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Federal forms, ICRs, and supporting documents

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Evaluation of an Intervention to Increase Colorectal Cancer Screenig in Primary Care Clinics - Clincians

IC 182545 under ICR 200910-0920-011 · OMB 0920-0769.

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Form
IC Document
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Evaluation of an Intervention to Increase Colorectal Cancer Screenig in Primary Care Clinics - Clincians
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Clinician Post-intervention Survey Attachment_4d_Revised_Clinician_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) 70 0 0 0 0 70
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Clinician Post-intervention Cover Letter Attachment_5_Revised_Post_Clinician_Survey_Cover_Letter.doc 10/15/2009
Clinician Post-intervention Reminder Postcard Attachment_6_Revised_Reminder_Postcard_Clinicians.doc 10/15/2009
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