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

Performance Measurement and Program Monitoring (Autism and Developmental Disabilities Monitoring (ADDM) Network

OMB: 0920-1124

IC ID: 219515

Documents and Forms
Information Collection (IC) Details

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Component A & B (Subsequent 6-month and 2-year submission) - INTERVIEW
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA ADDM Interview Items Attachment 4B_Interview Items.xlsx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

6 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 2 0 2 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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