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⚠️ Notice: This information collection may be referencing outdated material.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

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: 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
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

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 %

	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

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.