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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector
Agency IC Tracking Number:
0920-1050-24DI
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
Focus Group Interview Guide
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-FG_Att-2.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Personal Interview Guide
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-intrvw_Att-2.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
45
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
45
0
45
0
0
0
Annual IC Time Burden (Hours)
45
0
45
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Email Invite
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-FG_Att-1.docx
03/07/2024
Personal Interview Email Invite
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-intrvw_Att-1.docx
03/07/2024
SSA
SSA_0920-1050_USCS_Public-Use-DB_private_final.docx
03/07/2024
GenIC Request Template
DCPC1050 Form_USCS_Public-Use-DB_private.docx
03/07/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.