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Federal forms, ICRs, and supporting documents

Information Collection Request

Breast Cancer Incidence in Occupational Cohorts Exposed to Chemicals

ICR 199604-0920-003 · OMB 0920-0366 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
37762 Breast Cancer Incidence in Occupational Cohorts Exposed to Chemicals Migrated
ICR Details
0920-0366 199604-0920-003
Historical Active 199504-0920-003
HHS/CDC
Breast Cancer Incidence in Occupational Cohorts Exposed to Chemicals
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/03/1996
Retrieve Notice of Action (NOA) 04/03/1996
  Inventory as of this Action Requested Previously Approved
08/31/1998 08/31/1998 07/31/1998
8,333 0 30
4,167 0 15
0 0 0
The primary purpose of the study questionnaire is to collect information from individuals regarding incidence of breast cancer and critical factors, such as family history and parity, that may increase the risk of breast cancer in an occupational cohort independent of chemical exposure. The data collected in these studies will assist in recommendations regarding the safe level of exposure to the specific chemicals of interest.
None
None
No
1
IC Title Form No. Form Name
Breast Cancer Incidence in Occupational Cohorts Exposed to Chemicals
  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 8,333 30 0 8,303 0 0
Annual Time Burden (Hours) 4,167 15 0 4,152 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.
04/03/1996