Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Male Partners - Adult Symptoms Questionnaire Unchanged 4375 729 0 Form and Instruction NA
Form none
Male Partners - Male Enrollment Questionnaire Unchanged 625 260 0 Form and Instruction NA
Form and Instruction NA
Male Partners - Male Partner Eligibility Questionnaire Unchanged 2500 208 0 Form and Instruction NA
Form none
Pregnant Women - Adult Symptoms Questionnaire Unchanged 37500 6250 0 Form and Instruction NA
Form none
Pregnant Women - Ages and Stages 2 Month Questionnaire Unchanged 2250 563 0 Form and Instruction NA
Form and Instruction NA
Pregnant Women - Ages and Stages 6 Month Questionnaire Modified 2250 563 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Pregnant Women - Infant Symptoms Questionnaire Unchanged 31500 5250 0 Form none
Form NA
Pregnant Women - Pregnant Women Eligibility Questionnaire Unchanged 3125 260 0 Form and Instruction NA
Form and Instruction NA
Pregnant Women - Pregnant Women Enrollment Questionnaire Unchanged 2500 1458 0 Form and Instruction NA
Form and Instruction NA
Pregnant Women - Pregnant Women Follow-Up Questionnaire Unchanged 20000 5000 0 Form and Instruction NA
Form and Instruction NA
Total burden requested under this ICR: 106625 20541 0  
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