Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program

Minimum Data Elements for the National Breast and Cervical Cancer Early Detection Program

OMB: 0920-0571

IC ID: 7025

Information Collection (IC) Details

View Information Collection (IC)

Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none MDE Data Items and Definitions Required for Reporting Attachment 03a (MDE data items).pdf Yes Yes Fillable Fileable
Form none Web-based Portal Screenshot Attachment 03b (Web-based portal).pdf Yes Yes Fillable Fileable

Health Immunization Management

 

67 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 134 0 -2 0 0 136
Annual IC Time Burden (Hours) 536 0 -8 0 0 544
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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