Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ASD - ENROLLMENT-Invitation Call Script and SCQ (Mother) Unchanged 859 430 0 Other-WORD
Other-WORD
ASD - POST ENROLLMENT _F/U Phone Call / Pregnancy Ref Form- (Mother) Unchanged 422 106 0 Other-WORD
Other-WORD
ASD - PRE-ENROLLMENT_Invitation Packet/Response Card (Mother) Unchanged 1718 286 0 Other-WORD
Other-WORD
Other-WORD
Child Behavior Checklist (for Covid-19 Impact Assessment) Modified 1330 443 11398 Form and Instruction 0920-21CS
Form and Instruction 0920-21CS
Clicnic/Home Visit - Developmental Assessment (Mother) Unchanged 234 195 0 Other-WORD
Other-WORD
Instruction
Other-WORD
Other-WORD
Other-WORD
Clinc/Home Visit - Saliva Collection (optional) Father Unchanged 117 29 0 Instruction
Other-WORD
Other-WORD
Clinic / Home Visit - Saliva Collection (Mother) Unchanged 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) Unchanged 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) Unchanged 164 41 0 Instruction
Other-WORD
Other-WORD
Clinic/Home Visit - Developmental Assessment (Child) Unchanged 234 351 0 Other-WORD
Other-WORD
Instruction
Other-WORD
Other-WORD
Other-WORD
Covid-19 Impact Survey Modified 1330 554 14252 Form and Instruction 0920-21CS
DD - POST-ENROLLMENT F/U Phone Call Script Unchanged 158 40 0 Other-WORD
Other-WORD
Other-WORD
DD- PRE-ENROLLMENT Invitation Packet/Response Card (Mother) Unchanged 641 107 0 Other-WORD
Other-WORD
Other-WORD
ENROLLMENT Packet (Mother) Unchanged 334 111 0 Other-WORD
Instruction
Other-WORD
Other-WORD
Enrollment Packet (DD) Unchanged 175 58 0 Other-WORD
Other-WORD
Enrollment Packet - ASD (Mother) Unchanged 469 156 0 Other-WORD
Other-WORD
Follow-up Call 2 Unchanged 140 47 0 Other-WORD
Follow-up Call 2 (Mother) POP Unchanged 375 125 0 Other-WORD
Followup Call 2 Unchanged 267 89 0 Other-WORD
Invitation Call Script Unchanged 321 161 0 Other-WORD
Other-WORD
Invitation Call Script and SCQ (Mother) Unchanged 733 367 0 Other-WORD
Other-WORD
Invitation to Participate in the Covid-19 Impact Assessment Unchanged 1330 222 5700 Other-Invitation Letter
Maternal Interview (Mother) Unchanged 422 422 0 Other-WORD
Maternal Interview Call Unchanged 158 158 0 Other-WORD
Maternal Interview Call Unchanged 301 301 0 Other-WORD
POP - POST ENROLLMENT_F/U Phone Call Script and Pregnancy Ref Form (Mother) Unchanged 301 75 0 Other-WORD
Other-WORD
Other-WORD
POP - PRE-ENROLLMENT Invitation Packet/Response Card (Mother) Unchanged 1466 244 0 Other-WORD
Other-WORD
Other-WORD
Self Administered Forms Unchanged 140 128 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Instruction
Instruction
Other-ord
Self Administered Forms (Mother) Unchanged 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) Unchanged 267 467 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WORD
Other-WPRD
Vineland Adaptive Behavior Scales (for Covid-19 Impact Assessment) Modified 1330 333 8552 Form and Instruction 0920-21CS
Form 0920-21CS
Total burden requested under this ICR: 16767 8670 39902  
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