Information Collection Request
[NCBDDD] CDC's Milestone Tracker App User Surveys
ICR 202212-0920-004 · OMB 0920-1397 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1397 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Provider Survey |
Form and Instruction | New | Repair queued |
| Parent Survey 2 |
Form and Instruction | New | Repair queued |
| Parent Survey 1 |
Form and Instruction | New | Missing upstream |
 SSB_LTSAE_1-31-23.docx |
Supporting Statement B | Uploaded 2023-02-09 | Missing upstream |
| E_LTSAE MT Notifications SPANISH_01312023.docx |
Supplementary Document | Uploaded 2023-02-09 | Repair queued |
| D_LTSAE MT Notifications_01312023.docx |
Supplementary Document | Uploaded 2023-02-09 | Missing upstream |
 C_Project Determination PDF_LTSAE MT.pdf |
Supplementary Document | Uploaded 2023-02-09 | Repair queued |
| B_60 day FRN_LTSAE MT.pdf |
Supplementary Document | Uploaded 2023-02-09 | Repair queued |
| A_PublicHealthServiceAct.docx |
Supplementary Document | Uploaded 2023-02-09 | Repair queued |
| SSA_LTSAE_2.1.2023.docx |
Supporting Statement A | Uploaded 2023-02-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 258177 |  Provider Survey |
Form and Instruction | New | |
| 258176 | Parent Survey 2 |
Form and Instruction | New | |
| 258175 | Parent Survey 1 |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1397 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | 0920-22GR |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |