Information Collection

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

IC 255812 under ICR 202504-0920-008 · OMB 0920-1392.

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 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
Form 0920-25-0027 Att 6b - Enrollment Call Script and Consent 2nd Survey SEED 1 Caregivers_4-2-25 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
0920-25-0027 Att 6b - Enrollment Call Script and Consent 2nd Survey S Att 6b - Enrollment Call Script and Consent 2nd Survey SEED 1 Caregivers_4-2-25.docx Form
0920-25-0027 Att 6b - Enrollment Call Script and Consent 2nd Survey S Att 6b - Enrollment Call Script and Consent 2nd Survey SEED 1 Caregivers_4-2-25.docx Form

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:	0920-25-0027

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	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
Form	0920-25-0027	Att 6b - Enrollment Call Script and Consent 2nd Survey SEED 1 Caregivers_4-2-25	Att 6b - Enrollment Call Script and Consent 2nd Survey SEED 1 Caregivers_4-2-25.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 %

	Approved	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.

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