Attachment 20 or 21: BEEA CATI Screener 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: 192869

Information Collection (IC) Details

View Information Collection (IC)

Attachment 20 or 21: BEEA CATI Screener 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 2 CATI Eligibility Script_Randomly Selected Respondents Attachment 20_BEEA_CATI_Eligibility_Script_Random_Select_BothSites_v2.docx Yes No Printable Only
Form and Instruction 3 CATI Eligibility Script_Recently Exposed Respondents Attachment 21_BEEA_CATI_Eligibility_Script_Recently_Exposed.docx Yes 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

480 480
   
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 480 0 -480 0 0 960
Annual IC Time Burden (Hours) 160 0 -160 0 0 320
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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