OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2009 NSDUH Youth MH Service Questions

IC 185369 under ICR 200711-0930-002 · OMB 0930-0290.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0290 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Questions and Atta 2009 NSDUH Youth MH Service Questions	Form and Instruction
Questions and Atta Questions and Attachments YMHSU OMB Package Attachments.zip	Form and Instruction
data user omb memo2.doc Memo	IC Document
2009 OMB Supporting Statement YMHS Cognitive Interviews.docm Supporting Statement	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2009 NSDUH Youth MH Service Questions

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Questions and Attachments	Questions and Attachments	YMHSU OMB Package Attachments.zip		Yes	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 82

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	82	0	0	0	0	0
Annual IC Time Burden (Hours)	29	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo	data user omb memo2.doc	06/11/2008
Supporting Statement	2009 OMB Supporting Statement YMHS Cognitive Interviews.docm	06/16/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.