SPARCCS Instruments

The National Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) (NCI)

Documents and Forms

Document Name Document Type
Form 3 SPARCCS Instruments Form and Instruction
3 Oncologist Instrument Attachment 1 Medical Oncology Questionnaire FINAL_8 July 2008.doc Form and Instruction
4 PCP Instrument Attachment 2 PCP Questionnaire FINAL_8 July 2008.doc Form and Instruction

Information Collection (IC) Details

IC Title:	SPARCCS Instruments	Agency IC Tracking Number:

Is this a Common Form? Yes		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 and Instruction	3	Oncologist Instrument	Attachment 1 Medical Oncology Questionnaire FINAL_8 July 2008.doc		Yes	No	Paper Only
Form and Instruction	4	PCP Instrument	Attachment 2 PCP Questionnaire FINAL_8 July 2008.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,100	1,100
Annual IC Time Burden (Hours)	367	367
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.