NBCCEDP Service Delivery Projection Worksheet

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

OMB: 0920-1046

IC ID: 250027

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NBCCEDP Service Delivery Projection Worksheet 0920-1046
 
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 0920-1046 NBCCEDP Service Delivery Projections Att 8 - NBCCEDP Service Delivery Projections Worksheet.xlsx 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) 34 0 34 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NBCCEDP Service Delivery Projections (screenshots) Att 8a - NBCCEDP Service Delivery Projection Worksheet (screenshots).docx 11/02/2021
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