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 & Stages Questionnaire, Third Edition (ASQ-3)
New
60
15
469
Other-Questionnaire
Client Wave 1 Survey
New
300
200
5442
Other-Survey
Client Wave 2 Survey
New
300
100
2679
Other-Survey
Client Wave 3 and 4 Survey
New
600
500
13482
Other-Survey
Evidence-Based Practice Attitudes Scale (EBPAS)
New
15
1
38
Other-Survey
Fidelity Checklist (FC)
New
60
2
56
Other-Checklist
Parenting Skills Assessment (PSA-10)
New
45
45
1405
Other-Assessment
Total burden requested under this ICR:
1380
863
23571
To view an IC, click on IC Title
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