Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2-hour blood draw, snack New 13878 2776 0 Form and Instruction 1
AFU Year 10 New 16222 4056 0 Form and Instruction 1
AFU Year 11 New 16222 4056 0 Form and Instruction 1
AFU Year 3 New 3146 787 0 Form and Instruction 1
AFU Year 4 New 9033 2258 0 Form and Instruction 1
AFU Year 5 New 14259 3565 0 Form and Instruction 1
AFU Year 6 New 16222 4056 0 Form and Instruction 1
AFU Year 7 New 16222 4056 0 Form and Instruction 1
AFU Year 8 New 16222 4056 0 Form and Instruction 1
AFU Year 9 New 16222 4056 0 Form and Instruction 1
Abbreviated Medication Use New 13878 925 0 Form and Instruction 1
Acculturation New 13878 694 0 Form and Instruction 1
Alcohol Use New 13878 694 0 Form and Instruction 1
Anthropometry New 13878 1619 0 Form and Instruction 1
Change clothes, urine specimen New 13878 2313 0 Form and Instruction 1
Chronic Stress New 13878 925 0 Form and Instruction 1
Determination of blood glucose, OGTT New 13878 1388 0 Form and Instruction 1
Determination of fasting & blood draw New 13878 2544 0 Form and Instruction 1
Echocardiography New 8000 4000 0 Form and Instruction 1
Family Cohesion New 13878 1157 0 Form and Instruction 1
Health Care Access and Utilization New 13878 3470 0 Form and Instruction 1
IIE-Informant Interview Deaths - Eng New 154 77 0 Form and Instruction 1
Non Participant Components Removed 0 0 0 Form and Instruction 1
Form and Instruction 2
PQE Hospitalization records/physician interview New 1591 796 0 Form and Instruction 1
Participant Feedback New 13878 2776 0 Form and Instruction 1
Participant disability screening New 13878 694 0 Form and Instruction 1
Participant safety screeing update and routing New 13878 463 0 Form and Instruction 1
Participants Follow-up Year 2 Removed 0 0 0 Form and Instruction 2
Form 1
Participants Follow-up Year 3 to 6 Removed 0 0 0 Form and Instruction 3
Form and Instruction 4
Form and Instruction 5
Form and Instruction 6
Personal Medical History New 13878 2313 0 Form and Instruction 1
Pre-visit scheduling and safety screening Modified 13878 463 0 Form and Instruction 1
Pregnancy Complications History New 9000 900 0 Form and Instruction 1
Reception, informed consent, medical releases New 13878 4626 0 Form and Instruction 1
Reproductive Medical History New 9000 1350 0 Form and Instruction 1
Seated BP New 13878 2082 0 Form and Instruction 1
Social Support New 13878 694 0 Form and Instruction 1
Socio-economic Status - Occupation New 13878 694 0 Form and Instruction 1
Tobacco Use New 13878 925 0 Form and Instruction 1
Updated personal information New 13878 1157 0 Form and Instruction 1
Well Being New 13878 925 0 Form and Instruction 1
Total burden requested under this ICR: 470709 74386 0  
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