NBCCEDP Annual Grantee Survey

National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Monitoring Activities

OMB: 0920-1046

IC ID: 233706

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

View Information Collection (IC)

NBCCEDP Annual Grantee Survey
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a NBCCEDP Annual Grantee Survey Att 6_NBCCEDP Grantee Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

70 0
   
State, Local, and Tribal Governments
 
   100 %

  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 70 0 70 0 0 0
Annual IC Time Burden (Hours) 53 0 53 0 0 0
Annual IC Cost Burden (Dollars) 2,998 0 2,998 0 0 0

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