OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics-Clinic Support Staff

IC 182544 under ICR 200910-0920-011 · OMB 0920-0769.

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

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Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics-Clinic Support Staff
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Clinic Support Staff Post-intervention Survey Attachment_4c_Revised_Clinic_Support_Staff_Post-Intervention_Survey.doc Yes No Printable Only

Health Illness Prevention

42 U.S.C. 241  71 FR 52334

140 0
   
Private Sector Not-for-profit institutions
 
   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 140 0 0 0 0 140
Annual IC Time Burden (Hours) 58 0 0 0 0 58
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Clinic Support Staff Cover Letter Attachment_5_Revised_Post_Clinic_Support_Staff_Cover_Letter.doc 10/15/2009
Clinic Support Staff Reminder Postcard Attachment_6_Revised_Reminder_Postcard_Clinic_Staff.doc 10/15/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.