Information Collection

REVISED Sub-study #25_ Center for Cancer Training (CCT) Web Site Usability Testing

IC 206754 under ICR 201108-0925-002 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 REVISED Sub-study #25_ Center for Cancer Training (CCT) Web Site Usability Testing	Form and Instruction
1 CCT Screener CCT_#25_Attach1_Screener_REV.docx	Form and Instruction
2 CCT Usability Script CCT_#25_Attach3_Usability_Script_CCT.doc	Form and Instruction
CCT_Fast-Track_Request_#25_4-24-2013.doc CCT_Fast-Track_Request_#25_4-24-2013	IC Document
CCT_#25_Attach2_RecruitLetters_CCT.docx CCT_#25_Attach2_RecruitLetters_CCT	IC Document
CCT_#25_Attach4_Consent_REV.doc CCT_#25_Attach4_Consent_REV	IC Document
Memo to OMB_Revisions to CCT.doc Memo to OMB_Revisions to CCT	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

REVISED Sub-study #25_ Center for Cancer Training (CCT) Web Site Usability Testing

Agency IC Tracking Number:

IC Status: New

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	CCT Screener	CCT_#25_Attach1_Screener_REV.docx		No	No	Printable Only
Form and Instruction	2	CCT Usability Script	CCT_#25_Attach3_Usability_Script_CCT.doc		No	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title: SORN #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: 66

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	66	0	0	0	0	0
Annual IC Time Burden (Hours)	24	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CCT_Fast-Track_Request_#25_4-24-2013	CCT_Fast-Track_Request_#25_4-24-2013.doc	04/24/2013
CCT_#25_Attach2_RecruitLetters_CCT	CCT_#25_Attach2_RecruitLetters_CCT.docx	04/24/2013
CCT_#25_Attach4_Consent_REV	CCT_#25_Attach4_Consent_REV.doc	04/24/2013
Memo to OMB_Revisions to CCT	Memo to OMB_Revisions to CCT.doc	04/24/2013

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