Attachment B28. MARSH Self Description Questionnaire (16+ years) (Child)

Longitudinal follow-up of Youth with Attention-Deficit/Hyperactivity Disorder identified in Community Settings: Examining Health Status, Correlates, and Effects associated with treatment for ADHD

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0747 can be found here:

Documents and Forms

Document Name Document Type
Attachment B28. MARSH Self Description Questionnaire (16+ years) (Child) Form and Instruction
MARSH Self Description Questionnaire (16+ years) (Child) Attachment B28 Child MARSH Self Description Questionnaire vIII 16+ scan.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Attachment B28. MARSH Self Description Questionnaire (16+ years) (Child)	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	None	MARSH Self Description Questionnaire (16+ years) (Child)	Attachment B28 Child MARSH Self Description Questionnaire vIII 16+ scan.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 138	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	138	138
Annual IC Time Burden (Hours)	46	46
Annual IC Cost Burden (Dollars)	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.