Sub-study #19_Epidemiology and Genomics Research Program (EGRP) Communications Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Sub-study #19_Epidemiology and Genomics Research Program (EGRP) Communications Survey Form and Instruction
1 EGRP Listserv Survey Attachment 2 - EGRP Communications Survey 12 5 12.pdf Form and Instruction
Fast-Track_Request_EGRP_12-10-2012.docx Fast Track Request_EGRP IC Document
Attachment 1 - FRIENDS-OF-NCI-EGRP-LISTSERV Invite Announcement 12 6 12.pdf Attach 1_Email Invite IC Document

Information Collection (IC) Details

IC Title:	Sub-study #19_Epidemiology and Genomics Research Program (EGRP) Communications Survey	Agency IC Tracking Number:

IC Status: New

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 and Instruction	1	EGRP Listserv Survey	Attachment 2 - EGRP Communications Survey 12 5 12.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 100

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	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	2,000	0	0	0	0	0
Annual IC Time Burden (Hours)	333	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Request_EGRP	Fast-Track_Request_EGRP_12-10-2012.docx	12/10/2012
Attach 1_Email Invite	Attachment 1 - FRIENDS-OF-NCI-EGRP-LISTSERV Invite Announcement 12 6 12.pdf	12/10/2012

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