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National Survey on Drug Use and Health: Questionnaire Change Flexibilities Online Panel/Platform Test
National Survey on Drug Use and Health: Methodological Field Tests
OMB: 0930-0290
IC ID: 251019
OMB.report
HHS/SAMHSA
OMB 0930-0290
ICR 201912-0930-002
IC 251019
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0290 can be found here:
2023-04-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NSDUH Questionnair
National Survey on Drug Use and Health: Questionnaire Change Flexibilities Online Panel/Platform Test
Form and Instruction
NSDUH Questionnair NSDUH Questionnaire Change Flexibilities Survey
Attachment E_Survey_Questions.docx
Form and Instruction
NSDUH Questionnair NSDUH Questionnaire Change Flexibilities Screener
Attachment A_Screening_Criteria.docx
Form and Instruction
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement B.docx
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement B
IC Document
Attachment B_MTurk Parental Permission_Youth Assent.docx
Attachment B_MTurk Parental Permission_Youth Assent
IC Document
Attachment C_Participant_Informed_Consent_Screens_Adult.docx
Attachment C_Participant_Informed_Consent_Screens_Adult
IC Document
Attachment D_Participant_Informed_Consent_Screens_Adolescent.docx
Attachment D_Participant_Informed_Consent_Screens_Adolescent
IC Document
Attachment F_Federalwide Assurance.pdf
Attachment F_Federalwide Assurance
IC Document
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement A.docx
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement A
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Survey on Drug Use and Health: Questionnaire Change Flexibilities Online Panel/Platform Test
Agency IC Tracking Number:
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
NSDUH Questionnaire Change Flexibilities Survey
NSDUH Questionnaire Change Flexibilities Survey
Attachment E_Survey_Questions.docx
Yes
Yes
Fillable Fileable
Form and Instruction
NSDUH Questionnaire Change Flexibilities Screener
NSDUH Questionnaire Change Flexibilities Screener
Attachment A_Screening_Criteria.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
National Survey on Drug Use and Health: Questionnaire Change Flexibilities Online Panel/Platform Test
FR Citation:
75 FR 28264
Number of Respondents:
20,420
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
20,420
0
20,420
0
0
0
Annual IC Time Burden (Hours)
1,870
0
1,870
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement B
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement B.docx
01/11/2022
Attachment B_MTurk Parental Permission_Youth Assent
Attachment B_MTurk Parental Permission_Youth Assent.docx
01/11/2022
Attachment C_Participant_Informed_Consent_Screens_Adult
Attachment C_Participant_Informed_Consent_Screens_Adult.docx
01/11/2022
Attachment D_Participant_Informed_Consent_Screens_Adolescent
Attachment D_Participant_Informed_Consent_Screens_Adolescent.docx
01/11/2022
Attachment F_Federalwide Assurance
Attachment F_Federalwide Assurance.pdf
01/11/2022
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement A
NSDUH Questionnaire Change Flexibilities Online Panel-Platform Test Supporting Statement A.docx
01/11/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.