Information Collection Request

Field Test for the 2013 National Survey on Drug Use and Health (NSDUH)

ICR 201305-0930-002 · OMB 0930-0334 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Attachment A quest Interview Form and Instruction Modified Available
Supplemental document - Table Shells for Key Outcome Measures by Substance Use Category and Age Group.pdf Supplementary Document Uploaded 2013-07-11 Available
DR SS-B_7-10-13.docx Supporting Statement B Uploaded 2013-07-11 Available
PDF 9 - Attachments E, R.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 8 - Attachment L.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 7 - Attachments H, I.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 6 - Attachments N, J, Q.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 5 - Attachment P.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 4 - Attachments G, O, S.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 3 - Attachment F.pdf Supplementary Document Uploaded 2013-05-13 Available
PDF 1 - Attachments K, M, B, C, D.pdf Supplementary Document Uploaded 2013-05-13 Available
Attachment T.pdf Supplementary Document Uploaded 2013-05-13 Available
DR SS-A_7-10-13.docx Supporting Statement A Uploaded 2013-07-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
202479 Interview Verification Instruction Modified
202478 Screening Verification Instruction Modified
202477 Interview Form and Instruction Modified
202476 Household Screening Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 08/31/2015
6,073 0 5,738
2,332 0 2,804
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Interview Attachment A questionnaire Attachment A questionnaire
Household Screening
Screening Verification
Interview Verification

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,073 5,738 0 335 0 0
Annual Time Burden (Hours) 2,332 2,804 0 28 -500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No