Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1-Month Survey Modified 1231 410 0 Form and Instruction 0920-20FO Att.4d-Month 1 Survey-Revised
10-Month Survey Modified 980 327 0 Form and Instruction 0920-20FO Att.4k-Month 10 Survey-Revised
12-Month Survey Modified 949 237 0 Form and Instruction 0920-20FO Att.4l-Month12 Survey-Revised
15-Month Survey Modified 919 230 0 Form and Instruction 092-20FO Att.4m-Month 15 Survey-Revised
18-Month Survey Modified 889 222 0 Form and Instruction 0920-20FO Att.4n-Month 18 Survey-Revised
2-Month Survey Modified 1192 298 0 Form and Instruction 0920-20FO Attachment 4e – Month 2 survey- Revised
21-Month Survey Modified 861 215 0 Form and Instruction 0920-20FO Att.4o-Month 21 Survey-Revised
24-Month Survey Modified 833 208 0 Form and Instruction 092-20FO Attachment 4p – Month 24 survey-Revised
3-Month 24-Hour Dietary Recall Modified 750 300 0 Form and Instruction n/a ASA24
3-Month 24-Hour Dietary Recall (Replicate) Modified 73 29 0 Form and Instruction n/a ASA24
3-Month Survey Modified 1153 288 0 Form and Instruction 0920-20FO Att.4f-Month 3 Survey-Revised
4-Month Survey Modified 1117 279 0 Form and Instruction 0920-20FO Att.4g-Month 4 Survey-Revised
5-Month Survey Modified 1081 270 0 Form and Instruction 0920-20FO Att.4h-Month 5 Survey-Revised
6-Month Survey Modified 1046 262 0 Form and Instruction 0920-20FO Att.4i-Month 6 Survey-Revised
8-Month Survey Modified 1013 253 0 Form and Instruction 0920-20FO Att.4j-Month 8 Survey-Revised
Birth Screener Modified 1368 46 0 Form and Instruction n/a Birth Screener
Prenatal 24-Hour Dietary Recall Modified 919 368 0 Form and Instruction n/a ASA24
Prenatal 24-Hour Dietary Recall (Replicate) Modified 90 36 0 Form and Instruction n/a ASA24
Prenatal Survey Modified 1413 471 0 Form and Instruction 0920-20FO Att.4b-Prenatal Survey-Revised
Request for Notification of Child's Birth Modified 1413 47 0 Form and Instruction n/a Request for Notification of Child's Birth
Screening Modified 2492 125 0 Form and Instruction n/a Screener
Study Consent and Contact Information Modified 1570 131 0 Form and Instruction n/a Informed Consent and Contact Information
Total burden requested under this ICR: 23352 5052 0  
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