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Federal forms, ICRs, and supporting documents

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

IC 196123 under ICR 201102-0920-008 · OMB 0920-0884.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
The Electronic Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form
Form 2
Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form and Instruction
Form 3
Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form and Instruction
Form 4
Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form and Instruction
Form 5
Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form and Instruction
Form 6
Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form and Instruction
Form 7
Pre-School Psychiatric Assessment Pre-School Psychiatric Assessment Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 1		 Form and Instruction
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

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layout table

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 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

Federal Enterprise Architecture Business Reference Module


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 63 0 63 0 0 0
Annual IC Time Burden (Hours) 63 0 63 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
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.