Information Collection

Parent Interview

IC 206297 under ICR 201303-0920-017 · OMB 0920-0970.

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.