OMB control number

[NIOSH] National Firefighter Registry for Cancer

OMB 0920-1348 · HHS/CDC.

OMB 0920-1348

The main goal of the National Firefighter Registry (NFR), according to the Firefighter Cancer Registry Act of 2018, is, “to develop and maintain a voluntary registry of firefighters to collect relevant health and occupational information of such firefighters for purposes of determining cancer incidence.” This Non-Substantive Change Request is submitted for the following reason(s): 1) Modification of R/E question to follow the recently released Statistical Policy Directive 15 (SPD-15) Standard in the NFR Enrollment Questionnaire; 2) Removal of three questions in the Enrollment Questionnaire that are being asked exclusively in the User Profile; and 3) Modification of Sex question to conform to EO 14168. There is no change to the burden hours approved for this data collection.

The latest form for [NIOSH] National Firefighter Registry for Cancer expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
NFR Enrollment Questionnaire Form and Instruction
NFR Enrollment Questionnaire Form and Instruction
NFR User Profile Form
NFR User Profile Form
Informed Consent Form and Instruction
Informed Consent Form and Instruction
Justification for change March 2025.docx Justification for No Material/Nonsubstantive Change
Justification for change March 2025.docx Justification for No Material/Nonsubstantive Change
Attachment 8. Non-research determination.pdf Supplementary Document
Attachment 8. Non-research determination.pdf Supplementary Document
Attachment 7. AOC.docx Supplementary Document
Attachment 7. AOC.docx Supplementary Document
Attachment 6. Privacy Impact Assessment.pdf Supplementary Document
Attachment 6. Privacy Impact Assessment.pdf Supplementary Document
Attachment 5. RFI 2019.pdf Supplementary Document
Attachment 5. RFI 2019.pdf Supplementary Document
Attachment 4c. NIOSH-Palm-Card_4x9-508.pdf Supplementary Document
Attachment 4c. NIOSH-Palm-Card_4x9-508.pdf Supplementary Document
Attachment 4b. NFR Fact Sheet.pdf Supplementary Document
Attachment 4b. NFR Fact Sheet.pdf Supplementary Document
Attachment 4a. Invitation to Participate.pdf Supplementary Document
Attachment 4a. Invitation to Participate.pdf Supplementary Document
Attachment 2. 60 day FRN.pdf Supplementary Document
Attachment 2. 60 day FRN.pdf Supplementary Document
Attachment 1. Authorizing Legislation.pdf Supplementary Document
Attachment 1. Authorizing Legislation.pdf Supplementary Document
Supporting Statement B_7_11_24_final.docx Supporting Statement B
Supporting Statement B_7_11_24_final.docx Supporting Statement B
Supporting Statement A_9_5_24.docx Supporting Statement A
Supporting Statement A_9_5_24.docx Supporting Statement A
Records Request Other-email
NFR Enrollment Questionnaire Form and Instruction
NFR Enrollment Questionnaire Form and Instruction
NFR User Profile Form
NFR User Profile Form
Informed Consent Form and Instruction
Informed Consent Form and Instruction

All Historical Document Collections

202503-0920-021 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-03-28
202407-0920-007	Revision of a currently approved collection	2024-08-15
202207-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-07-19
202011-0920-010 Approved with change	New collection (Request for a new OMB Control Number)	2020-12-07

OMB Details

Informed Consent

Federal Enterprise Architecture: Workforce Management - Worker Safety

Form n/a

Informed Consent

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.