Awarness and Beliefs About Cancer (ABC) Study Survey (Attachment 3)

Awareness and Beliefs About Cancer (ABC) Survey

Documents and Forms

Document Name Document Type
Form 2 Awarness and Beliefs About Cancer (ABC) Study Survey (Attachment 3) Form
2 ABC Survey Attach3_ABC Survey_2-11-2014.docx Form

Information Collection (IC) Details

IC Title:	Awarness and Beliefs About Cancer (ABC) Study Survey (Attachment 3)	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
Form	2	ABC Survey	Attach3_ABC Survey_2-11-2014.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health(NIH)	FR Citation: 67 FR 60776

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,500	-500	2,000
Annual IC Time Burden (Hours)	500	-167	667
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.