#36 Clinical Proteomic Tumor Analysis Consortium (CPTAC) Surveys

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⚠️ Notice: This information collection may be referencing outdated material.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 1B #36 Clinical Proteomic Tumor Analysis Consortium (CPTAC) Surveys Form and Instruction
1B TCGA Survey Screenshots Attach1B_Survey_TCGA_Screenshots.docx Form and Instruction
2B CPTAC Survey screenshots Attach2B_ Survey_CPTAC_Screenshots.docx Form and Instruction
Attach2A_ InviteEmail_CPTAC.docx Invite Email CPTAC IC Document
Attach1A_InviteEmail_TCGA.docx Invite Email TCGA IC Document
Fast Track Request_CPTAC_surveys_1-24-2014.docx Fast Track Request CPTAC IC Document

Information Collection (IC) Details

IC Title:	#36 Clinical Proteomic Tumor Analysis Consortium (CPTAC) Surveys	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	1B	TCGA Survey Screenshots	Attach1B_Survey_TCGA_Screenshots.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2B	CPTAC Survey screenshots	Attach2B_ Survey_CPTAC_Screenshots.docx		Yes	Yes	Fillable Fileable

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: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	300	0	0	0	0	0
Annual IC Time Burden (Hours)	50	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Invite Email CPTAC	Attach2A_ InviteEmail_CPTAC.docx	01/27/2014
Invite Email TCGA	Attach1A_InviteEmail_TCGA.docx	01/27/2014
Fast Track Request CPTAC	Fast Track Request_CPTAC_surveys_1-24-2014.docx	01/27/2014

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