Information Collection Request

Questionnaire Cognitive Interviewing and Pretesting (NCI)

ICR 200802-0925-005 · OMB 0925-0589 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 #3, #4, and #5 Bundled Sub-studies for Website Evaluations - Science of Team Science, SEER and Epi Genetics Research Programs Form and Instruction New Available
Form 1 Pilot of a Survey Instrument Designed to Assess Users' Perceptions of Website Changes (Sub-Study #2) Form New Available
Form 1 Assessing Survivors' Cognitive, Affective and Information-Seeking Responses to Different Formats to Communicate Cancer Survival Statistics - Sub-Study #1 Form New Available
SSB_10-31-07.doc Supporting Statement B Uploaded 2007-12-07 Available
ATTACHMENT L Detailed explanation to participants.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT K Participant data sheet.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT J Sample script for answering machine.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT I Sample Screening script.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT H Newspaper script.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT G OHSR Exemption approval.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT F Consent to show recording.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT E-2 Consent Groups.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT E-1 Consent Interview.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT D Letter from Privacy Act Officer.pdf Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT C HINTS 2005 Advance-letter.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT B-2 Sample Qx Cancer Quality of Life.doc Supplementary Document Uploaded 2007-12-07 Available
ATTACHMENT B-1 Sample Qx TUS Population Survey.doc Supplementary Document Uploaded 2007-12-07 Repair queued
ATTACHMENT A Cognitive Interviewing.doc Supplementary Document Uploaded 2007-12-07 Available
Cover Letter.doc Supplementary Document Uploaded 2007-12-07 Repair queued
SSA_11-27-07.doc Supporting Statement A Uploaded 2007-12-07 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved
600 0 0
600 0 0
0 0 0





table that charts list of burden
  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 600 0 0 600 0 0
Annual Time Burden (Hours) 600 0 0 600 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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