Information Collection

Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 2 Child and Adolescent Psychiatric Assessment : Parent Version

IC 196124 under ICR 201102-0920-008 · OMB 0920-0884.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8 Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 2 Child and Adolescent Psychiatric Assessment : Parent Version	Form and Instruction
8 The Child and Adolescent Psychiatric Assessment (CAPA) Att D 1 CAPA (Parent) D1-D51.pdf	Form and Instruction
9 Child and Adolescent Psychiatric Assessment (Parent) Att D 2 CAPA (Parent) pp D52-D101.pdf	Form and Instruction
10 Child and Adolescent Psychiatric Assessment : Parent Ver Att D 3 CAPA (Parent) pp D102 - D150.pdf	Form and Instruction
11 Child and Adolescent Psychiatric Assessment : Parent Ver Att D 4 CAPA (Parent) pp D151 - D200.pdf	Form and Instruction
12 Child and Adolescent Psychiatric Assessment (parent) Att D 5 CAPA (Parent) pp D201 - D232.pdf	Form and Instruction

Information Collection (IC) Details

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IC Title:

Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 2 Child and Adolescent Psychiatric Assessment : Parent Version

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8	The Child and Adolescent Psychiatric Assessment (CAPA)	Att D 1 CAPA (Parent) D1-D51.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	9	Child and Adolescent Psychiatric Assessment (Parent)	Att D 2 CAPA (Parent) pp D52-D101.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10	Child and Adolescent Psychiatric Assessment : Parent Version	Att D 3 CAPA (Parent) pp D102 - D150.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	11	Child and Adolescent Psychiatric Assessment : Parent Version	Att D 4 CAPA (Parent) pp D151 - D200.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	12	Child and Adolescent Psychiatric Assessment (parent)	Att D 5 CAPA (Parent) pp D201 - D232.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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: 338

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 Agency Discretion
Annual Number of Responses for this IC	338	338
Annual IC Time Burden (Hours)	338	338
Annual IC Cost Burden (Dollars)	0	0

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