Attachment 25: Paper/pen, CAWI or CATI Instruments for Private Applicators 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: 7302

Information Collection (IC) Details

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Attachment 25: Paper/pen, CAWI or CATI Instruments for Private Applicators 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 7 CATI Attachment 25-2_CATI_Ppt_Intro.doc No No Printable Only
Form and Instruction 6 Paper/pen, CAWI or CATI Attachment 25-1_CAWI_Ppt_Intro.docx Yes Yes Fillable Printable
Form and Instruction 9 Paper and Pencil Attachment 25-4_Ppt_PaperPenSurvey.docx No No Printable Only
Form and Instruction 8 CAWI-CATI Attachment 25-3_CAWI_CATI_Ppt_Survey_Partial.docx Yes No Fillable Fileable

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

13,855 13,855
   
Private Sector Farms
 
   33 %

  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 13,855 0 13,705 0 0 150
Annual IC Time Burden (Hours) 5,773 0 5,685 0 0 88
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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