Attachment 26: Paper/pen, CAWI, and CATI for Proxy for AHS

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

OMB: 0925-0406

IC ID: 205828

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

View Information Collection (IC)

Attachment 26: Paper/pen, CAWI, and CATI for Proxy for AHS
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 15 CATI Proxy Attachment 26-2_Proxy_CATI_Intro.doc No No Printable Only
Form and Instruction 17 Paper-Pen Proxy Attachment 26-4_Proxy_PaperPenSurvey.docx No No Printable Only
Form and Instruction 14 CAWI Proxy Attachment 26-1_Proxy_CAWI_Intro_Interview_Script.pdf Yes Yes Fillable Fileable
Form and Instruction 16 CAWI-CATI Proxy Attachment 26-3_CAWI_Proxy_Survey.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

SORN #09-25-0200, Clinical, Epidemiologic, and Biometric Studies of the National Institutes of Health (NIH), HHS/NIH/ OD  67 FR 60776

635 635
   
Private Sector Farms
 
   33 %

  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 0 0 -635 0 0 635
Annual IC Time Burden (Hours) 0 0 -159 0 0 159
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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