Clinic-level Breast Cancer Screening Data

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

OMB: 0920-1046

IC ID: 233707

Information Collection (IC) Details

View Information Collection (IC)

Clinic-level Breast Cancer Screening Data
 
No Modified
 
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 Screen Shots of the Clinic Baseline and Annual Reporting System (CBARS) Att 7_NBCCEDP Clinic-Level Data Collection Instrument.docx Yes Yes Fillable Fileable
Instruction Att 7a_NBCCEDP Clinic Data Dictionary- BREAST.docx No   Paper Only

Health Consumer Health and Safety

 

70 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 420 0 0 0 0 420
Annual IC Time Burden (Hours) 350 0 35 0 0 315
Annual IC Cost Burden (Dollars) 17,989 0 0 0 0 17,989

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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