OMB # 0925-XXXX
Itemized Burden Table
Estimated Annualized Hour Burden for Stress and Cortisol Measurement Substudy
CV1 – Clinic Visit 1
AAP – Ambulatory Assessment Period
CV2 – Clinic Visit 2
Data Collection Activity |
Type of Respondent |
Estimated Number of Respondents |
Estimated Number of Responses per Respondent |
Average Burden Hours Per Response (in hours) |
Estimated Total Annual Burden Hours |
Screening (CV1) |
Members of NCS target population (not NCS participants) |
2,100 |
1 |
5/60 |
175 |
Saliva Self-Collection Demonstration (CV1) |
Members of NCS target population (not NCS participants) |
700 |
1 |
15/60 |
175 |
Urine Self-Collection Instructions (CV1) |
Members of NCS target population (not NCS participants) |
700 |
1 |
5/60 |
58 |
Ecological Momentary Assessment Training (CV1) |
Members of NCS target population (not NCS participants) |
700 |
1 |
30/60 |
350 |
Visit 1 Stress Questionnaire (CV1) |
Members of NCS target population (not NCS participants) |
700 |
1 |
60/60 |
700 |
Demographic and Health Interview (CV1) |
Members of NCS target population (not NCS participants) |
700 |
1 |
60/60 |
700 |
Participant Contact Information Sheet (CV1) |
Members of NCS target population (not NCS participants) |
700 |
1 |
5/60 |
58 |
Adult Blood (CV1, CV2) |
Members of NCS target population (not NCS participants) |
700 |
2 |
15/60 |
350 |
Adult Hair (CV1, CV2) |
Members of NCS target population (not NCS participants) |
700 |
2 |
15/60 |
350 |
Stressful Life Events Schedule Checklist (CV1, CV2) |
Members of NCS target population (not NCS participants) |
700 |
2 |
30/60 |
700 |
Adult Urine (AAP) |
Members of NCS target population (not NCS participants) |
700 |
1 |
15/60 |
175 |
Adult Saliva (AAP) |
Members of NCS target population (not NCS participants) |
700 |
28 |
3/60 |
980 |
Take-Home Questionnaire (AAP) |
Members of NCS target population (not NCS participants) |
700 |
1 |
30/60 |
350 |
Time Diary (AAP) |
Members of NCS target population (not NCS participants) |
700 |
72 |
2/60 |
1,680 |
Heart Monitoring (AAP) |
Members of NCS target population (not NCS participants) |
700 |
1 |
2/60 |
23 |
Visit 2 Stress Questionnaire (CV2) |
Members of NCS target population (not NCS participants) |
700 |
1 |
45/60 |
525 |
Follow-up Studies |
Members of NCS target population (not NCS participants) |
700 |
1 |
180/60 |
2,100 |
Total |
|
2,100 |
|
9.449 |
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | hashemip |
| File Modified | 0000-00-00 |
| File Created | 2021-01-30 |