Attachment 10: BEEA Schedule Home Visit Scripts for AHS

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

OMB: 0925-0406

IC ID: 192871

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Attachment 10: BEEA Schedule Home Visit Scripts for AHS
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 BEEA Iowa Schedule PostApp Visit Script Attachment 10-2_BEEA_IO_Sched_PostApp_Visit_Script.docx No No Printable Only
Form and Instruction 3 BEEA North Carolina Schedule PostApp Visit Script Attachment 10-3_BEEA_NC_Sched_PostApp_Visit_Script.docx No No Printable Only
Form and Instruction 1 BEEA Previsit Reminder Script Attachment 10-1_BEEA_Previsit_Reminder_CallScripts.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

20 20
   
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 0 0 -60 0 0 60
Annual IC Time Burden (Hours) 0 0 -5 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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