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Federal forms, ICRs, and supporting documents

Information Collection Request

Population-based Research in Attention-Deficit/Hyperactivity Disorder

ICR 200302-0920-001 · OMB 0920-0584 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7046 Population-based Research in Attention-Deficit/Hyperactivity Disorder Migrated
ICR Details
0920-0584 200302-0920-001
Historical Active
HHS/CDC
Population-based Research in Attention-Deficit/Hyperactivity Disorder
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/07/2003
Retrieve Notice of Action (NOA) 02/04/2003
Approved with changes as discussed on 3/6/03. This approval is for the core protocol that is sponsored by CDC and will be collected at each site. The other site-specific data collections are not covered by the PRA. CDC will make the agreed upon revisions to the Tobacco section of the Health Risk Behavior Survey and the race/ethnicity categories of the VADTRS/SDQ Short Form. CDC will forward these revised documents to OMB prior to fielding the survey. If the lottery incentive structure is used at the Virginia site, CDC will report to OMB the effectiveness of this incentive in boosting response rate, and any problems encountered with administering the incentive.
  Inventory as of this Action Requested Previously Approved
03/31/2006 03/31/2006
60,750 0 0
4,367 0 0
0 0 0
Population-based research in Attention-Deficit/Hyperactivity Disorder (ADHD) projects consist of three cooperative agreements to study youth ages 4-10 to determine: 1) the prevalence of ADHD in three defined communities, 2) rates of comorbid conditions among those with ADHD, 3) describe health risk behavior in ADHD youth, and 4) described current or previous receipt of treatment for ADHD among school-age youth.
None
None
No
1
IC Title Form No. Form Name
Population-based Research in Attention-Deficit/Hyperactivity Disorder
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 60,750 0 0 60,750 0 0
Annual Time Burden (Hours) 4,367 0 0 4,367 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/04/2003