Information Collection

Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program

IC 211462 under ICR 201304-0925-003 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program	Form
1 Interview Guide Attachment1 - Interview Guide_1-14-2014.docx	Form
2 Consent Form Attachment3 - Consent Form_1-14-2014.docx	Form
Sub-Project_MiniSSA_MouseModels (2).docx Mini Supporting Statement A	IC Document
Sub-Project_MiniSSB_MouseModels.docx Mini Supporting Statement B	IC Document
Attachment2 - Invitation_1-14-2014.docx Email Invitation for the Stakeholder Satisfaction with the National Cancer Institute’s Mouse Models of Human Cancers Consortium	IC Document
Gen IC Form_MouseModels.doc GENERIC SUB-STUDY SUBMISSION	IC Document

IC Title:

Customer Feedback of the National Cancer Institute's Mouse Models of Human Cancers Consortium (NCI-MMHCC) Program

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	Interview Guide	Attachment1 - Interview Guide_1-14-2014.docx		No		Paper Only
Form	2	Consent Form	Attachment3 - Consent Form_1-14-2014.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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 Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	292	292
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini Supporting Statement A	Sub-Project_MiniSSA_MouseModels (2).docx	05/12/2014
Mini Supporting Statement B	Sub-Project_MiniSSB_MouseModels.docx	05/12/2014
Email Invitation for the Stakeholder Satisfaction with the National Cancer Instituteâs Mouse Models of Human Cancers Consortium (NCI-MMHCC) Services and Products	Attachment2 - Invitation_1-14-2014.docx	05/12/2014
GENERIC SUB-STUDY SUBMISSION	Gen IC Form_MouseModels.doc	05/12/2014

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