Semi-annual Reporting 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⚠️ Notice: This information collection may be referencing outdated material.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
Semi-annual Reporting for All Cancer Prevention and Control Programs Form
Data elements for CCP Programs - Semi-annual Reporting Appendix 4. Data for Cancer Control Programs.doc Form

Information Collection (IC) Details

IC Title:	Semi-annual Reporting for All Cancer Prevention and Control Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Data elements for CCP Programs - Semi-annual Reporting	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: 65	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
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	390	390
Annual IC Cost Burden (Dollars)	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.