OMB
.report
Search
Invitation Call Script
The Study to Explore Early Development (SEED) - Phase 3 (Modified for COVID-19 Impact Assessment)
OMB: 0920-1171
IC ID: 224183
OMB.report
HHS/CDC
OMB 0920-1171
ICR 202102-0920-008
IC 224183
( )
Documents and Forms
Document Name
Document Type
Attachment 21.b. Invitation Call Script - DD source selection SEED 3_revised.docx
Other-WORD
Attachment 21.b. Invitation Call Script - DD source selection SEED 3_revised.docx
Other-WORD
Attachment 5. Social Communication Questionnaire (SCQ).pdf
Other-WORD
Attachment 5. Social Communication Questionnaire (SCQ).pdf
Other-WORD
Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc
Att 5_Coversheet for SCQ
IC Document
Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc
Att 5_Coversheet for SCQ
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Invitation Call Script
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
Attachment 21.b. Invitation Call Script - DD source selection SEED 3_revised.docx
No
Paper Only
Other-WORD
Attachment 5. Social Communication Questionnaire (SCQ).pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
321
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
321
0
0
0
0
321
Annual IC Time Burden (Hours)
161
0
0
0
0
161
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 5_Coversheet for SCQ
Attachment 5 CoverSheet_Social Communication Questionnaire (SCQ) pdf.doc
10/27/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.