Information Collection

Combating Autism Act Initiative Evaluation - Research Programs

IC 193392 under ICR 201006-0915-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 001_CAAI_Research Combating Autism Act Initiative Evaluation - Research Programs	Form and Instruction
001_CAAI_Research 001_CAAI_Research Attachment D RN SSI protocol 42210.doc	Form and Instruction
003_CAAI_Research 003_CAAI_Research Attachment F R40 AIR Program Questionnaire 42210.doc	Form and Instruction
002_CAAI_Research 002_CAAI_Research Attachment E RN Questionnaire 42210.doc	Form and Instruction
004_CAAI_Research 004_CAAI_Research Attachment G SDAS Program Questiinnaire 42210.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	001_CAAI_Research	001_CAAI_Research	Attachment D RN SSI protocol 42210.doc	Yes	Yes	Fillable Fileable
Form and Instruction	003_CAAI_Research	003_CAAI_Research	Attachment F R40 AIR Program Questionnaire 42210.doc	Yes	Yes	Fillable Fileable
Form and Instruction	002_CAAI_Research	002_CAAI_Research	Attachment E RN Questionnaire 42210.doc	Yes	Yes	Fillable Fileable
Form and Instruction	004_CAAI_Research	004_CAAI_Research	Attachment G SDAS Program Questiinnaire 42210.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	41	41
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.