Information Collection

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

IC 224009 under ICR 202102-0920-008 · OMB 0920-1171.

Documents and Forms

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

IC Title:

Agency IC Tracking Number:

16PA

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.