OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Parent Screener--Main: Baseline & Follow-up Replenishments

IC 257638 under ICR 202410-0910-004 · OMB 0910-0915.

Documents and Forms
Document Name
Document Type
Other-ENGLISH Parent Guardian Online
Other-SPANISH Parent Guardian Online
Information Collection (IC) Details

View Information Collection (IC)

Parent Screener--Main: Baseline & Follow-up Replenishments
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ENGLISH Parent Guardian Online Screener ExPECTT 3 Attachment 2. Parent Guardian Online Screener ExPECTT 3_FU2_10-2024.docx Yes Yes Fillable Fileable Signable
Other-SPANISH Parent Guardian Online Screener ExPECTT 3 Attachment 2. Parent Guardian Online Screener ExPECTT 3_SPA_FU2_10-2024.docx Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

345,000 0
   
Individuals or Households
 
   99 %

  Requested 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 345,000 0 0 72,500 0 272,500
Annual IC Time Burden (Hours) 27,600 0 0 5,800 0 21,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.