OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial (PLCO) (NCI)

OMB 0925-0407 · HHS/NIH.

OMB 0925-0407

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 1 Annual Study Update (ASU)Form and Instruction
Form 5 Authorization to Release Medical RecordsForm and Instruction
Form 5 ASU Telephone ScriptForm and Instruction
Form 4 MUQForm and Instruction
Form 3 HSQ FemaleForm and Instruction
Form 2 HSQ MaleForm and Instruction
Form 1 Annual Study UpdateForm and Instruction
Form 5 Medication Use Questionnaire (MUQ)Form and Instruction
Form 6 Script for ASU Non-responseForm and Instruction
Form 3B Health Status Questionnaire (Female-HSQ)Form and Instruction
Form 3A Health Status Questionnaire (Male-HSQ)Form and Instruction
SSB_PLCO 6_22_2015.docxSupporting Statement B
SSA_PLCO 6.22.2015.docxSupporting Statement A
Attachment 14.List of Statistician Who Work on Study.docx Supplementary Document
Attach_13_Sampling & Power.pdf Supplementary Document
Attachment 12 PLCO Publications.pdf Supplementary Document
Attach_10_Confidentiality Procedures.doc Supplementary Document
Attach_9_NIH Privacy Act Memo.pdf Supplementary Document
Attach_8_IRB Certifications.pdf Supplementary Document
Attach_07_Literature Review.pdf Supplementary Document
Attach_6_PIA.doc Supplementary Document
Attach_3_Cover Letters.pdf Supplementary Document
Annual Study Update (ASU) for PLCO Form and Instruction
Attachment 11 Authorization to Release Medical Records Form and Instruction
Attachment 5 ASU Telephone Script Form and Instruction
Attachment 4 Medication Use Questionnaire (MUQ) Form and Instruction
Attachment 2B HSQ Female Form and Instruction
Attachment 2A HSQ Male Form and Instruction
Attachment 1 Annual Study Update Form Form and Instruction
Medication Use Questionnaire (MUQ) for PLCO Form and Instruction
Script for Non-responders to ASU Form and Instruction
Health Status Questionnaire (HSQ) for PLCO Form and Instruction
Health Status Questionnaire (HSQ) for PLCO Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201504-0925-008 Revision of a currently approved collection 2015-07-16 Approved without change
201210-0925-003 Revision of a currently approved collection 2012-10-31 Approved without change
201107-0925-004 Revision of a currently approved collection 2011-07-15 Approved without change
200808-0925-002 Revision of a currently approved collection 2008-08-22 Approved without change
200506-0925-003 Revision of a currently approved collection 2005-06-08 Approved with change
200205-0925-007 Revision of a currently approved collection 2002-05-20 Approved without change
199908-0925-002 Revision of a currently approved collection 1999-08-13 Approved without change
199608-0925-002 Extension without change of a currently approved collection 1996-08-21 Approved without change
199306-0925-002 New collection (Request for a new OMB Control Number) 1993-06-23 Approved without change