OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Case Investigation of Cervical Cancer (CICC) Study

OMB 0920-1162 ยท HHS/CDC.

OMB 0920-1162

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Support for Medical Record AbstractionForm
Medical Release and Healthcare Source FormsForm
Case Investigation of Cervical Cancer Study SurveyForm
Change request for #0920-1162 #2_text_final.docx Justification for No Material/Nonsubstantive Change
OMB Change for 0920-1162 (CICC study) AG Request #1 only revised_clean.docx Justification for No Material/Nonsubstantive Change
Attachment 10 IRB Approval Letters.pdf Supplementary Document
Attachment 10. Battelle IRB Approval Letter.pdf Supplementary Document
Attachment 8b. CICC Phonescript Follow-up to Mailing Spanish.doc Supplementary Document
Attachment 8a. Phone Follow-up Script English.doc Supplementary Document
Attachment 6b. CICC Research participant information sheet Spanish 2016 06 10.docx Supplementary Document
Attachment 6a. CICC Research participant information sheet English 2016 06 10.docx Supplementary Document
Attachment 5b. CICC Cover letter Spanish 2016 06 10.docx Supplementary Document
Attachment 5a. CICC Cover letter English 2016 06 10.docx Supplementary Document
Attachment 3. Letter to physicians 2016 06 10.docx Supplementary Document
Attachment 2. 60-Day FRN.docx Supplementary Document
Attachment 1. Section 301 of the Public Health Service Act.docx Supplementary Document
CICC_SS Part B_2016 06 10_OMB clean.docxSupporting Statement B
CICC_SS Part A_2016 06 10_OMB clean.docxSupporting Statement A
Support for Medical Record Abstraction Form
Medical Release and Healthcare Source Forms Form
Case Investigation of Cervical Cancer Study Survey Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201804-0920-017 No material or nonsubstantive change to a currently approved collection 2018-04-27 Approved without change
201802-0920-012 No material or nonsubstantive change to a currently approved collection 2018-02-28 Approved with change
201802-0920-004 No material or nonsubstantive change to a currently approved collection 2018-02-07 Improperly submitted and continue
201606-0920-012 New collection (Request for a new OMB Control Number) 2016-06-22 Approved with change