Information Collection

SEED Follow-Up Health and Development Core Survey

IC 255807 under ICR 202502-0920-012 · OMB 0920-1392.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1392 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-25-0027 SEED Follow-Up Health and Development Core Survey Form
Form 0920-25-0027 SEED Follow-Up Health and Development Core Survey Form
0920-25-0027 SEED Follow-up Core Survey Attachment 2f - SEED Follow-Up Health and Development Core Survey_02-03-25_tracked_changes.docx Form
0920-25-0027 SEED Follow-up Core Survey Attachment 2f - SEED Follow-Up Health and Development Core Survey_02-03-25_tracked_changes.docx Form
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 Health and Development Core Survey	Agency IC Tracking Number:	0920-25-0027

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	0920-25-0027	SEED Follow-up Core Survey	Attachment 2f - SEED Follow-Up Health and Development Core Survey_02-03-25_tracked_changes.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,234	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,234	1,234
Annual IC Time Burden (Hours)	823	823
Annual IC Cost Burden (Dollars)	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.