Information Collection

NCI Stories of Discovery Customer Satisfaction Survey

IC 215844 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⚠️ Notice: This information collection may be referencing outdated material.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 NCI Stories of Discovery Customer Satisfaction Survey	Form and Instruction
1 Attachment 2 Customer Satisfaction Interview Guide Attachment 2 Customer Satisfaction Interview Guide.docx	Form and Instruction
Attachment 1 SOD Recruitment Emails.docx Attachment 1 SOD Recruitment Emails	IC Document
Sub-study_Fast-Track_Stories of Discovery 3.25.2015.docx Sub-study Fast Track Stories of Discoveries	IC Document

IC Title:

NCI Stories of Discovery 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	Attachment 2 Customer Satisfaction Interview Guide	Attachment 2 Customer Satisfaction Interview Guide.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	25	25
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 1 SOD Recruitment Emails	Attachment 1 SOD Recruitment Emails.docx	03/25/2015
Sub-study Fast Track Stories of Discoveries	Sub-study_Fast-Track_Stories of Discovery 3.25.2015.docx	03/25/2015

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