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NSDUH Lead Letter Focus Groups
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NSDUH Online FG Screening Instrument NSDUH Online FG Screening Instrument Attachment C_NSDUH Online FG Screening Instrument_Final_5-15-23.pdf Yes Yes Fillable Fileable
Form and Instruction NSDUH Focus Group Moderator's Guide NSDUH Focus Group Moderator's Guide Attachment E_NSDUH Focus Group Moderator's Guide_Revised_8-17-23_Clean.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)  75 FR 28264

504 0
   
State, Local, and Tribal Governments
 
   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 504 0 504 0 0 0
Annual IC Time Burden (Hours) 92 0 92 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NSDUH Lead Letter Focus Groups SSA NSDUH Lead Letter Focus Groups_SSA_Post_OMB_Comments_8-16-23_Clean.docx 09/26/2023
NSDUH Lead Letter Focus Groups SSB NSDUH Lead Letter Focus Groups_ SSB_Post_OMB_Comments_8-16-23_Clean.docx 09/26/2023
Current and Alternative Lead Letter Attachment A_Current and Alternative Lead Letter_Final_5_15_23.pdf 09/26/2023
NSDUH LL Focus Group Online Ad Attachment B_NSDUH LL Focus Group Online Ad_Final_5-15-23.pdf 09/26/2023
Focus Group Informed Consent Form Attachment D_NSDUH_Focus Group Informed Consent Form_Final_5-15-23.pdf 09/26/2023
Focus Group Incentive Correspondence Attachment F_Focus Group Incentive Correspondence_Draft_4-10-23.pdf 09/26/2023
Federalwide Assurance Attachment G_Federalwide Assurance.pdf 09/26/2023
Confidentiality Agreement_2023 Attachment H_Confidentiality Agreement_2023.pdf 09/26/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.