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Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinice - Pre and Post Intervention

IC 182546 under ICR 200910-0920-011 · OMB 0920-0769.

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

View Information Collection (IC)

Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinice - Pre and Post Intervention
 
No Modified
 
Voluntary
 

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

Health Illness Prevention

42 U S C 241  71 FR 52334

972 0
   
Individuals or Households
 
   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 1,944 0 0 0 0 1,944
Annual IC Time Burden (Hours) 648 0 0 0 0 648
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 4b Patient Post-Intervention Survey Attachment 4b Patient Post-Intervention Survey.doc 10/03/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.