OMB control number
Anniston Community Health Survey: Follow up and Dioxin Analyses (ACHS-II)
OMB 0923-0049 · HHS/TSDR.
OMB 0923-0049
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 0923-0049 Change Request Justification 20131205 use.docx | Justification for No Material/Nonsubstantive Change |
| Att3_6_ReminderTelScript_20131205.docx | Supplementary Document |
| Att3_8_ConsentForm_20131205.docx | Supplementary Document |
| Att3_5_ApptReminderCard_20131205.docx | Supplementary Document |
| Att3.2a_ListofChemicals.docx | Supplementary Document |
| Att3_2_StudyFactSheet_20131205.docx | Supplementary Document |
| Att3_1_InvitationLetter_20131205.docx | Supplementary Document |
 Questionnaire Materials |
Other-WORD |
| Blood Draw Form |
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| Medication Form |
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| Update Contact information Form |
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| Survey for Refusals |
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| Recruitement Telephone Script |
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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201312-0923-001 | No material or nonsubstantive change to a currently approved collection | 2013-12-10 | Approved without change | |
| 201305-0923-001 | New collection (Request for a new OMB Control Number) | 2013-05-08 | Approved with change |