Information Collection Request

The Atherosclerosis Risk in Communities Study (ARIC)

ICR 201101-0925-009 · OMB 0925-0281 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 SEMI-ANNUAL FOLLOW-UP FORM Form and Instruction Modified Available
Form 1 Clinic Examination Form and Instruction Modified Available
Form 1 survey Form and Instruction New Repair queued
Form 1 survey Form and Instruction New Available
Form 2 SEMI-ANNUAL FOLLOW-UP FORM Form and Instruction New Available
Form 1 Clinic Examination Form and Instruction New Available
ARIC Supporting Statement B.doc Supporting Statement B Uploaded 2011-01-19 Available
Attach #6.pdf Supplementary Document Uploaded 2011-01-19 Available
Attach #5.pdf Supplementary Document Uploaded 2011-01-19 Available
Attachment #4 .pdf Supplementary Document Uploaded 2011-01-19 Available
Attach #3.pdf Supplementary Document Uploaded 2011-01-19 Available
Attach #2.pdf Supplementary Document Uploaded 2011-01-19 Available
Attach #1.docx Supplementary Document Uploaded 2011-01-19 Available
ARIC Supporting Statement A.doc Supporting Statement A Uploaded 2011-01-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7266 Participants Form and Instruction ModifiedSEMI-ANNUAL FOLLOW-UP FORM
7266 Participants Form and Instruction ModifiedClinic Examination
196031 Physician (for heart failure) Form and Instruction Newsurvey
196030 Physicians (or coroner) (for CHD) Form and Instruction Newsurvey
196029 Participants (Next of Kin) Form and Instruction NewSEMI-ANNUAL FOLLOW-UP FORM
196029 Participants (Next of Kin) Form and Instruction NewClinic Examination

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved 04/30/2013
34,539 0 11,992
20,435 0 2,877
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Participants 1, 2 ,  
Participants (Next of Kin) 1, 2 ,  
Physician (for heart failure) 1
Physicians (or coroner) (for CHD) 1

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 34,539 11,992 0 22,547 0 0
Annual Time Burden (Hours) 20,435 2,877 0 17,558 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No