Information Collection

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

IC 214726 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.