NCI CPFP Daily Summer Curriculum Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NCI CPFP Daily Summer Curriculum Survey Form
1 CPFP NCI Summer Curriculum Daily Survey CPFP NCI Summer Curriculum Daily Survey.docx Form
Fast Track_CPFP Daily Summer Curriculum Survey-REV2.docx Fast Track CPFP Daily Summer Curriculum IC Document

Information Collection (IC) Details

IC Title:	NCI CPFP Daily Summer Curriculum Survey	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	1	CPFP NCI Summer Curriculum Daily Survey	CPFP NCI Summer Curriculum Daily Survey.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,875	1,875
Annual IC Time Burden (Hours)	156	156
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track CPFP Daily Summer Curriculum	Fast Track_CPFP Daily Summer Curriculum Survey-REV2.docx	08/31/2018

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