Information Collection

Sub-project #2 - Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications

IC 209643 under ICR 201312-0925-005 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4C Sub-project #2 - Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications	Form and Instruction
4C DCEG Fellowship Application Attach4C_ FellowApp_Sub-study#2_DCEG.pdf	Form and Instruction
4D DCEG Student Application Attach4D_ StudentApp_Sub-study#2_DCEG.pdf	Form and Instruction
Attach4A_Gen IC Form_Sub-study #2_DCEG.doc Attach4A_Gen IC Form_Sub-study #2_DCEG	IC Document
Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13.doc Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13	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	4C	DCEG Fellowship Application	Attach4C_ FellowApp_Sub-study#2_DCEG.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	4D	DCEG Student Application	Attach4D_ StudentApp_Sub-study#2_DCEG.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,350

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	1,350	0	0	0	0	0
Annual IC Time Burden (Hours)	525	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
Attach4A_Gen IC Form_Sub-study #2_DCEG	Attach4A_Gen IC Form_Sub-study #2_DCEG.doc	11/20/2013
Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13	Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13.doc	11/20/2013

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