OMB control number

[NIOSH] National Firefighter Registry for Cancer

OMB 0920-1348 · HHS/CDC.

OMB 0920-1348

The main goal of the National Firefighter Registry (NFR), according to the Firefighter Cancer Registry Act of 2018, is, “to develop and maintain a voluntary registry of firefighters to collect relevant health and occupational information of such firefighters for purposes of determining cancer incidence.” This Non-Substantive Change Request is submitted for the following reason(s): 1) Modification of R/E question to follow the recently released Statistical Policy Directive 15 (SPD-15) Standard in the NFR Enrollment Questionnaire; 2) Removal of three questions in the Enrollment Questionnaire that are being asked exclusively in the User Profile; and 3) Modification of Sex question to conform to EO 14168. There is no change to the burden hours approved for this data collection.

The latest form for [NIOSH] National Firefighter Registry for Cancer expires 2026-04-30 and is listed under ICR 202503-0920-021.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-26-0116 Enrollment Questionnaire	Form and Instruction
Form 0920-26-0116 NFR User Profile (web-portal registration)	Form and Instruction
Form 0920-26-0116 Informed Consent	Form and Instruction
Attachment 3a. Privacy Impact Assessment.rtf	Supplementary Document
Attachment 3b. Privacy Threshold Analysis.rtf	Supplementary Document
Attachment 4. AOC.pdf	Supplementary Document
Attachment 5. Non-research detrmination 2026.pdf	Supplementary Document
Justification for change March 2025.docx	Justification for No Material/Nonsubstantive Change
Attachment 8. Non-research determination.pdf	Supplementary Document
Attachment 7. AOC.docx	Supplementary Document
Attachment 6. Privacy Impact Assessment.pdf	Supplementary Document
Attachment 5. RFI 2019.pdf	Supplementary Document
Attachment 4c. NIOSH-Palm-Card_4x9-508.pdf	Supplementary Document
Attachment 4b. NFR Fact Sheet.pdf	Supplementary Document
Attachment 4a. Invitation to Participate.pdf	Supplementary Document
Attachment 2. 60 day FRN.pdf	Supplementary Document
Attachment 1. Authorizing Legislation.pdf	Supplementary Document
Supporting Statement B.docx	Supporting Statement B
Supporting Statement A-6.3.26.docx	Supporting Statement A
Records Request	Other-email
NFR Enrollment Questionnaire	Form and Instruction
User Profile (web-portal registration)	Form and Instruction
Informed Consent	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202606-0920-001	Reinstatement with change of a previously approved collection	2026-06-03
202503-0920-021	No material or nonsubstantive change to a currently approved collection	2025-03-28	Approved without change
202407-0920-007	Revision of a currently approved collection	2024-08-15
202207-0920-003	No material or nonsubstantive change to a currently approved collection	2022-07-19	Approved without change
202011-0920-010	New collection (Request for a new OMB Control Number)	2020-12-07	Approved with change

OMB Details

Informed Consent

Federal Enterprise Architecture: Workforce Management - Worker Safety

Information collection instruments
Form	Name	Electronic access	Type
Form n/a	Informed Consent	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.