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National Survey on Drug Use and Health: Methodological Field Tests
OMB: 0930-0290
IC ID: 234097
OMB.report
HHS/SAMHSA
OMB 0930-0290
ICR 201703-0930-001
IC 234097
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0290 can be found here:
2023-04-12 - Revision of a currently approved collection
2020-02-06 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Pre-test Questions
New Questions
Form and Instruction
Pre-test Questions Pre-test Questions
NSDUH Main Study Pretest_PDF 5_Attachment I.pdf
Form and Instruction
NSDUH Main Study Pretest_PDF 1_Attachments A B C.pdf
Screeners
IC Document
NSDUH Main Study Pretest_PDF 2_Attachments D E.pdf
Forms
IC Document
NSDUH Main Study Pretest_PDF 3_Attachment F.pdf
Intro Script
IC Document
NSDUH Main Study Pretest_PDF 4_Attachments G H K.pdf
Letters
IC Document
NSDUH Main Study Pretest_PDF 6_Attachment J.pdf
Protocol
IC Document
NSDUH Main Study Pretest_Supporting Statement_PART A_10 09 2018.docx
Supporting Statement - Part A
IC Document
NSDUH Main Study Pretest_Supporting Statement_PART B_11 20 2018.docx
Supporting Statement - Part B
IC Document
NSDUH Main Study Pretest_Supporting Statement_PART A_3 11 2019.docx
Supporting Statement A
IC Document
Attachment L Main Study Pretest Module.docx
Main Study Pretest Module
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
New Questions
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Pre-test Questions
Pre-test Questions
NSDUH Main Study Pretest_PDF 5_Attachment I.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
698
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
698
0
698
0
0
0
Annual IC Time Burden (Hours)
289
0
289
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screeners
NSDUH Main Study Pretest_PDF 1_Attachments A B C.pdf
11/20/2018
Forms
NSDUH Main Study Pretest_PDF 2_Attachments D E.pdf
11/20/2018
Intro Script
NSDUH Main Study Pretest_PDF 3_Attachment F.pdf
11/20/2018
Letters
NSDUH Main Study Pretest_PDF 4_Attachments G H K.pdf
11/20/2018
Protocol
NSDUH Main Study Pretest_PDF 6_Attachment J.pdf
11/20/2018
Supporting Statement - Part A
NSDUH Main Study Pretest_Supporting Statement_PART A_10 09 2018.docx
11/20/2018
Supporting Statement - Part B
NSDUH Main Study Pretest_Supporting Statement_PART B_11 20 2018.docx
11/20/2018
Supporting Statement A
NSDUH Main Study Pretest_Supporting Statement_PART A_3 11 2019.docx
04/08/2019
Main Study Pretest Module
Attachment L Main Study Pretest Module.docx
04/08/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.