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Work Activities Journal
National Program of Cancer Registries - Annual Program Evaluation Instrument (NPCR-APEI)
OMB: 0920-0706
IC ID: 189147
OMB.report
HHS/CDC
OMB 0920-0706
ICR 200905-0920-001
IC 189147
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0706 can be found here:
2021-12-02 - Reinstatement without change of a previously approved collection
2017-12-15 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Work Activities Journal
Form
Work Activities Journal
Att C-2a. Work Activities Journal.xls
Form
Att C-2b. Work Activities Journal Instructions.doc
Instructions for Work Activity Journal
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Work Activities Journal
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form
none
Work Activities Journal
Att C-2a. Work Activities Journal.xls
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
368
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
368
0
368
0
0
0
Annual IC Time Burden (Hours)
736
0
736
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Instructions for Work Activity Journal
Att C-2b. Work Activities Journal Instructions.doc
04/29/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.