious Diseases Results Form and Instruction Modified
216968 Occupational Questionnaires Form and Instruction Modified
187391 Consent for Bloodspot Retrieval Form and Instruction Modified
ICR Details
0920-0010 201908-0920-005
Historical Active 201608-0920-002
HHS/CDC 0920-0010
Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS)
Revision of a currently approved collection   No
Regular
Approved with change 02/07/2020
Retrieve Notice of Action (NOA) 08/27/2019
Approved consistent with the understanding that CDC will continue to work with SAMHSA on questions related to illicit drug use. The Agency will include the OMB control number and expiration date (as well as the burden statement) on all questionnaires and forms administered to participants in this collection.
  Inventory as of this Action Requested Previously Approved
02/28/2023 36 Months From Approved 02/29/2020
8,940 0 6,190
4,433 0 3,034
44,307 0 0

The purpose of BD-STEPS is to evaluate factors associated with the occurrence of birth defects and stillbirths and ultimately to work to prevent major birth defects and stillbirths associated with maternal risk factors.

PL: Pub.L. 105 - 168 1 Name of Law: Birth Defects Prevention Act
   US Code: 42 USC 247b-4 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 7374 03/04/2019
84 FR 44314 08/23/2019
No

5
IC Title Form No. Form Name
Consent for Bloodspot Retrieval n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a Bloodspot Consent (English) ,   Bloodspot Verbal Consent (English) ,   Bloodspot Consent for Multiples (English) ,   Bloodspot Verbal Consent for Multiples (English) ,   Bloodspot Consent (Spanish) ,   Bloodspot Verbal Consent (Spanish) ,   Bloodspot Consent for Multiples (Spanish) ,   Bloodspot Verbal Consent for Multiples (Spanish)
Mother's Consent Script and Computer Assisted Telephone Interview n/a, n/a, n/a, n/a Computer Assisted Telephone Interview for Mothers (Spanish) ,   Computer Assisted Telephone Interview for Mothers (English) ,   Introductory Phone Script (English) ,   Introductory Phone Script (Spansih)
Consent for Linkage to Reportable Infectious Diseases Results n/a, n/a, n/a, n/a Written Consent for Release of Reportable Infectious Diseases (English) ,   Written Consent for Release of Reportable Infectious Diseases (Spanish) ,   Verbal Consent for Release of Reportable Infectious Diseases (English) ,   Verbal Consent for Release of Reportable Infectious Diseases (Spanish)
Occupational Questionnaires n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a Janitorial_Screenshots_English ,   Janitorial_Screenshots_Spanish ,   Office Worker_Screenshots_English ,   Office Worker_Screenshots_Spanish ,   Restaurant Worker_Screenshots_English ,   Restaurant Worker_Screenshots_Spanish ,   Teaching_Screenshots_English ,   Teaching_Screenshots_Spanish ,   Agriculture_Screenshots_English ,   Agriculture_Screenshots_Spanish ,   Cosmetology_Screenshots_English ,   Cosmetology_Screenshots_Spanish ,   Electronic Equipment Operators_Screenshots_English ,   Electronic Equipment Operators_Screenshots_Spanish ,   Healthcare_Screenshots_English ,   Healthcare_Screenshots_Spansih
Supplemental CATI about Stillbirth n/a, n/a, n/a, n/a Introductory Phone Script for the Interview about Stillborth (English) ,   Introductory Phone Script for the Interview about Stillborth (Spanish) ,   Computer Assisted Phone Interview about Stillbirth (English) ,   Computer Assisted Phone Interview about Stillbirth (Spanish)
Medical Record Review

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,940 6,190 0 2,750 0 0
Annual Time Burden (Hours) 4,433 3,034 0 1,399 0 0
Annual Cost Burden (Dollars) 44,307 0 0 44,307 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The length of the CATI for Mothers will increase due to an increase in the number of qualifying birth defects. The number of respondents will increase. The number of respondents will increase for the Online Occupational Questionnaires but there is no change to the estimated burden per response. The previously approved Medical Record Review was not implemented and is being removed in this Revision request.

$2,783,726
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Uncollected
Renita Macaluso 770 488-6458 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/27/2019