Attachment 19: BEEA Home Visit CAPI, Blood, & Urine x 1 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: 192870

Information Collection (IC) Details

View Information Collection (IC)

Attachment 19: BEEA Home Visit CAPI, Blood, & Urine x 1 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 3 BEEA Home Visit CAPI, Blood, & Urine x 1 Attachment 19_CAPI_Questionnaire_Both_Groups - 03-22-10 rev.doc 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

160 160
   
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 160 0 -150 0 0 310
Annual IC Time Burden (Hours) 80 0 -23 0 0 103
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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