Sub-study #37_Revised Satisfaction Survey for the Symposium on Global Cancer Research 2014

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⚠️ Notice: This information collection may be referencing outdated material.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 #37_Revised Satisfaction Survey for the Symposium on Global Cancer Research 2014 Form and Instruction
1 CGH Meeting Survey #37_ScreenShots_CGH.docx Form and Instruction
#37_Fast Track Request CGH.docx #37_Fast Track Request CGH IC Document
#37_Invite_CGH.docx #37_Invite_CGH IC Document

Information Collection (IC) Details

IC Title:	Sub-study #37_Revised Satisfaction Survey for the Symposium on Global Cancer Research 2014	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	CGH Meeting Survey	#37_ScreenShots_CGH.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
#37_Fast Track Request CGH	#37_Fast Track Request CGH.docx	02/19/2014
#37_Invite_CGH	#37_Invite_CGH.docx	02/10/2014

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