NCI Stories of Discovery 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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

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:

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 %

	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

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.