Information Collection Request

[NIOSH] National Firefighter Registry for Cancer

ICR 202407-0920-007 · OMB 0920-1348 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1348 can be found here:

Forms and Documents

Document Name	Status
NFR Enrollment Questionnaire Form and Instruction	New
NFR User Profile Form	New
Informed Consent Form and Instruction	Modified
Attachment 8. Non-research determination.pdf Supplementary Document	2024-07-30
Attachment 7. AOC.docx Supplementary Document	2024-07-30
Attachment 6. Privacy Impact Assessment.pdf Supplementary Document	2024-07-30
Attachment 5. RFI 2019.pdf Supplementary Document	2024-07-30
Attachment 4c. NIOSH-Palm-Card_4x9-508.pdf Supplementary Document	2024-07-30
Attachment 4b. NFR Fact Sheet.pdf Supplementary Document	2024-07-30
Attachment 4a. Invitation to Participate.pdf Supplementary Document	2024-07-30
Attachment 2. 60 day FRN.pdf Supplementary Document	2024-07-30
Attachment 1. Authorizing Legislation.pdf Supplementary Document	2024-07-30
Supporting Statement B_7_11_24_final.docx Supporting Statement B	2024-07-30
Supporting Statement A_7_11_24_final.docx Supporting Statement A	2024-08-01

IC Document Collections

IC ID	Document Title	Status
269710	Records Request Other-email	New
269709	NFR Enrollment Questionnaire Form and Instruction	New
269708	NFR User Profile Form	New
244765	Informed Consent Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1348
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202207-0920-003
Agency Tracking No	0920-1348
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31