0920- 20MT Records Request

Form Approved

OMB No. 0920-xxxx

Exp. Date xx/xx/20xx

Targeted Cohort Email for Fire Departments

Hello [Department Contact],

As you know, Congress passed the Firefighter Cancer Registry Act of 2018 which directed the U.S. Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational Safety and Health (NIOSH) to create a registry of U.S. firefighters to monitor cancer incidence and risk factors among the current U.S. fire service. The National Firefighter Registry (NFR) will provide information for decision makers within the fire service, medical, and public health communities to devise and implement policies and procedures to lessen cancer risk and/or improve early detection of cancer among firefighters.

Although we encourage all current, former, and retired firefighters to join the NFR, we are working with selected career and volunteer fire departments that are diverse by geographic, demographic, and occupational characteristics to recruit a sub-sample of active firefighters. [Fire department] is one of these departments and your participation would help make the NFR as successful as possible.

As a reminder, in order to participate, we are asking that you share:

1. A complete roster of the current firefighter workforce at your department

2. Incident records dating back to at least January 1, 2010, or older, in electronic form

3. Employment records for firefighters at your department that consented to participate in the NFR

The SFTP site for sharing records is now active (site domain/shortcut). You should have received instructions and a unique password for securely uploading your documents. If you have not used this type of software or have any questions about this process, please feel free to reach out to the NFR team.

Thank you for your participation. The success of the NFR will play an important role in future efforts to reduce cancer in firefighters.

Sincerely,

The National Firefighter Registry Team

For more information on the NFR, visit www.cdc.gov/NFR.

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CDC estimates the average reporting burden for this collection of information as 16 hours per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestion for reducing the burden to CDC/ATSDR Information Collection Review Office, 1500 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX).