PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
1-Month Survey
Modified
1231
410
11670
Form and Instruction
0920-20FO
Att.4d-Month 1 Survey-Revised
10-Month Survey
Modified
980
327
9290
Form and Instruction
0920-20FO
Att.4k-Month 10 Survey-Revised
12-Month Survey
Modified
949
237
6747
Form and Instruction
0920-20FO
Att.4l-Month12 Survey-Revised
15-Month Survey
Modified
919
230
6534
Form and Instruction
092-20FO
Att.4m-Month 15 Survey-Revised
18-Month Survey
Modified
889
222
6321
Form and Instruction
0920-20FO
Att.4n-Month 18 Survey-Revised
2-Month Survey
Modified
1192
298
8475
Form and Instruction
0920-20FO
Attachment 4e – Month 2 survey- Revised
21-Month Survey
Modified
861
215
6122
Form and Instruction
0920-20FO
Att.4o-Month 21 Survey-Revised
24-Month Survey
Modified
833
208
5923
Form and Instruction
092-20FO
Attachment 4p – Month 24 survey-Revised
3-Month 24-Hour Dietary Recall
Unchanged
750
300
8532
Form and Instruction
n/a
ASA24
3-Month 24-Hour Dietary Recall (Replicate)
Unchanged
73
29
830
Form and Instruction
n/a
ASA24
3-Month Survey
Modified
1153
288
8198
Form and Instruction
0920-20FO
Att.4f-Month 3 Survey-Revised
4-Month Survey
Modified
1117
279
7942
Form and Instruction
0920-20FO
Att.4g-Month 4 Survey-Revised
5-Month Survey
Modified
1081
270
7686
Form and Instruction
0920-20FO
Att.4h-Month 5 Survey-Revised
6-Month Survey
Modified
1046
262
7437
Form and Instruction
0920-20FO
Att.4i-Month 6 Survey-Revised
8-Month Survey
Modified
1013
253
7202
Form and Instruction
0920-20FO
Att.4j-Month 8 Survey-Revised
Birth Screener
Unchanged
1368
46
1297
Form and Instruction
n/a
Birth Screener
Prenatal 24-Hour Dietary Recall
Unchanged
919
368
10455
Form and Instruction
n/a
ASA24
Prenatal 24-Hour Dietary Recall (Replicate)
Unchanged
90
36
1024
Form and Instruction
n/a
ASA24
Prenatal Survey
Modified
1413
471
13395
Form and Instruction
0920-20FO
Att.4b-Prenatal Survey-Revised
Request for Notification of Child's Birth
Unchanged
1413
47
1340
Form and Instruction
n/a
Request for Notification of Child's Birth
Screening
Unchanged
2492
125
3544
Form and Instruction
n/a
Screener
Study Consent and Contact Information
Unchanged
1570
131
3721
Form and Instruction
n/a
Informed Consent and Contact Information
Total burden requested under this ICR:
23352
5052
143685
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