Information Collection

Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract

IC 234177 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⚠️ Notice: This information collection may be referencing outdated material.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 Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract	Form
1 Screenshot for Media Survey 0925-0642-66 - Screenshots of Media Survey - FINAL.DOCX	Form
0925-0642-66 - Frederick FFRDC Publications Survey - FINAL (002).DOCX Frederick FFRDC Publications Survey fast track	IC Document
Email for Media Requirements Gathering.pdf Email for Media Requirement Gathering	IC Document

IC Title:

Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract

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	Screenshot for Media Survey	0925-0642-66 - Screenshots of Media Survey - FINAL.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	3,000	3,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Frederick FFRDC Publications Survey fast track	0925-0642-66 - Frederick FFRDC Publications Survey - FINAL (002).DOCX	11/27/2018
Email for Media Requirement Gathering	Email for Media Requirements Gathering.pdf	11/27/2018

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