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LOI2-QUEX-5 Bayley-3 Short Form for the National Children's Study AND LOI3-MHLTH-09 A Methodological Study to Assess Mental Disorders for NCS Birth Parents

IC 208126 under ICR 201412-0925-001 · OMB 0925-0661.

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LOI2-QUEX-5 Bayley-3 Short Form for the National Children's Study AND LOI3-MHLTH-09 A Methodological Study to Assess Mental Disorders for NCS Birth Parents
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1.1 Survey A.1 LOI2-QUEX-5 Exemplar Telephone Screener.docx Yes Yes Paper Only
Form and Instruction 1.3 Survey B.3 LOI3-MHLTH-09 Recruitment Script.docx Yes Yes Paper Only
Form and Instruction 1.5 Survey B.5 LOI3-MHLTH-09 Revised CIDI.docx Yes Yes Paper Only
Form and Instruction 1.2 Survey - Placeholder for Copyrighted Item A.7 LOI2-QUEX-5 Bayley Instrument Cover Sheet.docx Yes Yes Paper Only
Form and Instruction 1.4 Survey B.4 LOI3-MHLTH-09 Parental Mental Health Screen.docx Yes Yes Paper Only

General Science and Innovation Scientific and Technological Research and Innovation

 

3,450 0
   
Individuals or Households
 
   0 %

  Requested 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 5,050 0 0 0 0 5,050
Annual IC Time Burden (Hours) 1,589 0 0 0 0 1,589
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
A.2 LOI2-QUEX-5 Exemplar Consent Form A.2 LOI2-QUEX-5 Exemplar Consent Form.docx 06/19/2013
A.3 LOI2-QUEX-5 Exemplar Recuitment Cover Letter A.3 LOI2-QUEX-5 Exemplar Recuitment Cover Letter.docx 06/19/2013
A.4 LOI2-QUEX-5 Exemplar Flyer A.4 LOI2-QUEX-5 Exemplar Flyer.docx 06/19/2013
A.5 LOI2-QUEX-5 Bayley 3 Approved Project Protocol A.5 LOI2-QUEX-5 Bayley 3 Approved Project Protocol.docx 06/19/2013
A.6 LOI2-QUEX-5 IRB Approval Letters A.6 LOI2-QUEX-5 IRB Approval Letters.pdf 06/19/2013
B.1 LOI3-MHLTH-09 IRB Protocol B.1 LOI3-MHLTH-09 IRB Protocol.docx 06/19/2013
B.2 LOI3-MHLTH-09 IRB Approval Letter B.2 LOI3-MHLTH-09 IRB Approval Letter.pdf 06/19/2013
B.7 LOI3-MHLTH-09 Flyers B.7 LOI3-MHLTH-09 Flyers.pdf 06/19/2013
B.8 LOI3-MHLTH-09 Brochures B.8 LOI3-MHLTH-09 Brochures.pdf 06/19/2013
B.6 LOI3-MHLTH-09 Consent Form B.6 LOI3-MHLTH-09 Consent Form.pdf 07/12/2013
LO12-QUEX-5 Baley3 Template A. LOI2-QUEX-5 Bayley-3 OIRA Template 11182013 Revised.docx 11/22/2013
LO13-MHLTH-09 TEmplate B. LOI3-MHLTH-09 OIRA Template 11182013 Revised.docx 11/22/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.