Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SEARCH PedsQL (Pediatric Quality of Life Inventory) New 710 59 0 Other-WORD
SEARCH 3 Extended Core Information Form (Registry Study) New 1275 213 0 Other-WORD
SEARCH CES-Depression New 710 47 0 Other-WORD
SEARCH Diabetes Eating Problem Survey (DEPS_R) for age 10 and older New 710 59 0 Other-WORD
SEARCH Diabetes Related Family Conflict Survey - Parent Version for those who have a 10-17 year old child New 710 59 0 Other-WORD
SEARCH Health Questionnaire - Parent Version New 710 178 0 Other-WORD
SEARCH Health Questionnaire - Young Adult Version (age 18 and older) New 710 178 0 Other-WORD
SEARCH Inpatient Survey (Initial Participant Survey - Parent/Guardian) New 1275 213 0 Other-WORD
SEARCH Low Blood Sugar Survey - Parent version New 710 59 0 Other-WORD
SEARCH Medical Record Validation of Self-Report New 710 118 0 Other-WORD
SEARCH Medication Inventory New 1275 106 0 Other-WORD
SEARCH Michigan Neuropathy Screening Instrument (MNSI) New 710 59 0 Other-WORD
SEARCH Pathology Notification (Retinal Photo) New 710 59 0 Other-WORD
SEARCH Peds QL Diabetes Module -- Parent Report for Children (ages 8-12) New 710 59 0 Other-WORD
SEARCH Physical Examination Form New 710 59 0 Other-WORD
SEARCH Physical Examination Form New 1275 106 0 Other-WORD
SEARCH Specimen Collection Form New 1275 106 0 Other-WORD
SEARCH Specimen Collection Form New 710 59 0 Other-WORD
SEARCH Study Quality of Care Survey- Young Adult Version New 710 154 0 Other-WORD
SEARCH Supplemental Questionnaire for Age 10 or Older New 710 118 0 Other-WORD
SEARCH Tanner Stage -- Female -- for age 8-17 New 710 59 0 Other-WORD
SEARCH Unanticipated Occurrence/Condition Reporting Form New 65 5 0 Other-WORD
Other-WORD
Total burden requested under this ICR: 17800 2132 0  
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