Stillbirth COVID-19 Sub-Study

[NCBDDD] Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS)

OMB: 0920-0010

IC ID: 257626

Information Collection (IC) Details

View Information Collection (IC)

Stillbirth COVID-19 Sub-Study 0920-0010
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Interviewed) AttG6.1a_Stillbirth_COVID_Form_final.docx Yes No Fillable Fileable
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Non-Interviewed) AttG6.2a_Stillbirth_COVID_Form_final.docx Yes No Fillable Fileable
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Interviewed) Spanish AttG6.1b_Stillbirth_COVID_Form_final.docx Yes No Fillable Fileable
Form and Instruction n/a Stillbirth COVID-19 Sub-Study Form (Non-Interviewed) Spanish AttG6.2b_Stillbirth_COVID_Form_final.docx Yes No Fillable Fileable

Health Public Health Monitoring

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

157 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 157 0 0 0 0 157
Annual IC Time Burden (Hours) 40 0 0 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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