Information Collection

Sub-project #1 - Post-award Survey of NCI Innovative Molecular Analysis Technologies (IMAT) Grantees

IC 209642 under ICR 201312-0925-005 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3D Sub-project #1 - Post-award Survey of NCI Innovative Molecular Analysis Technologies (IMAT) Grantees	Form and Instruction
3D IMAT Web Survey Attach3D_Web survey_Sub-study#1_IMAT_9-26-2013.pdf	Form and Instruction
Attach3A_Gen IC Form_Sub-study#1_IMAT.doc Attach3A_Gen IC Form_Sub-study#1_IMAT	IC Document
Attach3B_MiniSSA_Sub-study#1_IMAT_092613.doc Attach3B_MiniSSA_Sub-study#1_IMAT_092613	IC Document
Attach3C_MiniSSB_Sub-study#1_IMAT_092613.doc Attach3C_MiniSSB_Sub-study#1_IMAT_092613	IC Document
Attach3E_Inviteemail_Sub-study#1_IMAT.docx Attach3E_Inviteemail_Sub-study#1_IMAT	IC Document

IC Title:

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	3D	IMAT Web Survey	Attach3D_Web survey_Sub-study#1_IMAT_9-26-2013.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	400	0	0	0	0	0
Annual IC Time Burden (Hours)	600	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attach3A_Gen IC Form_Sub-study#1_IMAT	Attach3A_Gen IC Form_Sub-study#1_IMAT.doc	11/20/2013
Attach3B_MiniSSA_Sub-study#1_IMAT_092613	Attach3B_MiniSSA_Sub-study#1_IMAT_092613.doc	11/20/2013
Attach3C_MiniSSB_Sub-study#1_IMAT_092613	Attach3C_MiniSSB_Sub-study#1_IMAT_092613.doc	11/20/2013
Attach3E_Inviteemail_Sub-study#1_IMAT	Attach3E_Inviteemail_Sub-study#1_IMAT.docx	11/20/2013

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