Initial MIS Population for All Cancer Prevention and Control Programs

Management Information System for Comprehensive Cancer Control Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0841 can be found here:

Documents and Forms

Document Name Document Type
Initial MIS Population for All Cancer Prevention and Control Programs Form
MIS Data Elements for All Cancer Prevention and Control Appendix 4. Data for Cancer Control Programs.doc Form

Information Collection (IC) Details

IC Title:	Initial MIS Population for All Cancer Prevention and Control Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	MIS Data Elements for All Cancer Prevention and Control Programs	Appendix 4. Data for Cancer Control Programs.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22	-108	130
Annual IC Time Burden (Hours)	88	-692	780
Annual IC Cost Burden (Dollars)	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.