Core Questionnaire & Occupational Job Module

A multi-center international hospital-based case-control study of lymphoma in Asia (AsiaLymph) (NCI)

OMB: 0925-0654

IC ID: 218784

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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Core Questionnaire & Occupational Job Module
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Attachment 5 Occupational Job Modules Attach-5-Occupational_Job_Modules.pdf No   Fillable Fileable
Form and Instruction 2 Attachment 3A Updated Screener and Core Questionnaire Hong-Kong English Attach-3A-Updated-Screener-and-Core-Questionnaire-Hong-Kong-English.doc No   Fillable Fileable
Form and Instruction 3 Attachment 3B Updated Screener and Core Questionnaire Hong-Kong Chinese Attach-3B-Updated-Screener-and-Core-Questionnaire-Hong-Kong-Chinese.doc No   Fillable Fileable
Form and Instruction 4 Attachment 3C Updated Screener and Core Questionnaire Chengdu-English Attach-3C-Updated-Screener-and-Core-Questionnaire-Chengdu-English.doc No   Fillable Fileable
Form and Instruction 5 Attachment 3D Updated Screener and Core Questionnaire Chengdu-Chinese Attach-3D-Updated-Screener-and-Core-Questionnaire-Chengdu-Chinese.docx No   Fillable Fileable
Form and Instruction 6 Attachment 3E Updated Screener and Core Questionnaire Tianjin-English Attach-3E-Updated-Screener-and-Core-Questionnaire-Tianjin-English.doc No   Fillable Fileable
Form and Instruction 7 Attachment 3F Updated Screener and Core Questionnaire Tianjin-Chinese Attach-3F-Updated-Screener-and-Core-Questionnaire-Tianjin-Chinese.doc No   Fillable Fileable

Health Health Care Services

 

967 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 967 0 967 0 0 0
Annual IC Time Burden (Hours) 1,692 0 1,692 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 4 Occupational Job Modules examples Attach4-Occupational_Job_Modules_examples-revised-2-26-12.pdf 10/29/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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