Document
Survey
ICR 201407-0925-005 · OMB 0925-0593 · Object 49036101.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Survey |
| Last Modified By | Writer |
| File Modified | 2013-11-01 |
| File Created | 2026-10-19 |
| Conversion State | complete |
Extracted Text
14M Ages & Stages-3 (ASQ-3™) SAQ Event Category: Time-Based Event: 12M Administration: N/A Instrument Target: Child Instrument Respondent: Primary Caregiver Domain: Neuro-Psychosocial Document Category: Scored Assessment Mode (for this instrument*): In-Person, PAPI; Phone, PAPI OMB Approved Modes: In-Person, PAPI; Phone, PAPI Method: Self-Administered Estimated Administration Time: 13 minutes Multiple Child/Sibling Considerations: Per Child Special Considerations: N/A Version: 2.0 MDES Release: 4.0 Publisher: Paul H. Brookes Publishing Co. NCS Contact: Carol Andreassen Westat 301-251-1500 *This instrument is OMB-approved for multi-mode administration but this version of the instrument is designed for administration in this/these mode(s) only. Ages & Stages Questionnaires®, Third Edition (ASQ-3™), Squires & Bricker© 2009 Paul H. Brookes Publishing Co. All Rights reserved.Ages & Stages Questionnaires® is a registered trademark and ASQ-3™ is a trademark of Paul H. Brookes Publishing Co. The Ages & Stages Questionnaires®, Third Edition (ASQ-3™) is a series of 21 age-specific questionnaires and scoring sheets designed to screen a child’s skills in five developmental areas: fine motor, gross motor, problem solving, communication, and personal-social. The instrument covers ages 1 month to 66 months. The ASQ-3™ is available in English and Spanish and is a proprietary questionnaire.