Trauma Symptoms Checklist for Children Abbreviated

Cross-Site Evaluation of the National Child Traumatic Stress Initiative (NCTSI)

Documents and Forms

Document Name Document Type
Form TSCC_A Trauma Symptoms Checklist for Children Abbreviated Form and Instruction
TSCC_A TSCC_A Attachment C.7 TSCC_A Briere.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Trauma Symptoms Checklist for Children Abbreviated	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	TSCC_A	TSCC_A	Attachment C.7 TSCC_A Briere.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,043	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	8,172	8,172
Annual IC Time Burden (Hours)	2,697	2,697
Annual IC Cost Burden (Dollars)	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.