Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Questionnaire New 2333 1167 29139 Form and Instruction n/a
Appointment Reminder New 3033 253 6312 Form and Instruction n/a
Blood Draw and Urine Collection New 3033 506 12626 Form and Instruction n/a
Body and Blood Pressure Measures New 3033 253 6312 Form and Instruction n/a
Child Neurobehavioral Test Battery New 700 1050 26229 Form and Instruction n/a
Child Questionnaire - Long Form New 560 280 6994 Form and Instruction n/a
Child Questionnaire - Short Form New 140 35 874 Form and Instruction n/a
Child School Record Abstraction New 720 240 5386 Form and Instruction n/a
Eligibility Screening New 7982 1330 33231 Form and Instruction n/a
Medical Record Abstraction - Adult New 2400 800 16927 Form and Instruction n/a
Medical Record Abstraction - Child New 700 233 4935 Form and Instruction n/a
Medication List New 3033 152 3788 Form and Instruction n/a
Parent Neurobehavioral Test Battery New 700 175 4372 Form and Instruction n/a
Request for Child School Record Abstraction New 690 230 10730 Other-Letter of Request to School Administrator with Study Information
Request for Medical Record Abstraction New 3010 1003 54860 Other-Letter of Request to Provider with Study Information
Update Contact Information New 3033 253 6312 Form and Instruction n/a
Total burden requested under this ICR: 35100 7960 229027  
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