Component A ONLY (Subsequent 6-month and 2-year submission) - INTERVIEW

Status: Original and derived artifacts are available for this document.

Download: xlsx | pdf | html

Form Approved
OMB No. 0920-XXXX
Exp. Date XX/XX/XXXX

Interview Item
% of educational data sources for which access to data has been secured or renewed
% of health data sources for which access to data has been secured or renewed
% of education records for which review has been completed [COMPONENT A: 8-year olds]
% of health records for which review has been completed - [COMPONENT A: 8-year olds]
% of records that are flagged on the “ignorable” and the “non-ignorable” batch reports for each month
% of early intervention data sources for which access to data has been secured or renewed [COMPONENT B: 4-year olds]
% of education records for which review has been completed [COMPONENT B: 4-year olds]
% of early intervention records for which review has been completed [COMPONENT B: 4-year olds]
% of health records for which review has been completed [COMPONENT B: 4-year olds] )

An agency many not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR
Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (XXXX-XXXX)