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Federal forms, ICRs, and supporting documents

Information Collection Request

CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS

ICR 197702-0920-002 · OMB 0920-0034 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110629 CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS Form Migrated
ICR Details
0920-0034 197702-0920-002
Historical Active
HHS/CDC
CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/17/1977
Retrieve Notice of Action (NOA) 02/14/1977
  Inventory as of this Action Requested Previously Approved
12/31/1980 12/31/1980
2,100 0 0
1,225 0 0
0 0 0

None
None
No
1
IC Title Form No. Form Name
CANCER SURVEILLANCE AND EPIDEMIOLOGIC STUDIES DATA COLLECTION FORMS CDC 4.529ATH, CDC 4.530ATH
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,100 0 0 0 2,100 0
Annual Time Burden (Hours) 1,225 0 0 0 1,225 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/14/1977