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

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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

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:

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 %

	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

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.