Information Collection

Personas and Experience Mapping Project (NCI)

IC 233704 under ICR 201605-0925-007 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Personas and Experience Mapping Project (NCI)	Form and Instruction
1 Screenshot Researcher Personas Attach2-Screener Screenshots_Researcher Personas_10-10-2018.docx	Form and Instruction
2 Interview Guide Personas Project Attach3-Interview Guide_Personas Project_10-24-2018.docx	Form and Instruction
Mini SSA Researcher Personas-10-24-2018.docx Mini SSA Researcher Personas	IC Document
Attach1-Invite Info-FINAL-10.24.18.docx Invitation	IC Document

IC Title:

Personas and Experience Mapping Project (NCI)

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 and Instruction	1	Screenshot Researcher Personas	Attach2-Screener Screenshots_Researcher Personas_10-10-2018.docx		No		Paper Only
Form and Instruction	2	Interview Guide Personas Project	Attach3-Interview Guide_Personas Project_10-24-2018.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA Researcher Personas	Mini SSA Researcher Personas-10-24-2018.docx	10/24/2018
Invitation	Attach1-Invite Info-FINAL-10.24.18.docx	10/24/2018

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