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) for PLCOForm and Instruction
Form 5 Attachment 11 Authorization to Release Medical RecordsForm and Instruction
Form 5 Attachment 5 ASU Telephone ScriptForm and Instruction
Form 4 Attachment 4 Medication Use Questionnaire (MUQ)Form and Instruction
Form 3 Attachment 2B HSQ FemaleForm and Instruction
Form 2 Attachment 2A HSQ MaleForm and Instruction
Form 1 Attachment 1 Annual Study Update FormForm and Instruction
Form 5 Medication Use Questionnaire (MUQ) for PLCOForm and Instruction
Form 6 Script for Non-responders to ASUForm and Instruction
Form 3B Health Status Questionnaire (HSQ) for PLCOForm 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

All Historical Document Collections

Historical document collections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