View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
New Questions
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Pre-test Questions
Pre-test Questions
NSDUH Main Study Pretest_PDF 5_Attachment I.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
698
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
698
0
698
0
0
0
Annual IC Time Burden (Hours)
289
0
289
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screeners
NSDUH Main Study Pretest_PDF 1_Attachments A B C.pdf
11/20/2018
Forms
NSDUH Main Study Pretest_PDF 2_Attachments D E.pdf
11/20/2018
Intro Script
NSDUH Main Study Pretest_PDF 3_Attachment F.pdf
11/20/2018
Letters
NSDUH Main Study Pretest_PDF 4_Attachments G H K.pdf
11/20/2018
Protocol
NSDUH Main Study Pretest_PDF 6_Attachment J.pdf
11/20/2018
Supporting Statement - Part A
NSDUH Main Study Pretest_Supporting Statement_PART A_10 09 2018.docx
11/20/2018
Supporting Statement - Part B
NSDUH Main Study Pretest_Supporting Statement_PART B_11 20 2018.docx
11/20/2018
Supporting Statement A
NSDUH Main Study Pretest_Supporting Statement_PART A_3 11 2019.docx
04/08/2019
Main Study Pretest Module
Attachment L Main Study Pretest Module.docx
04/08/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.