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Agenda
Reg Review
ICR
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
BIO-Biospecimen Collection
AFU Year 10
New
16222
4056
0
Form and Instruction
1
AFU-Years 7-11 Annual Followup English
AFU Year 11
New
16222
4056
0
Form and Instruction
1
AFU-Years7-11 Annual Followup English
AFU Year 3
New
3146
787
0
Form and Instruction
1
AFU Year 3
AFU Year 4
New
9033
2258
0
Form and Instruction
1
AFU Year 4 English
AFU Year 5
New
14259
3565
0
Form and Instruction
1
AFU-Year 5 Annual Followup English
AFU Year 6
New
16222
4056
0
Form and Instruction
1
AFU year 6 Annual followup English
AFU Year 7
New
16222
4056
0
Form and Instruction
1
AFU-Years7-11 Annual Followup English
AFU Year 8
New
16222
4056
0
Form and Instruction
1
AFU-Years 7-11 Annual followup English
AFU Year 9
New
16222
4056
0
Form and Instruction
1
AFU- Years 7-11 Annual Followup English
Abbreviated Medication Use
New
13878
925
0
Form and Instruction
1
MSE-Medication Use Survey -Eng
Acculturation
New
13878
694
0
Form and Instruction
1
Acculturation Questionnaire
Alcohol Use
New
13878
694
0
Form and Instruction
1
Alcohol Use
Anthropometry
New
13878
1619
0
Form and Instruction
1
ANT-Anthropometry
Change clothes, urine specimen
New
13878
2313
0
Form and Instruction
1
BIO-Biospecimen Collection
Chronic Stress
New
13878
925
0
Form and Instruction
1
STE-Chronic Stress-Eng
Determination of blood glucose, OGTT
New
13878
1388
0
Form and Instruction
1
BIO-Biospecimen Collection
Determination of fasting & blood draw
New
13878
2544
0
Form and Instruction
1
BIO-Biospecimen Collection
Echocardiography
New
8000
4000
0
Form and Instruction
1
Echocardiography Manual
Family Cohesion
New
13878
1157
0
Form and Instruction
1
FCE-Family Cohesion-Eng
Health Care Access and Utilization
New
13878
3470
0
Form and Instruction
1
HCE-HealthCare-Eng
IIE-Informant Interview Deaths - Eng
New
154
77
0
Form and Instruction
1
IIE Informant Interview Deaths
Non Participant Components
Removed
0
0
0
Form and Instruction
1
Questionaire
Form and Instruction
2
Informant Interview
PQE Hospitalization records/physician interview
New
1591
796
0
Form and Instruction
1
PQE-Physician Interview
Participant Feedback
New
13878
2776
0
Form and Instruction
1
Participant Feedback
Participant disability screening
New
13878
694
0
Form and Instruction
1
PDE-Participant Disability Screen Eng
Participant safety screeing update and routing
New
13878
463
0
Form and Instruction
1
PSE-Participant Safety Screen
Participants Follow-up Year 2
Removed
0
0
0
Form and Instruction
2
Interview
Form
1
Food Propensity
Participants Follow-up Year 3 to 6
Removed
0
0
0
Form and Instruction
3
Interview
Form and Instruction
4
Interview
Form and Instruction
5
Interview
Form and Instruction
6
Interview
Personal Medical History
New
13878
2313
0
Form and Instruction
1
MHE-Personal Medical History-Eng
Pre-visit scheduling and safety screening
Modified
13878
463
0
Form and Instruction
1
ELE-Participant eligibility - billingual
Pregnancy Complications History
New
9000
900
0
Form and Instruction
1
PCE-Pregnancy Complications Hx - Eng
Reception, informed consent, medical releases
New
13878
4626
0
Form and Instruction
1
SOL IC English
Reproductive Medical History
New
9000
1350
0
Form and Instruction
1
RME-Repro and Medical History-Eng
Seated BP
New
13878
2082
0
Form and Instruction
1
SBP-Sitting Blood Pressure
Social Support
New
13878
694
0
Form and Instruction
1
Social Support
Socio-economic Status - Occupation
New
13878
694
0
Form and Instruction
1
SEE-Socio Econonic Status-Occup-Eng
Tobacco Use
New
13878
925
0
Form and Instruction
1
Tobacco
Updated personal information
New
13878
1157
0
Form and Instruction
1
IDE-Personal Identifiers-Eng
Well Being
New
13878
925
0
Form and Instruction
1
Well Being
Total burden requested under this ICR:
470709
74386
0
To view an IC, click on IC Title