Information Collection

Surveys For Assessing The Impact Of The 1990 Medicare Legislation On Mammography Usage In The Nci Mammography Consortium

IC 111675 under ICR 198908-0925-002 · OMB 0925-0351.

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Information Collection (IC) Details

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IC Title:	SURVEYS FOR ASSESSING THE IMPACT OF THE 1990 MEDICARE LEGISLATION ON MAMMOGRAPHY USAGE IN THE NCI MAMMOGRAPHY CONSORTIUM	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: 5,358	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	5,358	5,358
Annual IC Time Burden (Hours)	1,517	1,517
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.