Information Collection Request

Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Earl

ICR 200805-0920-005 · OMB 0920-0571 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form No number Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program Form and Instruction Modified Available
OMB_Attachment 06 (STARNotice).pdf Supplementary Document Uploaded 2008-05-06 Available
OMB_Attachment 05 (STAR).pdf Supplementary Document Uploaded 2008-05-06 Available
OMB_Attachment 02 (301PHSA).pdf Supplementary Document Uploaded 2008-05-06 Available
OMB_Attachment 01 (PubLaw).pdf Supplementary Document Uploaded 2008-05-06 Available
0920-0571 Justification for Change.doc Justification for No Material/Nonsubstantive Change Uploaded 2008-05-06 Available
OMB_Attachment 04 (MDE60changes).pdf Supplementary Document Uploaded 2008-05-06 Available
0920-0571 Change SS 04.30.08.doc Supporting Statement A Uploaded 2008-05-06 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2010 01/31/2010 01/31/2010
136 0 204
544 0 2,244
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 136 204 0 -68 0 0
Annual Time Burden (Hours) 544 2,244 0 -1,700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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