View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

High Probability Women w/Pre-pregnancy Visit
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey A.1.2.a P1 Interview.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.1.2.b P1_P2_P4 month phone calls 1-20-08 OMB Version.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.b 1-P1 (Pre-Pregnancy) FFQ (3 months).doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.a 1-P1 T1 Dietary Script.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.a 3-3-Day Dietary Checklist.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.b 1-P1 (Pre-Pregnancy) FFQ (3 months).doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.1.h Participant Satisfaction Questionnaire.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.a P1 Pre-Visit Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.f 1-Urine Data Collection Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.g 1-Urine Pregnancy Test Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.g 2-Urine Pregnancy Test Data Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.h 1-Vaginal Swabs Collection Instructions.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.h 2-Vaginal Swabs Data Collection Form.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.l 1-Blood Draw Data Collection Form P1.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.n 1-T3 Letter-One Air Badge.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.n 2-T3 letter-Two Air Badges.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.s 1-T1 Environmental T1.doc Yes Yes Paper Only
Form and Instruction 1 Survey A.2.3.s 2-Environmental Questions 6 month and 12 month.doc Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

380 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 -646 0 0 646
Annual IC Time Burden (Hours) 0 0 -601 0 0 601
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.