Invitation Call Script and SCQ (Mother)

The Study to Explore Early Development (SEED) - Phase 3 (Modified for COVID-19 Impact Assessment)

⚠️ Notice: This information collection may be referencing outdated material.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
Att 21.c. Invitation Call Script - POP source selection SEED 3_3-7-17.docx Other-WORD
Attachment 5. Social Communication Questionnaire (SCQ).pdf Other-WORD
Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc Att 5 Cover Letter IC Document

Information Collection (IC) Details

IC Title:	Invitation Call Script and SCQ (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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att 21.c. Invitation Call Script - POP source selection SEED 3_3-7-17.docx		No		Paper Only
Other-WORD			Attachment 5. Social Communication Questionnaire (SCQ).pdf		No		Fillable Printable

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: 733	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	733	733
Annual IC Time Burden (Hours)	367	367
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 5 Cover Letter	Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc	10/26/2016

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