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Federal Cervical Cancer Collaborative (FCCC) CERV-Net Evaluation
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0906-0084
IC ID: 265627
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202503-0906-002
IC 265627
( )
Documents and Forms
Document Name
Document Type
Form 1
Federal Cervical Cancer Collaborative (FCCC) CERV-Net Evaluation
Form and Instruction
1 CERV-Net 3-Month Follow-Up Test
2024-02-13_CERV-Net 3-Month Follow-Up Test.pdf
Form and Instruction
2 CERV-Net Post-Test
2024-02-13_CERV-Net Post-Test.pdf
Form and Instruction
3 CERV-Net Pre-Test
2024-02-13_CERV-Net Pre-Test.pdf
Form and Instruction
2023-02-13_FCCC_OMB-Review_Fast-Track-Memo_V2clean.docx
Fast Track Memo_CERV Net
IC Document
Information Collection (IC) Details
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