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Attachment B35. Teachery Survery (Teacher)
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
OMB: 0920-0747
IC ID: 179858
OMB.report
HHS/CDC
OMB 0920-0747
ICR 201002-0920-008
IC 179858
( )
Documents and Forms
Document Name
Document Type
Attachment B35. Teachery Survery (Teacher)
Form and Instruction
Teacher Survey
Attachment B35 Teacher Survey scan.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Attachment B35. Teachery Survery (Teacher)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
Teacher Survey
Attachment B35 Teacher Survey scan.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
4,154
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
-4,154
0
0
4,154
Annual IC Time Burden (Hours)
0
0
-692
0
0
692
Annual IC Cost Burden (Dollars)
0
0
0
0
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.