View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Revised Bundled Sub-study #2 and #3_Usability Testing for DCEG Newsletter Linkage and SEER Consolidated Cancer Statistics Tool
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2.1 and 2.5 Yes No Printable Only
Form and Instruction 3A and 3B Yes No Printable Only
Form and Instruction 3C Yes No Printable Only
Form and Instruction 3E Yes No Printable Only
Form and Instruction 3D Yes No Printable Only
Form and Instruction 3F Yes No Printable Only

Health Consumer Health and Safety

SORN #09-25-0156, "Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"   67 FR 60743

42 0
   
Individuals or Households
 
   30 %

  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 42 0 0 0 0 0
Annual IC Time Burden (Hours) 43 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo to OMB Key to Bundle #2 & #3 01/06/2012
#2 DCEG Fast Track Request and Attach 2, 3, & 4 01/06/2012
#3 SEER Fast Track Request and Attach G-L 01/06/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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