Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form Followup Followup	Form and Instruction	Modified	Available
Form Baseline Baseline	Form and Instruction	Modified	Available
Form Sustainability Sur Sustainability Survey	Form and Instruction	New	Available
Form National Reach Sur National Reach Survey	Form and Instruction	New	Available
Form Training Sign-in S Training Sign-in Sheet	Form and Instruction	New	Available
Form ETSC_Providers ETSC_Providers	Form and Instruction	New	Available
Form Training Summary F Training Summary Form	Form and Instruction	New	Available
Form EBP/ETSC EBP/ETSC	Form and Instruction	New	Available
Form Sustainability_Fun Sustainability_Funded Centers	Form and Instruction	New	Available
Form OPMR OPMR	Form and Instruction	New	Available
Form GAIN-MSS GAIN-MSS	Form and Instruction	New	Available
Form CDI-2S CDI-2S	Form and Instruction	New	Available
Form TSCC_A TSCC_A	Form and Instruction	New	Available
Form PSI Short Form PSI Short Form	Form and Instruction	New	Available
Form TSCYC TSCYC	Form and Instruction	New	Available
Form UCLA PTSD UCLA PTSD	Form and Instruction	New	Available
Form CBCL 6-18 CBCL 6-18	Form and Instruction	New	Available
Form CBCL 1.5 to 5 CBCL 1.5 to 5	Form and Instruction	New	Available
Form Detail Form Detail Form	Form and Instruction	New	Available
Core Data Set Youth Assent middle school_12-09-11.docx	Supplementary Document	Uploaded 2011-12-09	Available
Core Data Set Youth Assent elemen school_12-09-11.docx	Supplementary Document	Uploaded 2011-12-09	Available
Core Data Set Caregiver Consent_12-09-11.doc	Supplementary Document	Uploaded 2011-12-09	Available
NCTSI SS 9.7.11-B.doc	Supporting Statement B	Uploaded 2011-09-07	Available
Attachment A_B.pdf	Supplementary Document	Uploaded 2011-09-01	Available
Attachment J_O.pdf	Supplementary Document	Uploaded 2011-09-01	Available
NCTSI SS 9-6-11_rev 12-9-11.doc	Supporting Statement A	Uploaded 2011-12-09	Available

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status	Form
7691	Core Clinical Characteristics Forms-Baseline and Follow-up	Form and Instruction	Modified	Followup
7691	Core Clinical Characteristics Forms-Baseline and Follow-up	Form and Instruction	Modified	Baseline
199512	Sustainability Survey Affiliate Centers	Form and Instruction	New	Sustainability Survey
199511	National Research Survey	Form and Instruction	New	National Reach Survey
199510	Training Sign-in Sheet	Form and Instruction	New	Training Sign-in Sheet
199509	EBP/ETSC Provider	Form and Instruction	New	ETSC_Providers
199508	Training Summary Form	Form and Instruction	New	Training Summary Form
199507	EBP/ETSC Administrator	Form and Instruction	New	EBP/ETSC
199506	Sustainability Survey for Currently Funded Centers	Form and Instruction	New	Sustainability_Funded Centers
199505	Online Performance Monitoring Report	Form and Instruction	New	OPMR
199504	Global Appraisal of Individual Needs Modified Shore Screener	Form and Instruction	New	GAIN-MSS
199503	Children Depression Inventory	Form and Instruction	New	CDI-2S
199502	Trauma Symptoms Checklist for Children Abbreviated	Form and Instruction	New	TSCC_A
199501	Parenting Stress Index	Form and Instruction	New	PSI Short Form
199500	Trauma Symptoms Checklist for Young Children	Form and Instruction	New	TSCYC
199499	USLA-PTSD Short Form	Form and Instruction	New	UCLA PTSD
199498	Core Clinical Characteristics Form	Form and Instruction	New	CBCL 6-18
199498	Core Clinical Characteristics Form	Form and Instruction	New	CBCL 1.5 to 5
199497	Trauma Information /Detail Form	Form and Instruction	New	Detail Form

ICR Details

Record metadata
OMB Control No	0930-0276