ACHS_II_ListAtt_091313

LIST OF ATTACHMENTS

Attachment 1. Authorizing Legislation

Attachment 2. 60-Day Federal Register Notice

Attachment 3. Overview of Data Collection System

Attachment 3.1. Invitation Letter

Attachment 3.2. Study Fact Sheet

Attachment 3.2a. List of Chemicals

Attachment 3.3. Recruitment Telephone Script*

Attachment 3.4. Survey for Refusals*

Attachment 3.5. Appointment Reminder Card

Attachment 3.6. Reminder Telephone Script

Attachment 3.7. Recruitment Tracking Form

Attachment 3.8. Informed Consent Form

Attachment 3.9. Update Contact Information Form*

Attachment 3.10. Medications Form*

Attachment 3.11. Body and Blood Pressure Measures Form

Attachment 3.12. Blood Draw Form*

Attachment 3.13. Questionnaire Materials

Attachment 3.13a. Questionnaire Background

Attachment 3.13b. Questionnaire*

Attachment 3.13c. Interviewer Booklet*

Attachment 3.14. Appointment Tracking Form

Attachment 4. Biochemical Analytical Plan

Attachment 4.1. Project Year, Performing Laboratory, and Analyte

Attachment 4.2. Reportable Clinical Tests

Attachment 4.3. Reportable Reference Ranges for PCBs, Dioxins, and Other Chemicals

Attachment 5. Institutional Review Board Approvals

Attachment 6. Reports to Participants

Attachment 6.1. Body and Blood Pressure Measures Report

Attachment 6.2. Advance Reporting Script

Attachment 6.2a. Call Log

Attachment 6.3. Clinical Tests Results Report

Attachment 6.4. PCBs, Dioxins, and Other Chemicals Results Report

Attachment 7. Sample Size and Power Calculation for Exposure Assessment

Attachment 8. Communications Plan

Attachment 9. Characteristics of ACHS non-participants and participants, Anniston residents, and

Calhoun county residents.

* Denotes IC forms included in the estimated annualized burden table in Section A.12.