Information Collection Request
[NIOSH] National Firefighter Registry for Cancer
ICR 202503-0920-021 · OMB 0920-1348 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1348 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 NFR Enrollment Questionnaire |
Form and Instruction | Modified | Available |
| NFR Enrollment Questionnaire |
Form and Instruction | Modified | Repair queued |
| NFR User Profile |
Form | Modified | Repair queued |
| NFR User Profile |
Form | Modified | Repair queued |
| Informed Consent |
Form and Instruction | Unchanged | Available |
| Informed Consent |
Form and Instruction | Unchanged | Repair queued |
 Justification for change March 2025.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-18 | Available |
| Justification for change March 2025.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-18 | Repair queued |
 Attachment 8. Non-research determination.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 8. Non-research determination.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 7. AOC.docx |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 7. AOC.docx |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 6. Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 6. Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 5. RFI 2019.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 5. RFI 2019.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 4c. NIOSH-Palm-Card_4x9-508.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 4c. NIOSH-Palm-Card_4x9-508.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 4b. NFR Fact Sheet.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 4b. NFR Fact Sheet.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 4a. Invitation to Participate.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 4a. Invitation to Participate.pdf |
Supplementary Document | Uploaded 2024-07-30 | Missing upstream |
| Attachment 2. 60 day FRN.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 2. 60 day FRN.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Attachment 1. Authorizing Legislation.pdf |
Supplementary Document | Uploaded 2024-07-30 | Available |
| Attachment 1. Authorizing Legislation.pdf |
Supplementary Document | Uploaded 2024-07-30 | Repair queued |
| Supporting Statement B_7_11_24_final.docx |
Supporting Statement B | Uploaded 2024-07-30 | Available |
| Supporting Statement B_7_11_24_final.docx |
Supporting Statement B | Uploaded 2024-07-30 | Repair queued |
| Supporting Statement A_9_5_24.docx |
Supporting Statement A | Uploaded 2024-09-09 | Available |
| Supporting Statement A_9_5_24.docx |
Supporting Statement A | Uploaded 2024-09-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 269710 |  Records Request |
Other-email | Unchanged | |
| 269709 | NFR Enrollment Questionnaire |
Form and Instruction | Modified | |
| 269709 | NFR Enrollment Questionnaire |
Form and Instruction | Modified | |
| 269708 | NFR User Profile |
Form | Modified | |
| 269708 | NFR User Profile |
Form | Modified | |
| 244765 | Informed Consent |
Form and Instruction | Unchanged | |
| 244765 | Informed Consent |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1348 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202407-0920-007 |
| Agency Tracking No | 0920-1348-25-0052 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |