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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.