Information Collection

BPCA Stakeholder Contact Details (NICHD)

IC 241871 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Document Name Document Type
Form 1 BPCA Stakeholder Contact Details (NICHD) Form and Instruction
Form 1 BPCA Stakeholder Contact Details (NICHD) Form and Instruction
1 BPCA survey 0925-0766_Substudy_BPCA_survey.pdf Form and Instruction
1 BPCA survey 0925-0766_Substudy_BPCA_survey.pdf Form and Instruction
0225-0766_Substudy template_BPCA stakeholders.docx Sub-study template IC Document
0225-0766_Substudy template_BPCA stakeholders.docx Sub-study template IC Document
0925-0766_Substudy_BPCA_email solicitation.pdf BPCA email solicitation IC Document
0925-0766_Substudy_BPCA_email solicitation.pdf BPCA email solicitation IC Document
Privacy Act Memo.pdf Privacy Act Memo IC Document
Privacy Act Memo.pdf Privacy Act Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	BPCA Stakeholder Contact Details (NICHD)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	BPCA survey	0925-0766_Substudy_BPCA_survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sub-study template	0225-0766_Substudy template_BPCA stakeholders.docx	05/19/2020
BPCA email solicitation	0925-0766_Substudy_BPCA_email solicitation.pdf	05/19/2020
Privacy Act Memo	Privacy Act Memo.pdf	05/19/2020

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