OMB control number

NIH Toolbox for Assessment of Neurological and Behavioral Function (NIA)

OMB 0925-0638 · HHS/NIH.

OMB 0925-0638

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 40 Initial Child/Proxy QuestionaireForm and Instruction
Form 59 Education Proxy Report for ChildrenForm and Instruction
Form 54 Socio-demographic formForm and Instruction
Form 53 School Performance and ActivitiesForm and Instruction
Form 51 Pediatric Funtional Assessment of Chronic Illness Therapy FatigueForm and Instruction
Form 48 Pediatric Perceived Cognitive ProxyForm and Instruction
Form 44 Health Care Access and UtilizationForm and Instruction
Form 43 Cognition Information FormForm and Instruction
Form 27 Handedness AssessmentForm and Instruction
Form 42 Additional Audition Olfaction TasteForm and Instruction
Form 41 Additional Somatosensation QuestionsForm and Instruction
Form 32 Supplemental Emotional Health QuestionaireForm and Instruction
Form 31 Emotional Health QuestionaireForm and Instruction
Form 9 Pain Assessment Ages 8-12Form and Instruction
Form 8 Pain Assessment Ages 8-12Form and Instruction
Form 7 Pain Assessment Ages 3-7Form and Instruction
Form 9 Pain Assessment Ages 13-17Form and Instruction
Form 8 Pain Assessment Ages 8-12Form and Instruction
Form 7 Pain Assessment Ages 3-7Form and Instruction
Form 5 Odor IdentificationForm and Instruction
Form 55 Text Anxiety ScaleForm and Instruction
Form 57 EtOH (Alcohol) QuestionaireForm and Instruction
Form 52 PROMIS 29 ParticipantForm and Instruction
Form 51 Pediatric Funtional Assessment of Chronic Illness Therapy FatigueForm and Instruction
Form 50 Pediatric PROMIS Physical Function MobilityForm and Instruction
Form 49 Pediatric PROMIS Physical Function Upper ExtremityForm and Instruction
Form 47 Pediatric Perceived Cognitive ChildForm and Instruction
Form 42 Additional Audition Olfaction TasteForm and Instruction
Form 41 Additional Somatosensation QuestionsForm and Instruction
Form 40 Initial Child/Proxy QuestionaireForm and Instruction
Form 38 Balance Accelerometer MeasureForm and Instruction
Form 37 Strength Knee ExtensionForm and Instruction
Form 36 Grip Strength DynamometryForm and Instruction
Form 35 Locomotion 4-meter Walk TestForm and Instruction
Form 34 Endurance 2-Minute Walk TestForm and Instruction
Form 33 Dexterity 9-hole PegboardForm and Instruction
Form 32 Supplemental Emotional Health QuestionaireForm and Instruction
Form 31 Emotional Health QuestionaireForm and Instruction
Form 29 Word Accentuation (Spanish only)Form and Instruction
Form 28 Vocabulary ComprehensionForm and Instruction
Form 27 Handedness AssessmentForm and Instruction
Form 26 Reading RecognitionForm and Instruction
Form 24 Pattern ComparisonForm and Instruction
Form 23 Oral Symbol Digit ModalitiesForm and Instruction
Form 22 List SortingForm and Instruction
Form 20 Imitation Based Assessment of MemoryForm and Instruction
Form 19 Bateria III Picture Vocabulary (Spanish only)Form and Instruction
Form 18 Dimensional Card Change SortForm and Instruction
Form 17 Tactile Discrimination TestForm and Instruction
Form 15 Brief Kinesthesia TestForm and Instruction
Form 14 Vision Health Related QOL SurveyForm and Instruction
Form 13 Dynamic Visual Acuity (DVA)Form and Instruction
Form 12 Toolbox Taste TestForm and Instruction
Form 11 Sucrose Preference TestForm and Instruction
Form 4 Ordor IdentificationForm and Instruction
Form 3 Words in NoiseForm and Instruction
Form 6 University of Penn Smell IdentificationForm and Instruction
