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Federal forms, ICRs, and supporting documents

Information Collection

SPARCCS Instruments

IC 186878 under ICR 200810-0925-003 · OMB 0925-0595.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

SPARCCS Instruments
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Oncologist Instrument Attachment 1 Medical Oncology Questionnaire FINAL_8 July 2008.doc Yes No Paper Only
Form and Instruction 4 PCP Instrument Attachment 2 PCP Questionnaire FINAL_8 July 2008.doc Yes No Paper Only

Health Health Care Services

 

1,100 0
   
Individuals or Households
 
   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 1,100 0 1,100 0 0 0
Annual IC Time Burden (Hours) 367 0 367 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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