Information Collection

National Program of Cancer Registries Cancer Surveillance System

IC 6900 under ICR 200911-0920-004 · OMB 0920-0469.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0469 can be found here:

Documents and Forms

Document Name Document Type
Att 4a_Submission Spec.100109.pdf Other-WORD
Att 4b_burden statement.pdf Att 4b_burden statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Program of Cancer Registries Cancer Surveillance System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-WORD			Att 4a_Submission Spec.100109.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	48	-15	63
Annual IC Time Burden (Hours)	96	-30	126
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Att 4b_burden statement	Att 4b_burden statement.pdf	10/22/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.