Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Questionnaire New 367 184 4466 Form none
Appointment Reminder Telephone Script New 542 45 1100 Form and Instruction none
Blood Draw and Urine Collection Form New 542 90 2201 Form and Instruction none
Body and Blood Pressure Measures Form New 542 45 1100 Form none
Child Neurobehavioral Test Battery New 175 263 6389 Instruction
Child Questionnaire - Long Form New 140 70 1704 Form none
Child Questionnaire - Short Form New 35 9 213 Form none
Child School Record Abstraction New 180 60 1361 Form none
Medical Record Abstraction - Adult New 375 125 2573 Form none
Medical Record Abstraction - Child New 175 58 1201 Form none
Medication List New 542 27 927 Form and Instruction none
Parent Neurobehavioral Test Battery New 175 44 1066 Instruction
Update Contact Information Hardcopy Form New 542 45 1100 Form and Instruction none
Wave One Elligibility Screening Script New 526 88 2136 Form and Instruction none
Wave Three Eligibility Screening Script New 121 30 737 Form and Instruction none
Wave Two Eligibility Screening Script New 66 17 402 Form and Instruction none
Total burden requested under this ICR: 5045 1200 28676  
To view an IC, click on IC Title