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Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists
Image-Assisted Cytology Workload Assessment and Measure
OMB: 0920-1000
IC ID: 208767
OMB.report
HHS/CDC
OMB 0920-1000
ICR 201401-0920-010
IC 208767
( )
Documents and Forms
Document Name
Document Type
Screen Shots Cytology Workload Survey 01_06_14.pdf
Other-PDF
Attachment D Image-Assisted Cytology Workload Assessment Cytotechnologist Survey.docx
Other-WORD
Survey Cover Letter 12-12-13.docx
Survey Cover Letter 12-12-13
IC Document
Introductory Email Letter 12-12-13.docx
Introductory Email Letter 12-12-13
IC Document
Initial Survey Reminder Email 12-12-13.docx
Initial Survey Reminder Email 12-12-13
IC Document
Second Survey Reminder Email 12-12-13.docx
Second Survey Reminder Email 12-12-13
IC Document
Final Survey Reminder Email 12-12-13.docx
Final Survey Reminder Email 12-12-13
IC Document
Change Request 1-30-14.docx
Change Request 1-30-14
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Image-Assisted Cytology Workload Assessment Survey--Cytotechnologists
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-PDF
Screen Shots Cytology Workload Survey 01_06_14.pdf
Yes
Yes
Fillable Printable
Other-WORD
Attachment D Image-Assisted Cytology Workload Assessment Cytotechnologist Survey.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,581
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
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
4,581
0
0
0
0
4,581
Annual IC Time Burden (Hours)
2,291
0
0
0
0
2,291
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Survey Cover Letter 12-12-13
Survey Cover Letter 12-12-13.docx
01/27/2014
Introductory Email Letter 12-12-13
Introductory Email Letter 12-12-13.docx
01/27/2014
Initial Survey Reminder Email 12-12-13
Initial Survey Reminder Email 12-12-13.docx
01/27/2014
Second Survey Reminder Email 12-12-13
Second Survey Reminder Email 12-12-13.docx
01/27/2014
Final Survey Reminder Email 12-12-13
Final Survey Reminder Email 12-12-13.docx
01/27/2014
Change Request 1-30-14
Change Request 1-30-14.docx
01/30/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.