Information Collection

National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome (NS-DATA)

IC 209498 under ICR 201103-0920-007 · OMB 0920-0406.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome (NS-DATA)	Form
2014 NS-DATA Telephone Questionnaire OMB_Attachment A.docx	Form
NS-DATA OMB Part B 11_25_13.docx Supporting Statement B	IC Document
NS-DATA OMB Part A 11_25_13.docx Supporting Statement A	IC Document
OMB_Attachment B 1125.docx B - Letters	IC Document
OMB_Attachment C 110713.docx C - Publications	IC Document
OMB_Attachment D.docx D - Persons involved in process	IC Document
OMB_Attachment E.docx E - Introductory scripts	IC Document
Attachment G SLAITS IRB Approval.pdf IRB approval	IC Document
OMB Attachment F NS-DATA 30-day 110113.pdf F - 30 day FRN	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	none	2014 NS-DATA Telephone Questionnaire	OMB_Attachment A.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records

Title: Health and Demographic Surveys Conducted in Probability Samples of the US Population

FR Citation: 49 FR 37637

Number of Respondents: 3,700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

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	3,700	0	0	0	0	0
Annual IC Time Burden (Hours)	1,850	0	0	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
Supporting Statement B	NS-DATA OMB Part B 11_25_13.docx	11/25/2013
Supporting Statement A	NS-DATA OMB Part A 11_25_13.docx	11/25/2013
B - Letters	OMB_Attachment B 1125.docx	11/25/2013
C - Publications	OMB_Attachment C 110713.docx	11/25/2013
D - Persons involved in process	OMB_Attachment D.docx	11/25/2013
E - Introductory scripts	OMB_Attachment E.docx	11/25/2013
IRB approval	Attachment G SLAITS IRB Approval.pdf	11/25/2013
F - 30 day FRN	OMB Attachment F NS-DATA 30-day 110113.pdf	11/25/2013

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