Information Collection

#36 Clinical Proteomic Tumor Analysis Consortium (CPTAC) Surveys

IC 210298 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⚠️ Notice: This information collection may be referencing outdated material.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 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

View Information Collection (IC)

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:

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	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

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: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

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	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

table that charts IC Documents
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.