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

Document Name
Form 9 Tracking Forms Form and Instruction
Form 8 Pathology sample request and tracking form Form and Instruction
Form 3 Core Questionnaire & Occupational Job Module Consented Patient Controls Form and Instruction
Form 1 Core Questionnaire & Occupational Job Module Form and Instruction
Form 1 Consent Form Form and Instruction
Form 1 Screener and Core Questionnaire Form 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).docx Supporting Statement B
SSA 10.29.2015.docx Supporting 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

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