OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

The Hispanic Community Health Study/ Study of Latinos (HCHS/SOL)(NHLBI)

OMB 0925-0584 · HHS/NIH.

OMB 0925-0584

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 1 PQE Hospitalization records/physician interviewForm and Instruction
Form 1 IIE-Informant Interview Deaths - EngForm and Instruction
Form 1 AFU Year 11Form and Instruction
Form 1 AFU Year 10Form and Instruction
Form 1 AFU Year 9Form and Instruction
Form 1 AFU Year 8Form and Instruction
Form 1 AFU Year 7Form and Instruction
Form 1 AFU Year 6Form and Instruction
Form 1 AFU Year 5Form and Instruction
Form 1 AFU Year 4Form and Instruction
Form 1 AFU Year 3Form and Instruction
Form 1 Participant FeedbackForm and Instruction
Form 1 Alcohol UseForm and Instruction
Form 1 Tobacco UseForm and Instruction
Form 1 Abbreviated Medication UseForm and Instruction
Form 1 Well BeingForm and Instruction
Form 1 AcculturationForm and Instruction
Form 1 Social SupportForm and Instruction
Form 1 Family CohesionForm and Instruction
Form 1 Chronic StressForm and Instruction
Form 1 Health Care Access and UtilizationForm and Instruction
Form 1 Socio-economic Status - OccupationForm and Instruction
Form 1 Pregnancy Complications HistoryForm and Instruction
Form 1 Reproductive Medical HistoryForm and Instruction
Form 1 Personal Medical HistoryForm and Instruction
Form 1 2-hour blood draw, snackForm and Instruction
Form 1 EchocardiographyForm and Instruction
Form 1 Seated BPForm and Instruction
Form 1 Determination of blood glucose, OGTTForm and Instruction
Form 1 Determination of fasting & blood drawForm and Instruction
Form 1 AnthropometryForm and Instruction
Form 1 Updated personal informationForm and Instruction
Form 1 Change clothes, urine specimenForm and Instruction
Form 1 Participant safety screeing update and routingForm and Instruction
Form 1 Participant disability screeningForm and Instruction
Form 1 Reception, informed consent, medical releasesForm and Instruction
Form 3 Participants Follow-up Year 3 to 6Form and Instruction
Form 1 Non Participant ComponentsForm and Instruction
Form 2 Participants Follow-up Year 2Form and Instruction
Form 1 Pre-visit scheduling and safety screeningForm and Instruction
Appendix 20 Sources of Questionnaires and Protocols FINAL.doc Supplementary Document
Appendix 19 - Example of QXQ.pdf Supplementary Document
HCHS SOL Supporting Statement A 08262014.docxSupporting Statement A
San Diego Talavera_1586091_SOL Visit 2_New Approval_Minimal Risk_Dec 10 2013mtg.pdf Supplementary Document
Miami Schneiderman HCHS Visit 2 IRB approval letter_01082014.pdf Supplementary Document
Chicago Daviglus HCHS Visit 2 UIC IRB Approval 20131261-79111-1.pdf Supplementary Document
Bronx Kaplan HCHS Visit 2 IRB Approval.pdf Supplementary Document
SALUD SOLNEWSLETTER_Vol6No2_Bronx_ENG SPA FINAL_TVC_Bronx.pdf Supplementary Document
Participant Booklet National Alliance 2014.pdf Supplementary Document
Final pdf NHLBI-HCHSSOL-Spanish-508Rev2-FY14.pdf Supplementary Document
Final pdf NHLBI-HCHSSOL-English-508Rev2-FY14.pdf Supplementary Document
JAMA Factsheet FINAL SD Eng Span BackFront.pdf Supplementary Document
UNC HCHS Coord Center IRB Approval Notice 2013-2014.pdf Supplementary Document
Appendix 13 UNC CC Privacy Policy.pdf Supplementary Document
Appendix 12 - Privacy Act System Notice.pdf Supplementary Document
SOL IC Spanish FINAL 27 Dec 2013.pdf Supplementary Document
SOL IC English FINAL 27 Dec 2013.pdf Supplementary Document
San Diego HIPPA Form SOL Visit 2 English 1-17-2014.pdf Supplementary Document
San Diego HIPAA Form SOL Visit 2 Spanish-1-17-14.pdf Supplementary Document
