Occupational Questionnaires

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

OMB: 0920-0010

IC ID: 216968

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Information Collection (IC) Details

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Occupational Questionnaires
 
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 Agriculture_Screenshots_English AttG1.1_BDSTEPS_OOQ_Agriculture.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Agriculture_Screenshots_Spanish AttG1.2_BDSTEPS_OOQ_Agriculture_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Cosmetology_Screenshots_English AttG2.1_BDSTEPS_OOQ_Cosmetology.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Cosmetology_Screenshots_Spanish AttG2.2_BDSTEPS_OOQ_Cosmetology_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Electronic Equipment Operators_Screenshots_English AttG3.1_BDSTEPS_OOQ_EEO.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Electronic Equipment Operators_Screenshots_Spanish AttG3.2_BDSTEPS_OOQ_EEO_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Healthcare_Screenshots_English AttG4.1_BDSTEPS_OOQ_Healthcare.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Healthcare_Screenshots_Spansih AttG4.2_BDSTEPS_OOQ_Healthcare_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Janitorial_Screenshots_English AttG5.1_BDSTEPS_OOQ_Janitorial.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Janitorial_Screenshots_Spanish AttG5.2_BDSTEPS_OOQ_Janitorial_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Office Worker_Screenshots_English AttG6.1_BDSTEPS_OOQ_OfficeWorker.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Office Worker_Screenshots_Spanish AttG6.2_BDSTEPS_OOQ_OfficeWorker_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Restaurant Worker_Screenshots_English AttG7.1_BDSTEPS_OOQ_Restaurant.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Restaurant Worker_Screenshots_Spanish AttG7.2_BDSTEPS_OOQ_Restaurant_SPAN.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Teaching_Screenshots_English AttG8.1_BDSTEPS_OOQ_Teaching.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Teaching_Screenshots_Spanish AttG8.2_BDSTEPS_OOQ_Teaching_SPAN.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

830 0
   
Individuals or Households
 
   100 %

  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 830 0 0 0 0 830
Annual IC Time Burden (Hours) 277 0 0 0 0 277
Annual IC Cost Burden (Dollars) 2,764 0 0 0 0 2,764

Title Document Date Uploaded
Agriculture Questionnaire Content_English AttG1.A1_BDSTEPS_OOQ_Agriculture-HC.pdf 08/26/2019
Agriculture Questionnaire Content_Spanish AttG1.B2_BDSTEPS_OOQ_Agriculture_-HC_SPAN.pdf 08/26/2019
Cosmetology Questionnaire Content_English AttG2.A1_BDSTEPS_OOQ_Cosmetology-HC.pdf 08/26/2019
Cosmetology Questionnaire Content_Spanish AttG2.B2_BDSTEPS_OOQ_Cosmetology_-HC_SPAN.pdf 08/26/2019
Electrical Equipment Operators Questionnaire Content_English AttG3.A1_BDSTEPS_OOQ_EEO-HC.pdf 08/26/2019
Electrical Equipment Operators Questionnaire Content_Spanish AttG3.B2_BDSTEPS_OOQ_EEO_-HC_SPAN.pdf 08/26/2019
Healthcare Workers Questionnaire Content_English AttG4.A1_BDSTEPS_OOQ_Healthcare-HC.pdf 08/26/2019
Healthcare Workers Questionnaire Content_Spanish AttG4.B2_BDSTEPS_OOQ_Healthcare_-HC_SPAN.pdf 08/26/2019
Janitorial Workers Questionnaire Content_English AttG5.A1_BDSTEPS_OOQ_Janitorial-HC.pdf 08/26/2019
Janitorial Workers Questionnaire Content_Spanish AttG5.B2_BDSTEPS_OOQ_Janitorial_-HC_SPAN.pdf 08/26/2019
Office Workers Questionnaire Content_English AttG6.A1_BDSTEPS_OOQ_OfficeWorker-HC.pdf 08/26/2019
Office Workers Questionnaire Content_Spanish AttG6.B2_BDSTEPS_OOQ_OfficeWorker_-HC_SPAN.pdf 08/26/2019
Restaurant Workers Questionnaire Content_English AttG7.A1_BDSTEPS_OOQ_Restaurant-HC.pdf 08/26/2019
Restaurant Workers Questionnaire Content_Spanish AttG7.B2_BDSTEPS_OOQ_Restaurant_-HC_SPAN.pdf 08/26/2019
Teaching Questionnaire Content_English AttG8.A1_BDSTEPS_OOQ_Teaching-HC.pdf 08/26/2019
Teaching Questionnaire Content_Spanish AttG8.B2_BDSTEPS_OOQ_Teaching_-HC_SPAN.pdf 08/26/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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