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Federal forms, ICRs, and supporting documents

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Case Investigation of Cervical Cancer Study Survey

IC 221992 under ICR 201804-0920-017 · OMB 0920-1162.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Case Investigation of Cervical Cancer Study Survey
 
No Modified
 
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 0 0 0 418
Annual IC Time Burden (Hours) 105 0 0 0 0 105
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Case Investigation of Cervical Cancer (CICC) Study - Cervivor CICC OMB cervivor change request attachment.docx 04/27/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.