OMB control number

Longitudinal follow-up of Youth with Attention-Deficit/Hyperactivity Disorder identified in Community Settings: Examining Health Status, Correlates, and Effects associated with treatment for ADHD

OMB 0920-0747 · HHS/CDC.

OMB 0920-0747

Latest Forms, Documents, and Supporting Material

Document Name
Attachment B35. Teachery Survery (Teacher) Form and Instruction
Attachment B34. Youth Demographic Survey (16+ years) (Child) Form and Instruction
Attachment B33. People In My Life/Inventory of Parent and Peer Attachment Form and Instruction
Attachment B32. People In My Life (Child) Form and Instruction
Attachment B31. Pediatric Quality of Life (teen) (Child) Form and Instruction
Attachment B30. Pediatric Quality of Life (child) (Child) Form and Instruction
Form 28 ATTACHMENT C29: Teacher Survey Form and Instruction
Form 27 ATTACHMENT C28: Youth Demographic Survey (16 plus years) Form
Form 26 ATTACHMENT C27: Pediatric Quality of Life (Teen 13 plus) Form and Instruction
Form 25 ATTACHMENT C26: Pediatric Quality of Life (Child 8-12) Form and Instruction
Form 24 ATTACHMENT C25: Olweus Bullying Quesstionnaire (High School, 14 plus years) Form
Form 23 ATTACHMENT C24: Social Inventory (High School, 14 plus years) Form and Instruction
Form 22 ATTACHMENT C23: MARSH Self Description Questionnaire, 16 plus years Form and Instruction
Form 21 ATTACHMENT C22: MARSH Self Description Questionnaire, 13-15 years Form and Instruction
Form 20 ATTACHMENT C21: MARSH Self Description Questionnaire, 7-12 years Form and Instruction
Form 19 ATTACHMENT C20: Health Risk Behavior Survey (High School) Form
Form 18 ATTACHMENT C19: Health Risk Behavior Survey (Middle School) Form
Form 17 ATTACHMENT C18: Conflict in Adolescent Dating Relationships Form
Form 16 ATTACHMENT C17: Child Brief Sensation Seeking Scale Form
Form 15 ATTACHMENT C16: Vanderbilt Rating Scale Form and Instruction
Form 14 ATTACHMENT C15: Parent Strengths and Difficulties Questionnaire Form and Instruction
Form 13 ATTACHMENT C14: Parent Social Isolation/Support Form and Instruction
Form 12 ATTACHMENT C13: Quarterly Update: Critical School Events Form
Form 11 ATTACHMENT C12: Parents' Questionnaire (Mental Health) Form and Instruction
Form 10 ATTACHMENT C11: Parent Child Relationship Inventory Form and Instruction
Form 9 ATTACHMENT C10: Health Risk Behavior Survey (High School) Form
Form 8 ATTACHMENT C9: Health Risk Behavior Survey (Middle School) Form
Form 7 ATTACHMENT C8: Parent Demographic Survey Form
Form 6 ATTACHMENT C7: Parent Critical Events Form (High School) Form and Instruction
Form 5 ATTACHMENT C6: Parent Critical Events Form (Middle School) Form and Instruction
Form 4 ATTACHMENT C5: Parent Brief Impairment Scale Form and Instruction
Form 3 ATTACHMENT C4B: Parent ADHD Treatment Quarterly Update Form
Form 2 ATTACHMENT C4A: Parent ADHD Treatment, Cost, and Client Satisfaction Questionnaire Form
Form 1 ATTACHMENT C3: Parent ADHD Communication and Knowledge Form and Instruction
Amended IRB_App_Ltr.pdf Supplementary Document
SS.B 20100127.doc Supporting Statement B
Attachment List Justification ADHD follow up extension 20100127.doc Supplementary Document
Attachment G SC Triage Protocol Document 3-13-07.doc Supplementary Document
Attachment F2 Age distributions SC.doc Supplementary Document
Attachment F1 sample description.doc Supplementary Document
Attachment E3 CDC reliance agreement.pdf Supplementary Document
Attachment E2 SC IRB review.pdf Supplementary Document
