Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
Form 1 Cancer Prevention Fellowship Program (CPFP) Summer Training Strategy Focus Groups (NCI) Form and Instruction	New
Form 1 Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey (NCI) Form and Instruction	New
Form 1 Division of Cancer Control and Population Sciences Funding Announcement Webinar (NCI) Form and Instruction	New
Form 1 Implementation Science Webinar Survey (NCI) Form and Instruction	New
Form 1 Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI) Form	New
Form 1 Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI) Form and Instruction	New
Form 1 Participant and Mentor Focus Groups for the Intramural Continuing Umbrella of Research Experiences (iCURE) (NCI) Form and Instruction	New
Form 1 2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Survey (NCI) Form and Instruction	New
Form 1 Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI) Form	New
Form 1 2020 DCEG, NCI Committee of Scientists Survey Form and Instruction	New
Form 1 2019 NCI Director's Awards Ceremony Survey Form and Instruction	New
Form 1 2019 NCORP Annual Meeting Pre-Meeting Assessment and Feedback (NCI) Form and Instruction	New
Form 1 DCCPS Biorepository Information Gathering Survey (NCI) Form and Instruction	New
Form 1 Summarizing ExperieNces with Site Enrollment in NCORP Cancer Care Delivery Research Studies (SENSE) (NCI) Form and Instruction	New
Form 1 Telecommunication Customer Satisfaction Survey Form	New
Form 1 July 2018 Cancer and Accelerated Aging Think Tank Survey Form	New
Form 1 Information Gathering for Employee Wellness Program Needs (NCI) Form	Unchanged
Form 1 Child Care Needs Survey (NCI) Form	Unchanged
Form 1 Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research Form	Unchanged
Form 1 Healthcare Teams Cyber Discussion Feedback Survey (NCI) Form and Instruction	Unchanged
Form 1 CBIIT Service Now Customer Satisfaction Survey (NCI) Form	Unchanged
Form 1 Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI) Form	Unchanged
Form 1 Grants and Grantsmanship Workshop Survey Form	Unchanged
Form 1 Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract Form	Unchanged
Form 1 Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI) Form	Unchanged
Form 1 Hallway Interviews about myNCI with NCI staff (NCI) Form and Instruction	Unchanged
Form 1 Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) Form	Unchanged
Form 1 NCI CPFP Summer Curriculum Focus Group Survey Form	Unchanged
Form 1 Implementation Science (IS) at a Glance (NCI) Form	Unchanged
Form 1 NCI CPFP Follow-Up Summer Curriculum Survey Form	Unchanged
Form 1 NCI CPFP End of Course Summer Curriculum Survey Form	Unchanged
Form 1 NCI CPFP Daily Summer Curriculum Survey Form	Unchanged
Form 1 Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI) Form	Unchanged
Form 1 2018 NCORP Annual Meeting Assessment and Feedback (NCI) Form	Unchanged
Form 1 Assessment of 2018 HINTS Data Users Conference (NCI) Form	Unchanged
Form 1 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI) Form	Unchanged
