Information Collection

2015 Cancer Center Directors Meeting Customer Satisfaction Survey

IC 215723 under ICR 201406-0925-004 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.