Information Collection

Low-Intensity Questionnaire (Child-focus) (TT-LI)

IC 193573 under ICR 201205-0925-002 · OMB 0925-0593.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0593 can be found here:

Documents and Forms

Document Name Document Type
Form 23.1 Low-Intensity Questionnaire (Child-focus) (TT-LI) Form and Instruction
23.1 Survey Low-Intensity Questionnaire (Non- & Pregnant) 20110211.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Low-Intensity Questionnaire (Child-focus) (TT-LI)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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
Form and Instruction	23.1	Survey	Low-Intensity Questionnaire (Non- & Pregnant) 20110211.docx		Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,147	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-4,588	4,588
Annual IC Time Burden (Hours)	-2,294	2,294
Annual IC Cost Burden (Dollars)	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.