Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ASD - ENROLLMENT-Invitation Call Script and SCQ (Mother) New 859 430 0 Other-WORD
Other-WORD
ASD - POST ENROLLMENT _F/U Phone Call / Pregnancy Ref Form- (Mother) New 422 106 0 Other-WORD
Other-WORD
ASD - PRE-ENROLLMENT_Invitation Packet/Response Card (Mother) New 1718 286 0 Other-WORD
Other-WORD
Other-WORD
Clicnic/Home Visit - Developmental Assessment (Mother) New 234 195 0 Other-WORD
Other-WORD
Instruction
Other-WORD
Other-WORD
Other-WORD
Clinc/Home Visit - Saliva Collection (optional) Father New 117 29 0 Instruction
Other-WORD
Other-WORD
Clinic / Home Visit - Saliva Collection (Mother) New 328 1230 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WOrd
Instruction
Other-WORD
Other-WORD
Other-WORD
Clinic / Home Visit -Development Assessment (Child) New 328 738 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Instruction
Other-WORD
Other-WORD
Other-WORD
Clinic / Home Vist -- Saliva Collection (Father) New 164 41 0 Instruction
Other-WORD
Other-WORD
Clinic/Home Visit - Developmental Assessment (Child) New 234 351 0 Other-WORD
Other-WORD
Instruction
Other-WORD
Other-WORD
Other-WORD
DD - POST-ENROLLMENT F/U Phone Call Script New 158 40 0 Other-WORD
Other-WORD
Other-WORD
DD- PRE-ENROLLMENT Invitation Packet/Response Card (Mother) New 641 107 0 Other-WORD
Other-WORD
Other-WORD
ENROLLMENT Packet (Mother) New 334 111 0 Other-WORD
Instruction
Other-WORD
Other-WORD
Enrollment Packet (DD) New 175 58 0 Other-WORD
Other-WORD
Enrollment Packet - ASD (Mother) New 469 156 0 Other-WORD
Other-WORD
Follow-up Call 2 New 140 47 0 Other-WORD
Follow-up Call 2 (Mother) POP New 375 125 0 Other-WORD
Followup Call 2 New 267 89 0 Other-WORD
Invitation Call Script New 321 161 0 Other-WORD
Other-WORD
Invitation Call Script and SCQ (Mother) New 733 367 0 Other-WORD
Other-WORD
Maternal Interview (Mother) New 422 422 0 Other-WORD
Maternal Interview Call New 301 301 0 Other-WORD
Maternal Interview Call New 158 158 0 Other-WORD
POP - POST ENROLLMENT_F/U Phone Call Script and Pregnancy Ref Form (Mother) New 301 75 0 Other-WORD
Other-WORD
Other-WORD
POP - PRE-ENROLLMENT Invitation Packet/Response Card (Mother) New 1466 244 0 Other-WORD
Other-WORD
Other-WORD
Self Administered Forms New 140 128 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Instruction
Instruction
Other-ord
Self Administered Forms (Mother) New 375 656 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Self-Administered Forms (Mother) New 267 467 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WPRD
Total burden requested under this ICR: 11447 7118 0  
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