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Information Collection

[NCHS] genIC Attention Deficient Hyperactivity Disorder Questions

IC 266008 under ICR 202504-0920-019 · OMB 0920-0222.

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

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[NCHS] genIC Attention Deficient Hyperactivity Disorder Questions
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222 Attachment 6 Respondent Data Collection Sheet Attachment 6 Respondent Data Collection Sheet_ CLEAN 4.29.24.docx No   Printable Only
Form and Instruction 0920-0222 ADHD Attachment 1 Questions to be tested 0920-0222-ADHD-Attachment 1 Questions to be tested_ ADHD_V2 4.25.24.docx No   Printable Only
Form and Instruction 0920-0222 Attachment 5 Informed Consent ADHD Attachment 5 Informed Consent_ADHD.docx No   Printable Only

Health Public Health Monitoring

Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population.  83 FR 6591

70 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 70 0 0 0 0 70
Annual IC Time Burden (Hours) 56 0 0 0 0 56
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Previous use and development (24DR) Attachment 2 Previous use and development of Questions_ ADHD_3.11.24.docx 03/14/2024
Participants Wanted for Research Study_Advertisement/Flyer (24DR) Attachment 3 Advertisement_ ADHD.docx 03/14/2024
Attachment 5a – Adult informed consent for interviews (24DR) Attachment 5 Informed Consent_ADHD.docx 03/20/2024
Attachment 7 Thank You Letter (24DR) Attachment 7 Thank You Letter.docx 03/20/2024
CCQDER Data Storage and Access Policy (24DR) Attachment 8 Data Retention Policy.docx 03/20/2024
NCHS Non-Disclosure Affidavit (24DR) Attachment 9 NCHS Non-Disclosure Affidavit.docx 03/20/2024
Approval of Exempt Research Protocol 7488, “ADHD Questions” (24DR) Attachment 10 Exempt Research Approval_01222024.pdf 03/20/2024
SSA (24DR) Supporting Statement A_ ADHD Questions 3.19.24_Clean.docx 03/20/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.