Form 1 NCI Digital Communications University (DCU) Survey Form	Unchanged
Form 1 Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI) Form and Instruction	Unchanged
Form 1 EXPOSE Alumni Survey Fast track (NCI) Form	Unchanged
Form 1 NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey Form and Instruction	Unchanged
Form 1 ASA24 Customer Satisfaction Survey (NCI) Form	Unchanged
Form 1 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey Form	Unchanged
Form 1 Pre-meeting Survey for the NCI Cohort Consortium Form and Instruction	Unchanged
Form 1 NCI OFSM Shuttle Special Service Form	Unchanged
Form 1 NIH Events Management – Post Production Survey Form and Instruction	Unchanged
Form 1 NIH Events Management – Video Production Survey Form and Instruction	Unchanged
Form 1 NIH Events Management – Scheduling Services Survey Form and Instruction	Unchanged
Form 1 NIH Events Management – Audio Visual Survey Form and Instruction	Unchanged
Form 1 2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey Form	Unchanged
Form 1 Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting Form and Instruction	Unchanged
Form 1 Rockledge 1 and 2 Furniture Mockup Feedback Form and Instruction	Unchanged
Form 1 2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback Form and Instruction	Unchanged
Form 1 NCI OSFM Relocation Survey - Lab Form	Unchanged
Form 1 NCI OSFM Express Services Survey Form	Unchanged
Form 1 NCI OSFM Conference Room Services Survey Form	Unchanged
Form 1 NCI OSFM Fitness Center Survey Form	Unchanged
Form 1 NCI OSFM Small Little Job (SLJ) Survey Form	Unchanged
Form 1 NCI OSFM Relocation Survey- Office Form and Instruction	Unchanged
Form 2 CTSU Multi-Group Audit (MGA) Feedback Surveys Form	Unchanged
Form 1 2nd RAS Initiative Symposium Feedback Survey Form	Unchanged
Form 1 Customer Satisfaction Surveys for CBIIT Solutions Website Form	Unchanged
Form 1 Healthcare Delivery Research Program Communications Evaluation Survey Form	Unchanged
Form 1 Voice of Customer (VoC) Surveys for CBITT's Website Form	Unchanged
Form 1 Survey of Customer Satisfaction for DCCPS Fellows Form	Unchanged
Form 1 NCI Healthcare Teams Cyber Discussion Feedback Survey Form	Unchanged
Form 1 voice of Customer (VoC) surveys for NCI's cancer.gov Form	Unchanged
Form 1 Customer Satisfaction Survey for CBIIT's Newsletter and Intranet Form	Unchanged
Form 1 Customer Satisfaction Survey for CBIIT Events Form	Unchanged
Form 1 2017 NCORP Annual Meeting Assessment and Feedback Form	Unchanged
Form 1 NCI OFSM Customer Satisfaction Survey Form	Unchanged
Form 1 NCEF Survey for Program Operations Form	Unchanged
0642 ChangeRequestMemo 5.2.19.docx Justification for No Material/Nonsubstantive Change	2019-05-02
SSA NCI Fast Track.docx Supporting Statement A	2017-03-07
30dayFRN2017-04254.pdf Supplementary Document	2017-03-07
Attachment 2.docx Supplementary Document	2017-02-16
Attachment 1.doc Supplementary Document	2017-02-16
SSB NCI Fast Track.docx Supporting Statement B	2017-02-16

