Information Collection Request

Cancer Treatment Deferment

ICR 201901-1845-006 · OMB 1845-0154 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Cancer Treatment Deferment Form Form and Instruction New Available
Signed emergency clearance request Cancer Treatment 20190124.pdf Supplementary Document Uploaded 2019-01-28 Repair queued
Supp Stmnt Emerg Clear Request CTD 20190115.docx Supporting Statement A Uploaded 2019-01-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234740 Cancer Treatment Deferment Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2019 6 Months From Approved
5,000 0 0
833 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Cancer Treatment Deferment Form N/A N/A

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 833 0 0 833 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No