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

Document Name
Form 1 Annual Study Update (ASU) for PLCO Form and Instruction
Form 5 Attachment 11 Authorization to Release Medical Records Form and Instruction
Form 5 Attachment 5 ASU Telephone Script Form and Instruction
Form 4 Attachment 4 Medication Use Questionnaire (MUQ) Form and Instruction
Form 3 Attachment 2B HSQ Female Form and Instruction
Form 2 Attachment 2A HSQ Male Form and Instruction
Form 1 Attachment 1 Annual Study Update Form Form and Instruction
Form 5 Medication Use Questionnaire (MUQ) for PLCO Form and Instruction
Form 6 Script for Non-responders to ASU Form and Instruction
Form 3B Health Status Questionnaire (HSQ) for PLCO Form and Instruction
SSB_PLCO 6_22_2015.docx Supporting Statement B
SSA_PLCO 6.22.2015.docx Supporting 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

All Historical Document Collections

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