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Cancer Surveillance And Epidemiologic Studies Data Collection Forms
CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS
OMB: 0920-0034
IC ID: 110630
OMB.report
HHS/CDC
OMB 0920-0034
ICR 198105-0920-001
IC 110630
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
85
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
85
0
-965
0
0
1,050
Annual IC Time Burden (Hours)
70
0
-543
0
0
613
Annual IC Cost Burden (Dollars)
0
0
0
0
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.