OMB control number

Longitudinal follow-up of Youth with Attention-Deficit/Hyperactivity Disorder identified in Community Settings: Examining Health Status, Correlates, and Effects associated with treatment for ADHD

OMB 0920-0747 · HHS/CDC.

OMB 0920-0747

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Attachment B35. Teachery Survery (Teacher)	Form and Instruction
Attachment B34. Youth Demographic Survey (16+ years) (Child)	Form and Instruction
Attachment B33. People In My Life/Inventory of Parent and Peer Attachment	Form and Instruction
Attachment B32. People In My Life (Child)	Form and Instruction
Attachment B31. Pediatric Quality of Life (teen) (Child)	Form and Instruction
Attachment B30. Pediatric Quality of Life (child) (Child)	Form and Instruction
Form 28 ATTACHMENT C29: Teacher Survey	Form and Instruction
Form 27 ATTACHMENT C28: Youth Demographic Survey (16 plus years)	Form
Form 26 ATTACHMENT C27: Pediatric Quality of Life (Teen 13 plus)	Form and Instruction
Form 25 ATTACHMENT C26: Pediatric Quality of Life (Child 8-12)	Form and Instruction
Form 24 ATTACHMENT C25: Olweus Bullying Quesstionnaire (High School, 14 plus years)	Form
Form 23 ATTACHMENT C24: Social Inventory (High School, 14 plus years)	Form and Instruction
Form 22 ATTACHMENT C23: MARSH Self Description Questionnaire, 16 plus years	Form and Instruction
Form 21 ATTACHMENT C22: MARSH Self Description Questionnaire, 13-15 years	Form and Instruction
Form 20 ATTACHMENT C21: MARSH Self Description Questionnaire, 7-12 years	Form and Instruction
Form 19 ATTACHMENT C20: Health Risk Behavior Survey (High School)	Form
Form 18 ATTACHMENT C19: Health Risk Behavior Survey (Middle School)	Form
Form 17 ATTACHMENT C18: Conflict in Adolescent Dating Relationships	Form
Form 16 ATTACHMENT C17: Child Brief Sensation Seeking Scale	Form
Form 15 ATTACHMENT C16: Vanderbilt Rating Scale	Form and Instruction
Form 14 ATTACHMENT C15: Parent Strengths and Difficulties Questionnaire	Form and Instruction
Form 13 ATTACHMENT C14: Parent Social Isolation/Support	Form and Instruction
Form 12 ATTACHMENT C13: Quarterly Update: Critical School Events	Form
Form 11 ATTACHMENT C12: Parents' Questionnaire (Mental Health)	Form and Instruction
Form 10 ATTACHMENT C11: Parent Child Relationship Inventory	Form and Instruction
Form 9 ATTACHMENT C10: Health Risk Behavior Survey (High School)	Form
Form 8 ATTACHMENT C9: Health Risk Behavior Survey (Middle School)	Form
Form 7 ATTACHMENT C8: Parent Demographic Survey	Form
Form 6 ATTACHMENT C7: Parent Critical Events Form (High School)	Form and Instruction
Form 5 ATTACHMENT C6: Parent Critical Events Form (Middle School)	Form and Instruction
Form 4 ATTACHMENT C5: Parent Brief Impairment Scale	Form and Instruction
Form 3 ATTACHMENT C4B: Parent ADHD Treatment Quarterly Update	Form
Form 2 ATTACHMENT C4A: Parent ADHD Treatment, Cost, and Client Satisfaction Questionnaire	Form
Form 1 ATTACHMENT C3: Parent ADHD Communication and Knowledge	Form and Instruction
Amended IRB_App_Ltr.pdf	Supplementary Document
SS.B 20100127.doc	Supporting Statement B
Attachment List Justification ADHD follow up extension 20100127.doc	Supplementary Document
Attachment G SC Triage Protocol Document 3-13-07.doc	Supplementary Document
Attachment F2 Age distributions SC.doc	Supplementary Document
Attachment F1 sample description.doc	Supplementary Document
Attachment E3 CDC reliance agreement.pdf	Supplementary Document
Attachment E2 SC IRB review.pdf	Supplementary Document
