Cancer Risk in U.S. Radiologic Technologists: Fourth Survey (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1C Fourth Survey FG Module (Attachment 1C)	Form and Instruction	New	Available
Form 1B Fourth Survey NM Module (Attachment 1B)	Form and Instruction	New	Available
Form 1A Fourth Survey CORE Module (Attachment 1A)	Form and Instruction	New	Available
Cancer Risk_Rad Tech_Passbacks_NCI response-2012-04-09.doc	Supplementary Document	Uploaded 2012-04-17	Available
SSB_RadTech-2011-12-13.doc	Supporting Statement B	Uploaded 2011-12-13	Available
Attachment F-Fluoroscopy_032612.pdf	Supplementary Document	Uploaded 2012-04-17	Available
Tracking Public Comments for 60-Day FRN-2011.DOC	Supplementary Document	Uploaded 2011-11-22	Available
Attachment E-NuclearMed_032612_vA.pdf	Supplementary Document	Uploaded 2012-04-17	Available
Attachment D-Core Module_032612.pdf	Supplementary Document	Uploaded 2012-04-17	Available
Attachment C-Pretest follow-up interview questions.pdf	Supplementary Document	Uploaded 2012-04-17	Available
Attachment B-Module changes-2012-04-03.doc	Supplementary Document	Uploaded 2012-04-17	Available
Attachment A-Procedures informant interviews-2012-04-05.docx	Supplementary Document	Uploaded 2012-04-17	Available
Cover Memo_2011-11-22.doc	Supplementary Document	Uploaded 2011-11-22	Available
SSA_RadTech-2011-12-13.doc	Supporting Statement A	Uploaded 2011-12-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200491	Medical Validation (Attachment 3)	Instruction	New
200490	Fourth Survey FG Module (Attachment 1C)	Form and Instruction	New
200489	Fourth Survey NM Module (Attachment 1B)	Form and Instruction	New
200488	Fourth Survey CORE Module (Attachment 1A)	Form and Instruction	New

ICR Details

OMB Control No: 0925-0656	ICR Reference No: 201112-0925-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Cancer Risk in U.S. Radiologic Technologists: Fourth Survey (NCI)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/23/2012
	Date Received in OIRA: 12/14/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved
Responses	37,053	0	0
Time Burden (Hours)	14,746	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Radiation Epidemiology Branch and the University of Minnesota have followed a nationwide cohort of 146,022 U.S. radiologic technologists (USRT) since 1982 to assess cancer and other disease risks associated with long-term repeated low doses of ionizing radiation. The USRT Study is the largest cohort of medical radiation workers studied to date and the only one with substantial numbers of women, extensive covariate data, incident and fatal cancer and other outcomes, estimates of individual historical occupational radiation doses, personal medical radiation doses, and personal and residential solar ultraviolet radiation (UVR) doses. Three OMB-approved questionnaires have been administered during 1983-2005 along with the collection of biospecimens for breast and thyroid cancer cases and comparison subjects. Study objectives for the next five years are to: (a) assess risks of cancer and other diseases from long-term low-dose occupational and personal medical radiation exposures; (b) assess risks of cancer and other diseases from occupational exposure to emerging and evolving radiologic modalities (i.e. nuclear medicine, interventional radiography); (c) assess risks of skin and other cancers from solar ultraviolet radiation exposures; (d) replicate main genotype effects for breast cancer reported from genome-wide association studies (GWAS) and evaluate genetic determinants for thyroid and skin cancers; and (e) evaluate gene-radiation and ionizing-ultraviolet radiation interactions for breast, thyroid, skin and other cancers. A fourth questionnaire survey will collect information on work history with nuclear medicine and interventional radiography procedures to improve dosimetry, new cancer and other disease outcomes, and other disease risk factors to further clarify the role of radiation and other factors in risks of cancer and other disease incidence and mortality.

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Authorizing Statute(s): US Code: 42 USC 411 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 58520	09/21/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 72956	11/28/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Medical Validation (Attachment 3)
Fourth Survey CORE Module (Attachment 1A)	1A	CORE module
Fourth Survey NM Module (Attachment 1B)	1B	Nuclear Medicine Module
Fourth Survey FG Module (Attachment 1C)	1C	Fluoroscopically-guided (FG) Interventional Module

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ICR Summary of Burden

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	37,053	0	0	37,053	0	0
Annual Time Burden (Hours)	14,746	0	0	14,746	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $720,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/14/2011

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