Information Collection

Review of Enrollment and Informed Consent or Assent/In-person Assessment of Intellectual abilities

IC 255815 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⚠️ Notice: This information collection may be referencing outdated material.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
Att 8c-g - Enrollment-Consent-Assent for In-Person Assessment.pdf Instruction
Att 8c-g - Enrollment-Consent-Assent for In-Person Assessment.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Review of Enrollment and Informed Consent or Assent/In-person Assessment of Intellectual abilities	Agency IC Tracking Number:	0820-21IK

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
Instruction			Att 8c-g - Enrollment-Consent-Assent for In-Person Assessment.pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 229	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	229	229
Annual IC Time Burden (Hours)	344	344
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.