CLINICAL, LABORATORY, AND EPIDEMIOLOGIC CHARACTERIZATION OF INDIVIDUALS AT HIGH RISK OF CANCER

ICR 198904-0925-004

OMB: 0925-0194

Federal Form Document

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ICR Details
0925-0194 198904-0925-004
Historical Active 198712-0925-004
HHS/NIH
CLINICAL, LABORATORY, AND EPIDEMIOLOGIC CHARACTERIZATION OF INDIVIDUALS AT HIGH RISK OF CANCER
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/05/1989
Retrieve Notice of Action (NOA) 04/26/1989
NIH should consider adding basic screening questions for other cancer risk factors e.g., smoking or occupational exposures to known carcinogens. When this information collection request is resubmitted and if NIH decides such additional cancer risk questions are not appropriate, the justification should include an explanation of why.
  Inventory as of this Action Requested Previously Approved
07/31/1990 07/31/1990
600 0 0
450 0 0
0 0 0

A CLINICAL, LABORATORY AND EPIDEMIOLOGIC STUDY OF INDIVIDUALS IN CANCER-PRONE FAMILIES IS NECESSA TO IDENTIFY AND DESCRIBE THE DISTRIBUTION AND DETERMINANTS OF CANCER I HIGH-RISK POPULATIONS. A SELF-ADMINISTERED QUESTIONNAIRE IS MAILED TO EACH INDIVIDUAL.

None
None


No

1
IC Title Form No. Form Name
CLINICAL, LABORATORY, AND EPIDEMIOLOGIC CHARACTERIZATION OF INDIVIDUALS 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 600 0 0 0 600 0
Annual Time Burden (Hours) 450 0 0 0 450 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.
04/26/1989


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