National Program of Cancer Registries Cancer Surveillance System

⚠️ Notice: This information collection may be referencing outdated material.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
Attachment 5-6.pdf Other-Other
Attachment 7-15(2).pdf Attachment 7-15(2) 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? Yes		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-Other			Attachment 5-6.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 63	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	63	63
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 7-15(2)	Attachment 7-15(2).pdf	11/14/2006

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