Mother's Consent Script and Computer Assisted Telephone Interview

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

OMB: 0920-0010

IC ID: 6608

Information Collection (IC) Details

View Information Collection (IC)

Mother's Consent Script and Computer Assisted Telephone Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Introductory Phone Script (English) AttQ1_IntroPhoneScripts.docx Yes Yes Fillable Fileable
Form and Instruction n/a Introductory Phone Script (Spansih) AttQ2_IntroPhoneScripts_SPAN.docx Yes Yes Fillable Fileable
Form and Instruction n/a BDSTEPS_CATI_V8.0 BD-STEPSII_CATI_v8_20200317_track.docx Yes Yes Fillable Fileable
Form and Instruction n/a BDSTEPS_CATI_V8.0_SPAN BD-STEPSII_CATI_v8_SPANISH_20200317_track.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

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

3,030 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 3,030 0 0 0 0 3,030
Annual IC Time Burden (Hours) 2,778 0 0 0 0 2,778
Annual IC Cost Burden (Dollars) 27,776 0 0 0 0 27,776

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