Information Collection

NSDUH Lead Letter Focus Groups

IC 262357 under ICR 202304-0930-001 · OMB 0930-0290.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0290 can be found here:

Documents and Forms

Document Name Document Type
Form NSDUH Online FG Sc NSDUH Lead Letter Focus Groups Form and Instruction
NSDUH Online FG Sc NSDUH Online FG Screening Instrument Attachment C_NSDUH Online FG Screening Instrument_Final_5-15-23.pdf Form and Instruction
NSDUH Focus Group NSDUH Focus Group Moderator's Guide Attachment E_NSDUH Focus Group Moderator's Guide_Revised_8-17-23_Clean.docx Form and Instruction
NSDUH Lead Letter Focus Groups_SSA_Post_OMB_Comments_8-16-23_Clean.docx NSDUH Lead Letter Focus Groups SSA IC Document
NSDUH Lead Letter Focus Groups_ SSB_Post_OMB_Comments_8-16-23_Clean.docx NSDUH Lead Letter Focus Groups SSB IC Document
Attachment A_Current and Alternative Lead Letter_Final_5_15_23.pdf Current and Alternative Lead Letter IC Document
Attachment B_NSDUH LL Focus Group Online Ad_Final_5-15-23.pdf NSDUH LL Focus Group Online Ad IC Document
Attachment D_NSDUH_Focus Group Informed Consent Form_Final_5-15-23.pdf Focus Group Informed Consent Form IC Document
Attachment F_Focus Group Incentive Correspondence_Draft_4-10-23.pdf Focus Group Incentive Correspondence IC Document
Attachment G_Federalwide Assurance.pdf Federalwide Assurance IC Document
Attachment H_Confidentiality Agreement_2023.pdf Confidentiality Agreement_2023 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NSDUH Lead Letter Focus Groups	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	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

Line of Business: Health

Subfunction: Public Health Monitoring

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

Number of Respondents: 504	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	504	504
Annual IC Time Burden (Hours)	92	92
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.