Information Collection

Parent Assessment Battery

IC 194322 under ICR 201008-0920-010 · OMB 0920-0871.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
att3b_Parent Assessment Battery_ENG.doc	Instruction
Att3d_Parental_Battery_SPA.pdf Attachment 3d Parental Battery Spanish version	IC Document

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			att3b_Parent Assessment Battery_ENG.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 3d Parental Battery Spanish version	Att3d_Parental_Battery_SPA.pdf	07/23/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.