CLINICAL, LABORATORY, AND EPIDEMIOLOGIC CHARACTERI- ZATION OF PATIENTS AND FAMILIES AT HIGH RISK OF CANCER

ICR 197810-0925-005

OMB: 0925-0080

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0925-0080 197810-0925-005
Historical Active
HHS/NIH
CLINICAL, LABORATORY, AND EPIDEMIOLOGIC CHARACTERI- ZATION OF PATIENTS AND FAMILIES AT HIGH RISK OF CANCER
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/14/1978
Retrieve Notice of Action (NOA) 10/27/1978
  Inventory as of this Action Requested Previously Approved
01/31/1982 01/31/1982
300 0 0
150 0 0
0 0 0

STUDY TO DETERMINE WHY SOME PERSONS ARE AT HIGHER RISK OF GETTING CANCER. PERSONS MAY BE PRONE TO DEVELOP CANCER BECAUSE OF MEDICAL PROBLEMS, ENVIRONMENTAL EXPOSURES OR A STRIKING FAMILY HISTORY OF MALIGNANT OR PREMALIGNANT CONDITIONS. SELECTION FOR STUDY BECAUSE OF FAMILY HISTORY OF NEOPLASIS OF AN UNUSUAL TYPE, PATTERN, OR NUMBER, OR KNOWN OR SUSPECTED FACTOR PREDISPOSING TO NEOPLASIS, EITHER ENVIRONMENTAL EXPOSURE, GENETIC AND/OR CONGENTIAL FACTORS O

None
None


No

1
IC Title Form No. Form Name
CLINICAL, LABORATORY, AND EPIDEMIOLOGIC CHARACTERI- ZATION OF PATIENTS AND FAMILIES AT HIGH RISK OF CANCER

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300 0 0 0 300 0
Annual Time Burden (Hours) 150 0 0 0 150 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/27/1978


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