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Combating Autism Act Initiative Evaluation - Research Programs
Combating Autism Act Initiative Evaluation
OMB: 0915-0335
IC ID: 194885
OMB.report
HHS/HSA
OMB 0915-0335
ICR 201010-0915-003
IC 194885
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0335 can be found here:
2023-06-27 - Revision of a currently approved collection
2020-06-18 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 001_CAAI_Researh
Combating Autism Act Initiative Evaluation - Research Programs
Form and Instruction
001_CAAI_Researh 001_CAAI_Researh
Attachment D RN SSI protocol 42210.doc
Form and Instruction
002_CAAI_Research 002_CAAI_Research
Attachment E RN Questionnaire 42210.doc
Form and Instruction
003_CAAI_Research 003_CAAI_Research
Attachment F R40 AIR Program Questionnaire 42210.doc
Form and Instruction
004_CAAI_Research 004_CAAI_Research
Attachment G SDAS Program Questiinnaire 42210.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Combating Autism Act Initiative Evaluation - Research Programs
Agency IC Tracking Number:
Is this a Common Form?
No
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
001_CAAI_Researh
001_CAAI_Researh
Attachment D RN SSI protocol 42210.doc
Yes
Yes
Fillable Fileable
Form and Instruction
002_CAAI_Research
002_CAAI_Research
Attachment E RN Questionnaire 42210.doc
Yes
Yes
Fillable Fileable
Form and Instruction
003_CAAI_Research
003_CAAI_Research
Attachment F R40 AIR Program Questionnaire 42210.doc
Yes
Yes
Fillable Fileable
Form and Instruction
004_CAAI_Research
004_CAAI_Research
Attachment G SDAS Program Questiinnaire 42210.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
54
0
54
0
0
0
Annual IC Time Burden (Hours)
41
0
41
0
0
0
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.