Attachment E1 CDC 5042 IRB Approval of Continuation of Protocol (Expedited).doc Supplementary Document
Attachment D3 SC PLAY Youth Consent for Research (18+) 12-02-2009.doc Supplementary Document
Attachment D2 SC PLAY Child Assent for Research (age 9-17) 12-02-2009.doc Supplementary Document
Attachment D1 SC Parent Consent (age 9-17) 12-02-09.doc Supplementary Document
Attachment C30 DISC-IV Table of Contents.doc Supplementary Document
Attachment C2 Instrument descriptions for new or modified surveys.doc Supplementary Document
Attachment C1 Instrument Table.doc Supplementary Document
Attachment_B_60_Day_FRN_ADHD.pdf Supplementary Document
Attachment A2 Children's Health Act 2000.pdf Supplementary Document
Attachment A1 Public Health Service Act 2000.pdf Supplementary Document
SS.A 20100127.doc Supporting Statement A
Attachment B35. Teachery Survery (Teacher) Form and Instruction
Attachment B34. Youth Demographic Survey (16+ years) (Child) Form and Instruction
Attachment B33. People In My Life/Inventory of Parent and Peer Attachment Form and Instruction
Attachment B32. People In My Life (Child) Form and Instruction
Attachment B31. Pediatric Quality of Life (teen) (Child) Form and Instruction
Attachment B30. Pediatric Quality of Life (child) (Child) Form and Instruction
ATTACHMENT C29: Teacher Survey Form and Instruction
ATTACHMENT C28: Youth Demographic Survey (16 plus years) Form
ATTACHMENT C27: Pediatric Quality of Life (Teen 13 plus) Form and Instruction
ATTACHMENT C26: Pediatric Quality of Life (Child 8-12) Form and Instruction
ATTACHMENT C25: Olweus Bullying Quesstionnaire (High School, 14 plus years) Form
ATTACHMENT C24: Social Inventory (High School, 14 plus years) Form and Instruction
ATTACHMENT C23: MARSH Self Description Questionnaire, 16 plus years Form and Instruction
ATTACHMENT C22: MARSH Self Description Questionnaire, 13-15 years Form and Instruction
ATTACHMENT C21: MARSH Self Description Questionnaire, 7-12 years Form and Instruction
ATTACHMENT C20: Health Risk Behavior Survey (High School) Form
ATTACHMENT C19: Health Risk Behavior Survey (Middle School) Form
ATTACHMENT C18: Conflict in Adolescent Dating Relationships Form
ATTACHMENT C17: Child Brief Sensation Seeking Scale Form
ATTACHMENT C16: Vanderbilt Rating Scale Form and Instruction
ATTACHMENT C15: Parent Strengths and Difficulties Questionnaire Form and Instruction
ATTACHMENT C14: Parent Social Isolation/Support Form and Instruction
ATTACHMENT C13: Quarterly Update: Critical School Events Form
ATTACHMENT C12: Parents' Questionnaire (Mental Health) Form and Instruction
ATTACHMENT C11: Parent Child Relationship Inventory Form and Instruction
ATTACHMENT C10: Health Risk Behavior Survey (High School) Form
ATTACHMENT C9: Health Risk Behavior Survey (Middle School) Form
ATTACHMENT C8: Parent Demographic Survey Form
ATTACHMENT C7: Parent Critical Events Form (High School) Form and Instruction
ATTACHMENT C6: Parent Critical Events Form (Middle School) Form and Instruction
ATTACHMENT C5: Parent Brief Impairment Scale Form and Instruction
ATTACHMENT C4B: Parent ADHD Treatment Quarterly Update Form
ATTACHMENT C4A: Parent ADHD Treatment, Cost, and Client Satisfaction Questionnaire Form
ATTACHMENT C3: Parent ADHD Communication and Knowledge Form and Instruction

All Historical Document Collections

201002-0920-008 Approved with change	Revision of a currently approved collection	2010-02-23
200704-0920-003 Approved with change	New collection (Request for a new OMB Control Number)	2007-04-25