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Pretesting/Formative Research for Informing the Development of a National Biorepository
Pretesting of NCI's Office of Communications Messages
OMB: 0925-0046
IC ID: 187737
OMB.report
HHS/NIH
OMB 0925-0046
ICR 200810-0925-002
IC 187737
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:
2022-10-25 - Extension without change of a currently approved collection
2019-07-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Pretesting/Formative Research for Informing the Development of a National Biorepository
Form
2 Revised Survey
#13_AMENDED_Survey Text_OBBR Biospecimen_3_6_09.doc
Form
3 Final Revised Survey
#13_AMENDED_Survey Text_OBBR Biospecimen_3_18_09.doc
Form
1 Word Version of Survey
#13_Biospecimen_OBBR SurveyText_12_17_08 OBBR NG.doc
Form
1 PDF - Screen Shots of Survey
#13_Biospecimen_Screen shots of survey_10.29.08.pdf
Form
Terms of Clearance.pdf
Terms of Clearance
IC Document
#13_Biospecimen Memo for OBBR 12-17-08 NG.doc
#13 Memo/Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pretesting/Formative Research for Informing the Development of a National Biorepository
Agency IC Tracking Number:
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
Form
1
Word Version of Survey
#13_Biospecimen_OBBR SurveyText_12_17_08 OBBR NG.doc
Yes
Yes
Fillable Fileable
Form
1
PDF - Screen Shots of Survey
#13_Biospecimen_Screen shots of survey_10.29.08.pdf
Yes
Yes
Fillable Fileable
Form
2
Revised Survey
#13_AMENDED_Survey Text_OBBR Biospecimen_3_6_09.doc
Yes
Yes
Fillable Fileable
Form
3
Final Revised Survey
#13_AMENDED_Survey Text_OBBR Biospecimen_3_18_09.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
500
0
500
0
0
0
Annual IC Time Burden (Hours)
125
0
125
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
#13 Memo/Justification
#13_Biospecimen Memo for OBBR 12-17-08 NG.doc
12/18/2008
Terms of Clearance
Terms of Clearance.pdf
03/18/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.