Information Collection

57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)

IC 183556 under ICR 201308-0920-010 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 57.117 Denominators for Specialty Care Area 57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)	Form
57.117 Denominators for Specialty Care Area 57.117_DenominatorSCA_BLANK.DOCX	Form

IC Title:

57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	57.117	Denominators for Specialty Care Area	57.117_DenominatorSCA_BLANK.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54,000	0	54,000
Annual IC Time Burden (Hours)	270,000	0	270,000
Annual IC Cost Burden (Dollars)	8,449,600	8,449,600	0

Documents for IC

table that charts IC Documents
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.