Information Collection Request

Rhode Island 15-Month Follow-UP Survey Amendment

ICR 200702-0970-001 · OMB 0970-0276 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form a Youth Component Form and Instruction New Available
OMB HtE RI Physiology_Supporting Statement_1-16-07 rev.doc Supporting Statement B Uploaded 0000-00-00 Available
OMB HtE RI Child Add-on_App D_Refs_12-15-05.doc Supplementary Document Uploaded 0000-00-00 Available
OMB HtE RI Physiology Supporting Statement_FINAL_05-14-07_REVISED_06-07-07_pm.doc Supporting Statement A Uploaded 2007-06-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
178745 Previously Approved Collections Instruction New
178744 Parent Component Instruction New
178743 Youth Component Form and Instruction New
10133 Young Child Componet Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2009 6 Months From Approved 06/30/2009
11,176 0 4,760
3,512 0 2,973
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Young Child Componet
Youth Component a a
Parent Component
Previously Approved Collections

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,176 4,760 0 6,416 0 0
Annual Time Burden (Hours) 3,512 2,973 0 539 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No