Information Collection

Avoidable Mortality From Cancer In Black Populations: Cancer Screening Intervention In Black Women In An Inner-city Community

IC 111645 under ICR 198809-0925-007 · OMB 0925-0330.

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IC Title:

AVOIDABLE MORTALITY FROM CANCER IN BLACK POPULATIONS: CANCER SCREENING INTERVENTION IN BLACK WOMEN IN AN INNER-CITY COMMUNITY

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.	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: 407

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
Annual Number of Responses for this IC	621	621
Annual IC Time Burden (Hours)	384	384
Annual IC Cost Burden (Dollars)	0	0

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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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