OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Annual NBCCEDP Survey

IC 233706 under ICR 202501-0920-002 · OMB 0920-1046.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Annual NBCCEDP Survey 0920-1046
 
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 0920-1046 Annual National Breast and Cervical Early Detection Program (NBCCEDP) Survey Att 5 - Annual NBCCEDP Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

71 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 71 0 1 0 0 70
Annual IC Time Burden (Hours) 54 0 -11 0 0 65
Annual IC Cost Burden (Dollars) 0 0 -2,998 0 0 2,998

Title Document Date Uploaded
NBCCEDP Annual Grantee Survey (Screenshots) Att 5a - Annual NBCCEDP Survey (screenshots).docx 01/08/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.