Consent for Bloodspot Retrieval

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

OMB: 0920-0010

IC ID: 187391

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Consent for Bloodspot Retrieval
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Bloodspot Consent (English) AttR1_BloodspotConsent.docx No   Paper Only
Form and Instruction n/a Bloodspot Verbal Consent (English) AttS1_BloodspotVerbalConsent.docx No   Paper Only
Form and Instruction n/a Bloodspot Consent for Multiples (English) AttT1_BloodspotConsent_Multiples.docx No   Paper Only
Form and Instruction n/a Bloodspot Verbal Consent for Multiples (English) AttU1_BloodspotVerbalConsent_Multiples.docx No   Paper Only
Form and Instruction n/a Bloodspot Consent (Spanish) AttR2_BloodspotConsent_SPAN.docx No   Paper Only
Form and Instruction n/a Bloodspot Verbal Consent (Spanish) AttS2_BloodspotVerbalConsent_SPAN.docx No   Paper Only
Form and Instruction n/a Bloodspot Consent for Multiples (Spanish) AttT2_BloodspotConsent_Multiples_SPAN.docx No   Paper Only
Form and Instruction n/a Bloodspot Verbal Consent for Multiples (Spanish) AttU2_BloodspotVerbalConsent_Multiples_SPAN.docx No   Paper Only

Health Public Health Monitoring

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

1,850 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,850 0 0 0 0 1,850
Annual IC Time Burden (Hours) 463 0 0 0 0 463
Annual IC Cost Burden (Dollars) 4,625 0 0 0 0 4,625

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