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Vineland Adaptive Behavior Scales (for Covid-19 Impact Assessment)

IC 244369 under ICR 202102-0920-008 · OMB 0920-1171.

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Document Name
Document Type
Form
Form and Instruction
Form and Instruction
Form
Form
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Vineland Adaptive Behavior Scales (for Covid-19 Impact Assessment) 0092-21CS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-21CS Vineland Adaptive Behavior Scales, second edition, Survey Interview Form Appendix C.4_COV-IMP_Vineland Survey.pdf No   Paper Only
Form 0920-21CS Vinland Scoresheet Appendix C.4_COV-IMP_Vineland Scoresheet.pdf Yes Yes Paper Only

Health Public Health Monitoring

09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems  81 FR 9200

1,330 0
   
Individuals or Households
 
   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 1,330 0 0 0 0 1,330
Annual IC Time Burden (Hours) 333 0 0 0 0 333
Annual IC Cost Burden (Dollars) 8,552 0 0 0 0 8,552

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