IC Document Collections

IC ID	Document Title	Status
239912	Cancer Prevention Fellowship Program (CPFP) Summer Training Strategy Focus Groups (NCI) Form and Instruction	New
239685	Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey (NCI) Form and Instruction	New
239680	Division of Cancer Control and Population Sciences Funding Announcement Webinar (NCI) Form and Instruction	New
239676	Implementation Science Webinar Survey (NCI) Form and Instruction	New
239622	Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI) Form	New
239616	Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI) Form and Instruction	New
239584	Participant and Mentor Focus Groups for the Intramural Continuing Umbrella of Research Experiences (iCURE) (NCI) Form and Instruction	New
239569	2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Survey (NCI) Form and Instruction	New
239431	Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI) Form	New
239102	2020 DCEG, NCI Committee of Scientists Survey Form and Instruction	New
238787	2019 NCI Director's Awards Ceremony Survey Form and Instruction	New
237265	2019 NCORP Annual Meeting Pre-Meeting Assessment and Feedback (NCI) Form and Instruction	New
236147	DCCPS Biorepository Information Gathering Survey (NCI) Form and Instruction	New
236104	Summarizing ExperieNces with Site Enrollment in NCORP Cancer Care Delivery Research Studies (SENSE) (NCI) Form and Instruction	New
236052	Telecommunication Customer Satisfaction Survey Form	New
236051	July 2018 Cancer and Accelerated Aging Think Tank Survey Form	New
235381	Information Gathering for Employee Wellness Program Needs (NCI) Form	Unchanged
234752	Child Care Needs Survey (NCI) Form	Unchanged
234735	Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research Form	Unchanged
234680	Healthcare Teams Cyber Discussion Feedback Survey (NCI) Form and Instruction	Unchanged
234408	CBIIT Service Now Customer Satisfaction Survey (NCI) Form	Unchanged
234354	Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI) Form	Unchanged
234180	Grants and Grantsmanship Workshop Survey Form	Unchanged
234177	Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract Form	Unchanged
234118	Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI) Form	Unchanged
234093	Hallway Interviews about myNCI with NCI staff (NCI) Form and Instruction	Unchanged
233462	Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) Form	Unchanged
233058	NCI CPFP Summer Curriculum Focus Group Survey Form	Unchanged
233018	Implementation Science (IS) at a Glance (NCI) Form	Unchanged
232953	NCI CPFP Follow-Up Summer Curriculum Survey Form	Unchanged
232927	NCI CPFP End of Course Summer Curriculum Survey Form	Unchanged
232895	NCI CPFP Daily Summer Curriculum Survey Form	Unchanged
232893	Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI) Form	Unchanged
232828	2018 NCORP Annual Meeting Assessment and Feedback (NCI) Form	Unchanged
232807	Assessment of 2018 HINTS Data Users Conference (NCI) Form	Unchanged
232684	Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI) Form	Unchanged
232300	NCI Digital Communications University (DCU) Survey Form	Unchanged
232218	Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI) Form and Instruction	Unchanged
232110	EXPOSE Alumni Survey Fast track (NCI) Form	Unchanged
232107	NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey Form and Instruction	Unchanged
231817	ASA24 Customer Satisfaction Survey (NCI) Form	Unchanged
231794	Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey Form	Unchanged
231476	Pre-meeting Survey for the NCI Cohort Consortium Form and Instruction	Unchanged
231320	NCI OFSM Shuttle Special Service Form	Unchanged
231134	NIH Events Management – Post Production Survey Form and Instruction	Unchanged
231125	NIH Events Management – Video Production Survey Form and Instruction	Unchanged
231124	NIH Events Management – Scheduling Services Survey Form and Instruction	Unchanged
231123	NIH Events Management – Audio Visual Survey Form and Instruction	Unchanged
231107	2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey Form	Unchanged
231106	Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting Form and Instruction	Unchanged
230939	Rockledge 1 and 2 Furniture Mockup Feedback Form and Instruction	Unchanged
230862	2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback Form and Instruction	Unchanged
230790	NCI OSFM Relocation Survey - Lab Form	Unchanged
230789	NCI OSFM Express Services Survey Form	Unchanged
230788	NCI OSFM Conference Room Services Survey Form	Unchanged
230785	NCI OSFM Fitness Center Survey Form	Unchanged
230782	NCI OSFM Small Little Job (SLJ) Survey Form	Unchanged
230775	NCI OSFM Relocation Survey- Office Form and Instruction	Unchanged
230057	CTSU Multi-Group Audit (MGA) Feedback Surveys Form	Unchanged
229810	2nd RAS Initiative Symposium Feedback Survey Form	Unchanged
229239	Customer Satisfaction Surveys for CBIIT Solutions Website Form	Unchanged
229112	Healthcare Delivery Research Program Communications Evaluation Survey Form	Unchanged
228803	Voice of Customer (VoC) Surveys for CBITT's Website Form	Unchanged
228535	Survey of Customer Satisfaction for DCCPS Fellows Form	Unchanged
228406	NCI Healthcare Teams Cyber Discussion Feedback Survey Form	Unchanged
228151	voice of Customer (VoC) surveys for NCI's cancer.gov Form	Unchanged
228043	Customer Satisfaction Survey for CBIIT's Newsletter and Intranet Form	Unchanged
228029	Customer Satisfaction Survey for CBIIT Events Form	Unchanged
227901	2017 NCORP Annual Meeting Assessment and Feedback Form	Unchanged
227788	NCI OFSM Customer Satisfaction Survey Form	Unchanged
227333	NCEF Survey for Program Operations Form	Unchanged

