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Annual Updates
The Sister Study: Environmental and Generic Risk Factors for Breast Cancer
OMB: 0925-0522
IC ID: 43630
OMB.report
HHS/NIH
OMB 0925-0522
ICR 201211-0925-004
IC 43630
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0522 can be found here:
2016-02-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Annual Updates
Form and Instruction
1 SIS_OMB_2012_WebScreenShots_20121024 Att 12
SIS_OMB_2012_WebScreenShots_20121024 Att 12.pdf
Form and Instruction
1 SIS_Annual_Forms_20121018_Att 1A
SIS_Annual_Forms_20121018_Att 1A.pdf
Form and Instruction
SIS_Annual_Correspondence_20121018_Att 1B.pdf
SIS_Annual_Correspondence_20121018_Att 1B.pdf
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Updates
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
1
SIS_OMB_2012_WebScreenShots_20121024 Att 12
SIS_OMB_2012_WebScreenShots_20121024 Att 12.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
1
SIS_Annual_Forms_20121018_Att 1A
SIS_Annual_Forms_20121018_Att 1A.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
33,923
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
20 %
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
33,923
0
0
-66,077
0
100,000
Annual IC Time Burden (Hours)
5,654
0
0
-2,846
0
8,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SIS_Annual_Correspondence_20121018_Att 1B.pdf
SIS_Annual_Correspondence_20121018_Att 1B.pdf
01/22/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.