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First Follow-Up Survey Supplement for Caregivers of Adolescents
[NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study
OMB: 0920-1392
IC ID: 255809
OMB.report
HHS/CDC
OMB 0920-1392
ICR 202306-0920-008
IC 255809
( )
Documents and Forms
Document Name
Document Type
Form 0920
First Follow-Up Survey Supplement for Caregivers of Adolescents
Form
Form 0920
First Follow-Up Survey Supplement for Caregivers of Adolescents
Form
0920 First Follow-up Survey Supplement for Caregivers of Adol
Att 4a-b - Adolescent Survey Supplement for SEED 2 Caregivers.pdf
Form
0920 First Follow-up Survey Supplement for Caregivers of Adol
Att 4a-b - Adolescent Survey Supplement for SEED 2 Caregivers.pdf
Form
First Follow-up Survey Supplement for Caregivers of Adol
Att 4a_S - First Follow-up Survey Supp for Caregivers of Adolescent_Spanish_final.docx
Form and Instruction
First Follow-up Survey Supplement for Caregivers of Adol
Att 4a_S - First Follow-up Survey Supp for Caregivers of Adolescent_Spanish_final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
First Follow-Up Survey Supplement for Caregivers of Adolescents
Agency IC Tracking Number:
0920-21IK
Is this a Common Form?
No
IC Status:
Modified
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
0920
First Follow-up Survey Supplement for Caregivers of Adolescents
Att 4a-b - Adolescent Survey Supplement for SEED 2 Caregivers.pdf
No
Fillable Fileable
Form and Instruction
n/a
First Follow-up Survey Supplement for Caregivers of Adolescents - Spanish
Att 4a_S - First Follow-up Survey Supp for Caregivers of Adolescent_Spanish_final.docx
No
Fillable Fileable
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:
411
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
411
0
0
0
0
411
Annual IC Time Burden (Hours)
137
0
0
0
0
137
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.