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Federal forms, ICRs, and supporting documents

OMB control number

[NCBDDD] CDC's Milestone Tracker App User Surveys

OMB 0920-1397 · HHS/CDC.

OMB 0920-1397

CDC’s Learn the Signs. Act Early. (LTSAE) program promotes family-engaged developmental monitoring of children and aims to improve early identification of autism and other developmental disabilities so that children and families receive the services and support they need. The purpose of this information collection is to improve understanding of how parents and early childhood providers/professionals use the CDC Milestone Tracker app, whether they like the app, and what steps are taken if there are concerns about a child’s development or a missed developmental milestone. The surveys will be collected electronically via a secured online survey platform, in English or Spanish. Findings from the user surveys will be used to make necessary improvements to the app.

The latest form for [NCBDDD] CDC's Milestone Tracker App User Surveys expires 2026-07-31 and is listed under ICR 202212-0920-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1397 Provider Survey - SpanishForm and Instruction
Form 0920-1397 Provider SurveyForm and Instruction
Form 0920-1397 Parent Survey 2 - SpanishForm and Instruction
Form 0920-1397 Parent Survey 2Form and Instruction
Form 0920-1397 Parent Survey 1 - SpanishForm and Instruction
Form 0920-1397 Parent Survey 1Form and Instruction
SSA_LTSAE FINAL.docxSupporting Statement A
H_Response to Public Comments.docxPublic Comments
C_Project Determination_LTSAE.docxSupplementary Document
B_60_Day_FRN_LTSAE.pdfSupplementary Document
D_LTSAE MT Notifications.docxSupplementary Document
SSB_LTSAE.docxSupporting Statement B
E_LTSAE MT Notifications SPANISH_01312023.docxSupplementary Document
A_PublicHealthServiceAct.docxSupplementary Document
Provider Survey - Early childhood providers/professionals who use the Milestone Tracker app at least 3 times Form and Instruction
Provider Survey - Early childhood providers/professionals who use the Milestone Tracker app at least 3 times Form and Instruction
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 Form and Instruction
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 Form and Instruction
Parent Survey 1 - All parents using the Milestone Tracker app who complete 65% or more of a checklist using the app Form and Instruction
Parent Survey 1 - All parents using the Milestone Tracker app who complete 65% or more of a checklist using the app Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202605-0920-002 Revision of a currently approved collection 2026-05-27
202212-0920-004 New collection (Request for a new OMB Control Number) 2023-02-10 Approved without change

OMB Details

Parent Survey 1

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form NoneMilestone Tracker App Parent Survey 1 (Spanish)Fillable FileableForm and instruction
Form NoneMilestone Tracker App Parent Survey 1 (English)Fillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.