Information Collection

Buccal Cell Collection for Agricultural Health Study

IC 185933 under ICR 200807-0925-003 · OMB 0925-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0406 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 15F Buccal Cell Collection for Agricultural Health Study	Form and Instruction
15F Swab Attach 15F_Buccal Cell Instructions North Carolina.pdf	Form and Instruction
2 CATI v. 2 Attach 2_CATI Phase III v2.doc	Form
Attach 15B_Buccal Directions Iowa.doc Attach 15B_Buccal Directions Iowa	IC Document

IC Title:

Buccal Cell Collection for Agricultural Health Study

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	15F	Swab	Attach 15F_Buccal Cell Instructions North Carolina.pdf		Yes	Yes	Paper Only
Form	2	CATI v. 2	Attach 2_CATI Phase III v2.doc		No	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 993

Number of Respondents for Small Entity: 993

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	331	331
Annual IC Time Burden (Hours)	331	331
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attach 15B_Buccal Directions Iowa	Attach 15B_Buccal Directions Iowa.doc	06/19/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.