OMB control number

Evaluating the Quality of Interview Data Collected by Teratology Information Services About Pregnancy Outcomes, Maternal and Infant Health, Following Medication Use During Pregnancy and Lactation

OMB 0920-0838 · HHS/CDC.

OMB 0920-0838

Latest Forms, Documents, and Supporting Material

Document Name
Follow-up Breastfeeding Interview Form
Initial Breastfeeding Interview Form
Follow-up Infant Interview Form
Initial Infant Interview Form
Follow-up Pregnancy Interview Form
Initial Pregnancy Interview Form
Enrollment Form Form
Script to Explain Project and Obtain Consent Form
Tracking Form Form
Telephone Script for Permission to be Contacted Form
Supp_StPART_B_rev0903091 omb_Rev121109.doc Supporting Statement B
Attachment C3 090309.doc Supplementary Document
Attachment_I_Research_Determination 090309.doc Supplementary Document
Attachment H2 090309.pdf Supplementary Document
Attachment H1 090309.pdf Supplementary Document
Attachment F_Confidentiality Pledge 090309.doc Supplementary Document
Attachment E_ScheduleofInterviews 090309.doc Supplementary Document
Attachment B - 60 day FRN.pdf Supplementary Document
Attachment A2.pdf Supplementary Document
Attachment A1.pdf Supplementary Document
Supp_StPART_A_rev0914091 OMB_Rev121109.doc Supporting Statement A
Follow-up Breastfeeding Interview Form
Initial Breastfeeding Interview Form
Follow-up Infant Interview Form
Initial Infant Interview Form
Follow-up Pregnancy Interview Form
Initial Pregnancy Interview Form
Enrollment Form Form
Script to Explain Project and Obtain Consent Form
Tracking Form Form
Telephone Script for Permission to be Contacted Form

All Historical Document Collections

200910-0920-007

2009-10-21