Occupational Questionnaires

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

OMB: 0920-0010

IC ID: 216968

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
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
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
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Information Collection (IC) Details

View Information Collection (IC)

Occupational Questionnaires 0920-0010
 
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 Agriculture_Screenshots_English AttF1.1a_OOQ_Agriculture.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Agriculture_Screenshots_Spanish AttF1.1b_OOQ_Agriculture.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Cosmetology_Screenshots_English AttF1.2a_OOQ_Cosmetology.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Cosmetology_Screenshots_Spanish AttF1.2b_OOQ_Cosmetology.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Electronic Equipment Operators_Screenshots_English AttF1.3a_OOQ_Electronic_Equipment_Operator.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Electronic Equipment Operators_Screenshots_Spanish AttF1.3b_OOQ_Electronic_Equipment_Operator.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Healthcare_Screenshots_English AttF1.4a_OOQ_Healthcare.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Healthcare_Screenshots_Spansih AttF1.4b_OOQ_Healthcare.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Janitorial_Screenshots_English AttF1.5a_OOQ_Janitorial.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Janitorial_Screenshots_Spanish AttF1.5b_OOQ_Janitorial.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Office Worker_Screenshots_English AttF1.6a_OOQ_Office_Worker.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Office Worker_Screenshots_Spanish AttF1.6b_OOQ_Office_Worker.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Restaurant Worker_Screenshots_English AttF1.7a_OOQ_Restaurant.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Restaurant Worker_Screenshots_Spanish AttF1.7b_OOQ_Restaurant.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Teaching_Screenshots_English AttF1.8a_OOQ_Teaching.pdf Yes Yes Fillable Fileable
Form and Instruction n/a Teaching_Screenshots_Spanish AttF1.8b_OOQ_Teaching.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) 0 0 -2,764 0 0 2,764

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