Information Collection

Interview Verification

IC 195362 under ICR 202009-0930-001 · OMB 0930-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0110 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CATI Verification CATI Verification Scripts Interview Verification	Form and Instruction
Form CATI Verification Interview Verification	Form and Instruction
Form CATI Verification CATI Verification Scripts Interview Verification	Form and Instruction
Form CATI Verification CATI Verification Scripts Interview Verification	Form and Instruction
CATI Verification CATI Verification Scripts 2019 NSDUH_PDF 11_attachment T.pdf	Form and Instruction
CATI Verification CATI Verification Scripts 2019 NSDUH_PDF 11_attachment T.pdf	Form and Instruction
CATI Verification CATI Verification Scripts 2020 Main Study_PDF 11_Attachment T.pdf	Form and Instruction
CATI Verification CATI Verification Scripts 2020 Main Study_PDF 11_Attachment T.pdf	Form and Instruction
CATI Verification CATI Verification Scripts Redesign Field Test_PDF 11_Attachment 17.pdf	Form and Instruction
CATI Verification CATI Verification Scripts Redesign Field Test_PDF 11_Attachment 17.pdf	Form and Instruction

IC Title:

Interview Verification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CATI Verification Scripts	CATI Verification Scripts	2019 NSDUH_PDF 11_attachment T.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CATI Verification Scripts	CATI Verification Scripts	2020 Main Study_PDF 11_Attachment T.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CATI Verification Scripts	CATI Verification Scripts	Redesign Field Test_PDF 11_Attachment 17.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Alcohol, Drug Abuse, and Mental Health Epidemiologic Data (HHS/SAMHSA/OA)

FR Citation: 84 FR 27341

Number of Respondents: 21,077

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	21,077	21,077
Annual IC Time Burden (Hours)	4,236	4,236
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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