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SEED_ Informed Consent Forms for Control Parents
The Study to Explore Early Development (SEED)
OMB: 0920-0741
IC ID: 192885
OMB.report
HHS/CDC
OMB 0920-0741
ICR 201005-0920-003
IC 192885
( )
Documents and Forms
Document Name
Document Type
Appendix_E.3 Study Start Informed Consent Case 2007.doc
Other-WORD
Appendix_E.3 Study Start Informed Consent NIC- Sub 2007.doc
Other-WORD
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SEED_ Informed Consent Forms for Control Parents
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
Other-WORD
Appendix_E.3 Study Start Informed Consent Case 2007.doc
Yes
Yes
Fillable Printable
Other-WORD
Appendix_E.3 Study Start Informed Consent NIC- Sub 2007.doc
Yes
Yes
Fillable Printable
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:
214
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
214
0
214
0
0
0
Annual IC Time Burden (Hours)
36
0
36
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.