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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Annual Study Update (ASU) for PLCO
Modified
94000
7833
0
Form and Instruction
1
Annual Study Update (ASU)
Health Status Questionnaire (HSQ) for PLCO
Modified
2000
167
0
Form and Instruction
3A
Health Status Questionnaire (Male-HSQ)
Form and Instruction
3B
Health Status Questionnaire (Female-HSQ)
Medication Use Questionnaire (MUQ) for PLCO
New
94000
23500
0
Form and Instruction
5
Medication Use Questionnaire (MUQ)
Script for Non-responders to ASU
Modified
3760
313
0
Form and Instruction
6
Script for ASU Non-response
Supplemental Questionnaire (SQX) for PLCO
Removed
0
0
0
Form
3
Supplemental Questionnaire (SQX).
Total burden requested under this ICR:
193760
31813
0
To view an IC, click on IC Title