Information Collection

Ages & Stages Questionnaire, Third Edition (ASQ-3)

IC 254574 under ICR 202204-0704-009 · OMB 0704-0645.

Documents and Forms

Document Name Document Type
0704-XXXX_NPSP_ASQ-3.pdf Other-Questionnaire
0704-XXXX_NPSP_ASQ-3.pdf Other-Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ages & Stages Questionnaire, Third Edition (ASQ-3)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-Questionnaire			0704-XXXX_NPSP_ASQ-3.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	469	469

Documents for IC

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.