DCCPS Fellows Symposium Submission (NCI)

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 1 DCCPS Fellows Symposium Submission (NCI) Form and Instruction
1 Registration and Abstract Submission Form screenshot Screen Shots Registration and Abstract Submission Form (1).docx Form and Instruction
2 Mentor of the Year award form screenshot Screen Shots for Mentor of the Year award form.docx Form and Instruction
DCCPS Fellows Symposium.docx DCCPS Fellows Symposium IC Document
Email Invites.pdf email invite IC Document

Information Collection (IC) Details

IC Title:	DCCPS Fellows Symposium Submission (NCI)	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	Registration and Abstract Submission Form screenshot	Screen Shots Registration and Abstract Submission Form (1).docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	Mentor of the Year award form screenshot	Screen Shots for Mentor of the Year award form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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	50	50
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DCCPS Fellows Symposium	DCCPS Fellows Symposium.docx	05/15/2019
email invite	Email Invites.pdf	05/15/2019

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