ASD - ENROLLMENT-Invitation Call Script and SCQ (Mother)

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

OMB: 0920-1171

IC ID: 224011

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ASD - ENROLLMENT-Invitation Call Script and SCQ (Mother)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Attachment 5. Social Communication Questionnaire (SCQ).pdf Yes Yes Fillable Fileable
Other-WORD Att 21.a. Invitation Call Script - Previous ASD Diagnosis SEED 3_3-7-17.docx No   Paper Only

Health Public Health Monitoring

09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

859 0
   
Individuals or Households
 
   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 859 0 0 0 0 859
Annual IC Time Burden (Hours) 430 0 0 0 0 430
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 5_Cover Sheet Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc 10/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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