Information Collection

Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.

IC 255812 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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 Enrollment Call Script and Second Follow-up Survey for SEED 1 Caregivers Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.	Form
Enrollment Call Script and Second Follow-up Survey for SEED 1 Caregivers - Spanish Review of Enrollment Call Script and Consent and Second Follow-Up Survey of SEED 1 Caregivers.	Form and Instruction
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

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: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920				No		Fillable Fileable
Form and Instruction	n/a				No		Fillable Fileable

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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