Information Collection

Community Cancer Care Evaluation Physician Survey

IC 111542 under ICR 198707-0925-004 · OMB 0925-0265.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0265 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	COMMUNITY CANCER CARE EVALUATION PHYSICIAN SURVEY	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: 4,780	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,818	1,218	4,600
Annual IC Time Burden (Hours)	1,756	179	1,577
Annual IC Cost Burden (Dollars)	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.