OMB control number

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

OMB 0920-1332 · HHS/CDC.

OMB 0920-1332

Latest forms, documents, and information collections
Document	Type
Form 0920-21ID HRCT Scan informed consent	Form
Consent	Form and Instruction
Former employee medical questionnaire	Form
Request for Nonsubstantive Change 0920-1332.docx	Justification for No Material/Nonsubstantive Change
Attachment 22 PIA form.pdf	Supplementary Document
Attachment 11 FDA package insert.pdf	Supplementary Document
Attachment 9 Albuterol drug information.docx	Supplementary Document
Attachment 5 Medical survey Contol Card.pptx	Supplementary Document
Attachment 21 IRB approval letter.pdf	Supplementary Document
Attachment 20 Notification Letter.docx	Supplementary Document
Attachment 18 Information sheet_medical survey.ppt	Supplementary Document
Attachment 17 General Invitation letter.docx	Supplementary Document
Attachment 15 Information sheet.ppt	Supplementary Document
Attachment 14 Information session ppt.pptx	Supplementary Document
Attachment 2 60 day FRN.pdf	Supplementary Document
Attachment 1 Laws and Regulations.docx	Supplementary Document
SupSta B (9.15.20).docx	Supporting Statement B
SupSta A_Updated (9.15.20).docx	Supporting Statement A
HRCT Scan	Other-HRCT Protocol
HRCT Scan informed consent	Form
Consent	Form and Instruction
Blood test procedures	Instruction
Color vision test procedures	Instruction
Bronchodilator test procedures	Instruction
Spirometry procedures	Instruction
Nitrogen multibreath washout test procedures	Instruction
Impulse oscillometry procedures	Instruction
Exhaled nitric oxide procedures	Instruction
Former employee medical questionnaire	Form

Historical document collections
Reference	Filing	Received	Concluded	Action
202109-0920-011	No material or nonsubstantive change to a currently approved collection	2021-09-30		Approved with change
202009-0920-016	New collection (Request for a new OMB Control Number)	2020-10-02		Approved without change