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Invitation Packet
The Study to Explore Early Development - Teen Follow-up Study (SEED-TEEN)
OMB: 0920-1219
IC ID: 227862
OMB.report
HHS/CDC
OMB 0920-1219
ICR 201708-0920-011
IC 227862
( )
Documents and Forms
Document Name
Document Type
Attachment 3. Cover Sheet for Invitation Packet.doc
Instruction
Response Card
Attachment 3.b - SEED Teen Response Card.docx
Form
Attachment 3.a.1 - SEED Teen Invitation letter_v1 GA.docx
Invitation letter for GA
IC Document
Attachment 3.a.2 - SEED Teen Invitation letter_v2 NC.docx
Invitation letter for NC
IC Document
Attachment 3.a.3 - SEED Teen Invitation letter_v3 MD PA.docx
Invitation letter for MD and PA
IC Document
Attachment 3.c - NC SEED Teen Postcard.pub
Postcard
IC Document
Attachment 3.d - SEED Teen Email Message.docx
Invitation email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Invitation Packet
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Attachment 3. Cover Sheet for Invitation Packet.doc
No
Paper Only
Form
none
Response Card
Attachment 3.b - SEED Teen Response Card.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Epidemiologic Studies and Surveilance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
470
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
470
0
470
0
0
0
Annual IC Time Burden (Hours)
39
0
39
0
0
0
Annual IC Cost Burden (Dollars)
682
0
682
0
0
0
Documents for IC
Title
Document
Date Uploaded
Invitation letter for GA
Attachment 3.a.1 - SEED Teen Invitation letter_v1 GA.docx
08/09/2017
Invitation letter for NC
Attachment 3.a.2 - SEED Teen Invitation letter_v2 NC.docx
08/09/2017
Invitation letter for MD and PA
Attachment 3.a.3 - SEED Teen Invitation letter_v3 MD PA.docx
08/09/2017
Postcard
Attachment 3.c - NC SEED Teen Postcard.pub
08/09/2017
Invitation email
Attachment 3.d - SEED Teen Email Message.docx
08/09/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.