View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

DSM-5 Cognitive Interviews
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Survey Instrument Yes Yes Fillable Fileable

Health Public Health Monitoring

 

150 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150 0 0 0 0 150
Annual IC Time Burden (Hours) 64 0 0 0 0 64
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CogTesting_Protocol 12/16/2014
Receipt for Participation 12/16/2014
Federalwide Assurance 12/16/2014
Recruitment_Flyers 02/23/2015
Web Recruitment Screener 02/23/2015
Telephone Recruitment Screener 02/23/2015
Parental Permission Form 02/23/2015
Participant Informed Consent Form 02/23/2015
Distressed Respondent Protocol 02/23/2015
Supporting Statement 02/23/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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