PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Ages and Stages Questionnaire
New
2000
500
0
Form
none
Ages and Stages
Eligibility Screener
New
550
46
0
Form
none
Eligibility Screener
Enrollment for Fathers
New
550
825
0
Form
none
Father's Enrollment
Enrollment for Mothers
New
550
1100
0
Form
none
Mother's Enrollment
Mullen Scales of Early Development
New
500
125
0
Form
none
Mullen Scales of Early Development
Postpartum Survey - 0 months
New
500
500
0
Form
none
Postpartum Survey - 0 months
Postpartum Survey - 12 months
New
500
125
0
Form
none
Postpartum Survey - 12 months
Postpartum Survey - 2,6,9 months
New
1500
375
0
Form
none
Postpartum Survey - 2, 6, 9 months
Total burden requested under this ICR:
6650
3596
0
To view an IC, click on IC Title
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