Information Collection

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

IC 210407 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⚠️ Notice: This information collection may be referencing outdated material.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 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

View Information Collection (IC)

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:

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	CGH Meeting Survey	#37_ScreenShots_CGH.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
#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.