Information Collection

Management Information System for Comprehensive Cancer Control Programs

IC 191016 under ICR 201001-0920-004 · OMB 0920-0841.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0841 can be found here:

Documents and Forms

Document Name Document Type
Management Information System for Comprehensive Cancer Control Programs Form
MIS for Comprehensive Cancer Control Programs Appendix 4. CCC MIS 12.04.09 v1.1.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Management Information System for Comprehensive Cancer Control Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	MIS for Comprehensive Cancer Control Programs	Appendix 4. CCC MIS 12.04.09 v1.1.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	780	780
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.