OMB control number

Understanding Long-term Respiratory Morbidity in Former Styrene-exposed Workers: Medical Survey

OMB 0920-1332 · HHS/CDC.

OMB 0920-1332

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-21ID HRCT Scan informed consent Form
Consent Form and Instruction
Former employee medical questionnaire Form
Request for Nonsubstantive Change 0920-1332.docx Justification for No Material/Nonsubstantive Change
Attachment 22 PIA form.pdf Supplementary Document
Attachment 11 FDA package insert.pdf Supplementary Document
Attachment 9 Albuterol drug information.docx Supplementary Document
Attachment 5 Medical survey Contol Card.pptx Supplementary Document
Attachment 21 IRB approval letter.pdf Supplementary Document
Attachment 20 Notification Letter.docx Supplementary Document
Attachment 18 Information sheet_medical survey.ppt Supplementary Document
Attachment 17 General Invitation letter.docx Supplementary Document
Attachment 15 Information sheet.ppt Supplementary Document
Attachment 14 Information session ppt.pptx Supplementary Document
Attachment 2 60 day FRN.pdf Supplementary Document
Attachment 1 Laws and Regulations.docx Supplementary Document
SupSta B (9.15.20).docx Supporting Statement B
SupSta A_Updated (9.15.20).docx Supporting Statement A
HRCT Scan Other-HRCT Protocol
HRCT Scan informed consent Form
Consent Form and Instruction
Blood test procedures Instruction
Color vision test procedures Instruction
Bronchodilator test procedures Instruction
Spirometry procedures Instruction
Nitrogen multibreath washout test procedures Instruction
Impulse oscillometry procedures Instruction
Exhaled nitric oxide procedures Instruction
Former employee medical questionnaire Form

All Historical Document Collections

202109-0920-011 Approved with change	No material or nonsubstantive change to a currently approved collection	2021-09-30
202009-0920-016 Approved without change	New collection (Request for a new OMB Control Number)	2020-10-02