CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS

ICR 198102-0920-010

OMB: 0920-0034

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0920-0034 198102-0920-010
Historical Active 198012-0920-006
HHS/CDC
CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/27/1981
Approved with change 02/27/1981
Retrieve Notice of Action (NOA) 02/27/1981
  Inventory as of this Action Requested Previously Approved
06/30/1981 06/30/1981 03/31/1981
1,050 0 1,050
613 0 613
0 0 0

EPIDEMIOLOGIC INVESTIGATION OF CLUSTERS OF CANCER OF A GIVEN TYPE FOR THE PURPOSE OF CLARIFYING OR ESTABLISHING ETIOLOGY AND TRANSMISSABILITY, PARTICULARLY AS POSSIBLY RELATED TO COMMON ENVIRONMENTAL EXPOSURES.

None
None


No

1
IC Title Form No. Form Name
CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS CDC 4.529ATH, CDC 4.530ATH, CDC 4.530A, CDC 4.530C, CDC 4.530B

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,050 1,050 0 0 0 0
Annual Time Burden (Hours) 613 613 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/27/1981


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