Child-Focused Biospecimen Collection (Postnatal)

Continuation of National Children's Study Vanguard (Pilot) Study Data Collection: Study Visits through 60-Months

Documents and Forms

Document Name Document Type
Form 23.1 Child-Focused Biospecimen Collection (Postnatal) Form and Instruction
23.1 Survey ChildBloodInstrument.docx Form and Instruction
23.2 Survey ChildUrineInstrument.docx Form and Instruction
23.3 Survey ChildSalivaInstrument.docx Form and Instruction
23.4 Survey ChildMicrobiomeSwabInstrument.docx Form and Instruction
23.5 Survey 60M_ChildTeethInstrument.docx Form and Instruction
23.6 Survey 60M_ChildTeethSAQ.docx Form and Instruction
23.7 Survey 24M_ChildMicrobiomeStoolSAQ.docx Form and Instruction
23.8 Survey ChildBloodPreScreeningInstrument.docx Form and Instruction
60M_ChildTeethInstructions.docx 60M_ChildTeethInstructions IC Document
ChildUrineInstructions.docx ChildUrineInstructions IC Document
ChildUrineBagInstructions.docx ChildUrineBagInstructions IC Document
24M_ChildMicrobiomeStoolInstructions.docx 24M_ChildMicrobiomeStoolInstructions IC Document

Information Collection (IC) Details

IC Title:	Child-Focused Biospecimen Collection (Postnatal)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	23.1	Survey	ChildBloodInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.2	Survey	ChildUrineInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.3	Survey	ChildSalivaInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.4	Survey	ChildMicrobiomeSwabInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.5	Survey	60M_ChildTeethInstrument.docx	Yes	Yes	Paper Only
Form and Instruction	23.6	Survey	60M_ChildTeethSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	23.7	Survey	24M_ChildMicrobiomeStoolSAQ.docx	Yes	Yes	Paper Only
Form and Instruction	23.8	Survey	ChildBloodPreScreeningInstrument.docx	Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 886	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12,404	12,404
Annual IC Time Burden (Hours)	9,027	9,027
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
60M_ChildTeethInstructions	60M_ChildTeethInstructions.docx	11/07/2013
ChildUrineInstructions	ChildUrineInstructions.docx	11/07/2013
ChildUrineBagInstructions	ChildUrineBagInstructions.docx	11/07/2013
24M_ChildMicrobiomeStoolInstructions	24M_ChildMicrobiomeStoolInstructions.docx	11/07/2013

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