Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Form New 100 100 0 Form and Instruction n/a Adult Form
Child 4 - 8 Form New 60 20 0 Form and Instruction n/a Child 4 - 8
Child 9 - 11 Form New 100 50 0 Form and Instruction n/a Child 9 - 11
Parent Report (for children ages 4-17) New 300 225 0 Form and Instruction n/a Parent Form
Teen Form New 140 105 0 Form and Instruction n/a Teen
Total burden requested under this ICR: 700 500 0  
To view an IC, click on IC Title