Telephone Clients Customer Service

Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients

OMB: 0925-0208

IC ID: 219408

Information Collection (IC) Details

View Information Collection (IC)

Telephone Clients Customer Service
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Appendix 1A Customer Service and Demographic Questions Appendix 1A Customer Serrvice and Demographic Questions 12-11-15.docx Yes Yes Fillable Fileable

Health Health Care Services

 

65,500 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 65,500 0 65,500 0 0 0
Annual IC Time Burden (Hours) 1,092 0 1,092 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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