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Food Components and Health Lab Human Study Volunteers Database Sign-up Form
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This form is for USDA Food Components and Health Lab (FCHL) internal use only.
Please complete the form below to be included in our database of potential subjects for our human nutrition studies. Once in the database, you will automatically be notified by e-mail of any upcoming studies for which you may qualify. Thanks for your interest.
OMB 0518 - 0032 (02/2022)
 
First Name:
Middle Initial:
Last Name:
Birthdate (mm/dd/yy)
Male/Female (please check one)
Male Female
Email Address:
 
According to the Paperwork Reduction Act of 1995, an agency cannot conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0518-0032. The time required to complete this information is estimated to vary from one to five minutes with an average of three minutes per response, including time for reviewing instructions, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, OIRM, Room 404-W, Washington, DC 20250, and to the Office of Information and Regulatory Affairs, Office of Management and Budget.