Biological and Environmental Sample Collection (Prenatal) (PB, EH, TT-HI, PBS)

Provider-Based Sampling Feasibility Study for the Vanguard (Pilot) Study and Data Collection Updates for the National Children's Study (NICHD)

OMB: 0925-0593

IC ID: 193560

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Biological and Environmental Sample Collection (Prenatal) (PB, EH, TT-HI, PBS)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10.3 Survey TWQ Participant Collect SAQ 20120413.docx Yes Yes Fillable Printable
Form and Instruction 10.4 Survey VBD Participant Collect SAQ 20120413.docx Yes Yes Fillable Printable
Form and Instruction 10.2 Survey TWF Participant Collect SAQ 20120413.docx Yes Yes Fillable Printable
Form and Instruction 10.5 Survey Attach B19. Biospecimen Adult Blood Instrument.docx Yes Yes Paper Only
Form and Instruction 10.6 Survey Attach B20. Biospecimen Adult Urine Instrument.docx Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

1,456 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 2,912 0 0 0 0 2,912
Annual IC Time Burden (Hours) 2,912 0 0 0 0 2,912
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
TWF Sample Distribution Script TWF Sample Distribution Script 20120413.docx 04/13/2012
TWQ Sample Distribution Script TWQ Sample Distribution Script 20120413.docx 04/13/2012
VBD Sample Distribution Script VBD Sample Distribution Script 20120413.docx 04/13/2012
Biological and Environmental Sample Collection (Prenatal) Note to File - Biological and Environmental Sample Collection (Prenatal).docx 04/13/2012
Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection Pre-visit Information for Fasting Blood Urine Vacuum Collection 20110211.doc 04/16/2012
Pre-Visit Instructions for Non Fasting Venous Blood, Adult Urine, and Vacuum Collection Pre-Visit Information for Non Fasting Venous Blood Adult Urine Vacuum Collection 20110211.doc 04/16/2012
Pre-Visit Information for Blood and Urine Collection Pre-Visit Instructions for Blood and Urine Collection 20110211.doc 04/16/2012
Urine Collection Instructions Urine Collection Instructions 20110211.doc 04/17/2012
Vacuum Bag Participant Instructions Vacuum Bag Participant Instructions 20110211.doc 04/17/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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