OMB control number

U.S. Nuclear Medicine Technologists Study (NCI)

OMB 0925-0656 · HHS/NIH.

OMB 0925-0656

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 U.S. Nuclear Medicine Technologists Nuclear Medicine Questionnaire Form and Instruction
Form 1C Fourth Survey FG Module (Attachment 1C) Form and Instruction
Form 1B Fourth Survey NM Module (Attachment 1B) Form and Instruction
Form 1A Fourth Survey CORE Module (Attachment 1A) Form and Instruction
Supplementary Document S2-USRT General Questionnaire-Work History Section.pdf Supplementary Document
Supplementary Document S1-USRT Radioisotope Procedures Questionnaire.pdf Supplementary Document
Attachment 8-Bibliography.docx Supplementary Document
Attachment 7-Privacy Impact Assessment.pdf Supplementary Document
Attachment 6-Privacy Act Memo.docx Supplementary Document
Attachment 5B-UMN IRB approval.pdf Supplementary Document
Attachment 5A-NCI IRB approval with stipulations.pdf Supplementary Document
Attachment 4-Consent information sheet.docx Supplementary Document
Attachment 3B-Follow-up Email.docx Supplementary Document
Attachment 3A-Recruitment Email.docx Supplementary Document
Attachment 2-Revisions and Additions to Previously-Approved Questions.docx Supplementary Document
Revised Supporting Statement B_0925-0656_2016-11-14.docx Supporting Statement B
Revised Supporting Statement A_0925-0656_2016-11-14.docx Supporting Statement A
U.S. Nuclear Medicine Technologists Nuclear Medicine Questionnaire Form and Instruction
Medical Validation (Attachment 3) Instruction
Fourth Survey FG Module (Attachment 1C) Form and Instruction
Fourth Survey NM Module (Attachment 1B) Form and Instruction
Fourth Survey CORE Module (Attachment 1A) Form and Instruction

All Historical Document Collections

201605-0925-012 Approved with change	Reinstatement with change of a previously approved collection	2016-06-07
201112-0925-002 Approved with change	New collection (Request for a new OMB Control Number)	2011-12-14