OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

12-Month Interview (PB, EH, TT-HI, PBS)

IC 193577 under ICR 201211-0925-001 · OMB 0925-0593.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

12-Month Interview (PB, EH, TT-HI, PBS)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 22.1 Survey 12-Month Mother Interview 20120413.docx Yes Yes Paper Only
Form and Instruction 22.2 Survey 12-Month Mother SAQ.docx Yes Yes Paper Only
Form and Instruction 22.3 Survey - Placeholder for Copyrighted Material Brief Infant Toddler Social Emotional Assessment (BITSEA) SAQ.docx Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

1,003 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,003 0 0 0 0 1,003
Annual IC Time Burden (Hours) 836 0 0 0 0 836
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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