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Ages & Stages Questionnaire, Third Edition (ASQ-3)
Navy New Parent Support Program (NPSP) Evaluation
OMB: 0704-0645
IC ID: 254574
OMB.report
DOD/DODDEP
OMB 0704-0645
ICR 202204-0704-009
IC 254574
( )
Documents and Forms
Document Name
Document Type
0704-XXXX_NPSP_ASQ-3.pdf
Other-Questionnaire
0704-XXXX_NPSP_ASQ-3.pdf
Other-Questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Ages & Stages Questionnaire, Third Edition (ASQ-3)
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
Other-Questionnaire
0704-XXXX_NPSP_ASQ-3.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
60
0
60
0
0
0
Annual IC Time Burden (Hours)
15
0
15
0
0
0
Annual IC Cost Burden (Dollars)
469
0
469
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.