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Annual Updates
The Sister Study: PHASE 3 Environmental and Generic Risk Factors for Breast Cancer
OMB: 0925-0522
IC ID: 43630
OMB.report
HHS/NIH
OMB 0925-0522
ICR 201602-0925-013
IC 43630
( )
Documents and Forms
Document Name
Document Type
Form 1
Annual Updates
Form and Instruction
1 Attachment 1 Annual Update screenshot
SISOMB2016ATTACHMENT1cANNUALWebScreenShots20160219.pdf
Form and Instruction
SISOMB2016ATTACHMENT1aANNUALform20160219.pdf
Attachment 1A Annual Form
IC Document
SISOMB2016ATTACHMENT1bANNUALcorrespondence20160219.pdf
Attachment 1b Annual Correspondence
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Updates
Agency IC Tracking Number:
Is this a Common Form?
No
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
Form and Instruction
1
Attachment 1 Annual Update screenshot
SISOMB2016ATTACHMENT1cANNUALWebScreenShots20160219.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
32,215
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
20 %
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
32,215
0
-1,708
0
0
33,923
Annual IC Time Burden (Hours)
5,369
0
-285
0
0
5,654
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1A Annual Form
SISOMB2016ATTACHMENT1aANNUALform20160219.pdf
02/22/2016
Attachment 1b Annual Correspondence
SISOMB2016ATTACHMENT1bANNUALcorrespondence20160219.pdf
02/22/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.