Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN)

Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)

⚠️ Notice: This information collection may be referencing outdated material.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 Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN) Form and Instruction
1 PI Survey (ETCTN) Attach 1_ETCTN PI Survey 1-12-15_FINAL.docx Form and Instruction
2 Research Staff Survey (ETCTN) Attach 2_ETCTN Res Staff Survey 1-12-15_FINAL.docx Form and Instruction
ETCTN NCI miniSSA 12.23.14.docx SSA (ETCTN) IC Document
ETCTN NCI miniSSB 12.23.14.docx SSB (ETCTN) IC Document
Attach 3_ETCTN Emails_12-17-14.docx Invitations and Reminder Emails (ETCTN) IC Document
Attach 4_ETCTN_OHSRP.pdf OHSRP Determination Letter (ETCTN) IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Surveys of Participants in the New National Cancer Institute's Experimental Therapeutics Clinical Trials Network (ETCTN)	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 and Instruction	1	PI Survey (ETCTN)	Attach 1_ETCTN PI Survey 1-12-15_FINAL.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	Research Staff Survey (ETCTN)	Attach 2_ETCTN Res Staff Survey 1-12-15_FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA (ETCTN)	ETCTN NCI miniSSA 12.23.14.docx	02/04/2015
SSB (ETCTN)	ETCTN NCI miniSSB 12.23.14.docx	02/04/2015
Invitations and Reminder Emails (ETCTN)	Attach 3_ETCTN Emails_12-17-14.docx	02/04/2015
OHSRP Determination Letter (ETCTN)	Attach 4_ETCTN_OHSRP.pdf	02/04/2015

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