Information Collection

Feedback about SPORE Webpage Information and Instructions (NCI)

IC 236148 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⚠️ Notice: This information collection may be referencing outdated material.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 Feedback about SPORE Webpage Information and Instructions (NCI)	Form and Instruction
1 SPORE Webpage Instructions Attachment 1 - SPORE Webpage Instructions (2).docx	Form and Instruction
2 SPORE webpage survey Attachment 2 - SPORE Webpage Survey 05-17-2019.docx	Form
Mini SSA - Pilot SPORE-5-17-2019.docx Mini SSA - Pilot SPORE	IC Document
Attachment 3 - Webpage Solicitation Email.docx webpage solicitation email	IC Document

IC Title:

Feedback about SPORE Webpage Information and Instructions (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	SPORE Webpage Instructions	Attachment 1 - SPORE Webpage Instructions (2).docx		Yes	No	Fillable Printable
Form	2	SPORE webpage survey	Attachment 2 - SPORE Webpage Survey 05-17-2019.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	315	315
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA - Pilot SPORE	Mini SSA - Pilot SPORE-5-17-2019.docx	05/20/2019
webpage solicitation email	Attachment 3 - Webpage Solicitation Email.docx	05/20/2019

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