Screener for Population Survey

Impact Evaluation of CDC's Colorectal Cancer Control Program

OMB: 0920-0992

IC ID: 208026

Information Collection (IC) Details

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Screener for Population Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Screener ATT 3 Screener for Colorectal Cancer Population Survey.docx Yes Yes Fillable Fileable

Health Illness Prevention

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

9,600 0
   
Individuals or Households
 
   100 %

  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 9,600 0 9,600 0 0 0
Annual IC Time Burden (Hours) 800 0 800 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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