Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Consent for Bloodspot Retrieval	Modified	1850	463	4625	Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
Consent for Linkage to Reportable Infectious Diseases Results	Modified	2590	648	6475	Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
Medical Record Review	Removed	0	0	0	Instruction
Mother's Consent Script and Computer Assisted Telephone Interview	Modified	3030	2778	27776	Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
Occupational Questionnaires	Modified	830	277	2764	Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
Supplemental CATI about Stillbirth	Modified	640	267	2667	Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
					Form and Instruction	n/a
Total burden requested under this ICR:		8940	4433	44307
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