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Review of Enrollment and Informed Consent or Assent/In-person Assessment of Intellectual abilities
The Study to Explore Early Development (SEED) Follow-up Study
OMB: 0920-1392
IC ID: 255815
OMB.report
HHS/CDC
OMB 0920-1392
ICR 202208-0920-007
IC 255815
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1392 can be found here:
2023-06-15 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Att 8c-g - Enrollment-Consent-Assent for In-Person Assessment.pdf
Instruction
Att 8c-g - Enrollment-Consent-Assent for In-Person Assessment.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Review of Enrollment and Informed Consent or Assent/In-person Assessment of Intellectual abilities
Agency IC Tracking Number:
0820-21IK
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
Instruction
Att 8c-g - Enrollment-Consent-Assent for In-Person Assessment.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
229
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
229
0
229
0
0
0
Annual IC Time Burden (Hours)
344
0
344
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.