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

ICR 200506-0925-001

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 200506-0925-001
Historical Active 200309-0925-001
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 with change 10/18/2005
Retrieve Notice of Action (NOA) 06/06/2005
Approved consistent with clarification submitted in NIH memo concerning proposed testing and hypotheses related to buccal cell testing.
  Inventory as of this Action Requested Previously Approved
10/31/2008 10/31/2008 11/30/2005
24,733 0 2,458
44,270 0 3,707
0 0 0

The National Cancer Institute is interested to learn why farmers and other agricultural workers are at a greater risk of certain cancers (e.g. NHL, prostate, lip, leukemia, stomach, multiple myeloma) compared to the rest of the population.

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 24,733 2,458 0 22,275 0 0
Annual Time Burden (Hours) 44,270 3,707 0 40,563 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.
06/06/2005


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