Parent Interview

Assessment of the Psychosocial Impact of Newborn Screening for Congenital Cytomegalovirus (CMV) Infection

Documents and Forms

Document Name Document Type
Attachment 5 Parent Interview Guide--PG2--aymptomatic with sequelae 3-25-13.doc Other-Interview Guide
Attachment 6 Parent Interview Guide--PG3--symptomatic with or without sequelae 3-25-13.doc Other-Interview Guide

Information Collection (IC) Details

IC Title:	Parent Interview	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Guide			Attachment 5 Parent Interview Guide--PG2--aymptomatic with sequelae 3-25-13.doc		Yes	No	Printable Only
Other-Interview Guide			Attachment 6 Parent Interview Guide--PG3--symptomatic with or without sequelae 3-25-13.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	35	35
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.