OMB
.report
Search
Parent Survey for Parent Groups 1,2,3 & 4
Assessment of the Psychosocial Impact of Newborn Screening for Congenital Cytomegalovirus (CMV) Infection
OMB: 0920-0970
IC ID: 206299
OMB.report
HHS/CDC
OMB 0920-0970
ICR 201303-0920-017
IC 206299
( )
Documents and Forms
Document Name
Document Type
Parent Survey for Parent Groups 1,2,3 & 4
Form and Instruction
CMV Parent Survey for All Parent Groups
Attachment 8 Parent Survey--all parents 3-25-13.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent Survey for Parent Groups 1,2,3 & 4
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form and Instruction
None
CMV Parent Survey for All Parent Groups
Attachment 8 Parent Survey--all parents 3-25-13.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
230
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
230
0
230
0
0
0
Annual IC Time Burden (Hours)
38
0
38
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.