Consent

Understanding Long-term Respiratory Morbidity in Former Styrene-exposed Workers: Medical Survey

OMB: 0920-1332

IC ID: 243752

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Information Collection (IC) Details

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Consent
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Consent Attachment 19 Consent form_Questionnaire and medical survey.docx No   Paper Only

Workforce Management Worker Safety

Occupational Health Epidemiological Studies and EEOICPA Program Records and WTC Health Program Records   76 FR 34706

338 0
   
Individuals or Households
 
   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 338 0 338 0 0 0
Annual IC Time Burden (Hours) 85 0 85 0 0 0
Annual IC Cost Burden (Dollars) 1,944 0 1,944 0 0 0

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