[NCCDPHP] Cancer Screening Change Package Evaluation

[OADC] CDC Usability and Digital Content Testing

OMB: 0920-1050

IC ID: 260719

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Form and Instruction
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[NCCDPHP] Cancer Screening Change Package Evaluation 0920-1050-23GE
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 Cancer Screening Change Package Evaluation Survey Appendix A_Cancer Screening Change Package Evaluation Survey_2_23_2023.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

135 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 135 0 0 0 0 135
Annual IC Time Burden (Hours) 23 0 0 0 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Email to Disseminate Cancer Screening Change Package Evaluation for Cancer Council Members Appendix B_Email_2_23_2023.docx 06/20/2023
SSA 0920-1050_Supporting Statement A_CSCP eval.docx 06/20/2023
SSB 0920-1050_Supporting Statement B_CSCP eval.docx 06/20/2023
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050) 0920-1050_Customer_Service_GenIC_Clearance_Template_2_23_2023_Clean.docx 06/20/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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