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Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.
[NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study
OMB: 0920-1392
IC ID: 255812
OMB.report
HHS/CDC
OMB 0920-1392
ICR 202306-0920-008
IC 255812
( )
Documents and Forms
Document Name
Document Type
Form 0920
Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.
Form
Form 0920
Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.
Form
0920 Enrollment Call Script and Second Follow-up Survey for S
Att 6b-d - Enrollment Call Script and 2nd FU of SEED 1 Caregivers.pdf
Form
0920 Enrollment Call Script and Second Follow-up Survey for S
Att 6b-d - Enrollment Call Script and 2nd FU of SEED 1 Caregivers.pdf
Form
Enrollment Call Script and Second Follow-up Survey for S
Att 6b-d_S - Enrollment Call Script and 2nd Survey Caregivers of Young Adults_Spanish_final.docx
Form and Instruction
Enrollment Call Script and Second Follow-up Survey for S
Att 6b-d_S - Enrollment Call Script and 2nd Survey Caregivers of Young Adults_Spanish_final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.
Agency IC Tracking Number:
0920-21IK
Is this a Common Form?
No
IC Status:
Modified
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
Form
0920
Enrollment Call Script and Second Follow-up Survey for SEED 1 Caregivers
Att 6b-d - Enrollment Call Script and 2nd FU of SEED 1 Caregivers.pdf
No
Fillable Fileable
Form and Instruction
n/a
Enrollment Call Script and Second Follow-up Survey for SEED 1 Caregivers - Spanish
Att 6b-d_S - Enrollment Call Script and 2nd Survey Caregivers of Young Adults_Spanish_final.docx
No
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:
350
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
350
0
0
0
0
350
Annual IC Time Burden (Hours)
58
0
0
0
0
58
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.