Information Collection

HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)

IC 249744 under ICR 202201-0925-002 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)	Form
Form 1 Registration form screenshot HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)	Form
1 Registration form screenshot HBCD 2021 Registration ScreenshotsV2.docx	Form
1 Registration form screenshot HBCD 2021 Registration ScreenshotsV2.docx	Form
HBCD 2021 Invitation Email (2).docx email invite	IC Document
HBCD 2021 Invitation Email (2).docx email invite	IC Document
Sub Study Request - HBCD 10.5.2021 (1).docx HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)	IC Document
Sub Study Request - HBCD 10.5.2021 (1).docx HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)	IC Document

IC Title:

HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Registration form screenshot	HBCD 2021 Registration ScreenshotsV2.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 125

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
email invite	HBCD 2021 Invitation Email (2).docx	10/14/2021
HEALthy Brain and Child Development (HBCD) Study Kickoff (NCI)	Sub Study Request - HBCD 10.5.2021 (1).docx	10/14/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.