Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Emergency Response Organization - Focus Group New 10 15 0 Form and Instruction NA
Family/Caregiver - ASD New 200 50 0 Form and Instruction NA
Family/Caregiver Focus Group - CYSHCN and ASD New 30 45 0 Form and Instruction NA
Family/Caregiver Interview - ASD New 30 30 0 Form and Instruction NA
Family/Caregiver Interview - CYSHCN New 50 50 0 Form and Instruction NA
Family/Caregiver Survey - CYSHCN New 150 38 0 Form and Instruction NA
Health IT Professional - Focus Group New 10 15 0 Form and Instruction NA
Provider - Evaluation Focus Group New 20 30 0 Form and Instruction NA
Provider Focus Group - ASD New 10 15 0 Form and Instruction NA
Provider Focus Group - CYSHCN New 20 30 0 Form and Instruction NA
Provider Study - ASD New 150 38 0 Form and Instruction NA
Provider Survey - CYSHCN New 250 63 0 Form and Instruction NA
Total burden requested under this ICR: 930 419 0  
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