OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)

IC 191499 under ICR 200810-0925-002 · OMB 0925-0046.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Bundled Sub-Studies for HINTS (#17) and NCI Cancer Centers' Clinical Trial Accruals (#18)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 #17_Att_B_HINTS Potential Data User Guide #17_Att_B_HINTS Potential Data User Guide 0925-0046-17.doc No No Paper Only
Form and Instruction 1 #17_Att_A_HINTS Current Data User Guide #17_Att_A_HINTS Current Data User Guide 0925-0046-17.doc Yes No Paper Only
Form and Instruction 4 #17_Att_D_HINTS Potential Results User Guide #17_Att_D_HINTS Potential Results User Guide 0925-0046-17.doc Yes No Paper Only
Form and Instruction 5 #17_Att_E_HINTS Student Guide #17_Att_E_HINTS Student Guide_0925-0046-17.doc Yes No Paper Only
Form and Instruction 6 #17 HINTS Screener #17_Att_G_HINTS Screener Questions 0925-0046-17.doc Yes No Paper Only
Form and Instruction 1 #18_Att_ A CT Accrual Needs Assessment instrument #18_Att_ A CT Accrual Needs Assessment instrument 0925-0046-18.doc Yes No Fillable Printable
Form and Instruction 3 #17_Att_C_HINTS Current Results User Guide #17_Att_C_HINTS Current Results User Guide 0925-0046-17.doc Yes No Paper Only

Health Public Health Monitoring

Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service HHS/PHS/NIH/OD [09-25-0156]  74 FR 55558

369 0
   
Private Sector Not-for-profit institutions
 
   53 %

  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 369 0 0 0 0 0
Annual IC Time Burden (Hours) 169 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#18_CT_ GC_Summary Sub-Study #18_CT_ GC_Summary Sub-Study Form_0925-0046-18.doc 12/03/2009
#18_Att_B CT Informed Consent Form #18_Att_B Informed Consent Form 0925-0046-18.docx 12/03/2009
#18_CT_Justification Memo CT Survey #18_CT_Justification Memo CT Needs Assess Survey 0925-0046-18.doc 12/03/2009
READ FIRST - KEY TO BUNDLED STUDY Memo to OMB_Key To Bundled Pkg..doc 12/03/2009
#17_Att_F_HINTS Invitation Email-Phone #17_Att_F_HINTS Invitation Email-Phone 0925-0046-17.doc 12/03/2009
#17_Att_H_HINTS Reminder Email-Phone #17_Att_H_HINTS Reminder Email-Phone 0925-0046-17.doc 12/03/2009
#17_Att_I_HINTS Informed Consents #17_Att_I_HINTS Informed Consents 0925-0046-17.doc 12/03/2009
#17_HINTS GC Summary Sub-Study #17_HINTS GC Summary Sub-Study_0925-0046-17.doc 12/03/2009
#17_HINTS Justification Memo #17_HINTS Justification Memo_0925-0046-17.doc 12/03/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.