Information Collection

NCI Cohort Consortium Steering Committee Elections

IC 219251 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⚠️ Notice: This information collection may be referencing outdated material.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 Cohort Consortium Steering Committee Elections	Form and Instruction
1 Survey Screenshot Survey Screenshot.docx	Form and Instruction
Email text to Cohort Consortium PIs to vote.doc Email text to Cohort Consortium PIs to vote	IC Document
Fast Track Request Cohort Consortium.docx Fast Track Request Cohort Consortium	IC Document

IC Title:

NCI Cohort Consortium Steering Committee Elections

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	Survey Screenshot	Survey Screenshot.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email text to Cohort Consortium PIs to vote	Email text to Cohort Consortium PIs to vote.doc	12/11/2015
Fast Track Request Cohort Consortium	Fast Track Request Cohort Consortium.docx	12/11/2015

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