Personality Diagnostic Questionnaire

Registry of Unexplained Fatiguing Illnesses and Chronic Fatigue Syndrome (CFS): A Pilot Study

Documents and Forms

Document Name Document Type
Form No number Personality Diagnostic Questionnaire Form
No number Personality Diagnostic Questionnaire Attachment 23.3 Personality Diagnostic Questionnaire (PDQ4+).pdf Form
Attachment 23 Personality Diagnostic Questionnaire (PDQ4+) OMB cover page.doc Personality Diagnostic Questionnaire Coverpage IC Document

Information Collection (IC) Details

IC Title:	Personality Diagnostic Questionnaire	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	No number	Personality Diagnostic Questionnaire	Attachment 23.3 Personality Diagnostic Questionnaire (PDQ4+).pdf		Yes	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

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

Number of Respondents: 196	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	196	196
Annual IC Time Burden (Hours)	137	137
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Personality Diagnostic Questionnaire Coverpage	Attachment 23 Personality Diagnostic Questionnaire (PDQ4+) OMB cover page.doc	12/19/2007

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