Gulf Study Participants

Gulf Long-Term Follow-Up Study for Oil Spill Clean-Up Workers and Volunteers (NIEHS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0626 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Gulf Study Participants Form and Instruction
1 Enrollment GuLFOMBattachment7REVISEDAppendix_I_-_Telephone_Scripts_and_Questionnaire20110120.pdf Form and Instruction
2 Baseline GuLFOMBattachment8REVISEDAppendix_J_-_Home_Visit_Scripts_and_Questionnaire20110120.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Gulf Study Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Enrollment	GuLFOMBattachment7REVISEDAppendix_I_-_Telephone_Scripts_and_Questionnaire20110120.pdf		Yes	Yes	Paper Only
Form and Instruction	2	Baseline	GuLFOMBattachment8REVISEDAppendix_J_-_Home_Visit_Scripts_and_Questionnaire20110120.pdf		Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55,000	55,000
Annual IC Time Burden (Hours)	52,000	52,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.