Cx3 Study - Follow-up Provider Survey

CDC Cervical Cancer Study (CX3)

OMB: 0920-0814

IC ID: 188623

Information Collection (IC) Details

View Information Collection (IC)

Cx3 Study - Follow-up Provider Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att D2_Follow-up Provider Survey_0209.doc Yes Yes Fillable Printable

Health Illness Prevention

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  57 FR 252

23 0
   
State, Local, and Tribal Governments
 
   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 46 0 46 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att D2a_ Cover letter -- follow-up provider surveys_0209 Att D2a_ Cover letter -- follow-up provider surveys_0209.doc 02/23/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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