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Increasing Cervical Cancer Screening in Never or Rarely Screened Black Women: Phase I
Increasing Cervical Cancer Screening in Never or Rarely Screened Black Women: Phase I
OMB: 0920-0678
IC ID: 37808
OMB.report
HHS/CDC
OMB 0920-0678
ICR 200607-0920-005
IC 37808
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
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IC Title:
Increasing Cervical Cancer Screening in Never or Rarely Screened Black Women: Phase I
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
270
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
630
0
0
0
0
630
Annual IC Time Burden (Hours)
158
0
0
0
0
158
Annual IC Cost Burden (Dollars)
0
0
0
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.