Information Collection

SEED - Clinic Visit -Control Children

IC 178554 under ICR 200709-0920-004 · OMB 0920-0741.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0741 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix G.2 Mullen SEED - Clinic Visit -Control Children	Form and Instruction
appendix P Dysmorphology Exam SEED - Clinic Visit -Control Children	Form and Instruction
Appendix G.2 Mullen Appendix G.2 Mullen.pdf	Form and Instruction
appendix P Dysmorphology Exam appendix P Dysmorphology Exam.doc	Form and Instruction

IC Title:

SEED - Clinic Visit -Control Children

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Appendix G.2 Mullen	Appendix G.2 Mullen.pdf		Yes	Yes	Printable Only
Form and Instruction	None	appendix P Dysmorphology Exam	appendix P Dysmorphology Exam.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 1,170

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,608	4,608
Annual IC Time Burden (Hours)	2,304	2,304
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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