Information Collection

Periodic Survey Of Health Status, Minnesota Colon Cancer Control Study

IC 111561 under ICR 199206-0925-003 · OMB 0925-0275.

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Information Collection (IC) Details

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IC Title:	PERIODIC SURVEY OF HEALTH STATUS, MINNESOTA COLON CANCER CONTROL STUDY	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: 34,550	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	34,550	-1,106	35,656
Annual IC Time Burden (Hours)	5,680	-312	5,992
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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