Information Collection Request

[NCBDDD] CDC's Milestone Tracker App User Surveys

ICR 202605-0920-002 · OMB 0920-1397 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1397 Provider Survey - Spanish Form and Instruction Modified Available
Form 0920-1397 Provider Survey Form and Instruction Modified Available
Form 0920-1397 Parent Survey 2 - Spanish Form and Instruction Modified Available
Form 0920-1397 Parent Survey 2 Form and Instruction Modified Available
Form 0920-1397 Parent Survey 1 - Spanish Form and Instruction Modified Available
Form 0920-1397 Parent Survey 1 Form and Instruction Modified Available
SSA_LTSAE FINAL.docx Supporting Statement A Uploaded 2026-05-27 Available
H_Response to Public Comments.docx Public Comments Uploaded 2026-05-27 Available
C_Project Determination_LTSAE.docx Supplementary Document Uploaded 2026-05-15 Available
B_60_Day_FRN_LTSAE.pdf Supplementary Document Uploaded 2026-05-15 Available
D_LTSAE MT Notifications.docx Supplementary Document Uploaded 2026-05-15 Available
SSB_LTSAE.docx Supporting Statement B Uploaded 2026-05-15 Available
E_LTSAE MT Notifications SPANISH_01312023.docx Supplementary Document Uploaded 2023-02-09 Available
A_PublicHealthServiceAct.docx Supplementary Document Uploaded 2023-02-09 Available

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 06/30/2026
28,800 500,000
2,419 41,667
0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Parent Survey 1 - All parents using the Milestone Tracker app who complete 65% or more of a checklist using the app 0920-1397, 0920-1397 ,  
Parent Survey 2 - Parents using the Milestone Tracker App who complete 65% or more of a checklist using the app AND indicate a missed milestone or identify a developmental concern 0920-1397, 0920-1397 ,  
Provider Survey - Early childhood providers/professionals who use the Milestone Tracker app at least 3 times 0920-1397, 0920-1397 ,  

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 28,800 500,000 0 -471,200 0 0
Annual Time Burden (Hours) 2,419 41,667 0 -39,248 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No