The Cognition and Medical Image Perception Think Tank Registration Form (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⚠️ Notice: This information collection may be referencing outdated material.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 The Cognition and Medical Image Perception Think Tank Registration Form (NCI) Form and Instruction
1 Cognitive Think Tank Registration Form OMB PRA_Cognitive Think Tank_052019 Registration Form.docx Form and Instruction
Request Cognitive Think Tank final.docx Request for Cognitive Think Tank IC Document
You're Invited Cognition and Medical Image Perception Think Tank - email.msg invitation IC Document

Information Collection (IC) Details

IC Title:	The Cognition and Medical Image Perception Think Tank Registration Form (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	Cognitive Think Tank Registration Form	OMB PRA_Cognitive Think Tank_052019 Registration 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: 40	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	40	40
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Cognitive Think Tank	Request Cognitive Think Tank final.docx	05/30/2019
invitation	You're Invited Cognition and Medical Image Perception Think Tank - email.msg	05/30/2019

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