Miami HCHS Visit 2 HIPAA FormB-Spanish.pdf Supplementary Document
Miami HCHS Visit 2 HIPAA FormB-English.pdf Supplementary Document
Chicago HCHS-SOL-Visit 2 HIPAA English20140103.pdf Supplementary Document
Chicago HCHS-SOL Visit 2 HIPPA Spanish.pdf Supplementary Document
Bronx HCHS Updated Spanish HIPAA.pdf Supplementary Document
Bronx HCHS Updated English HIPAA .pdf Supplementary Document
Kost Clinical Research Experience.pdf Supplementary Document
Grady payment.pdf Supplementary Document
Grady incentives.pdf Supplementary Document
Appendix 8 - HCHS OSMB Minutes 8 Nov 2013.docx Supplementary Document
Appendix 7 - NHLBI Advisory Council June 2011 Roster.docx Supplementary Document
Appendix 6 - NHLBI Council Minutes June 2011.docx Supplementary Document
Appendix 5 - Future Research Opportunities HCHS SOL 2010.docx Supplementary Document
Appendix 4 - Epidemiologic Research in Hispanic Populations 2003.docx Supplementary Document
Appendix 3 - Comparison Visit 1 and Visit 2 HCHS SOL.docx Supplementary Document
Appendix 2 - NHLBI Legislative Mandate.pdf Supplementary Document
Appendix 1c Sorlie et al Design and Implementation SOL.pdf Supplementary Document
Appendix 1b LaVange et al Sampling Design SOL.pdf Supplementary Document
Appendix 1a Daviglus et al Prevalence of CVD risk Factors.pdf Supplementary Document
HCHS SOL Supporting Statement B FINAL May2014.docxSupporting Statement B
PQE Hospitalization records/physician interview Form and Instruction
IIE-Informant Interview Deaths - Eng Form and Instruction
AFU Year 11 Form and Instruction
AFU Year 10 Form and Instruction
AFU Year 9 Form and Instruction
AFU Year 8 Form and Instruction
AFU Year 7 Form and Instruction
AFU Year 6 Form and Instruction
AFU Year 5 Form and Instruction
AFU Year 4 Form and Instruction
AFU Year 3 Form and Instruction
Participant Feedback Form and Instruction
Alcohol Use Form and Instruction
Tobacco Use Form and Instruction
Abbreviated Medication Use Form and Instruction
Well Being Form and Instruction
Acculturation Form and Instruction
Social Support Form and Instruction
Family Cohesion Form and Instruction
Chronic Stress Form and Instruction
Health Care Access and Utilization Form and Instruction
Socio-economic Status - Occupation Form and Instruction
Pregnancy Complications History Form and Instruction
Reproductive Medical History Form and Instruction
Personal Medical History Form and Instruction
2-hour blood draw, snack Form and Instruction
Echocardiography Form and Instruction
Seated BP Form and Instruction
Determination of blood glucose, OGTT Form and Instruction
Determination of fasting & blood draw Form and Instruction
Anthropometry Form and Instruction
Updated personal information Form and Instruction
Change clothes, urine specimen Form and Instruction
Participant safety screeing update and routing Form and Instruction
Participant disability screening Form and Instruction
Reception, informed consent, medical releases Form and Instruction
Participants Follow-up Year 3 to 6 Form and Instruction
Non Participant Components Form and Instruction
Participants Follow-up Year 2 Form and Instruction
Pre-visit scheduling and safety screening Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201406-0925-002 Revision of a currently approved collection 2014-07-17 Approved with change
201110-0925-002 Revision of a currently approved collection 2011-10-24 Approved with change
200901-0925-003 Revision of a currently approved collection 2009-01-12 Approved without change
200709-0925-003 New collection (Request for a new OMB Control Number) 2007-09-30 Approved with change