ASSESSMENT OF LEUKEMIA AND THYROID DISEASE IN RELATION TO FALLOUT IN UTAH, ASCERTAINMENT OF LIFESTYLE OF THYROID SUBJECTS

ICR 198607-0925-001

OMB: 0925-0286

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0925-0286 198607-0925-001
Historical Active
HHS/NIH
ASSESSMENT OF LEUKEMIA AND THYROID DISEASE IN RELATION TO FALLOUT IN UTAH, ASCERTAINMENT OF LIFESTYLE OF THYROID SUBJECTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/10/1986
Retrieve Notice of Action (NOA) 07/11/1986
  Inventory as of this Action Requested Previously Approved
12/31/1987 12/31/1987
3,344 0 0
4,626 0 0
0 0 0

NCI NEEDS INFORMATION ON DIETARY HABITS, PLACES OF RESIDENCE, AND LIFESTYLE CHARACTERISTICS FROM INDIVIDUALS BOTH WITHIN AND OUTSIDE PATTERN FROM THE NUCLEAR TESTING AT THE NEVADE TEST SITE DURING 1951-6 THESE DATA, COLLECTED FROM A PREVIOUSLY DEFINED COHORT AND FROM IDENTIFIED THYROID CANCER CASES AND MATECHED CONTROLLS, WILL BE USED IN CONJUNCTION WITH THE DATA FROM ANOTHER NCI-FUNDED SURVEY TO EVALUAT

None
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1
IC Title Form No. Form Name
ASSESSMENT OF LEUKEMIA AND THYROID DISEASE IN RELATION TO FALLOUT IN UTAH, ASCERTAINMENT OF LIFESTYLE OF THYROID SUBJECTS

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,344 0 0 3,344 0 0
Annual Time Burden (Hours) 4,626 0 0 4,626 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/11/1986


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