Child - Bracken Basic Concept Scale - School Readiness Composite

The Natural History of Spina Bifida in Children Pilot Project

Documents and Forms

Document Name Document Type
Form No number Child - Bracken Basic Concept Scale - School Readiness Composite Form
No number Bracken Basic Concept Scale Attachment AL.pdf Form

Information Collection (IC) Details

IC Title:	Child - Bracken Basic Concept Scale - School Readiness Composite	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	Bracken Basic Concept Scale	Attachment AL.pdf		Yes	No	Paper 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: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	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.