Child or Youth Biometric Measures

Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0977 can be found here:

Documents and Forms

Document Name Document Type
Child or Youth Biometric Measures Form
Biometric Measures Age 12-17 Att 12B_Youth BioMeasures(12-17).doc Form
Biometric Measures Ages 3-11 Att 12C_Child BioMeasures(3-11).doc Form
Spanish Biometric Measure Age 12-17 Att S12B_YouthBioMeasures(12-17) Spanish.doc Form
Spanish Biometric Measure Age 3-11 Att S12C_ChildBioMeasures(3-11) Spanish.doc Form

Information Collection (IC) Details

IC Title:	Child or Youth Biometric Measures	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Biometric Measures Age 12-17	Att 12B_Youth BioMeasures(12-17).doc	Yes	Yes	Fillable Fileable
Form	none	Biometric Measures Ages 3-11	Att 12C_Child BioMeasures(3-11).doc	Yes	Yes	Fillable Fileable
Form	none	Spanish Biometric Measure Age 12-17	Att S12B_YouthBioMeasures(12-17) Spanish.doc	Yes	Yes	Fillable Fileable
Form	none	Spanish Biometric Measure Age 3-11	Att S12C_ChildBioMeasures(3-11) Spanish.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 1,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	16,000	16,000
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.