OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Sub-Study #3_NCI Cancer.gov Evolution - User Focus Groups and Triads

IC 193546 under ICR 201008-0925-004 · OMB 0925-0046.

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

View Information Collection (IC)

Sub-Study #3_NCI Cancer.gov Evolution - User Focus Groups and Triads
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 #2_Attach 5_Screener Research Triad_Cancer evol #2_Attach 5_Screen Research Triad_Cancer evol.doc Yes No Printable Only
Form and Instruction 6 #2_Attach 6_Screener Advocate Triad_Cancer evol #2_Attach 6_Screen Advocate Triad_Cancer evol.docx Yes No Printable Only
Form and Instruction 2 #2_Attach 2_Mod Guide Triad #2_Attach 2_Mod Guide Triads_Cancer evol.docx Yes No Printable Only
Form and Instruction 1 #2_Attach 1_Mod Guide Focus Group #2_Attach 1_Mod Guide Focus Groups_Cancer evol.doc Yes No Printable Only
Form and Instruction 3 #2_Attach 3_Screener Patient-Friends-Family_Cancer evol #2_Attach 3_Screen Patient Friend Family_Cancer evol.doc Yes No Printable Only
Form and Instruction 4 #2_Attach 4_Screener HCP Triad_Cancer evol #2_Attach 4_Screen HCP Triad_Cancer evol.doc Yes No Printable Only

Health Public Health Monitoring

 

80 80
   
Individuals or Households
 
   0 %

  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 80 0 0 0 0 80
Annual IC Time Burden (Hours) 103 0 0 0 0 103
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#2_Attach 7_Consent Form #2_Attach 7_Consent form_Cancer evol.doc 06/24/2010
#2_Justification Memo_Cancer evol #2_Justif memo_Cancer evol.doc 06/30/2010
#2_GC Summary Form_Cancer evolution #2_GC_Summary Form_0925-0046.doc 06/24/2010
#2 REVISED Justification memo Cancer evol #2_REV_Justif memo_Cancer evol_080610.doc 08/13/2010
#2 REVISED Consent Form Cancer evol #2_Attach 7_REV 2_Consent form_Cancer evol.doc 08/13/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.