Information Collection

Interview with Parents

IC 198627 under ICR 201107-0920-005 · OMB 0920-0897.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview with Parents	Form
Parent Interview Guide F-1 Parents Discussion Guide.doc	Form
F-2 Parents Information Sheet.doc Att F2 - Info Sheet for Parents	IC Document
F-3 Parents Consent form.doc Att F3 - Consent for Parents	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
Form	none	Parent Interview Guide	F-1 Parents Discussion Guide.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att F2 - Info Sheet for Parents	F-2 Parents Information Sheet.doc	07/20/2011
Att F3 - Consent for Parents	F-3 Parents Consent form.doc	07/20/2011

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