Information Collection

Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 2 Child and Adolescent Psychiatric Assessment : Parent Version

IC 196124 under ICR 201102-0920-008 · OMB 0920-0884.

Documents and Forms

Document Name Document Type
Form 8 Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 2 Child and Adolescent Psychiatric Assessment : Parent Version Form and Instruction
8 The Child and Adolescent Psychiatric Assessment (CAPA) Att D 1 CAPA (Parent) D1-D51.pdf Form and Instruction
9 Child and Adolescent Psychiatric Assessment (Parent) Att D 2 CAPA (Parent) pp D52-D101.pdf Form and Instruction
10 Child and Adolescent Psychiatric Assessment : Parent Ver Att D 3 CAPA (Parent) pp D102 - D150.pdf Form and Instruction
11 Child and Adolescent Psychiatric Assessment : Parent Ver Att D 4 CAPA (Parent) pp D151 - D200.pdf Form and Instruction
12 Child and Adolescent Psychiatric Assessment (parent) Att D 5 CAPA (Parent) pp D201 - D232.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Calibration of the Short Strengths and Difficulties Questionnaire (SDQ) in the National Health Interview Survey (NHIS) - line 2 Child and Adolescent Psychiatric Assessment : Parent Version	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8	The Child and Adolescent Psychiatric Assessment (CAPA)	Att D 1 CAPA (Parent) D1-D51.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	9	Child and Adolescent Psychiatric Assessment (Parent)	Att D 2 CAPA (Parent) pp D52-D101.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10	Child and Adolescent Psychiatric Assessment : Parent Version	Att D 3 CAPA (Parent) pp D102 - D150.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	11	Child and Adolescent Psychiatric Assessment : Parent Version	Att D 4 CAPA (Parent) pp D151 - D200.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	12	Child and Adolescent Psychiatric Assessment (parent)	Att D 5 CAPA (Parent) pp D201 - D232.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population	FR Citation: 49 FR 37693

Number of Respondents: 338	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	338	338
Annual IC Time Burden (Hours)	338	338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.