Phase 2 Women's Cancer Program Summit

The Study of Center for Global Health's (CGH) Workshops (NCI)

Documents and Forms

Document Name Document Type
Form 11 Phase 2 Women's Cancer Program Summit Form and Instruction
11 Women's Cancer Program Summit (English) 4E Women’s Cancer Program Summit (English) (ss).doc Form and Instruction
12 Women's Cancer Program Summit (Spanish) 4F Women’s Cancer Program Summit (Spanish) (ss).doc Form and Instruction

Information Collection (IC) Details

IC Title:	Phase 2 Women's Cancer Program Summit	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	11	Women's Cancer Program Summit (English)	4E Women’s Cancer Program Summit (English) (ss).doc		Yes	Yes	Fillable Fileable
Form and Instruction	12	Women's Cancer Program Summit (Spanish)	4F Women’s Cancer Program Summit (Spanish) (ss).doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS) and Cooperative Agreement Information, HHS/NIH	FR Citation: 67 FR 60742

Number of Respondents: 140	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	47	47
Annual IC Cost Burden (Dollars)	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.