OMB control number

Women's Health Initiative Observational Study (NHLBI)

OMB 0925-0414 · HHS/NIH.

OMB 0925-0414

Latest Forms, Documents, and Supporting Material

Document Name
Form 33 OS Participants Form and Instruction
Form 4 Initial Notification of Death Physician/Office Staff Form
Form 4 Initial Notification of Death Next of Kin Form
Form 3 Participants Personal Information Update Form
Form 2 Participants Activities of Daily Life Form
Form 1 Participants Medical History Update Form
Form 120 Physician/Office Staff Form and Instruction
Form 23 Next of Kin Form and Instruction
30-day FRN2016-14057.pdf Supplementary Document
Revised_Supporting Statement A Passback SEL comments Passback.doc Supporting Statement A
SSB_Attachment 3_Participant Newsletter.pdf Supplementary Document
SSB_Attachment 2_OS Adjudicator Forms List.pdf Supplementary Document
SSB_Attachment 1_Data Collection Background.pdf Supplementary Document
Revised_Supporting Statement B FINAL.doc Supporting Statement B
SSA Attachment 4 IRBs.pdf Supplementary Document
SSA Attachment 3 Cert of Conf.pdf Supplementary Document
SSA Attachment 2 Council Minutes.pdf Supplementary Document
SSA Attachment 1 Study Procedures.pdf Supplementary Document
OS Participants Form and Instruction
Initial Notification of Death Physician/Office Staff Form
Initial Notification of Death Next of Kin Form
Participants Personal Information Update Form
Participants Activities of Daily Life Form
Participants Medical History Update Form
Physician/Office Staff Form and Instruction
Next of Kin Form and Instruction

All Historical Document Collections

201606-0925-004 Approved without change	Revision of a currently approved collection	2016-06-15
201306-0925-001 Approved without change	Revision of a currently approved collection	2013-06-05
201005-0925-001 Approved without change	Revision of a currently approved collection	2010-05-10
200903-0925-003 Approved without change	Extension without change of a currently approved collection	2009-03-31
200602-0925-001 Approved without change	Revision of a currently approved collection	2006-02-17
200302-0925-001 Approved without change	Revision of a currently approved collection	2003-02-21
200003-0925-001 Approved without change	Revision of a currently approved collection	2000-03-17
199704-0925-001 Approved without change	Revision of a currently approved collection	1997-04-08
199602-0925-001 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-02-26
199506-0925-002 Approved without change	Revision of a currently approved collection	1995-06-27
199404-0925-003 Approved without change	New collection (Request for a new OMB Control Number)	1994-04-06