SEED - Clinic Visit- Case Child

Appendix G.1: ADOS
ADOS: OMB Coversheet

Form Approved
OMB NO. __________
Exp. Date __________

Public Reporting Burden Statement
Public reporting burden of this collection of information is
estimated to average 40 minutes per response, including the time
for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to CDC/ATSDR
Reports Clearance Officer; 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX)