Intervention to Increase Colorectal Cancer Screening-Post Intervention

Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics

OMB: 0920-0769

IC ID: 182543

Information Collection (IC) Details

View Information Collection (IC)

Intervention to Increase Colorectal Cancer Screening-Post Intervention
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 4b Patient Post-Intervention Survey.doc Yes No Printable Only

Health Illness Prevention

42 U.S.C 241   71 FR 52334

2,335 0
   
Individuals or Households
 
   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 2,335 0 0 0 0 2,335
Annual IC Time Burden (Hours) 778 0 0 0 0 778
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter Attachment 5 Post Patient Survey Cover letter.doc 10/03/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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