Form 1 Automated Audiometry from the NIH Toolbox (AANT)Form and Instruction
Form 56 Falls Efficscy Scale-InternationalForm and Instruction
Form 55 Text Anxiety ScaleForm and Instruction
Form 59 Education Proxy Report for ChildrenForm and Instruction
Form 58 Education Adult Self-ReportForm and Instruction
Form 57 EtOH (Alcohol) QuestionaireForm and Instruction
Form 52 PROMIS 29 ParticipantForm and Instruction
Form 46 Applied Cognition AdultForm and Instruction
Form 45 Instrumental Activities of Daily LivingForm and Instruction
Form 44 Health Care Access and UtilizationForm and Instruction
Form 43 Cognition Information FormForm and Instruction
Form 42 Additional Audition Olfaction TasteForm and Instruction
Form 41 Additional Somatosensation QuestionsForm and Instruction
Form 39 Initial Adult QuestionaireForm and Instruction
Form 38 Balance Accelerometer MeasureForm and Instruction
Form 37 Strength Knee ExtensionForm and Instruction
Form 36 Grip Strength DynamometryForm and Instruction
Form 35 Locomotion 4-meter Walk TestForm and Instruction
Form 34 Endurance 2-Minute Walk TestForm and Instruction
Form 33 Dexterity 9-hole PegboardForm and Instruction
Form 32 Supplemental Emotional Health QuestionaireForm and Instruction
Form 31 Emotional Health QuestionaireForm and Instruction
Form 29 Word Accentuation (Spanish only)Form and Instruction
Form 28 Vocabulary ComprehensionForm and Instruction
Form 27 Handedness AssessmentForm and Instruction
Form 26 Reading RecognitionForm and Instruction
Form 24 Pattern ComparisonForm and Instruction
Form 23 Oral Symbol Digit ModalitiesForm and Instruction
Form 22 List SortingForm and Instruction
Form 20 Imitation Based Assessment of MemoryForm and Instruction
Form 19 Bateria III Picture Vocabulary (Spanish only)Form and Instruction
Form 18 Dimensional Card Change SortForm and Instruction
Form 17 Tactile Discrimination TestForm and Instruction
Form 15 Brief Kinesthesia TestForm and Instruction
Form 14 Vision Health Related QOL SurveyForm and Instruction
Form 13 Dynamic Visual Acuity (DVA)Form and Instruction
Form 12 Toolbox Taste TestForm and Instruction
Form 11 Sucrose Preference TestForm and Instruction
Form 10 PA Ages 18-85Form and Instruction
Form 4 Ordor IdentificationForm and Instruction
Form 3 Words in NoiseForm and Instruction
Form 6 University of Penn Smell IdentificationForm and Instruction
Form 1 Automated Audiometry from the NIH Toolbox (AANT)Form and Instruction
Form 2 Hearing Handicap Inventory (HHI)Form and Instruction
Attach 63 Consent Documents 7.24.2011.pdf Supplementary Document
Attach 62 - NU IRB Approval Letter 7.24.2011.pdf Supplementary Document
Attach 61 Certificate of Confidentiality 7.24.2011.pdf Supplementary Document
Attach 60 Recruitment instructions scripts and letters 7.24.2011.pdf Supplementary Document
Supporting_Statement_B1_7-24-2011.docxSupporting Statement B
Attach 65 NIH Privacy Review Act Memo cover.docx Supplementary Document
Attach 64 Team Member Contact List.pdf Supplementary Document
Supporting_Statement_A2_comments 7-24-2011.docxSupporting Statement A
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Form and Instruction
Parent Proxies (baseline only + retest) Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Children (baseline only + retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction
Adult Study Participants (baseline only + 1 retest) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201105-0925-006 New collection (Request for a new OMB Control Number) 2011-05-31 Approved with change