30-Month Interview

Continuation of National Children's Study Vanguard (Pilot) Study Data Collection: Study Visits through 60-Months and Sibling Birth Enrollment

OMB: 0925-0593

IC ID: 202215

Information Collection (IC) Details

View Information Collection (IC)

30-Month Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 27.1 Survey BriefInfantToddlerSocialEmotionalAssessmentSAQ.docx Yes Yes Paper Only
Form and Instruction 27.2 Survey 30M_BriefSymptomInventorySAQ.docx Yes Yes Paper Only
Form and Instruction 27.3 Survey 30M_InfantToddlerSensoryProfileSAQ.docx Yes Yes Paper Only
Form and Instruction 27.4 Survey 30MQuestionnaireChild.docx Yes Yes Paper Only
Form and Instruction 27.5 Survey 30MQuestionnaireAdult.docx Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

1,286 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 1,286 0 98 0 0 1,188
Annual IC Time Burden (Hours) 1,302 0 213 0 0 1,089
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
BITSEAInPersonMailInstructions BITSEAInPersonMailInstructions.docx 11/07/2013
BITSEAPhoneInstructions BITSEAPhoneInstructions.docx 11/07/2013
30M_BSIMailInstructions 30M_BSIMailInstructions.docx 11/07/2013
30M_InfantToddlerSensoryProfileMailInstructions 30M_InfantToddlerSensoryProfileMailInstructions.docx 11/07/2013
30M_InfantToddlerSensoryProfilePhoneInstructions 30M_InfantToddlerSensoryProfilePhoneInstructions.docx 11/07/2013
HIPAAHealthUseDisclosureAuthorizationForm HIPAAHealthUseDisclosureAuthorizationForm.docx 01/15/2014
InformedConsentFormAdult InformedConsentFormAdult.docx 01/15/2014
MultiModeVisitInformationScript MultiModeVisitInformationScript.docx 01/15/2014
ParentalPermissionChildParticipation6MonthtoAgeMajority ParentalPermissionChildParticipation6MonthtoAgeMajority.docx 01/15/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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