SEED - Questionaire Packets

The Study to Explore Early Development (SEED)

OMB: 0920-0741

IC ID: 178540

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Information Collection (IC) Details

View Information Collection (IC)

SEED - Questionaire Packets
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Appendix_E.1 Study Start Enrollment Packet Cover letter NIC-Subcohort 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.1 Study Start Enrollment Packet Cover letters CASE 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.2 Study Start Yellow FolderInstr 2007.doc Yes Yes Fillable Printable
Other-word Appendix_E.2.3 Study Start Subcohort- NIC Questionnaire Checklist.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.14 Study Start Paternal MedHX 12-2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.2.2 Study Start Green Folder Instr 2007.doc Yes Yes Fillable Printable
Other-word Appendix_E.4 Study Start Clinic Visit Prep Guide 2007 NIC- SUBCOHORT 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.4 Study Start Clinic Visit Prep Guide CASE 2007.doc Yes Yes Fillable Printable
Other-word Appendix_E.2.1 Study Start Blue FolderInstr 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.5 Study Start Caregiver Prep Guide 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.9 Study Start Autoimmune Survey 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.10 Carey Temperament Scales.pdf Yes Yes Fillable Printable
Other-WORD Appendix_E.11 CBCL.pdf Yes Yes Fillable Printable
Other-WORD Appendix_E.12 Study Start GI Questionnaire 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.13 Study Start Maternal Med-HX 12-2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.15 Study Start Paternal Occup History 02- 17-09.doc Yes Yes Fillable Printable
Other-WORD Appendix_E.16 Child Sleep Habits Q.pdf Yes Yes Fillable Printable
Other-WORD Appendix_E.17 SRS-adult version.pdf Yes Yes Fillable Printable
Other-WORD Appendix_E.17 SRS-child version.doc Yes Yes Fillable Printable
Other-word Appendix_E.17 Study Start Social Responsiveness Scale-preschool. pdf..pdf Yes Yes Fillable Printable
Other-word Appendix_E.18 Study Start HIPPA Provider checklist & med records release 2007.doc Yes Yes Fillable Printable
Other-WORD Appendix_H.1_3_day_diet_diary.doc Yes Yes Fillable Printable
Other-WORD Appendix_H.2 Study Start Seven day Stool diary 2007.doc Yes Yes Fillable Printable

Health Public Health Monitoring

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

347 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 347 0 -44,581 0 0 44,928
Annual IC Time Burden (Hours) 1,215 0 -11,169 0 0 12,384
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix_E Appendix_E.10.1 Study Start Carey Questionnaires Coversheet 2007.doc 04/13/2010
Appendix_E Appendix_E.17.1 Study Start Social Responsiveness Scale-child coversheet 2007.doc 04/13/2010
Appendix_E Appendix_E.17.2 Study Start Social Responsiveness Scale adult coversheet 2007.doc 04/13/2010
Appendix_E Appendix_E.17.3 Study Start Social Responsiveness Scale-preschool coversheet 2007.doc 04/13/2010
Appendix_E Appendix_E.18.1 Study Start HIPAA letter providerwksht 2007.doc 04/13/2010
Appendix_E Appendix_E.18.2 Study start medical records release cover sheets.doc 04/13/2010
Appendix_E Appendix_E.6 Study Start Medical Glossary 2007.doc 04/15/2010
Appendix_E Appendix_E.7 Study Start Frequently Asked Questions on Biosampling 2007 .doc 04/15/2010
Appendix_E Appendix_E.8 Study Start Rights of Research Subjects.doc 04/15/2010
Appendix_E Appendix_E.16.1 Study Start Child Sleep Habits Questionnaires Coversheet 2007.doc 04/15/2010
Appendix_E Appendix_E.19 Study Start How to collect Cheek Swab 2007.doc 04/15/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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