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An Epidemiologic Investigation Of The Interaction Of Radiation And Other Risk Factors For Breast Cancer Among Tuberculosis Patients In Massachusetts

IC 111370 under ICR 198107-0925-001 · OMB 0925-0143.

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IC Title:	AN EPIDEMIOLOGIC INVESTIGATION OF THE INTERACTION OF RADIATION AND OTHER RISK FACTORS FOR BREAST CANCER AMONG TUBERCULOSIS PATIENTS IN MASSACHUSETTS	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 420	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	420	420
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	0	0

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