Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
12-Month Visit Interview (PB, EH, TT-HI) Modified 2366 1183 0 Form and Instruction 27.2 Survey
Form and Instruction 27.1 Survey
18-Month Maternal Phone Call (PB, EH, TT-HI) Modified 2247 1124 0 Form and Instruction 28.1 Survey
Form and Instruction 28.2 Survey
24-Month Maternal Phone Call (PB, EH, TT-HI) Modified 2135 1068 0 Form and Instruction 29.1 Survey
Form and Instruction 29.2 Survey
3-Month Phone Call (PB, EH, TT-HI) Modified 2592 855 0 Form and Instruction 24.1 Survey
6-Month Visit Interview (PB, EH, TT-HI) Modified 2514 1257 0 Form and Instruction 25.1 Survey
Form and Instruction 25.2 Survey
9-Month Phone Call (PB, EH, TT-HI) Modified 2439 415 0 Form and Instruction 26.1 Survey
Address Lookup Tool (PB) Modified 7500 750 0 Instruction
Biological and Environmental Sample Collection (PB, EH, TT-HI) Modified 9297 2324 0 Form and Instruction 10.1 Survey
Birth Visit Interview (PB, EH, TT-HI) Modified 2672 1069 0 Form and Instruction 20.1 Survey
Father Informed Consent Form (PB, EH, TT-HI) Modified 4088 2044 0 Form and Instruction 18.1 Consent
Father Interview (PB, EH, TT-HI) Modified 2453 613 0 Form and Instruction 19.1 Survey
Formative - Developmental Modified 1 14542 0 Instruction
Healthcare Provider Questionnaire (PB) Modified 600 96 0 Form and Instruction 3.1 Survey
Household Enumeration Instrument (EH) Modified 120000 39600 0 Form and Instruction 4.1 Survey
Infant Feeding Log (PB, EH, TT-HI) Modified 2592 855 0 Form and Instruction 22.1 Log
Low-Intensity Consent Script (TT-LI) Modified 28800 9504 0 Form and Instruction 7.1 Consent
Low-Intensity Invitation to High-Intensity Script (TT-HI) Modified 15840 3960 0 Form and Instruction 5.1 Survey
Low-Intensity Questionnaire (Birth focus) (TT-LI) Modified 1296 648 0 Form and Instruction 21.1 Survey
Low-Intensity Questionnaire (Child-focus) (TT-LI) Modified 4588 2294 0 Form and Instruction 23.1 Survey
Low-Intensity Questionnaire (Non- and Pregnant) (TT-LI) Modified 10575 5288 0 Form and Instruction 12.1 Survey
Non-pregnant Women's Informed Consent (PB, EH, TT-HI) Modified 1825 913 0 Form and Instruction 8.1 Consent
Pre-Pregnancy Interview (PB, EH, TT-HI) Modified 1095 821 0 Form and Instruction 9.1 Survey
Form and Instruction 9.2 Survey
Pregnancy Health Care Log (PB, EH, TT-HI) Modified 4088 1349 0 Form and Instruction 17.1 Log
Pregnancy Probability Group Follow Up Script (PB, EH, TT-HI, TT-LI) Modified 66912 6691 0 Form and Instruction 11.1 Survey
Form and Instruction 11.2 Survey
Pregnancy Screener (PB, EH, TT-HI) Modified 68538 28786 0 Form and Instruction 2.1 Survey
Form and Instruction 2.2 Survey
Form and Instruction 2.3 Survey
Pregnancy Screener (TT-LI, TT-HI) Modified 48000 16800 0 Form and Instruction 6.1 Survey
Pregnancy Visit 1 Interview (PB, EH, TT-HI) Modified 5110 5110 0 Form and Instruction 15.1 Survey
Form and Instruction 15.2 Survey
Pregnancy Visit 2 Interview (PB, EH, TT-HI) Modified 5110 3833 0 Form and Instruction 16.1 Survey
Form and Instruction 16.2 Survey
Pregnant Women's Informed Consent Form (PB, EH, TT-HI) Modified 11767 5884 0 Form and Instruction 14.1 Consent
Validation Script (PB, EH, TT-HI, TT-LI) Modified 3625 290 0 Form and Instruction 13.1 Survey
Total burden requested under this ICR: 440665 159966 0  
To view an IC, click on IC Title