OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pregnant Women - Ages and Stages 2 and 24 Month Questionnaire

IC 226997 under ICR 201803-0920-014 · OMB 0920-1190.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Pregnant Women - Ages and Stages 2 and 24 Month Questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Ages and Stages Questionnaire - 24 month English Att B13_Ages and Stages_24_Months.pdf NA No   Paper Only
Form and Instruction NA Ages and Stages Questionnaire - 24 month Spanish Att C13_Ages and Stages-24_Months_Spanish.pdf NA No   Paper Only
Form and Instruction NA Ages and Stages Questionnaire - 2 month English Att B8_Ages and Stages-2_Months.pdf NA No   Paper Only
Form and Instruction NA Ages and Stages Questionnaire - 2 month Spanish Att C8_Ages and Stages-2_Months_spanish.pdf NA No   Paper Only

Health Public Health Monitoring

09-20-0113 - Epidemic Investigation Case Records System  51 FR 42466

2,250 0
   
Individuals or Households
 
   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 4,500 0 0 0 0 4,500
Annual IC Time Burden (Hours) 1,125 0 0 0 0 1,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.