Assessing Survivors' Cognitive, Affective and Information-Seeking Responses to Different Formats to Communicate Cancer Survival Statistics - Sub-Study #1

Questionnaire Cognitive Interviewing and Pretesting (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0589 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Assessing Survivors' Cognitive, Affective and Information-Seeking Responses to Different Formats to Communicate Cancer Survival Statistics - Sub-Study #1 Form
1 Screener & Survey Sub-Study #1 Screener & Survey_Sub-Study #1_WATERS_12 11 08.doc Form
Willis' Memo Sub-Study #1_WATERS_12 11 08.doc Memo Sub-Study #1 IC Document

Information Collection (IC) Details

IC Title:	Assessing Survivors' Cognitive, Affective and Information-Seeking Responses to Different Formats to Communicate Cancer Survival Statistics - Sub-Study #1	Agency IC Tracking Number:

IC Status: Unchanged

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	Screener & Survey Sub-Study #1	Screener & Survey_Sub-Study #1_WATERS_12 11 08.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo Sub-Study #1	Willis' Memo Sub-Study #1_WATERS_12 11 08.doc	12/11/2008

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