Information Collection

Sub-study #38_Cancer Control Leadership Forum CCLF

IC 210968 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⚠️ Notice: This information collection may be referencing outdated material.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 #38_Cancer Control Leadership Forum CCLF	Form
1 Cancer Control Leadership Forum Survey Cancer Control Leadership Forum Survey.pdf	Form
Attach 2_CCLF Invitation.pdf Attachment 2 CCLF Invitation	IC Document
Fast Track CCLF Request-3-14-14.docx Fast Track CCLF Request	IC Document

IC Title:

Sub-study #38_Cancer Control Leadership Forum CCLF

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	1	Cancer Control Leadership Forum Survey	Cancer Control Leadership Forum Survey.pdf		No	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84

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	84	0	0	0	0	0
Annual IC Time Burden (Hours)	14	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
Attachment 2 CCLF Invitation	Attach 2_CCLF Invitation.pdf	03/24/2014
Fast Track CCLF Request	Fast Track CCLF Request-3-14-14.docx	03/24/2014

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