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Early Development Questionnaire

ICR 201910-0920-002 · OMB 0920-1171 · Object 95663101.

This document may belong to an older filing. More recent activity for OMB 0920-1171:

2021-02-18 · No material or nonsubstantive change to a currently approved collection
2020-12-08 · No material or nonsubstantive change to a currently approved collection

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Record metadata
File Type	application/msword
File Title	Early Development Questionnaire
Author	User
Last Modified By	Writer
File Modified	2016-10-03
File Created	2026-10-10
Conversion State	complete

Extracted Text

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).