#3, #4, and #5 Bundled Sub-studies for Website Evaluations - Science of Team Science, SEER and Epi Genetics Research Programs

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⚠️ Notice: This information collection may be referencing outdated material.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 #3, #4, and #5 Bundled Sub-studies for Website Evaluations - Science of Team Science, SEER and Epi Genetics Research Programs Form and Instruction
1 #3 Attachments A1 and A4 #3_Attach A1 & A4_Profile Qx. & Interview Guide_TS Toolkit.doc Form and Instruction
2 #4 Attachments B2, B5, B6 & B7 #4_Attach B2,B5,B6&B7_SEER.PDF Form and Instruction
3 #5 Attachments C2, C3, C4 & C5 #5 Attach C2, C3, C4, & C5_EGRP Web Testing.doc Form and Instruction
Memo to OMB_Key To Bundled Pkg.doc Memo to OMB_Key To Bundled Pkg IC Document
Combined Generic Sub-study Form_0925-0589-#3 STS, #4 SEER, #5 EGPR.doc Combined Generic Sub-study Form_0925-0589-#3 STS, #4 SEER, #5 EGPR IC Document
#3_Justif Memo & Attach A2 & A3_TS Toolkit_rev3.doc #3_Justif Memo & Attach A2 & A3_TS Toolkit_rev3 IC Document
#4_Justif Memo & Attach B1, B3, B4 & B8_SEER_rev3.doc #4_Justif Memo & Attach B1, B3, B4 & B8_SEER_rev3 IC Document
#5 Justif Memo & Attach C1 & C6_EGRP Web Testing_rev2.doc #5 Justif Memo & Attach C1 & C6_EGRP Web Testing_rev2 IC Document
Combined Burden and Cost Table.pdf Combined Burden and Cost Table IC Document

Information Collection (IC) Details

IC Title:	#3, #4, and #5 Bundled Sub-studies for Website Evaluations - Science of Team Science, SEER and Epi Genetics Research Programs	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	#3 Attachments A1 and A4	#3_Attach A1 & A4_Profile Qx. & Interview Guide_TS Toolkit.doc	Yes	No	Fillable Fileable
Form and Instruction	2	#4 Attachments B2, B5, B6 & B7	#4_Attach B2,B5,B6&B7_SEER.PDF	Yes	No	Fillable Fileable
Form and Instruction	3	#5 Attachments C2, C3, C4 & C5	#5 Attach C2, C3, C4, & C5_EGRP Web Testing.doc	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: "Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"	FR Citation: 67 FR 60743

Number of Respondents: 293	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

	Requested	Previously Approved
Annual Number of Responses for this IC	293	293
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo to OMB_Key To Bundled Pkg	Memo to OMB_Key To Bundled Pkg.doc	07/13/2010
Combined Generic Sub-study Form_0925-0589-#3 STS, #4 SEER, #5 EGPR	Combined Generic Sub-study Form_0925-0589-#3 STS, #4 SEER, #5 EGPR.doc	07/13/2010
#3_Justif Memo & Attach A2 & A3_TS Toolkit_rev3	#3_Justif Memo & Attach A2 & A3_TS Toolkit_rev3.doc	07/13/2010
#4_Justif Memo & Attach B1, B3, B4 & B8_SEER_rev3	#4_Justif Memo & Attach B1, B3, B4 & B8_SEER_rev3.doc	07/13/2010
#5 Justif Memo & Attach C1 & C6_EGRP Web Testing_rev2	#5 Justif Memo & Attach C1 & C6_EGRP Web Testing_rev2.doc	07/13/2010
Combined Burden and Cost Table	Combined Burden and Cost Table.pdf	07/13/2010

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