Case Investigation of Cervical Cancer Study Survey

Case Investigation of Cervical Cancer (CICC) Study

OMB: 0920-1162

IC ID: 221992

Information Collection (IC) Details

View Information Collection (IC)

Case Investigation of Cervical Cancer Study Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Case Investigation of Cervical Cancer Attachment 4a. CICC Survey English.docx No   Paper Only
Form none Case Investigation of Cervical Cancer - Spanish Attachment 4b. CICC Survey Spanish.docx No   Paper Only

Health Illness Prevention

 

418 0
   
Individuals or Households
 
   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 418 0 418 0 0 0
Annual IC Time Burden (Hours) 105 0 105 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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