Parent Survey 1

[NCBDDD] CDC's Milestone Tracker App User Surveys

Documents and Forms

Document Name Document Type
Parent Survey 1 Form and Instruction
Milestone Tracker App Parent Survey 1 (English) F_LTSAE MT Parent Survey 1_01312023.docx Form and Instruction
Milestone Tracker App Parent Survey 1 (English) F_LTSAE MT Parent Survey 1_01312023.docx Form and Instruction
Milestone Tracker App Parent Survey 1 (Spanish) F.1_LTSAE MT Parent Survey 1 SPANISH_01312023.docx Form and Instruction
Milestone Tracker App Parent Survey 1 (Spanish) F.1_LTSAE MT Parent Survey 1 SPANISH_01312023.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Parent Survey 1	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	Milestone Tracker App Parent Survey 1 (English)	F_LTSAE MT Parent Survey 1_01312023.docx		Yes	Yes	Fillable Fileable
Form and Instruction	None	Milestone Tracker App Parent Survey 1 (Spanish)	F.1_LTSAE MT Parent Survey 1 SPANISH_01312023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	16,667	16,667
Annual IC Cost Burden (Dollars)	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.