Information Collection

Primary Prevention (smoking) Of Cancer In Black Populations: Physician Delivered Intervention

IC 165903 under ICR 198906-0925-009 · OMB 0925-0325.

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IC Title:

PRIMARY PREVENTION (SMOKING) OF CANCER IN BLACK POPULATIONS: PHYSICIAN DELIVERED INTERVENTION

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: 1,372

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	Previously Approved
Annual Number of Responses for this IC	813	813
Annual IC Time Burden (Hours)	201	201
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.