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

ICR 202003-0920-021

OMB: 0920-0010

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Justification for No Material/Nonsubstantive Change
2020-03-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supplementary Document
2019-08-26
Supporting Statement B
2019-08-26
Supporting Statement A
2019-08-26
IC Document Collections
IC ID
Document
Title
Status
6608 Modified
222820 Unchanged
216974 Unchanged
216968 Unchanged
187391 Unchanged
ICR Details
0920-0010 202003-0920-021
Active 201908-0920-005
HHS/CDC 0920-0010
Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/08/2020
Retrieve Notice of Action (NOA) 04/01/2020
Previous terms continue: 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 02/28/2023 02/28/2023
8,940 0 8,940
4,433 0 4,433
44,307 0 44,307
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. Subjects will be asked whether they were told by a healthcare provider that they had coronavirus or COVID-19. This change is being made to capture information on these infections in our study population of women who were pregnant during the SARS-CoV-2 pandemic.
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 Introductory Phone Script (English) ,   Introductory Phone Script (Spansih) ,   BDSTEPS_CATI_V8.0 ,   BDSTEPS_CATI_V8.0_SPAN
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 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 ,   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
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)
  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 8,940 0 0 0 0
Annual Time Burden (Hours) 4,433 4,433 0 0 0 0
Annual Cost Burden (Dollars) 44,307 44,307 0 0 0 0
No
No
$2,783,726
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Yes
Odion Clunis 770 488-0045 [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.
03/26/2020
© 2024 OMB.report | Privacy Policy