SEED Blood Draw

The Study to Explore Early Development (SEED)

Documents and Forms

Document Name Document Type
Appendix_R.2 Study Start Blood Draw form adult 2007.doc Other-WORD
Appendix_R.2 Study Start Blood Draw form child 2007.doc Other-WORD
Appendix_R.2.1 Study Start Blood Draw form child (coversheet) 2007.doc Other-WORD
Appendix_R.2.2 Study Start Blood Draw form adult (coversheet) 2007.doc Other-WORD
Appendix_R.1 Biosample Shipping, Processing & Storage.doc Appendix_R IC Document

Information Collection (IC) Details

IC Title:	SEED Blood Draw	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD	Appendix_R.2 Study Start Blood Draw form adult 2007.doc	Yes	Yes	Fillable Printable
Other-WORD	Appendix_R.2 Study Start Blood Draw form child 2007.doc	Yes	Yes	Fillable Printable
Other-WORD	Appendix_R.2.1 Study Start Blood Draw form child (coversheet) 2007.doc	Yes	No	Fillable Printable
Other-WORD	Appendix_R.2.2 Study Start Blood Draw form adult (coversheet) 2007.doc	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 966	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	966	966
Annual IC Time Burden (Hours)	242	242
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix_R	Appendix_R.1 Biosample Shipping, Processing & Storage.doc	04/27/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.