Information Collection

Survey of the Training Landscape for Cancer Epidemiology

IC 213642 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 Survey of the Training Landscape for Cancer Epidemiology Form
1 Informed Consent Training Attachment 4 Survey Consent Form.docx Form
2 Telephone Interview Guide Training Attachment 1 Interview guide 10 27 2014.docx Form and Instruction
Mini SSA 10.23.14.docx Mini SSA Training Landscape IC Document
Mini SSB 10.23.2014.docx Mini SSB Training Landscape IC Document
Training Attachment 2_Contact Roster.doc Contact Roster IC Document
TrainingAttachment 3_ Email IntroLetter.docx Invitation Email IC Document
Training Attachment 5_Follow-Up Email.docx Follow-up Email IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of the Training Landscape for Cancer Epidemiology	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	Informed Consent	Training Attachment 4 Survey Consent Form.docx		No		Paper Only
Form and Instruction	2	Telephone Interview Guide	Training Attachment 1 Interview guide 10 27 2014.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	31	31
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini SSA Training Landscape	Mini SSA 10.23.14.docx	10/27/2014
Mini SSB Training Landscape	Mini SSB 10.23.2014.docx	10/27/2014
Contact Roster	Training Attachment 2_Contact Roster.doc	10/27/2014
Invitation Email	TrainingAttachment 3_ Email IntroLetter.docx	10/27/2014
Follow-up Email	Training Attachment 5_Follow-Up Email.docx	10/27/2014

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