Information Collection

Cancer Surveillance And Epidemiologic Studies Data Collection Forms

IC 110630 under ICR 198105-0920-001 · OMB 0920-0034.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 4.530C	No	No
Form	CDC 4.530A	No	No
Form	CDC 4.530B	No	No
Form	CDC 4.530ATH	No	No
Form	CDC 4.529ATH	No	No

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85	-965	1,050
Annual IC Time Burden (Hours)	70	-543	613
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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