Information Collection

Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative

IC 219843 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⚠️ Notice: This information collection may be referencing outdated material.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 Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative	Form and Instruction
1 Attachment A Funded Applicants Survey Consent Form ATTACHMENT A - Funded Applicants Survey Consent Form.docx	Form and Instruction
2 Attachment B Funded Applicants Survey Screen Shots ATTACHMENT B - Funded Applicants Survey Screen Shots.docx	Form and Instruction
3 Attachment C Unfunded Applicants Survey Consent Form ATTACHMENT C - Unfunded Applicants Survey Consent Form.docx	Form and Instruction
4 Attachment D Unfunded Applicants Survey Screenshot ATTACHMENT D - Unfunded Applicants Survey Screenshots.docx	Form and Instruction
5 Attachment F Interview/Protocol-Workshop Participants ATTACHMENT F Interview Protocol-Workshop Participants.docx	Form and Instruction
6 Attachment G Interview Protocol-Grant Reviewer ATTACHMENT G Interview Protocol- Grant Reviewer.docx	Form and Instruction
Mini SSA PQ 1.15.2016.docx Mini SSA	IC Document
ATTACHMENT E Email correspondence to Funded and Unfunded Applicants.docx Attachment E Email correspondence to Funded and Unfunded Applicants	IC Document
ATTACHMENT H Email Correspondence to Grant Reviewers and Workshop Partic....docx Attachment H Email Correspondence to Grant Reviewers and Workshop Participants	IC Document

IC Title:

Assessing Progress Toward the Goals of the National Cancer Institute's Provocative Questions Initiative

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	Attachment A Funded Applicants Survey Consent Form	ATTACHMENT A - Funded Applicants Survey Consent Form.docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	Attachment B Funded Applicants Survey Screen Shots	ATTACHMENT B - Funded Applicants Survey Screen Shots.docx	Yes	Yes	Fillable Fileable
Form and Instruction	3	Attachment C Unfunded Applicants Survey Consent Form	ATTACHMENT C - Unfunded Applicants Survey Consent Form.docx	Yes	Yes	Fillable Fileable
Form and Instruction	4	Attachment D Unfunded Applicants Survey Screenshot	ATTACHMENT D - Unfunded Applicants Survey Screenshots.docx	Yes	Yes	Fillable Fileable
Form and Instruction	5	Attachment F Interview/Protocol-Workshop Participants	ATTACHMENT F Interview Protocol-Workshop Participants.docx	Yes	Yes	Fillable Fileable
Form and Instruction	6	Attachment G Interview Protocol-Grant Reviewer	ATTACHMENT G Interview Protocol- Grant Reviewer.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,738

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	1,738	1,738
Annual IC Time Burden (Hours)	307	307
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA	Mini SSA PQ 1.15.2016.docx	01/27/2016
Attachment E Email correspondence to Funded and Unfunded Applicants	ATTACHMENT E Email correspondence to Funded and Unfunded Applicants.docx	01/27/2016
Attachment H Email Correspondence to Grant Reviewers and Workshop Participants	ATTACHMENT H Email Correspondence to Grant Reviewers and Workshop Partic....docx	01/27/2016

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