Attachment 9: Reminder, Missing or Damaged Scripts for AHS

Agricultural Health Study: A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture (NCI)

OMB: 0925-0406

IC ID: 192868

Information Collection (IC) Details

View Information Collection (IC)

Attachment 9: Reminder, Missing or Damaged Scripts for AHS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Reminder Call Script for Iowa Buccal Cell Respondents Attachment 09-2_Phase_IV_Remind_Call_IO_Buccal_Cell_Script.docx No No Printable Only
Form and Instruction 3 Missing Buccal Cell Consent Forms Call Script Attachment 09-4_Phase_IV_Missing_Consent_Buccal_Cell_Script.docx No No Printable Only
Form and Instruction 2 Reminder Call Script for North Carolina Buccal Cell Respondents Attachment 09-3_Phase_IV_Remind_Call_NC_Buccal_Cell_Script.docx No No Printable Only
Form and Instruction 4 Damaged or Missing Buccal Cell Sample Call Script Attachment 09-5_Phase_IV_Missing_Damaged_Buccal_Cell_Sample_Script.docx No No Printable Only

Health Consumer Health and Safety

SORN #09-25-0200, Clinical, Epidemiologic, and Biometric Studies of the National Institutes of Health (NIH), HHS/NIH/ OD  67 FR 60776

100 100
   
Private Sector Farms
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 -50 0 0 150
Annual IC Time Burden (Hours) 8 0 -5 0 0 13
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 09-1_Phase_IV_Initial_Script_Consent_Buccal_Cell Attachment 09-1_Phase_IV_Initial_Script_Consent_Buccal_Cell.docx 02/06/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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