Information Collection

Cancer Risk In Women Irradiated For Benigh Gynecologic Disorders

IC 111576 under ICR 198606-0925-002 · OMB 0925-0282.

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Information Collection (IC) Details

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IC Title:	CANCER RISK IN WOMEN IRRADIATED FOR BENIGH GYNECOLOGIC DISORDERS	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: 3,200	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	3,200	3,200
Annual IC Time Burden (Hours)	783	783
Annual IC Cost Burden (Dollars)	0	0

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