Information Collection

Cancer Surveillance And Epidemiologic Studies Data Collection Forms

IC 165679 under ICR 198102-0920-010 · OMB 0920-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0034 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 4.529ATH	No	No
Form	CDC 4.530ATH	No	No
Form	CDC 4.530A	No	No
Form	CDC 4.530C	No	No
Form	CDC 4.530B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,050	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	613	613
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.