Screening Verification

2015 National Survey on Drug Use and Health (NSDUH)

OMB: 0930-0110

IC ID: 195361

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Screening Verification
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Scripts Scripts PDF 3 - att M G H.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Alcohol, Drug Abuse, and Mental Health Epidemiologic Data (HHS/SAMHSA/OA)  75 FR 28264

3,755 0
   
Individuals or Households
 
   100 %

  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 3,755 0 180 0 0 3,575
Annual IC Time Burden (Hours) 252 0 12 0 0 240
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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