Participants (Next of Kin)

The Atherosclerosis Risk in Communities Study (ARIC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0281 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Participants (Next of Kin) Form and Instruction
1 Clinic Examination Attach #7 .docx Form and Instruction
2 SEMI-ANNUAL FOLLOW-UP FORM Attach #8.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Participants (Next of Kin)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	1	Clinic Examination	Attach #7 .docx		Yes	Yes	Paper Only
Form and Instruction	2	SEMI-ANNUAL FOLLOW-UP FORM	Attach #8.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	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.