26.4 Survey - Placeholder for copyrighted material

OMB #: 0925-0593

OMB Expiration Date: 07/31/2013

Neuropsychosocial Infant & Toddler Sensory Profile SAQ, Phase 2e

Infant & Toddler Sensory Profile SAQ

(COVER PAGE)

Event:	30-Month
Participant:	Child
Respondent:	Parent/Caregiver
Domain:	Neuropsychosocial
Type of Document:	Self-Administered Questionnaire
Allowable Mode:	Phone, Mail
Allowable Method:	PAPI
Recruitment Groups:	EH, PB, HI, LI, PBS
Version:	3.0
Release: Publisher: NCS Contact:	MDES 1.0 Pearson/PsychCorp Carol Andreassen Westat 301-251-1500

The Infant/Toddler Sensory Profile is a 48-item parent-report questionnaire that evaluates the sensory processing patterns in the very young. The questionnaire highlights sensory processing strengths and difficulties related to general, auditory, visual, tactile, vestibular processing, and oral sensory processing. The questionnaire provides an understanding of how sensory processing affects the child’s daily functioning performance and is appropriate for children from birth to 36 months of age. The Infant/Toddler Sensory Profile is available in English and Spanish and is proprietary questionnaire.

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0593*). Do not return the completed form to this address.