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Script for Non-responders to ASU
Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial (PLCO) (NCI)
OMB: 0925-0407
IC ID: 198526
OMB.report
HHS/NIH
OMB 0925-0407
ICR 201210-0925-003
IC 198526
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0407 can be found here:
2015-07-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 6
Script for Non-responders to ASU
Form and Instruction
6 Script for ASU Non-response
Attach_6_ASU_Telephone_Script_9_24_12.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Script for Non-responders to ASU
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
6
Script for ASU Non-response
Attach_6_ASU_Telephone_Script_9_24_12.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
09-25-0200, "Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD"
FR Citation:
67 FR 60776
Number of Respondents:
3,760
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,760
0
42
0
0
3,718
Annual IC Time Burden (Hours)
313
0
3
0
0
310
Annual IC Cost Burden (Dollars)
0
0
0
0
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.