OMB control number

Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers (NIEHS)

OMB 0925-0626 · HHS/NIH.

OMB 0925-0626

Latest Forms, Documents, and Supporting Material

Document Name
Form 2 Clinical Exam Form
Form 1 Follow-up Telephone Questionaire Form and Instruction
Form 1 Supplemental Mental Health Telephone Questionaire Form and Instruction
Form 1 Annual Recontact Questionaire Form and Instruction
GuLF Supporting Statement B 102213.docx Supporting Statement B
Att_35 IRB Approval Suppl Mental Health Questionnaire.pdf Supplementary Document
Att_34 IRB Approval Biomedical Exams.pdf Supplementary Document
Att_33 IRB Approval Followup Telephone Interviews.pdf Supplementary Document
Att_32 IRB Approval Annual Recontact.pdf Supplementary Document
Att_31 IRB Approval 2013 Continuing Review.pdf Supplementary Document
Att_29 Certificate of Confidentiality.pdf Supplementary Document
Att_30 HHS Privacy Impact Assessment.pdf Supplementary Document
Att_01 GuLF STUDY Protocol V20.0_07192013.pdf Supplementary Document
Att_23 Clinic Exam Saliva Collection General Instructions.pdf Supplementary Document
Att_22 Clinic Exam Pulmonary Function Result Form.pdf Supplementary Document
Att_21 Clinic Exam Heart Rate Results Form.pdf Supplementary Document
Att_20 Clinic Exam Hemoglobin Results Form.pdf Supplementary Document
Att_19 Clinic Exam Cholesterol Results Form.pdf Supplementary Document
Att_18 Clinic Exam Body Mass Index Results Form.pdf Supplementary Document
Att_17 Clinic Exam Blood Pressure Results Form.pdf Supplementary Document
Att_14 Clinic Exam Frequently Asked Questions.pdf Supplementary Document
Att_13 Clnic Exam Informed Consent Summary.pdf Supplementary Document
Att_12 Clinic Exam Visit Confirmation Letter.pdf Supplementary Document
Att_11 Clinic Exam Scheduling Script.pdf Supplementary Document
Att_10 Clinic Exam Invitation Letter.pdf Supplementary Document
Att_04 Follow-up Questionnaire Summary of Changes.pdf Supplementary Document
Att_02 Follow-up Lead Letter.pdf Supplementary Document
Att_07 Supplemental Mental Health Questionnaire Thank You Letter.pdf Supplementary Document
Att_05 Supplemental Mental Health Telephone Script.pdf Supplementary Document
Att_08 Annual Recontact Request Letter.pdf Supplementary Document
GuLF Supporting Statement A 20140326.doc Supporting Statement A
Clinical Exam Form
Follow-up Telephone Questionaire Form and Instruction
Supplemental Mental Health Telephone Questionaire Form and Instruction
Annual Recontact Questionaire Form and Instruction

All Historical Document Collections

201401-0925-009 Approved with change	Revision of a currently approved collection	2014-01-31
201012-0925-004 Approved with change	New collection (Request for a new OMB Control Number)	2010-12-17