Information Collection Request

Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers (NIEHS)

ICR 201012-0925-004 · OMB 0925-0626 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Gulf Study Participants Form and Instruction New Repair queued
GuLFOMBpart1wkshtREVISEDfinal20110114.doc Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment22NEWQuestionnaire_Sources20110120.xls Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment21NEWAppendix_V_-_Participant_Remuneration_Receipt_Form.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment20NEWAppendix_U_-_Environmental_Monitoring_Data.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment19NEWAppendix_T_-_Active_Follow-up_Sub-cohort_Home_Visit_Instructions_for_Urine_Collection.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment18NEWAppendix_S_-_Active_Follow-up_Sub-cohort_Home_Visit_Instructions.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment17NEWAppendix_R_-_Active_Follow-up_Sub-cohort_Pre-visit_Appointment_Cover_Letter.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment16DELETED.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment15REVISEDAppendix_Q_-_Report_to_Participants_-_Abnormal_Mailed_Follow-up.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment14REVISEDAppendix_P_-_Report_to_Participants_-_Normal_Mailed_Follow-up.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment13REVISEDAppendix_O_-_Physician_Notification_Letter.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment12REVISEDAppendix_N_-_Report_to_Participants_-_Referral_Guide.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment11REVISEDAppendix_M_-_Participant_Blood_Pressure_Report_-_In-Home.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment10REVISEDAppendix_L_-_Report_to_Participants_-_In-Home.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment9REVISEDAppendix_K_-_Oil_Spill_Work_History_Form.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment6REVISEDAppendix_H_-_Frequently_Asked_Questions.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment5REVISEDAppendix_G_-_Brochure.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment4REVISEDAppendix_F_-_Lead_Letter_-v2.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment3REVISEDAppendix_E_-_Informed_Consent_Quick_Reference_Guide_-_Post_Dec_IRB.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment2REVISEDAppendix_D_-_Informed_Consent_Form-Post_Dec_IRB-v2.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment1SUPP-Appendix_C_-_Lab_Processing_Flow_Sheet_and_Template_for_Specimen_Collection.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment1SUPP-Appendix_B_-_Schedule_of_Procedures_and_Evaluations.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBattachment1SUPP-Appendix_A_Scientific_References.pdf Supplementary Document Uploaded 2011-01-21 Repair queued
GuLFOMBattachment1REVISEDProtocol_-_Post_Dec_IRB_-_Final20101221.pdf Supplementary Document Uploaded 2011-01-21 Available
GuLFOMBsuppstBrevised20110120.pdf Supporting Statement B Uploaded 2011-01-21 Available
GuLFOMBattachment13physicianV2.pdf Supplementary Document Uploaded 2010-12-09 Repair queued
GuLFOMBattachment12referralV2.pdf Supplementary Document Uploaded 2010-12-09 Repair queued
GuLFOMBattachment2consentV2.pdf Supplementary Document Uploaded 2010-12-09 Available
GuLFOMBattachment16protocolVer2appABC.pdf Supplementary Document Uploaded 2010-12-08 Available
GuLFOMBattachment15abnormal.pdf Supplementary Document Uploaded 2010-12-08 Available
GuLFOMBattachment14normal.pdf Supplementary Document Uploaded 2010-12-08 Available
GuLFOMBattachment11bp.pdf Supplementary Document Uploaded 2010-12-08 Available
GuLFOMBattachment10homerep.pdf Supplementary Document Uploaded 2010-12-08 Repair queued
GuLFOMBattachment7enrollqx.pdf Supplementary Document Uploaded 2010-12-08 Repair queued
GuLFOMBattachment6faq.pdf Supplementary Document Uploaded 2010-12-08 Repair queued
GuLFOMBattachment5brochure.pdf Supplementary Document Uploaded 2010-12-08 Repair queued
GuLFOMBattachment4leadletter.pdf Supplementary Document Uploaded 2010-12-08 Repair queued
GuLFOMBattachment3consentguide.pdf Supplementary Document Uploaded 2010-12-08 Repair queued
GuLFOMBattachment1protocolVer1.pdf Supplementary Document Uploaded 2010-12-08 Available
GuLFOMBsuppstArevised20110120.pdf Supporting Statement A Uploaded 2011-01-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
195744 Gulf Study Participants Form and Instruction New
ICR Details
0925-0626 201012-0925-004
Historical Active
HHS/NIH
Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers (NIEHS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/21/2011
Retrieve Notice of Action (NOA) 12/17/2010
OMB approves the version of protocol,supporting documents, and ICs that were revised per IRB (December) and OMB (January) comments, with the exception of the consent form for the home visit. NIH should resubmit the consent form, responding to OMB concerns about clarity, as well as the translated versions of the study materials and the yet to be developed publicity materials, as non-substantive changes as soon as each are available. NIH should discuss with OMB whether additional projects (add-on studies including the bio-specimen cohort) are subject to approval under the PRA.
  Inventory as of this Action Requested Previously Approved
01/31/2014 36 Months From Approved
55,000 0 0
52,000 0 0
0 0 0

The purpose of the GuLF Study is to investigate potential short- and long-term health effects associated with oil spill clean-up activities and exposures surrounding the Deepwater Horizon disaster; and secondarily to create a resource for additional collaborative research on focused hypotheses or subgroups. Over 55,000 persons participating in oil-spill clean-up activities have been exposed to a range of known and suspected toxins in crude oil, burning oil, and dispersants, to excessive heat; and possibly stress due to widespread economic and lifestyle disruption . Exposures range from negligible to potentially significant, however, the potential long-term human health consequences are largely unknown due to a dearth of research in this area. Participants will be recruited from across job/exposure groups of primarily English, Spanish, or Vietnamese speaking adults (accommodations for other languages developed as appropriate) who performed oil-spill clean-up-related work ("exposed") and similar persons who engaged in no clean-up-related work ("unexposed" controls), and followed in either an Active Follow-up Cohort (N~27,000) or a Passive Follow-up Cohort (N~28,000).

None
None

Not associated with rulemaking

  75 FR 62132 10/07/2010
75 FR 77880 12/14/2010
Yes

1
IC Title Form No. Form Name
Gulf Study Participants 1, 2 Enrollment ,   Baseline

  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 55,000 0 0 55,000 0 0
Annual Time Burden (Hours) 52,000 0 0 52,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$6,800,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Mikia Currie 3014350941

  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.
12/17/2010