CANCER INFORMATION SERVICE CALL RECORD FORM

ICR 198809-0925-004

OMB: 0925-0208

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
111469
Migrated
ICR Details
0925-0208 198809-0925-004
Historical Active 198611-0925-002
HHS/NIH
CANCER INFORMATION SERVICE CALL RECORD FORM
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/22/1988
Retrieve Notice of Action (NOA) 09/14/1988
  Inventory as of this Action Requested Previously Approved
11/30/1989 11/30/1989
35,562 0 0
148 0 0
0 0 0

THE CIS PROVIDES THE GENERAL PUBLIC, CANCER PATIENTS AND FAMILIES, HEALTH PROFESSIONALS WITHE THE LATEST INFORMATION ON CANCER. THIS FIELD EVALUATION INVOLVE ASKING CIS USERS 7 QUESTIONS, INCLUDING 5 DEMOGRAPHICS. THE RESULTING INFORMATION WILL BE USED BY LOCAL AND NATIONAL PROJECT MANAGEMENT TO MONITOR PROGRAM PROGRESS AND REPORT FINDINGS OF THE PROFESSIONAL LITERATURE.

None
None


No

1
IC Title Form No. Form Name
CANCER INFORMATION SERVICE CALL RECORD FORM

  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 35,562 0 0 35,562 0 0
Annual Time Burden (Hours) 148 0 0 148 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.
09/14/1988


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