MULTIPLE PERSONALITY DISORDER: CLINICAL CHARACTERISTICS, ETIOLOGY, AND OUTCOME

ICR 198303-0930-001

OMB: 0930-0082

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0930-0082 198303-0930-001
Historical Active 198112-0930-001
HHS/SAMHSA
MULTIPLE PERSONALITY DISORDER: CLINICAL CHARACTERISTICS, ETIOLOGY, AND OUTCOME
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/17/1983
Retrieve Notice of Action (NOA) 03/30/1983
  Inventory as of this Action Requested Previously Approved
04/30/1985 04/30/1985
9,150 0 0
366 0 0
0 0 0

PURPOSE - TO GATHER AND DISSEMINATE INFORMATION ABOUT THE CLINICAL CHARACTERISTICS AND ESTIMATED PREVALENCE OF MULTIPLE PERSONALITY DISORDER. ALTHOUGH IT CARRIES HIGH RISK FOR SUICIDAL AND/OR VIOLENT BEHAVIOUR, THIS SYNDROME MAY FREQUENTLY GO UNDIAGNOSED BECAUSE OF CURRENT LACK OF INFORMATION ABOUT IT IN THE MEDICAL COMMUNITY.

None
None


No

1
IC Title Form No. Form Name
MULTIPLE PERSONALITY DISORDER: CLINICAL CHARACTERISTICS, ETIOLOGY, AND OUTCOME ADM 582

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,150 0 0 9,150 0 0
Annual Time Burden (Hours) 366 0 0 366 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/30/1983


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