Information Collection Request

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

ICR 202206-0920-012 · OMB 0920-0010 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Mother's Consent Script and Computer Assisted Telephone Interview Form and Instruction Modified Missing upstream
Supplemental CATI about Stillbirth Form and Instruction Unchanged Repair queued
Consent for Linkage to Reportable Infectious Diseases Results Form and Instruction Unchanged Repair queued
Occupational Questionnaires Form and Instruction Unchanged Repair queued
Consent for Bloodspot Retrieval Form and Instruction Unchanged Repair queued
NSCR to BD-STEPS CATI - COVID Infection_9JUN2022.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-06-24 Repair queued
ICR Non-Substantive Change Request_BD-STEPS_20210301.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-03-24 Available
Att35_BDSTEPS_Stillbirth_SOP_Protocol_two_part_intvw_CLEAN_v2.docx Supplementary Document Uploaded 2021-01-21 Missing upstream
ICR Non-substantive Change Request_BD-STEPS_20201221 final.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-01-21 Repair queued
OMB0920-0010_BD-STEPS_NonSubstantive Change request .docx Justification for No Material/Nonsubstantive Change Uploaded 2020-03-26 Repair queued
Att44A_BD2_SBSupp_Combined_ThankYou_Letter_Combo_InfectiousBSIntroLtr_SPAN_083120_Clean.docx Supplementary Document Uploaded 2021-01-21 Repair queued
Att44A_BD2_SBSupp_Combined_ThankYou_Letter_InterviewsCompletedTogether_InfectiousBloodIntroLtr_English_08_31_2020_Clean.docx Supplementary Document Uploaded 2021-01-21 Missing upstream
Att44B_44C_BD2_SBSupp_IntvThankYou_Reminder_BS4Cont_SING_MULTI_SPAN_083020_v2_Clean1.7.2021.docx Supplementary Document Uploaded 2021-01-21 Missing upstream
Att44B_44C_BD2_SBSupp_IntvThankYou_Reminder_BloodIntroLtr_SINGLE_MULTIPLE_08_30_2020_Clean_v3.docx Supplementary Document Uploaded 2021-01-21 Repair queued
AttK_Collaborators List.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttI_Stillbirth_Case_Definition.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttZ_JustificationNewQuestions.docx Supplementary Document Uploaded 2019-08-26 Missing upstream
AttH_ Birth_Defects_Case_Definition.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttW_CBDRP_ConfidentialityOaths.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttX_PrivacyImpactAssessment.pdf Supplementary Document Uploaded 2019-08-26 Repair queued
AttDD1_PrivacyActStatement.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttE_ListofBDSTEPSCenters.pdf Supplementary Document Uploaded 2019-08-26 Repair queued
AttCC_NBDPS-Publications.docx Supplementary Document Uploaded 2019-08-26 Missing upstream
AttD_CDC-IRB_ApprovalLetter.pdf Supplementary Document Uploaded 2019-08-26 Repair queued
AttC2_CDC-IRB_AmendmentApproval_92.docx Supplementary Document Uploaded 2019-08-26 Repair queued
AttC1_CDC-IRB_AmendmentApproval_89.docx Supplementary Document Uploaded 2019-08-26 Missing upstream
AttB_60dayFRN.pdf Supplementary Document Uploaded 2019-08-26 Repair queued
AttA_BDPreventionActof1998.pdf Supplementary Document Uploaded 2019-08-26 Repair queued
BD-STEPS_OMBStatementB_20190813-Final.docx Supporting Statement B Uploaded 2019-08-26 Repair queued
BD-STEPS_OMBStatementA_20190813-Final.docx Supporting Statement A Uploaded 2019-08-26 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6608 Mother's Consent Script and Computer Assisted Telephone Interview Form and Instruction Modified
222820 Supplemental CATI about Stillbirth Form and Instruction Unchanged
216974 Consent for Linkage to Reportable Infectious Diseases Results Form and Instruction Unchanged
216968 Occupational Questionnaires Form and Instruction Unchanged
187391 Consent for Bloodspot Retrieval Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
02/28/2023 02/28/2023
8,940 8,940
4,433 4,433
44,307 44,307





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Consent for Bloodspot Retrieval n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a Bloodspot Consent (English) ,   Bloodspot Verbal Consent (English) ,   Bloodspot Consent for Multiples (English) ,   Bloodspot Verbal Consent for Multiples (English) ,   Bloodspot Consent (Spanish) ,   Bloodspot Verbal Consent (Spanish) ,   Bloodspot Consent for Multiples (Spanish) ,   Bloodspot Verbal Consent for Multiples (Spanish)
Consent for Linkage to Reportable Infectious Diseases Results n/a, n/a, n/a, n/a Written Consent for Release of Reportable Infectious Diseases (English) ,   Written Consent for Release of Reportable Infectious Diseases (Spanish) ,   Verbal Consent for Release of Reportable Infectious Diseases (English) ,   Verbal Consent for Release of Reportable Infectious Diseases (Spanish)
Mother's Consent Script and Computer Assisted Telephone Interview n/a, n/a, 0920-0010, 0920-0010 Introductory Phone Script (English) ,   Introductory Phone Script (Spansih) ,   BDSTEPS_CATI_V9.0 ,   BDSTEPS_CATI_V9.0_SPAN
Occupational Questionnaires n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a, n/a Agriculture_Screenshots_English ,   Agriculture_Screenshots_Spanish ,   Cosmetology_Screenshots_English ,   Cosmetology_Screenshots_Spanish ,   Electronic Equipment Operators_Screenshots_English ,   Electronic Equipment Operators_Screenshots_Spanish ,   Healthcare_Screenshots_English ,   Healthcare_Screenshots_Spansih ,   Janitorial_Screenshots_English ,   Janitorial_Screenshots_Spanish ,   Office Worker_Screenshots_English ,   Office Worker_Screenshots_Spanish ,   Restaurant Worker_Screenshots_English ,   Restaurant Worker_Screenshots_Spanish ,   Teaching_Screenshots_English ,   Teaching_Screenshots_Spanish
Supplemental CATI about Stillbirth n/a, n/a, n/a, n/a Introductory Phone Script for the Interview about Stillborth (English) ,   Introductory Phone Script for the Interview about Stillborth (Spanish) ,   Computer Assisted Phone Interview about Stillbirth (English) ,   Computer Assisted Phone Interview about Stillbirth (Spanish)

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,940 8,940 0 0 0 0
Annual Time Burden (Hours) 4,433 4,433 0 0 0 0
Annual Cost Burden (Dollars) 44,307 44,307 0 0 0 0


Reginfo record details
  No