Attachment 2a. Colorectal Cancer Clinical Data Elements for FOBT Programs

Colorectal Cancer Screening Program

OMB: 0920-0745

IC ID: 179135

Information Collection (IC) Details

View Information Collection (IC)

Attachment 2a. Colorectal Cancer Clinical Data Elements for FOBT Programs
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form None Colorectal Cancer Clinical Data Elements 0920-05CJ ATTACHMENT 2a CCDE Data Definition Table v100-20060206.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

3 0
   
State, Local, and Tribal Governments
 
   100 %

  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 0 0 -3,000 0 0 3,000
Annual IC Time Burden (Hours) 0 0 -750 0 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CRCDSP Data User's Manual 0920-05CJ ATTACHMENT 2b CRCSDP Data Users Manual (v101).pdf
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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