| Form Approved |
| OMB No. 0920-XXXX |
| Exp. Date XX/XX/XXXX |
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| Interview Item |
| % of educational data sources for which access to data has been secured or renewed |
| % of health data sources for which access to data has been secured or renewed |
| % of education records for which review has been completed [COMPONENT A: 8-year olds] |
| % of health records for which review has been completed - [COMPONENT A: 8-year olds] |
| % of records that are flagged on the “ignorable” and the “non-ignorable” batch reports for each month |
| % of early intervention data sources for which access to data has been secured or renewed [COMPONENT B: 4-year olds] |
| % of education records for which review has been completed [COMPONENT B: 4-year olds] |
| % of early intervention records for which review has been completed [COMPONENT B: 4-year olds] |
| % of health records for which review has been completed [COMPONENT B: 4-year olds] ) |
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| An agency many not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB control number. |
| Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR |
| Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (XXXX-XXXX) |