Information Collection Request

The Sister Study: Environmental and Generic Risk Factors for Breast Cancer

ICR 200909-0925-005 · OMB 0925-0522 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Annual Updates Form and Instruction Modified Available
Form 1 Incident Case Medical Office Contact Form and Instruction New Available
Form 1 Incident Other Case Follow-Up Form and Instruction New Available
Form 1 Incident BC Case Follow-Up Form and Instruction New Available
Form 1 Bi/Trienniel Follow-Up Form and Instruction New Available
SISOMB2009suppstatementB.pdf Supporting Statement B Uploaded 2009-09-28 Available
SISOMB2009att9consent.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att5sssconf.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att3consults.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att8IRBCRAPPR.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att7irbinit.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att6CofC.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att4sysrec.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009att10stress.pdf Supplementary Document Uploaded 2009-09-28 Available
SISOMB2009suppstatementArev3.pdf Supporting Statement A Uploaded 2009-09-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43630 Annual Updates Form and Instruction Modified
190836 Incident Case Medical Office Contact Form and Instruction New
190835 Incident Other Case Follow-Up Form and Instruction New
190834 Incident BC Case Follow-Up Form and Instruction New
190833 Bi/Trienniel Follow-Up Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2012 36 Months From Approved 11/30/2009
154,200 0 82,340
72,218 0 64,710
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Annual Updates 1, 2 survey ,   survey
Bi/Trienniel Follow-Up 1, 2 survey ,   survey
Incident BC Case Follow-Up 1, 2 survey ,   survey
Incident Other Case Follow-Up 1, 2 survey ,   survey
Incident Case Medical Office Contact 1, 2 survey ,   survey

table that charts list of burden
  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 154,200 82,340 0 71,860 0 0
Annual Time Burden (Hours) 72,218 64,710 0 7,508 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No