FIT Questionnaire

Colorectal Cancer Control Program Indirect/Non-Medical Cost Study

OMB: 0920-0963

IC ID: 205257

Information Collection (IC) Details

View Information Collection (IC)

FIT Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att_H(english).FIT_questionnaire_screens.pdf Yes Yes Fillable Printable
Other-WORD Att_H(spanish).FIT_questionnaire_screens.pdf Yes Yes Fillable Printable

Health Immunization Management

 

300 0
   
Individuals or Households
 
   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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att F Att F. FIT protocol instructions.docx 12/10/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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