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SEED Follow-up – Call Script for SEED 1-3 Caregivers (1st Follow-Up)
[NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study
OMB: 0920-1392
IC ID: 256059
OMB.report
HHS/CDC
OMB 0920-1392
ICR 202306-0920-008
IC 256059
( )
Documents and Forms
Document Name
Document Type
Att 2c - Enrollment Call Script and Consent 1st Survey.docx
Other-Script
Att 2c - Enrollment Call Script and Consent 1st Survey.docx
Other-Script
Att 2a - Invitation Letter 1st Survey.docx
Invitation Letter 1st Survey
IC Document
Att 2a - Invitation Letter 1st Survey.docx
Invitation Letter 1st Survey
IC Document
Att 2b - Response Card 1st Survey.docx
Response Card 1st Survey
IC Document
Att 2b - Response Card 1st Survey.docx
Response Card 1st Survey
IC Document
Att 2d - Participant Information Sheet for SEED 1-3 Caregivers_3-28-22.docx
Participant Information Sheet
IC Document
Att 2d - Participant Information Sheet for SEED 1-3 Caregivers_3-28-22.docx
Participant Information Sheet
IC Document
Att 2e - Consent Form for Genetic Data Sharing.docx
Consent for Genetic Data Sharing
IC Document
Att 2e - Consent Form for Genetic Data Sharing.docx
Consent for Genetic Data Sharing
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SEED Follow-up – Call Script for SEED 1-3 Caregivers (1st Follow-Up)
Agency IC Tracking Number:
0920-21IK
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-Script
Att 2c - Enrollment Call Script and Consent 1st Survey.docx
No
Paper Only
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:
2,057
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
2,057
0
0
0
0
2,057
Annual IC Time Burden (Hours)
343
0
0
0
0
343
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Invitation Letter 1st Survey
Att 2a - Invitation Letter 1st Survey.docx
09/12/2022
Response Card 1st Survey
Att 2b - Response Card 1st Survey.docx
09/12/2022
Participant Information Sheet
Att 2d - Participant Information Sheet for SEED 1-3 Caregivers_3-28-22.docx
09/12/2022
Consent for Genetic Data Sharing
Att 2e - Consent Form for Genetic Data Sharing.docx
09/12/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.