Information Collection

2010 NCI Cancer Bulletin Reader Survey (sub-study #1)

IC 192713 under ICR 201008-0925-004 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2010 NCI Cancer Bulletin Reader Survey (sub-study #1)	Form and Instruction
1 NCI Cancer Bulletin Survey Cancer Bulletin Survey 2010_4-19-2010.doc www.cancer.gov/ncicancerbulletinsurvey	Form and Instruction
GC_Summary Sub-Study Form_#1_0925-0046.doc Generic Summary	IC Document
OMB Memo Cancer Bulletin Survey 4-19-10.doc Memo for IC#1_Cancer Bulletin Survey	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2010 NCI Cancer Bulletin Reader Survey (sub-study #1)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NCI Cancer Bulletin Survey	Cancer Bulletin Survey 2010_4-19-2010.doc	http://www.cancer.gov/ncicancerbulletinsurvey	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-25-0156, 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: 5,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,500	5,500
Annual IC Time Burden (Hours)	917	917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Summary	GC_Summary Sub-Study Form_#1_0925-0046.doc	04/19/2010
Memo for IC#1_Cancer Bulletin Survey	OMB Memo Cancer Bulletin Survey 4-19-10.doc	04/19/2010

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