Agricultural Health Study (A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture)

ICR 199610-0925-002

OMB: 0925-0406

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0925-0406 199610-0925-002
Historical Active 199306-0925-001
HHS/NIH
Agricultural Health Study (A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture)
Revision of a currently approved collection   No
Regular
Approved without change 12/02/1996
Retrieve Notice of Action (NOA) 10/07/1996
OMB approves this study as amended by the December 2, 1996, correspondence, which estimates an 85 percent spouse response rate based upon follow-up phone interviews to non-responders.
  Inventory as of this Action Requested Previously Approved
11/30/1997 11/30/1997 12/31/1996
13,590 0 37,334
8,348 0 52,525
0 0 0

This Agricultural Health Study is a large prospective cohort study to evaluate the roles of agricultural exposures in the development of cancer, neurologic disease, birth defects, and other chronic disease outcomes among farmers, commercial pesticide applicators, and the spouses and children of farmer applicators (private applicators).

None
None


No

1
IC Title Form No. Form Name
Agricultural Health Study (A Prospective Cohort Study of Cancer and Other Diseases Among Men and Women in Agriculture)

  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 13,590 37,334 0 -23,744 0 0
Annual Time Burden (Hours) 8,348 52,525 0 -44,177 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
10/07/1996


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