Sub-study #38_Cancer Control Leadership Forum CCLF

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⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

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:

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 %

	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

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.