OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pre- and Post-Parent and Caretaker Survey

IC 225434 under ICR 201912-0930-005 · OMB 0930-0373.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Pre- and Post-Parent and Caretaker Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Pre- and Post-Parent and Caretaker Survey Pre- and Post-Parent and Caretaker Survey Attachment_1_Parent & Caregiver Pre-test Post-test Survey-OMB-0930-0373_12.4.19.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

690 0
   
State, Local, and Tribal Governments
 
   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 1,380 0 0 0 0 1,380
Annual IC Time Burden (Hours) 235 0 0 0 0 235
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Pre- and Post-Parent and Caretaker Survey Invite and Reminder Attachment_2_Parent & Caregiver Survey Invitation and Reminder-OMB-0930-0373_12.4.19.docx 12/04/2019
Parent/Caregiver Interview Guide Attachment_6_Parent & Caregiver Interview Guide_OMB-0930-0373_12.4.19.docx 12/04/2019
Campaign Intervention Checklist Attachment_8_Campaign Intervention Checklist_OMB-0930-0373_12.4.19.docx 12/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.