Information Collection Request

Cancer Treatment Deferment

ICR 201905-1845-001 · OMB 1845-0154 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Cancer Treatment Deferment Form Form and Instruction Modified Available
1845-0154 30D Supporting Statement 2019 CTD.docx Supporting Statement A Uploaded 2019-05-01 Available
Comments on Cancer Treatment Deferment Form1.msg Supplementary Document Uploaded 2019-05-01 Available
Comments on Cancer Treatment Deferment Form.msg Supplementary Document Uploaded 2019-05-01 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 07/31/2019
5,000 0 5,000
833 0 833
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 5,000 0 0 0 0
Annual Time Burden (Hours) 833 833 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No