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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
First follow-up survey supplement for caregivers of young adults
Agency IC Tracking Number:
0920-25-0027
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920
SEED Follow-Up Study: Young Adult Survey Supplement
Att 5 - Young Adult Survey Supplement for SEED 1 Caregivers.docx
No
Fillable Fileable
Form and Instruction
n/a
SEED Follow-up Study: Young Adult Survey Supplement - Spanish
Att 5_S - First Follow-up Survey Supp for Caregivers of Young Adults_Spanish_final.docx
No
Fillable Fileable
Form
0920-25-0027
Att 5 - Young Adult Survey Supplement for SEED 1 Caregivers_4-2-25
Att 5 - Young Adult Survey Supplement for SEED 1 Caregivers_4-2-25.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
411
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
411
0
0
0
0
411
Annual IC Time Burden (Hours)
137
0
0
0
0
137
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.