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State Surveys of Endoscopic Capacity
Estimating the Capacity for National and State-Level Colorectal Cancer Screening through a Survey of Endoscopic Capacity (SECAPII) formerly known as "National Survey of Endoscopic Capacity" (SECAP)
OMB: 0920-0539
IC ID: 193167
OMB.report
HHS/CDC
OMB 0920-0539
ICR 201006-0920-003
IC 193167
( )
Documents and Forms
Document Name
Document Type
0539_Att F1_SECAP II State Survey.doc
Other-WORD
0539_Att F3_State SECAP II Cover Letter.doc
0539_Att F3_State SECAP II Cover Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Surveys of Endoscopic Capacity
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
0539_Att F1_SECAP II State Survey.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
560
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
560
0
560
0
0
0
Annual IC Time Burden (Hours)
327
0
327
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0539_Att F3_State SECAP II Cover Letter
0539_Att F3_State SECAP II Cover Letter.doc
05/11/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.