COMMUNITY CANCER CARE EVALUATION

ICR 198905-0925-002

OMB: 0925-0341

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
111659
Migrated
ICR Details
0925-0341 198905-0925-002
Historical Active
HHS/NIH
COMMUNITY CANCER CARE EVALUATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/17/1989
Retrieve Notice of Action (NOA) 05/05/1989
  Inventory as of this Action Requested Previously Approved
07/31/1992 07/31/1992
3,292 0 0
996 0 0
0 0 0

THE STUDY SEEKS TO OBTAIN INFORMATION ABOUT THE KNOWLEDGE, ATTITUDES AND PRACTICES OF COMMUNITY PRIMARY CARE PHYSICIANS REGARDING STATE OF THE ART CANCER PREVENTION, DETECTION, AND TREATMENT, CLINICAL RESEARCH AND THE NCI-SPONSORED COMMUNITY CLINICAL ONCOLOGY PROGRAM. THE STUDY WILL BE DONE TWICE TO MEASURE CHANGE OVER TIME IN A SAMPLE OF PRIMARY CARE PHYSICIANS IN 20 CCOP COMMUNITIES AND A NATIONAL SAMPLE OF

None
None


No

1
IC Title Form No. Form Name
COMMUNITY CANCER CARE EVALUATION

  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 3,292 0 0 3,292 0 0
Annual Time Burden (Hours) 996 0 0 996 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.
05/05/1989


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