Att 5 Cover Letter

Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc

The Study to Explore Early Development (SEED) - Phase 3

Att 5 Cover Letter

OMB: 0920-1171

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Attachment 5

Form Approved

OMB NO. 0920-XXXX

Exp. Date XX/XX/20XX


Date of Completion: _________________








Study to Explore Early Development


Social Communication Questionnaire















Public reporting burden of this collection of information is estimated to average 30 minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently 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 (0920-0010).



Thank you for completing this questionnaire.

Version 3: March 2006 Page 1 of 6

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