Information Collection

ASD - PRE-ENROLLMENT_Invitation Packet/Response Card (Mother)

IC 224009 under ICR 202011-0920-002 · OMB 0920-1171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1171 can be found here:

Documents and Forms

Document Name Document Type
Attachment 19.a. Invitation Letter SEED Phase 3_ ASD.docx Other-WORD
Attachment 19.g. Response Card SEED 3.docx Other-WORD
Attachment 19.d. Study Brochure SEED 3_version ASD_revised 9-15-16.docx Other-WORD

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ASD - PRE-ENROLLMENT_Invitation Packet/Response Card (Mother)	Agency IC Tracking Number:	16PA

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-WORD	Attachment 19.a. Invitation Letter SEED Phase 3_ ASD.docx	No	Paper Only
Other-WORD	Attachment 19.g. Response Card SEED 3.docx	No	Fillable Printable
Other-WORD	Attachment 19.d. Study Brochure SEED 3_version ASD_revised 9-15-16.docx	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 1,718	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,718	1,718
Annual IC Time Burden (Hours)	286	286
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.