The NIH-AARP interactive Comprehensive Lifestyle Interview by Computer Study (iCLIC) (NCI)

OMB 0925-0594

Latest Forms, Documents, and Supporting Material

Document Name
Form 9 Evaluation Questionnaire (Attach 9) Form and Instruction
Form 8 Web Re-Entry iCLIC (Attach 8) Form and Instruction
Form 7 Enrollment iCLIC (Attach 7) Form and Instruction
Form 4 Pre-Enrollment iCLIC (Attach 6) Form and Instruction
Form 4 Diet and Health History Questionnaire (DHQ) (Attach 4-4) Form and Instruction
Form 3 Lifestyle and Health History Questionnaire (LHQ) (Attach 4-3) Form and Instruction
Form 2 Automatic Self-Administered 24-hour Dietary Recall (ASA24) (Attach 4-1) Form and Instruction
Form 1 Activities Completed by Time in 24 Hours (ACT-24) (Attach 4-2) Form and Instruction
SSB_iCLIC_v4.docx Supporting Statement B
Att 17_ConfidentialityStatement.pdf Supplementary Document
Att 16_PIA for iCLIC.pdf Supplementary Document
Att 15-1 through 15-5_Email to Participants.docx Supplementary Document
Att 14_Study Consent.pdf Supplementary Document
Att 13_IRB approvals 2010.pdf Supplementary Document
Att 11_Privacy Act Memo.pdf Supplementary Document
Att 5_NIH AARP CLIC Study Summary 05_16_08.doc Supplementary Document
Att 12_Westats Procedures for Keeping Data Confidential.doc Supplementary Document
Att 10_External Working Group and Steering Commimittee Members.docx Supplementary Document
Att 2_NIH-AARP Bibliography.pdf Supplementary Document
Att 1_NIH-AARP DHS Original Study Summary.doc Supplementary Document
Cover Memo_iCLIC.doc Supplementary Document
SSA_iCLIC_v10.docx Supporting Statement A
Evaluation Questionnaire (Attach 9) Form and Instruction
Web Re-Entry iCLIC (Attach 8) Form and Instruction
Enrollment iCLIC (Attach 7) Form and Instruction
Pre-Enrollment iCLIC (Attach 6) Form and Instruction
Invitation Letter (Attach 3) Instruction
Diet and Health History Questionnaire (DHQ) (Attach 4-4) Form and Instruction
Lifestyle and Health History Questionnaire (LHQ) (Attach 4-3) Form and Instruction
Automatic Self-Administered 24-hour Dietary Recall (ASA24) (Attach 4-1) Form and Instruction
Activities Completed by Time in 24 Hours (ACT-24) (Attach 4-2) Form and Instruction