Supplemental CATI about Stillbirth

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

OMB: 0920-0010

IC ID: 222820

Information Collection (IC) Details

View Information Collection (IC)

Supplemental CATI about Stillbirth 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 Computer Assisted Phone Interview about Stillbirth (English) AttG1a_Supplemental_CATI.docx Yes Yes Fillable Fileable
Form and Instruction n/a Computer Assisted Phone Interview about Stillbirth (Spanish) AttG1b_Supplemental_CATI.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

640 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 640 0 0 0 0 640
Annual IC Time Burden (Hours) 267 0 0 0 0 267
Annual IC Cost Burden (Dollars) 0 0 -2,667 0 0 2,667

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