Leukemia and Other Cancers Among Chernobyl Cleanup Workers in Lithuania

ICR 199803-0925-004

OMB: 0925-0401

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0925-0401 199803-0925-004
Historical Active 199302-0925-003
HHS/NIH
Leukemia and Other Cancers Among Chernobyl Cleanup Workers in Lithuania
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/26/1998
Retrieve Notice of Action (NOA) 03/24/1998
This collection is approved as amended by NIH's revisions of 5/21/98.
  Inventory as of this Action Requested Previously Approved
05/31/2001 05/31/2001
1,867 0 0
1,867 0 0
0 0 0

To investigate radiation-induced leukemia and other cancers and occupationally related cancers among 7,000 Lithuanian workers sent to clean up after the 1986 accident; the workers will be asked to answer a questionnaire about specific duties performed during the cleanup, occupational exposures, other cancer risk factors, and incident cancers.

None
None


No

1
IC Title Form No. Form Name
Leukemia and Other Cancers Among Chernobyl Cleanup Workers in Lithuania

  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 1,867 0 0 1,867 0 0
Annual Time Burden (Hours) 1,867 0 0 1,867 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
03/24/1998


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