Attachment E1 CDC 5042 IRB Approval of Continuation of Protocol (Expedited).doc	Supplementary Document
Attachment D3 SC PLAY Youth Consent for Research (18+) 12-02-2009.doc	Supplementary Document
Attachment D2 SC PLAY Child Assent for Research (age 9-17) 12-02-2009.doc	Supplementary Document
Attachment D1 SC Parent Consent (age 9-17) 12-02-09.doc	Supplementary Document
Attachment C30 DISC-IV Table of Contents.doc	Supplementary Document
Attachment C2 Instrument descriptions for new or modified surveys.doc	Supplementary Document
Attachment C1 Instrument Table.doc	Supplementary Document
Attachment_B_60_Day_FRN_ADHD.pdf	Supplementary Document
Attachment A2 Children's Health Act 2000.pdf	Supplementary Document
Attachment A1 Public Health Service Act 2000.pdf	Supplementary Document
SS.A 20100127.doc	Supporting Statement A
Attachment B35. Teachery Survery (Teacher)	Form and Instruction
Attachment B34. Youth Demographic Survey (16+ years) (Child)	Form and Instruction
Attachment B33. People In My Life/Inventory of Parent and Peer Attachment	Form and Instruction
Attachment B32. People In My Life (Child)	Form and Instruction
Attachment B31. Pediatric Quality of Life (teen) (Child)	Form and Instruction
Attachment B30. Pediatric Quality of Life (child) (Child)	Form and Instruction
ATTACHMENT C29: Teacher Survey	Form and Instruction
ATTACHMENT C28: Youth Demographic Survey (16 plus years)	Form
ATTACHMENT C27: Pediatric Quality of Life (Teen 13 plus)	Form and Instruction
ATTACHMENT C26: Pediatric Quality of Life (Child 8-12)	Form and Instruction
ATTACHMENT C25: Olweus Bullying Quesstionnaire (High School, 14 plus years)	Form
ATTACHMENT C24: Social Inventory (High School, 14 plus years)	Form and Instruction
ATTACHMENT C23: MARSH Self Description Questionnaire, 16 plus years	Form and Instruction
ATTACHMENT C22: MARSH Self Description Questionnaire, 13-15 years	Form and Instruction
ATTACHMENT C21: MARSH Self Description Questionnaire, 7-12 years	Form and Instruction
ATTACHMENT C20: Health Risk Behavior Survey (High School)	Form
ATTACHMENT C19: Health Risk Behavior Survey (Middle School)	Form
ATTACHMENT C18: Conflict in Adolescent Dating Relationships	Form
ATTACHMENT C17: Child Brief Sensation Seeking Scale	Form
ATTACHMENT C16: Vanderbilt Rating Scale	Form and Instruction
ATTACHMENT C15: Parent Strengths and Difficulties Questionnaire	Form and Instruction
ATTACHMENT C14: Parent Social Isolation/Support	Form and Instruction
ATTACHMENT C13: Quarterly Update: Critical School Events	Form
ATTACHMENT C12: Parents' Questionnaire (Mental Health)	Form and Instruction
ATTACHMENT C11: Parent Child Relationship Inventory	Form and Instruction
ATTACHMENT C10: Health Risk Behavior Survey (High School)	Form
ATTACHMENT C9: Health Risk Behavior Survey (Middle School)	Form
ATTACHMENT C8: Parent Demographic Survey	Form
ATTACHMENT C7: Parent Critical Events Form (High School)	Form and Instruction
ATTACHMENT C6: Parent Critical Events Form (Middle School)	Form and Instruction
ATTACHMENT C5: Parent Brief Impairment Scale	Form and Instruction
ATTACHMENT C4B: Parent ADHD Treatment Quarterly Update	Form
ATTACHMENT C4A: Parent ADHD Treatment, Cost, and Client Satisfaction Questionnaire	Form
ATTACHMENT C3: Parent ADHD Communication and Knowledge	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201002-0920-008	Revision of a currently approved collection	2010-02-23		Approved with change
200704-0920-003	New collection (Request for a new OMB Control Number)	2007-04-25		Approved with change