Phase III CATI v. 2 Instrument for Agricultural Health Study

Agricultural Health Study: A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture (NCI)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Phase III CATI v. 2 Instrument for Agricultural Health Study Form
1 Phase III CATI v. 2 for AHS Attach 2_CATI Phase III v2.doc Form

Information Collection (IC) Details

IC Title:	Phase III CATI v. 2 Instrument for Agricultural Health Study	Agency IC Tracking Number:

Is this a Common Form? Yes		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	1	Phase III CATI v. 2 for AHS	Attach 2_CATI Phase III v2.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,582	Number of Respondents for Small Entity: 20,582

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,530	-18,203	24,733
Annual IC Time Burden (Hours)	3,809	-40,461	44,270
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.