2015 Cancer Center Directors Meeting Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 2015 Cancer Center Directors Meeting Customer Satisfaction Survey Form and Instruction
1 2015 Cancer Center Directors Survey Attachment 1 2015 Cancer Center Directors Survey.doc Form and Instruction
Attachment 2 Email Invitation.docx Attachment 2 Email Invitations IC Document
Fast Track Request 0925-0642.docx Sub-study Fast Track NCI2015 CC Directors IC Document

Information Collection (IC) Details

IC Title:	2015 Cancer Center Directors Meeting Customer Satisfaction Survey	Agency IC Tracking Number:

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
Form and Instruction	1	2015 Cancer Center Directors Survey	Attachment 1 2015 Cancer Center Directors 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: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 2 Email Invitations	Attachment 2 Email Invitation.docx	03/18/2015
Sub-study Fast Track NCI2015 CC Directors	Fast Track Request 0925-0642.docx	03/18/2015

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