Privacy Advisory for Forms

Birth Defects Study to Evaluate Pregnancy exposureS

Privacy Act Statement*

The information you are being asked to provide is authorized to be collected under Section 301 of The Public Health Service Act (42 USC 241). Providing this information is voluntary. CDC will use this information in its study, BD-STEPS, Birth Defects Study To Evaluate Pregnancy exposureS, to assess: (1) what factors might raise or lower the risk of having a baby with a birth defect or other pregnancy problems; and (2) provide the public with information about preventing birth defects or other pregnancy problems. The information collected will be shared with researchers who sign an agreement with CDC to use the data for research on birth defects or other pregnancy problems and researchers must use appropriate security measures to protect your identity. Records will be covered under the CDC Privacy Act system of records 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems.

*Please keep this for your records