F orm
Approved
orm
Approved    
OMB NO. 0920-0741
Exp. Date 6/30/2010
Appendix 17.3
Study to Explore Early Development
Social Responsiveness Scale
Preschool Version
 
	Public Reporting Burden
	Statement 
	 
	Public reporting burden of
	this collection of information is estimated to average 45 minutes
	per response, including the time for reviewing instructions,
	searching existing data sources, gathering and maintaining the data
	needed, and completing and reviewing the collection of information.
	An agency may not conduct or sponsor, and a person is not required
	to respond to a collection of information unless it displays a
	currently valid OMB control number. Send comments regarding this
	burden estimate or any other aspect of this collection of
	information, including suggestions for reducing this burden to
	CDC/ATSDR Reports
	Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia
	30333; ATTN: PRA (0920-0741) 
	 
	 
	 
	 
	
	
	
	
	
	
	Version 9-07 SNC		Page 
| File Type | application/msword | 
| File Title | Form Approved | 
| Author | zhv7 | 
| Last Modified By | zhv7 | 
| File Modified | 2009-12-02 | 
| File Created | 2009-12-02 |