OMB control number

SEARCH for Diabetes in Youth Study

OMB 0920-0904 ยท HHS/CDC.

OMB 0920-0904

CDC requests OMB approval to continue collecting information in Phase 4 of a registry study known as SEARCH for Diabetes in Youth. OMB first approved this study in 2011 (OMB # 0920-0904, exp. 11/30/2014), and a revision was approved in 2014 (exp. 8/31/2017). OMB approval is requested for the final three years of the five year project. Phase 4 is built upon activities a multi-center initiated in 2000 through collaborative research project that involved six clinical sites and a data coordinating center, all funded through cooperative agreements. Phase 3 and 4 only included 5 clinical sites and a data coordinating center. A number of changes have been implemented and will continue during Phase 4. Respondents will continue to be youth < 20 years of age who have been diagnosed with diabetes or their parents. Information will support a case registry that can be used to estimate the incidence and prevalence of diabetes in youth in the U.S. IN Phase 3, CDC also funded a cohort component to this study. For Phase 4, CDC is no longer funding this component. The registry study will continue to collect information from participants who were initially diagnosed with diabetes in 2016 to complete an in-person study examination.

The latest form for SEARCH for Diabetes in Youth Study expires 2020-10-31 and is listed under ICR 201705-0920-019.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
SEARCH Initial Participant Survey - PrevalenceForm
SEARCH Specimen Collection FormForm
SEARCH Physical ExaminationForm
SEARCH Medication Inventory (Incident Case)Form
SEARCH - Initial Participant Survey - IncidentForm
30dy170904 Published.pdf Supplementary Document
Att 11_published article describing SEARCH methods.pdf Supplementary Document
Attachment 12_Capture_Recapture Technical Report.pdf Supplementary Document
Attachment 9_All Sites IRB Approved Consent Assent.pdf Supplementary Document
Attachment 7 IRB Approvals.pdf Supplementary Document
Attachment 6 List of Experts Consulted.pdf Supplementary Document
Att 3_SEARCH_StudySites and CoordinatingCenter.docx Supplementary Document
Attachment 2a_60 day Federal Registry Notice.pdf Supplementary Document
SEARCH for Diabetes (Youth) SupSta B.docxSupporting Statement B
Att 10_Data Use Agreements.pdf Supplementary Document
Attachment 8_SEARCH 4 Certificate of Confidentiality 3_25_2016.pdf Supplementary Document
Attachment 5 Uses of SEARCH data and publications.doc Supplementary Document
Att 1_Authorizing Legislation.doc Supplementary Document
SEARCH for Diabetes (Youth) SupSta A clean 10172017.docxSupporting Statement A
SEARCH Initial Participant Survey - Prevalence Form
SEARCH Health Questionnaire (Youth ) Other-WORD
SEARCH Food Frequency Questionnaire Other-PDF
SEARCH Specimen Collection Form Form
SEARCH Physical Examination Form
Peds QL Diabetes Module Other-WORD
SEARCH Diabetes Related Family Conflict Survey Other-WORD
SEARCH Pathology Notificaiton (Retinal Photo) Other-WORD
SEARCH Tanner Stage Other-WORD
SEARCH Supplemental Questionnaire Other-WORD
SEARCH Low Blood Surgar Survey Other-WORD
SEARCH Diabetes Eating Problem Survey (DEPS-R) Other-PDF
SEARCH Michigan Neuropathy Screening Instrument (MNSI) Other-PDF
SEARCH PedsQL Other-PDF
SEARCH Quality of Care Survey (Feb 2014) Other-PDF
SEARCH CES-Depression Other-PDF
SEARCH Health Questionnaire (Parent_Feb 2014) Cohort Study Other-PDF
SEARCH Medication Inventory (Incident Case) Form
SEARCH - Initial Participant Survey - Incident Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201705-0920-019 Revision of a currently approved collection 2017-07-21 Approved with change
201405-0920-004 Revision of a currently approved collection 2014-05-27 Approved with change
201109-0920-007 New collection (Request for a new OMB Control Number) 2011-09-28 Approved with change
201105-0920-013 New collection (Request for a new OMB Control Number) 2011-05-26 Improperly submitted

OMB Details

SEARCH - Initial Participant Survey - Incident

Federal Enterprise Architecture: Health - Consumer Health and Safety

Information collection instruments
FormNameElectronic accessType
Form n/aInitial Participant Survey - Incident Case Child Version (screen shots)Fillable FileableForm
Form n/aInitial Participant Survey - Incident Case Young Adult version (paper)Paper OnlyForm
Form n/aInitial Participant Survey - Incident Case Young Adult Version (screen shots)Fillable FileableForm
Form n/aInitial Participant Survey - Incident Case Child Version (Paper)Paper OnlyForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.