Information Collection

NCI CPFP Follow-Up Summer Curriculum Survey

IC 232953 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.