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Questionnaire For Next-of-kin In An Epidemiologic Case-control Study Of Soft-tissue Sarcoma, Hodgkin's Disease, And Non-hodgkin's Lymphmaoma In Kansas
QUESTIONNAIRE FOR NEXT-OF-KIN IN AN EPIDEMIOLOGIC CASE-CONTROL STUDY OF SOFT-TISSUE SARCOMA, HODGKIN'S DISEASE, AND NON-HODGKIN'S LYMPHMAOMA IN KANSAS
OMB: 0925-0182
IC ID: 111427
OMB.report
HHS/NIH
OMB 0925-0182
ICR 198207-0925-002
IC 111427
( )
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Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
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IC Title:
QUESTIONNAIRE FOR NEXT-OF-KIN IN AN EPIDEMIOLOGIC CASE-CONTROL STUDY OF SOFT-TISSUE SARCOMA, HODGKIN'S DISEASE, AND NON-HODGKIN'S LYMPHMAOMA IN KANSAS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
480
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
480
0
480
0
0
0
Annual IC Time Burden (Hours)
240
0
240
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.