Information Collection

Parent Assessment Battery

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

Documents and Forms

Document Name Document Type
att3b_Parent Assessment Battery_ENG.doc Instruction
Att3d_Parental_Battery_SPA.pdf Attachment 3d Parental Battery Spanish version IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Parent Assessment Battery	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
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 %

	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

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.