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Federal Cervical Cancer Collaborative (FCCC) Post-Roundtable Evaluation
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0915-0212
IC ID: 252068
OMB.report
HHS/HSA
OMB 0915-0212
ICR 202312-0915-001
IC 252068
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:
2024-01-10 - Revision of a currently approved collection
2024-01-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Federal Cervical Cancer Collaborative (FCCC) Post-Roundtable Evaluation
Form and Instruction
1 Post-Roundtable-Survey_V02-Final.pdf
Moonshot_OMB-Review_Post-Roundtable-Survey_V02-Final.pdf
Form and Instruction
FINAL Supporting Statement A.docx
Supporting Statement A
IC Document
Information Collection (IC) Details
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