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CIS Telephone Customer Service Questions (Appendix 1A_REV)
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: 43626
OMB.report
HHS/NIH
OMB 0925-0208
ICR 201512-0925-003
IC 43626
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0208 can be found here:
2022-01-11 - Revision of a currently approved collection
2018-08-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
CIS Telephone Customer Service Questions (Appendix 1A_REV)
Form and Instruction
1 Telephone Customer Service Questions
Appendix 1A_REV_Telephone Questions.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CIS Telephone Customer Service Questions (Appendix 1A_REV)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
Telephone Customer Service Questions
Appendix 1A_REV_Telephone Questions.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
"Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"
FR Citation:
67 FR 60743
Number of Respondents:
67,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
0
0
0
-67,400
0
67,400
Annual IC Time Burden (Hours)
0
0
0
-1,123
0
1,123
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.