Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NBCCEDP Clinic-Level Data Instrument (Cervical) Modified 420 315 17989 Form and Instruction 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments (Cervical)
Annual NBCCEDP Survey Modified 70 65 2998 Form and Instruction 0920-1046 Annual National Breast and Cervical Early Detection Program (NBCCEDP) Survey
Minimum Data Elements (MDE) Data Definition Table New 140 350 0 Form and Instruction 0920-1046 Minimum Data Elements (MDE) Data Definition Table
NBCCEDP Clinic-Level Data Collection Instruments Modified 420 315 17989 Form and Instruction 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments
NBCCEDP Quarterly Program Update New 280 149 0 Form and Instruction 0920-1046 NBCCEDP Quarterly Program Update
NBCCEDP Service Delivery Projection Worksheet New 70 34 0 Form and Instruction 0920-1046 NBCCEDP Service Delivery Projections
Total burden requested under this ICR: 1400 1228 38976  
To view an IC, click on IC Title