Information Collection

NCI Explore On Site (EXPOSE) Customer Satisfaction Survey

IC 224076 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⚠️ Notice: This information collection may be referencing outdated material.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 Explore On Site (EXPOSE) Customer Satisfaction Survey	Form
EXPOSE Alumni Survey Email Invitation.docx	Other-Email Invitation
1 Alumni Survey Questions Alumni Survey Questions 10-20-16.pdf	Form
Fast Track EXPOSE.docx NCI Explore On Site (EXPOSE) Customer Satisfaction Survey	IC Document

IC Title:

NCI Explore On Site (EXPOSE) 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	1	Alumni Survey Questions	Alumni Survey Questions 10-20-16.pdf		Yes	Yes	Fillable Fileable
Other-Email Invitation			EXPOSE Alumni Survey Email Invitation.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19

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	19	19
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCI Explore On Site (EXPOSE) Customer Satisfaction Survey	Fast Track EXPOSE.docx	10/21/2016

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