OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 193888 under ICR 201008-0925-003 · OMB 0925-0589.

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

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL 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

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"   67 FR 60743

293 0
   
Individuals or Households
 
   25 %

  Requested 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 293 0 0 0 0 293
Annual IC Time Burden (Hours) 110 0 0 0 0 110
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.