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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCIPC] Essentials for Parenting Toddlers Customer Service Feedback
Agency IC Tracking Number:
0920-1050-24JD
IC Status:
New
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 and Instruction
0929-1050
Recruitment Screener - English
Att 1_Recruitment Screener_EfP Toddlers _Eng_9-19-24.docx
N/A
No
Fillable Fileable
Form and Instruction
0929-1050
Focus Group Guide - English
Att 3_Interview Guide_EfP Toddlers _Eng_9-19-24.docx
N/A
No
Fillable Fileable
Form and Instruction
0929-1050
Consent Form - English
Att 2_ Consent Form_EfP Toddler_Eng_9-19-24.docx
N/A
No
Fillable Fileable
Form and Instruction
0929-1050
Recruitment Screener - Spanish
Att 4_EfP Toddlers Recruitment Screener_Span_9-19-24.docx
N/A
No
Fillable Fileable
Form and Instruction
0929-1050
Focus Group Guide - Spanish
Att 6_EfP Toddlers Interview Guide_Spanish_9-19-24.docx
N/A
No
Fillable Fileable
Form and Instruction
0929-1050
Consent Form - Spanish
Att 5_EfP Toddlers Consent Form_Span_9-19-24.docx
N/A
No
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:
460
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
460
0
460
0
0
0
Annual IC Time Burden (Hours)
96
0
96
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Privacy Act Determination
Att. 7 PII-Privacy Act-Determination-EfP Parenting Toddlers.pdf
10/02/2024
0920-1050 GenIC Request Template
Essentials for Parenting Todders_1050_Request_9-19-24.docx
10/02/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.