Information Collection

NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)

IC 219767 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⚠️ Notice: This information collection may be referencing outdated material.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 NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	Form and Instruction
1 Application Screenshot Attachment 1 Application Screenshot.pdf	Form and Instruction
2 Recommendation Letter Attachment 2 Reference Recommendation Letter Screenshot.pdf	Form and Instruction
3 Application Survey Attachment 3 Applicant Survey.doc	Form and Instruction
4 Contributor Survey Attachment 5 Contributor Survey.doc	Form and Instruction
SSA CCT 1 25 2016 (003).docx Mini SSA	IC Document
Attachment 4 Email to Applicant.doc Email to Applicant	IC Document
Attachment 6 Email to Contributor.doc Email to Contributor	IC Document

IC Title:

NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Application Screenshot	Attachment 1 Application Screenshot.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Recommendation Letter	Attachment 2 Reference Recommendation Letter Screenshot.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	Application Survey	Attachment 3 Applicant Survey.doc	Yes	Yes	Fillable Fileable
Form and Instruction	4	Contributor Survey	Attachment 5 Contributor Survey.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	251	251
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA	SSA CCT 1 25 2016 (003).docx	01/26/2016
Email to Applicant	Attachment 4 Email to Applicant.doc	01/26/2016
Email to Contributor	Attachment 6 Email to Contributor.doc	01/26/2016

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