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Parent or Caregiver Phone Screener and Invitation
National Institute of Drug Abuse (NIDA)Adolescent Brain Cognitive Development Study (ABCD Study®) – Audience Feedback Teams
OMB: 0925-0781
IC ID: 264290
OMB.report
HHS/NIH
OMB 0925-0781
ICR 202409-0925-007
IC 264290
( )
Documents and Forms
Document Name
Document Type
Form 1
Parent or Caregiver Phone Screener and Invitation
Form
1 Screener
Att A - Parent or Caregiver Phone Screener and Invitation - Revised Sept 2024.docx
Form
Att A - Parent Caregiver Phone Screener and Invitation Spanish - Revised Sept 2024.docx
Screener Spanish
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Parent or Caregiver Phone Screener and Invitation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
1
Screener
Att A - Parent or Caregiver Phone Screener and Invitation - Revised Sept 2024.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
72
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
72
0
0
0
0
72
Annual IC Time Burden (Hours)
6
0
0
0
0
6
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screener Spanish
Att A - Parent Caregiver Phone Screener and Invitation Spanish - Revised Sept 2024.docx
09/30/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.