OMB control number

Case Investigation of Cervical Cancer (CICC) Study

OMB 0920-1162 · HHS/CDC.

OMB 0920-1162

Latest Forms, Documents, and Supporting Material

Document Name
Support for Medical Record Abstraction Form
Medical Release and Healthcare Source Forms Form
Case Investigation of Cervical Cancer Study Survey Form
Change request for #0920-1162 #2_text_final.docx Justification for No Material/Nonsubstantive Change
OMB Change for 0920-1162 (CICC study) AG Request #1 only revised_clean.docx Justification for No Material/Nonsubstantive Change
Attachment 10 IRB Approval Letters.pdf Supplementary Document
Attachment 10. Battelle IRB Approval Letter.pdf Supplementary Document
Attachment 8b. CICC Phonescript Follow-up to Mailing Spanish.doc Supplementary Document
Attachment 8a. Phone Follow-up Script English.doc Supplementary Document
Attachment 6b. CICC Research participant information sheet Spanish 2016 06 10.docx Supplementary Document
Attachment 6a. CICC Research participant information sheet English 2016 06 10.docx Supplementary Document
Attachment 5b. CICC Cover letter Spanish 2016 06 10.docx Supplementary Document
Attachment 5a. CICC Cover letter English 2016 06 10.docx Supplementary Document
Attachment 3. Letter to physicians 2016 06 10.docx Supplementary Document
Attachment 2. 60-Day FRN.docx Supplementary Document
Attachment 1. Section 301 of the Public Health Service Act.docx Supplementary Document
CICC_SS Part B_2016 06 10_OMB clean.docx Supporting Statement B
CICC_SS Part A_2016 06 10_OMB clean.docx Supporting Statement A
Support for Medical Record Abstraction Form
Medical Release and Healthcare Source Forms Form
Case Investigation of Cervical Cancer Study Survey Form

All Historical Document Collections

201804-0920-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-04-27
201802-0920-012 Approved with change	No material or nonsubstantive change to a currently approved collection	2018-02-28
201802-0920-004 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2018-02-07
201606-0920-012 Approved with change	New collection (Request for a new OMB Control Number)	2016-06-22