Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1

Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS)

Documents and Forms

Document Name Document Type
Form 1 Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1 Form
1 The Electronic Pre-School Psychiatric Assessment Att C 1 PAPA pp C0 C40.pdf Form
2 Pre-School Psychiatric Assessment Att C 2 PAPA pp C41 - C90.pdf Form and Instruction
3 Pre-School Psychiatric Assessment Att C 3 PAPA pp C91 - C149.pdf Form and Instruction
4 Pre-School Psychiatric Assessment Att C 4 PAPA pp C150 - C199.pdf Form and Instruction
5 Pre-School Psychiatric Assessment Att C 5 PAPA pp C200 - C250.pdf Form and Instruction
6 Pre-School Psychiatric Assessment Att C 6 PAPA pp C251 - C300.pdf Form and Instruction
7 Pre-School Psychiatric Assessment Att C 7 PAPA pp C301 C316.pdf Form and Instruction
Att C PAPA OMB Statement and Screener.doc Att C PAPA OMB Statement and Screener IC Document

Information Collection (IC) Details

IC Title:	Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	The Electronic Pre-School Psychiatric Assessment	Att C 1 PAPA pp C0 C40.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Pre-School Psychiatric Assessment	Att C 2 PAPA pp C41 - C90.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	Pre-School Psychiatric Assessment	Att C 3 PAPA pp C91 - C149.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	4	Pre-School Psychiatric Assessment	Att C 4 PAPA pp C150 - C199.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	5	Pre-School Psychiatric Assessment	Att C 5 PAPA pp C200 - C250.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6	Pre-School Psychiatric Assessment	Att C 6 PAPA pp C251 - C300.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	7	Pre-School Psychiatric Assessment	Att C 7 PAPA pp C301 C316.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population	FR Citation: 49 FR 37693

Number of Respondents: 63	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	63	63
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att C PAPA OMB Statement and Screener	Att C PAPA OMB Statement and Screener.doc	02/04/2011

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