Phase IV Follow-up CAWI Survey, CATI Script or Paper/Pen

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

OMB: 0925-0406

IC ID: 220927

Information Collection (IC) Details

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Phase IV Follow-up CAWI Survey, CATI Script or Paper/Pen
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 23 Attachment 25-1 AHS Phase IV Health Follow-up CAWI Participant Survey Attachment 25-1. AHS Phase IV Health Follow-Up CAWI Participant Survey.pdf Yes No Fillable Fileable
Form and Instruction 24 Attachment 25-2 AHS Phase IV Health Follow-up CATI Proxy Survey Script Attachment 26-2. AHS Phase IV Health Follow-Up CATI Proxy Survey Script.pdf Yes No Fillable Fileable
Form and Instruction 25 Attachment 25-3 AHS Phase IV Health Follow-up Paper & Pen Participant Survey Attachment 25-3 AHS Phase IV Health Follow-Up Paper & Pen Participant Survey.pdf Yes No Fillable Fileable

Health Health Care Services

09-25-0200 Clinical, Basic and Population-based Research Studies  67 FR 60776

13,855 0
   
Private Sector Farms, Businesses or other for-profits
 
   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 13,855 0 13,855 0 0 0
Annual IC Time Burden (Hours) 5,773 0 5,773 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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