ICR Details

OMB Control No: 0925-0642	ICR Reference No: 201905-0925-001
Status: Historical Active	Previous ICR Reference No: 201702-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/08/2019
	Date Received in OIRA: 05/02/2019
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	05/31/2020	05/31/2020
Responses	49,500	0	49,500
Time Burden (Hours)	26,751	0	26,751
Cost Burden (Dollars)	0	0	0

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Abstract: This generic has provided information about the National Cancer Institute’s customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. It has also allowed feedback to contribute directly to the improvement of program management. Feedback collected under this generic clearance provides useful information but it does not yield data that can be generalized to the overall population.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 89954	12/13/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12616	03/06/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 71

IC Title	Form No.	Form Name
NIH Events Management – Post Production Survey	1	Post Production Burden
NCI OFSM Shuttle Special Service	1	Shuttle Special
NCI OSFM Relocation Survey- Office	1	Data Collection Instrument
CTSU Multi-Group Audit (MGA) Feedback Surveys	1, 2	MGA Feedback Survey SITE Staff screenshots ,   MGA Feedback Survey AUDIT Staff screenshots
Participant and Mentor Focus Groups for the Intramural Continuing Umbrella of Research Experiences (iCURE) (NCI)	1	iCURE Focus group
NCI CPFP Summer Curriculum Focus Group Survey	1	Focus Group Question
2018 NCORP Annual Meeting Assessment and Feedback (NCI)	1	2018 NCORP Annual Meeting Planning Survey
NCI CPFP Daily Summer Curriculum Survey	1	CPFP NCI Summer Curriculum Daily Survey
Telecommunication Customer Satisfaction Survey	1	Telecommunication survey
Hallway Interviews about myNCI with NCI staff (NCI)	1	myNCI Hallway Interview Guide
Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract	1	Screenshot for Media Survey
EXPOSE Alumni Survey Fast track (NCI)	1	EXPOSE Alumni Survey
NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey	1, 1	EXPOSE PRE-SURVEY ,   EXPOSE POST SURVEY
NCI OSFM Relocation Survey - Lab	1	Lab relocation survey
NCI OSFM Express Services Survey	1	Express services survey
Healthcare Delivery Research Program Communications Evaluation Survey	1	HDRP Survey
2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback	1	2018 NCORP Annual Meeting Planning Survey
Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI)	1, 2	CPF Survey 2018 First Year Fellows ,   CPF Survey 2018 Senior Fellows
Customer Satisfaction Survey for CBIIT's Newsletter and Intranet	1	Survey
NCI CPFP End of Course Summer Curriculum Survey	1	End of Course Summer Curriculum Survey
Assessment of 2018 HINTS Data Users Conference (NCI)	1	HINTS survey
CBIIT Service Now Customer Satisfaction Survey (NCI)	1	Service Now Survey
Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research	1	Screenshot from survey to inform Workshop discussion
Implementation Science Webinar Survey (NCI)	1	Implementation Science Webinar survey
Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI)	1	Speaking About Science Workshop Participant Feedback Survey
Voice of Customer (VoC) Surveys for CBITT's Website	1	CBIIT Survey Screenshots
NCI OSFM Conference Room Services Survey	1	Conference survey
Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI)	1	FRM Fellow Survey Form
Cancer Prevention Fellowship Program (CPFP) Summer Training Strategy Focus Groups (NCI)	1	ModeratorGuide Summer Training Strategies Focus Group
ASA24 Customer Satisfaction Survey (NCI)	1	ASA24 User Survey
NCI Digital Communications University (DCU) Survey	1	DCU Survey Screenshots
Customer Satisfaction Surveys for CBIIT Solutions Website	1	CBIIT Soultions Survey
NIH Events Management – Scheduling Services Survey	1	Scheduling Burden
Survey of Customer Satisfaction for DCCPS Fellows	1	Survey
Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI)	1, 2	iCURE Mentors survey ,   iCURE Scholars survey
Implementation Science (IS) at a Glance (NCI)	1	IS Survey Screenshots
Division of Cancer Control and Population Sciences Funding Announcement Webinar (NCI)	1	FOA Webinar survey
Pre-meeting Survey for the NCI Cohort Consortium	1	screenshots - Survey Cohort Consortium
NCI OSFM Small Little Job (SLJ) Survey	1	Small Little Job survey
NCEF Survey for Program Operations	1	Customer Survey
2nd RAS Initiative Symposium Feedback Survey	1	2nd RAS survey questions
voice of Customer (VoC) surveys for NCI's cancer.gov	1, 2, 3, 4	Page Level Surey ,   Exit Survey ,   Clinical Trials Search Survey ,   Content WRX Survey
Customer Satisfaction Survey for CBIIT Events	1	CBIIT Event Survey
NCI CPFP Follow-Up Summer Curriculum Survey	1	Summer Curriculum Program Follow-Up Survey
DCCPS Biorepository Information Gathering Survey (NCI)	1	Biorespository survey
Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI)	1	6.1 Special Fitness Survey
Grants and Grantsmanship Workshop Survey	1	CPFP Grants Workshop Evaluation
Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey (NCI)	1	DCCPS Webinar Survey
NIH Events Management – Video Production Survey	1	Video Production Survey
Child Care Needs Survey (NCI)	1, 2	Childcare study survey ,   listening session guiding questions
2019 NCORP Annual Meeting Pre-Meeting Assessment and Feedback (NCI)	1	2019 NCORP Annual Meeting Assessment
2019 NCI Director's Awards Ceremony Survey	1	NCI Awards Survey
Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)	1, 2	RTIPs Usability Interview Guide ,   RTIPs Wireframes - Webpage
Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting	1	SPARC Survey Money Screenshots 2018 SPARC Symp Survey
NCI OSFM Fitness Center Survey	1	Fitness survey
2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey	1	2018 BRAIN PI meeting
2017 NCORP Annual Meeting Assessment and Feedback	1	SurveyMonkey for NCORP
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI)	1	EGRP SeqSPACE Webinar Survey
Information Gathering for Employee Wellness Program Needs (NCI)	1	Wellness Survey Questionns
Summarizing ExperieNces with Site Enrollment in NCORP Cancer Care Delivery Research Studies (SENSE) (NCI)	1	Interview Guide
2020 DCEG, NCI Committee of Scientists Survey	1	2020 DCEG COS Survey
Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI)	1	Speaking About Science Workshop
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey	1	SeqSPACE survey question screenshots
Rockledge 1 and 2 Furniture Mockup Feedback	1	Mockup Furniture Survey Card
NIH Events Management – Audio Visual Survey	1	EM Audio Visual Burden
NCI Healthcare Teams Cyber Discussion Feedback Survey	1	Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback
NCI OFSM Customer Satisfaction Survey	1	Shuttle Survey
2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Survey (NCI)	1	2020 Trans-NCI-NIH Conference Survey
July 2018 Cancer and Accelerated Aging Think Tank Survey	1	Aging Survey
Healthcare Teams Cyber Discussion Feedback Survey (NCI)	1	Healthcare Teams CD Survey
Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI)	1	NCIat Frederick-SciLibrary Survey 2018

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	49,500	49,500	0	0	0	0
Annual Time Burden (Hours)	26,751	26,751	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision. The changes proposed in this information collection revolve around the burden. The overall burden has increased by 167 hours. This is the difference of the previously approved 8,750 minus the proposed, 8,917. The total number of respondents has increased by 10,000 from 6,500 to 16,500. This increase is to account for for the increased survey activities that are planned. The overall 3 year burden has increased by 501.

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Annual Cost to Federal Government: $300,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/02/2019

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