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Parent - Behavior Rating Inventory of Executive Function, Preschool Version
The Natural History of Spina Bifida in Children Pilot Project
OMB: 0920-0799
IC ID: 186657
OMB.report
HHS/CDC
OMB 0920-0799
ICR 200809-0920-002
IC 186657
( )
Documents and Forms
Document Name
Document Type
Form No number
Parent - Behavior Rating Inventory of Executive Function, Preschool Version
Form
No number Behavior Rating Preschool Version
Attachment AD.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent - Behavior Rating Inventory of Executive Function, Preschool Version
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
No number
Behavior Rating Preschool Version
Attachment AD.doc
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
4
0
4
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
