Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Consent for Bloodspot Retrieval	Modified	1375	344	0	Form and Instruction	none
					Form and Instruction	none
					Form and Instruction	none
					Form and Instruction	none
Medical Record Request	New	385	96	0	Form	none
Medical Record Request	New	385	96	0	Form	none
Medical Record Review	New	385	193	0	Instruction
Mother's Questionnaire	Modified	1925	1444	0	Form	none
Mother's Questionnaire	Modified	1925	1444	0	Form	none
Occupational Questionnaires	New	642	214	0	Form	none
					Form	none
					Form	none
					Form	none
					Form	none
					Form	none
					Form	none
					Form	none
Total burden requested under this ICR:		4712	2291	0
To view an IC, click on IC Title