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Federal forms, ICRs, and supporting documents

Information Collection Request

Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program

ICR 200303-0920-002 · OMB 0920-0571 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
7025 Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program Migrated
ICR Details
0920-0571 200303-0920-002
Historical Active 200209-0920-004
HHS/CDC
Minimum Data Elements/System for Technical Assistance Reporting for the National Breast and Cervical Cancer Early Detection Program
Extension without change of a currently approved collection   No
Regular
Approved without change 05/05/2003
Retrieve Notice of Action (NOA) 03/24/2003
  Inventory as of this Action Requested Previously Approved
05/31/2006 05/31/2006 05/31/2003
273 0 273
2,343 0 2,343
0 0 0
CDC proposes to facilitate the comprehensive surveillance of breast and cervical cancer screening and tracking services using data reported by grantee programs funded through the National Breast and Cervical Cancer Early Detection Program.
None
None
No
  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 273 273 0 0 0 0
Annual Time Burden (Hours) 2,343 2,343 0 0 0 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.
03/24/2003