Information Collection Request

2014 National Survey on Drug Use and Health (NSDUH)

ICR 201307-0930-002 · OMB 0930-0110 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Screening Question Household Screening Form and Instruction Modified Available
Form Telephone Verifica Interview Verification Form and Instruction Modified Available
Form Telephone Verifica Screening Verification Form and Instruction Modified Available
Form 2014 CAI Questionn Interview Form and Instruction Modified Available
2014_OMB_SS-B 6.25.13.docx Supporting Statement B Uploaded 2013-06-25 Available
Pub-30DayFRN.pdf Supplementary Document Uploaded 2013-07-08 Available
IV - Att S.pdf Supplementary Document Uploaded 2013-06-25 Available
SV - Att N.pdf Supplementary Document Uploaded 2013-06-25 Available
I - Att I J K L M P Q T.pdf Supplementary Document Uploaded 2013-06-25 Available
HS-Att A B C D E G H.pdf Supplementary Document Uploaded 2013-06-25 Available
2014_OMB_SS-A 7.1.13.docx Supporting Statement A Uploaded 2013-07-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43643 Household Screening Form and Instruction Modified
195362 Interview Verification Form and Instruction Modified
195361 Screening Verification Form and Instruction Modified
195358 Interview Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2015
200,389 0 228,499
78,317 0 80,614
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Household Screening Screening Questions Screening Questions
Interview 2014 CAI Questionnaire 2014 CAI Questionnaire
Screening Verification Telephone Verification Scripts Telephone Verification Scripts
Interview Verification Telephone Verification Scripts Telephone Verification Scripts

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 200,389 228,499 0 -28,110 0 0
Annual Time Burden (Hours) 78,317 80,614 0 -2,297 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No