Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI)

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⚠️ Notice: This information collection may be referencing outdated material.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 Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) Form
1 Speaking About Science Workshop Speaking About Science Workshop Instrument.pdf Form
Fast Track Request for CPFP Speaking About Science.docx Fast Track Template for CPFP Speaking about Science Workshop IC Document
Invitation email for NCI Speaking About Science.docx Invitation Email IC Document

Information Collection (IC) Details

IC Title:	Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI)	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	Speaking About Science Workshop	Speaking About Science Workshop Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Template for CPFP Speaking about Science Workshop	Fast Track Request for CPFP Speaking About Science.docx	10/09/2018
Invitation Email	Invitation email for NCI Speaking About Science.docx	10/09/2018

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