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

View Information Collection (IC)

Assess Breast and Cervical Cancer Screening Program Activities to Expand Access to Screening
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable

Health Public Health Monitoring

 

67 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 67 0 0 0 0 0
Annual IC Time Burden (Hours) 31 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A 10/31/2013
Supporting Statement B 10/31/2013
A - About the NBCCEDP Website 10/31/2013
B - NBCCEDP Framework 10/31/2013
D - Data collection instrument - word version 10/31/2013
E - Sample Grantee Report 10/31/2013
F - Sample Management Report 10/31/2013
G - Intro email 10/31/2013
H - Reminder email 10/31/2013
I - Follow-up email 10/31/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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