Cost Allocation Tool

Economic Analysis of the National Program of Cancer Registries

Documents and Forms

Document Name Document Type
Form No number Cost Allocation Tool Form and Instruction
No number CAT Instrument Att 3a_CAT Instrument.doc Form and Instruction
Att 3b_CAT User Manual.doc CAT Instrument User Manual IC Document

Information Collection (IC) Details

IC Title:	Cost Allocation Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	No number	CAT Instrument	Att 3a_CAT Instrument.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 46	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46	46
Annual IC Time Burden (Hours)	1,012	1,012
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CAT Instrument User Manual	Att 3b_CAT User Manual.doc	06/05/2008

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