OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Child Followup- Screenshot

IC 209246 under ICR 201502-0925-002 · OMB 0925-0685.

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

View Information Collection (IC)

Child Followup- Screenshot
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 12 Child Followup Attachment 28 - Screenshot Child Followup - MDF.zip Yes Yes Fillable Fileable

Health Health Care Services

SORN 02-25-0200  67 FR 60741

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 150 0 0 0 0 150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Child Follow-up Attachment_11_-_Data_collection_instrument_-_Child_questionnaire_Followup_MDF[1].pdf 11/06/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.