ATTACHMENT C6: Parent Critical Events Form (Middle School)

Longitudinal follow-up of Youth with Attention-Deficit/Hyperactivity Disorder identified in Community Settings: Examining Health Status, Correlates, and Effects associated with treatment for ADHD

Documents and Forms

Document Name Document Type
Form 5 ATTACHMENT C6: Parent Critical Events Form (Middle School) Form and Instruction
5 ATTACHMENT C6: Parent Critical Events Form (Middle Schoo Attachment C previously approved instruments.zip Form and Instruction
Critical School Events (elementary, middle) Attachment B6 Parent Critical Events (elementary and middle school) scan.doc Form and Instruction

Information Collection (IC) Details

IC Title:	ATTACHMENT C6: Parent Critical Events Form (Middle School)	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 and Instruction	5	ATTACHMENT C6: Parent Critical Events Form (Middle School)	Attachment C previously approved instruments.zip		No	No	Paper Only
Form and Instruction	None	Critical School Events (elementary, middle)	Attachment B6 Parent Critical Events (elementary and middle school) scan.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 37	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	74	-1,572	1,646
Annual IC Time Burden (Hours)	5	-160	165
Annual IC Cost Burden (Dollars)	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.