OMB control number

A multi-center international hospital-based case-control study of lymphoma in Asia (AsiaLymph) (NCI)

OMB 0925-0654 · HHS/NIH.

OMB 0925-0654

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 9 Tracking FormsForm and Instruction
Form 8 Pathology sample request and tracking formForm and Instruction
Form 3 Core Questionnaire & Occupational Job Module Consented Patient ControlsForm and Instruction
Form 1 Core Questionnaire & Occupational Job ModuleForm and Instruction
Form 1 Consent FormForm and Instruction
Form 1 Screener and Core QuestionnaireForm and Instruction
Form 9 Interviewer Administrative Forms (Attachment 9)Form and Instruction
Form 8 Pathologist Administrative Form (Attachment 8)Form and Instruction
Form 3A Patient Screener, Core & Occupational Exposure Questionnaires_AsiaLymph (Attachments 3, 4 & 5)Form and Instruction
Attach-2-consultants.pdf Supplementary Document
Attach-1-AsiaLymph-Revised-Protocol-and-Bibliography.doc Supplementary Document
Attach-18-Memo_Request_Limited_Ethnic_Category_3-2-2012.pdf Supplementary Document
Attach-17-Interviewer-labor-rates.docx Supplementary Document
Attach-16-Pathology-labor-rates.docx Supplementary Document
Attach-15-Translation-of-average-wage-doc-for-Chengdu&Tianjin-highlight.doc Supplementary Document
Attach-14-Hong-Kong-average_salary-2015-Q1-highlight-page31.pdf Supplementary Document
Attach-13-Hourly-salary-calculations-for-each-of-the-three-study-centers-in-AsiaLymph.doc Supplementary Document
Attach-12-AsiaLymph-Study-Organization.pdf Supplementary Document
Attach-7-Script_for_initial_contact_with_potential_study_subjects-revised.doc Supplementary Document
Attach-6E2-Tianjin-Tumor-Hospital-Medical-University-IRB-Approval-English.docx Supplementary Document
Attach-6E1-Tianjin-Tumor-Hospital-Medical-University-IRB-Approval-Original.pdf Supplementary Document
Attach-6D2-West-China-Hospital-Sichuan-University-IRB-Approval-English.docx Supplementary Document
Attach-6D1-West-China-Hospital-Sichuan-University-IRB-Approval-Original.pdf Supplementary Document
Attach-6C-University-of-Hong-Kong-IRB-Approval.pdf Supplementary Document
Attach-6B-NIH-Approval.pdf Supplementary Document
Attach-6A-NCI-IRB-approval.pdf Supplementary Document
SSB_Revised 02-24-2016 (1).docxSupporting Statement B
SSA 10.29.2015.docxSupporting Statement A
30 day FRN.pdf Supplementary Document
Tracking Forms Form and Instruction
Pathology sample request and tracking form Form and Instruction
Core Questionnaire & Occupational Job Module Consented Patient Controls Form and Instruction
Core Questionnaire & Occupational Job Module Form and Instruction
Consent Form Form and Instruction
Screener and Core Questionnaire Form and Instruction
Interviewer Administrative Forms (Attachment 9) Form and Instruction
Pathologist Administrative Form (Attachment 8) Form and Instruction
Patient Screener, Core & Occupational Exposure Questionnaires_AsiaLymph (Attachments 3, 4 & 5) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201510-0925-005 Revision of a currently approved collection 2015-10-30 Approved with change
201209-0925-002 Extension without change of a currently approved collection 2012-09-17 Approved without change
201203-0925-003 New collection (Request for a new OMB Control Number) 2012-03-10 Approved without change