Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
BD-STEPS_ Core CATI Questionnaire.v11 Modified 3030 2778 0 Form and Instruction 0920-0010 Birth Defects Study to Pregnancy exposureS (BD-STEPS) _ Core CATI Questionnaire (English)
Form and Instruction 0920-0010 Birth Defects Study to Evaluate Pregnancy exposuresS (BD-STEPS) _ Core CATI Questionnaire (Spanish)
Form and Instruction 0920-0010 BD-STEPS Computer-Assisted Telephone Interview - English_REVISED 03APR2025
Form and Instruction 0920-0010 BD-STEPS Computer-Assisted Telephone Interview - Spanish_REVISED 03APR2025
Consent for Bloodspot Retrieval Unchanged 1850 463 0 Form and Instruction n/a Bloodspot Consent (English)
Form and Instruction n/a Bloodspot Verbal Consent (English)
Form and Instruction n/a Bloodspot Consent for Multiples (English)
Form and Instruction n/a Bloodspot Verbal Consent for Multiples (English)
Form and Instruction n/a Bloodspot Consent (Spanish)
Form and Instruction n/a Bloodspot Verbal Consent (Spanish)
Form and Instruction n/a Bloodspot Consent for Multiples (Spanish)
Form and Instruction n/a Bloodspot Verbal Consent for Multiples (Spanish)
Occupational Questionnaires Unchanged 830 277 0 Form and Instruction n/a Agriculture_Screenshots_English
Form and Instruction n/a Agriculture_Screenshots_Spanish
Form and Instruction n/a Cosmetology_Screenshots_English
Form and Instruction n/a Cosmetology_Screenshots_Spanish
Form and Instruction n/a Electronic Equipment Operators_Screenshots_English
Form and Instruction n/a Electronic Equipment Operators_Screenshots_Spanish
Form and Instruction n/a Healthcare_Screenshots_English
Form and Instruction n/a Healthcare_Screenshots_Spansih
Form and Instruction n/a Janitorial_Screenshots_English
Form and Instruction n/a Janitorial_Screenshots_Spanish
Form and Instruction n/a Office Worker_Screenshots_English
Form and Instruction n/a Office Worker_Screenshots_Spanish
Form and Instruction n/a Restaurant Worker_Screenshots_English
Form and Instruction n/a Restaurant Worker_Screenshots_Spanish
Form and Instruction n/a Teaching_Screenshots_English
Form and Instruction n/a Teaching_Screenshots_Spanish
Stillbirth COVID-19 Sub-Study Unchanged 157 40 0 Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Interviewed)
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Non-Interviewed)
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Interviewed) Spanish
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Non-Interviewed) Spanish
Supplemental CATI about Stillbirth Unchanged 640 267 0 Form and Instruction n/a Computer Assisted Phone Interview about Stillbirth (English)
Form and Instruction n/a Computer Assisted Phone Interview about Stillbirth (Spanish)
Total burden requested under this ICR: 6507 3825 0  
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