IDI Guide for Program Directors/Principal Investigators (Gov't Sector)

Case Studies to Explore Interventions to Support, Build, and Provide Legacy Awareness for Young Breast Cancer Survivors

Documents and Forms

Document Name Document Type
Att 10a_IDI Funded Program Directors_9.11.13.docx Other-WORD
Att 11a_IDI Nonfunded Program Directors_9.11.13.docx Other-WORD

Information Collection (IC) Details

IC Title:	IDI Guide for Program Directors/Principal Investigators (Gov't Sector)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att 10a_IDI Funded Program Directors_9.11.13.docx		No	No	Printable Only
Other-WORD			Att 11a_IDI Nonfunded Program Directors_9.11.13.docx		No	No	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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