Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
NBCCEDP Clinic-Level Data Instrument (Cervical) Modified 426 284 0 Form and Instruction 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments (Cervical)
Annual NBCCEDP Survey Modified 71 54 0 Form and Instruction 0920-1046 Annual National Breast and Cervical Early Detection Program (NBCCEDP) Survey
Minimum Data Elements (MDE) Data Definition Table Modified 142 355 0 Form and Instruction 0920-1046 Minimum Data Elements (MDE) Data Definition Table
NBCCEDP Clinic-Level Data Collection Instruments Modified 426 284 0 Form and Instruction 0920-1046 NBCCEDP Clinic-Level Data Collection Instruments
NBCCEDP Quarterly Program Update Modified 284 151 0 Form and Instruction 0920-1046 NBCCEDP Quarterly Program Update
NBCCEDP Service Delivery Projection Worksheet Modified 71 34 0 Form and Instruction 0920-1046 NBCCEDP Service Delivery Projections
Total burden requested under this ICR: 1420 1162 0  
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