Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Ages and Stages Questionnaire Modified 2000 500 0 Form none
Eligibility Screener Modified 750 63 0 Form none
Enrollment Survey - father Modified 550 825 0 Form none
Enrollment Survey - mother Modified 550 1100 0 Form none
Food Frequency Questionnaire Modified 500 375 0 Form none
Home Environment Assessment New 550 550 0 Form and Instruction none
Mullen Scales of Early Development Modified 500 167 0 Form none
Postpartum Survey - 2 months Modified 500 500 0 Form none
Postpartum Survey - 6, 9, 12 months Modified 1500 375 0 Form none
Total burden requested under this ICR: 7400 4455 0  
To view an IC, click on IC Title