NCI CPFP Follow-Up 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⚠️ Notice: This information collection may be referencing outdated material.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 Follow-Up Summer Curriculum Survey Form
1 Summer Curriculum Program Follow-Up Survey NCI Summer Cirriculum Program Follow-Up Survey.pdf Form
Fast Track Request_CPFP Follow-up.docx Fast track template CPFP Follow-Up Summer Curriculum IC Document
Invitation email for NCI SC follow-up FINAL.docx invitation email for NCI follow-up summer curriculum IC Document

Information Collection (IC) Details

IC Title:	NCI CPFP Follow-Up 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	Summer Curriculum Program Follow-Up Survey	NCI Summer Cirriculum Program Follow-Up Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track template CPFP Follow-Up Summer Curriculum	Fast Track Request_CPFP Follow-up.docx	09/10/2018
invitation email for NCI follow-up summer curriculum	Invitation email for NCI SC follow-up FINAL.docx	09/10/2018

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