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

View Information Collection (IC)

Developmental Projects and Special Studies 0920-0950
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Printable Only
Form and Instruction n/a No   Paper Only
Other-Protocol for the Infant Blood Draw Pilot Study No   Paper Only
Other-Link to Protocol for the Words-in-Noise Pilot Study No   Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37693

3,500 0
   
Individuals or Households
 
   100 %

  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 3,500 0 0 0 0 3,500
Annual IC Time Burden (Hours) 10,500 0 0 0 0 10,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att Development Project Reports 11/01/2016
Description of the Balance Vestibular Visual Function Study 08/31/2017
Description of the Infant Blood Draw Pilot Study 08/31/2017
Description of the e-Signature for Consent Pilot Study 08/31/2017
Consent-Assent and Parental Permission Form 08/31/2017
Child Assent Form 08/31/2017
Consent-Assent and Parental Permission Form for Future Research 08/31/2017
Authorization for Transportation Arrangements 08/31/2017
Assent Brochure for Children 08/31/2017
Cover for the Adult Consent Brochure 08/31/2017
Contents of the Adult Consent Brochure 08/31/2017
e-Consent (assent) screen for ages 7-11 08/31/2017
e-Consent (assent) screen for ages 12-17 08/31/2017
Description of the Words-in-Noise Pilot Study 08/31/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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