ST. GEORGE, UTAH, CANCER SCREENING AND DETECTION PROJECT

ICR 199305-0925-002

OMB: 0925-0289

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
111589
Migrated
ICR Details
0925-0289 199305-0925-002
Historical Active 198901-0925-002
HHS/NIH
ST. GEORGE, UTAH, CANCER SCREENING AND DETECTION PROJECT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/17/1993
Retrieve Notice of Action (NOA) 05/27/1993
  Inventory as of this Action Requested Previously Approved
07/31/1995 07/31/1995
1,310 0 0
458 0 0
0 0 0

DATA REQUIRED TO CARRY OUT RESEARCH MANDATED UNDER P.L. 98-558 IN THE DEVELOPMENT OF CANCER SCREENING AND RESEARCH PROJECT ON THE OVER 40 POPULATION IN ST. GEORGE, UTAH. DATA WILL BE USED TO DETERMINE KNOWLEDGE, ATTITUDES, AND PRACTICES RELATING TO A COMMUNITY SCREENING PROJECT AMONG HOUSEHOLDS AND HEALTH CARE PROVIDERS.

None
None


No

1
IC Title Form No. Form Name
ST. GEORGE, UTAH, CANCER SCREENING AND DETECTION PROJECT

  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 1,310 0 0 1,310 0 0
Annual Time Burden (Hours) 458 0 0 458 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/27/1993


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