Long-term Justification List of Attachments final

List of Attachments [A – I] [modified forms are highlighted]

A. Authorizing Legislation and Federal Register Notice

A1. Public Health Service Act

A2. Child Health Act, 2000

A3. Federal Register Notice [60 day OMB notice]

B. Measures

B1. Table of Instruments and Constructs Measured

B2. Description of Data Collection Instruments

B3. Parent ADHD Communication and Knowledge

B4a. Parent ADHD Treatment, Cost, and Client Satisfaction Questionnaire

B4b. Parent ADHD Treatment Quarterly Update

B5. Parent Brief Impairment Scale

B6. Parent Critical School Events (elementary, middle)

B7. Parent Critical School Events (high school)

B8. Parent Demographic Survey

B9. Parent Health Risk Behavior Survey Elementary (7-10 years)

B10. Parent Health Risk Behavior Survey Middle (11-13 years)

B11. Parent Health Risk Behavior Survey High School (14+ years)

B12. Parent Child Relationship Inventory

B13. Parents’ Questionnaire (Mental Health)

B14. Parent Pediatric Quality of Life (5-7 years)

B15. Parent Pediatric Quality of Life (8-12 years)

B16. Parent Pediatric Quality of Life (12+ years)

B17. Parent Quarterly Update

B18. Parent Social Isolation/Support

B19. Parent Strengths and Difficulties Questionnaire (4-10 years)

B20. Parent Strengths and Difficulties Questionnaire (11-17 years)

B21. Parent Vanderbilt Rating Scale

B22. Child Brief Sensation Seeking Scale (11+ years)

B23. Child Health Risk Behavior Survey Elementary (7-10 years)

B24. Child Health Risk Behavior Survey Middle (11-13 years)

B25. Child Health Risk Behavior Survey High School (14+ years)

B26. Child MARSH – Self Description Questionnaire v I (7-12 years)

B27. Child MARSH – Self Description Questionnaire v II (13-15 years)

B28. Child MARSH – Self Description Questionnaire v III (16+ years)

B29. Child Pediatric Quality of Life (5-7 years)

B30. Child Pediatric Quality of Life (8-12 years)

B31. Child Pediatric Quality of Life (12+ years)

B32. Child People In My Life (7-12 years)

B33. Child People In My Life & Inventory of Parent and Peer Attachment (13-18 yrs)

B34. Child Youth Demographic Survey (16+ years)

B35. Teacher Survey

B36. DISC interview

C. Institutional Review Board Approvals

C1. University of Oklahoma IRB approval

C2. University of South Carolina IRB approval

C3. CDC IRB approval

D. Oklahoma Consent Forms

D1: Parental Consent

D2: Child Assent age 7-10

D3: Child Assent age 11-18

E. South Carolina Forms

E1. Parental Consent age 7-8

E2. Parental Consent age 9-18

E3. Child Assent age 7-8

E4. Child Assent age 9-18

F. Agreement to Add CDC’s Preferred Confidentiality Advisement Language to Consent Documents

G. Sample

G1. Sample Description

G2. Respondent Break Down Tables

H. Triage Protocols

H1. Triage Protocol Oklahoma

H2: Triage Protocol South Carolina

I. Companion Documents

I1. Description of Diagnostic Interview Schedule for Children

I2. Kaufman Brief Intelligence Scale

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Longitudinal Follow-up of Youth with ADHD