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Parenting Stress Index
Cross-Site Evaluation of the National Child Traumatic Stress Initiative (NCTSI)
OMB: 0930-0276
IC ID: 199501
OMB.report
HHS/SAMHSA
OMB 0930-0276
ICR 201109-0930-005
IC 199501
( )
Documents and Forms
Document Name
Document Type
Form PSI Short Form
Parenting Stress Index
Form and Instruction
PSI Short Form PSI Short Form
Attachment C.9 PSI Short Form.PDF
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parenting Stress Index
Agency IC Tracking Number:
Is this a Common Form?
No
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
PSI Short Form
PSI Short Form
Attachment C.9 PSI Short Form.PDF
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
973
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 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
3,892
0
3,892
0
0
0
Annual IC Time Burden (Hours)
311
0
311
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.