Short Follow-Up Questionnaire 2008 in the Prospective Cohort Study of Diet and Cancer in Members of the American Association of Retired Persons: The NIH-AARP Diet and Health Study (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 The 2008 Short Questionnaire for the NIH-AARP Diet and Health Study	Form	New	Available
SSB_10-15-07.doc	Supporting Statement B	Uploaded 2007-12-10	Repair queued
Cover Memo October 2007.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att9-4_Wave 4 Mailing Follow-up letter.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att9-3_Wave 3 Mailing Follow-up letter.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att9-2_Wave 2 Mailing Follow-up letter.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att9-1_Wave 1 Mailing Follow-up letter.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att8_NCI IRB Approval.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att7_Confidentiality Procedures Westat.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att6_Privacy Act Memo.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att5_External Working Group.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att4_Steering Committee.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att1_Original Study Protocol Summary.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
Att3_Bibliography.pdf	Supplementary Document	Uploaded 2007-12-10	Repair queued
SSA_01-31-08.doc	Supporting Statement A	Uploaded 2008-01-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183703	The 2008 Short Questionnaire for the NIH-AARP Diet and Health Study	Form	New

ICR Details

OMB Control No:	ICR Reference No: 200802-0925-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Short Follow-Up Questionnaire 2008 in the Prospective Cohort Study of Diet and Cancer in Members of the American Association of Retired Persons: The NIH-AARP Diet and Health Study (NCI)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 04/17/2008
	Date Received in OIRA: 02/06/2008
Terms of Clearance: This is a duplicate.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Short Follow-Up Questionnaire is needed in order to obtain information on selected medical conditions, medical procedures, and physical and lifestyle status from 513,225 participants in the NIH-AARP Diet and Health Study cohort. The information will be used for the ongoing examination between health and lifestyle behaviors and cancer.

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Authorizing Statute(s): US Code: 42 USC 412 (285a-1) Name of Law: Public Health Service Act
   US Code: 42 USC 413 (285a-2) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 62660	11/06/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 4594	01/25/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
The 2008 Short Questionnaire for the NIH-AARP Diet and Health Study	1	NIH-AARP Short Questionnaire 2008

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $91,500

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/06/2008

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