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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 ModeratorGuide Summer Training Strategies Focus Group	Form and Instruction	New	Available
Form 1 DCCPS Webinar Survey	Form and Instruction	New	Available
Form 1 FOA Webinar survey	Form and Instruction	New	Available
Form 1 Implementation Science Webinar survey	Form and Instruction	New	Available
Form 1 Speaking About Science Workshop Participant Feedback Survey	Form	New	Available
Form 2 RTIPs Wireframes - Webpage	Form and Instruction	New	Available
Form 1 RTIPs Usability Interview Guide	Form and Instruction	New	Available
Form 1 iCURE Focus group	Form and Instruction	New	Available
Form 1 2020 Trans-NCI-NIH Conference Survey	Form and Instruction	New	Available
Form 2 iCURE Scholars survey	Form	New	Available
Form 1 iCURE Mentors survey	Form	New	Available
Form 1 2020 DCEG COS Survey	Form and Instruction	New	Available
Form 1 NCI Awards Survey	Form and Instruction	New	Available
Form 1 2019 NCORP Annual Meeting Assessment	Form and Instruction	New	Available
Form 1 Biorespository survey	Form and Instruction	New	Available
Form 1 Interview Guide	Form and Instruction	New	Available
Form 1 Telecommunication survey	Form	New	Available
Form 1 Aging Survey	Form	New	Available
Form 1 Wellness Survey Questionns	Form	Unchanged	Available
Form 2 listening session guiding questions	Form and Instruction	Unchanged	Available
Form 1 Childcare study survey	Form	Unchanged	Available
Form 1 Screenshot from survey to inform Workshop discussion	Form	Unchanged	Available
Form 1 Healthcare Teams CD Survey	Form and Instruction	Unchanged	Available
Form 1 Service Now Survey	Form	Unchanged	Available
Form 1 NCIat Frederick-SciLibrary Survey 2018	Form	Unchanged	Available
Form 1 CPFP Grants Workshop Evaluation	Form	Unchanged	Available
Form 1 Screenshot for Media Survey	Form	Unchanged	Available
Form 1 6.1 Special Fitness Survey	Form	Unchanged	Available
Form 1 myNCI Hallway Interview Guide	Form and Instruction	Unchanged	Available
Form 1 Speaking About Science Workshop	Form	Unchanged	Available
Form 1 Focus Group Question	Form	Unchanged	Available
Form 1 IS Survey Screenshots	Form	Unchanged	Available
Form 1 Summer Curriculum Program Follow-Up Survey	Form	Unchanged	Available
Form 1 End of Course Summer Curriculum Survey	Form	Unchanged	Available
Form 1 CPFP NCI Summer Curriculum Daily Survey	Form	Unchanged	Available
Form 1 FRM Fellow Survey Form	Form	Unchanged	Available
Form 1 2018 NCORP Annual Meeting Planning Survey	Form	Unchanged	Available
Form 1 HINTS survey	Form	Unchanged	Available
Form 1 EGRP SeqSPACE Webinar Survey	Form	Unchanged	Available
Form 1 DCU Survey Screenshots	Form	Unchanged	Available
Form 2 CPF Survey 2018 Senior Fellows	Form and Instruction	Unchanged	Available
Form 1 CPF Survey 2018 First Year Fellows	Form and Instruction	Unchanged	Available
Form 1 EXPOSE Alumni Survey	Form	Unchanged	Available
Form 1 EXPOSE POST SURVEY	Form and Instruction	Unchanged	Available
Form 1 EXPOSE PRE-SURVEY	Form and Instruction	Unchanged	Available
Form 1 ASA24 User Survey	Form	Unchanged	Available
Form 1 SeqSPACE survey question screenshots	Form	Unchanged	Available
Form 1 screenshots - Survey Cohort Consortium	Form and Instruction	Unchanged	Available
Form 1 Shuttle Special	Form	Unchanged	Available
Form 1 Post Production Burden	Form and Instruction	Unchanged	Available
Form 1 Video Production Survey	Form and Instruction	Unchanged	Available
Form 1 Scheduling Burden	Form and Instruction	Unchanged	Available
Form 1 EM Audio Visual Burden	Form and Instruction	Unchanged	Available
Form 1 2018 BRAIN PI meeting	Form	Unchanged	Available
Form 1 SPARC Survey Money Screenshots 2018 SPARC Symp Survey	Form and Instruction	Unchanged	Available
Form 1 Mockup Furniture Survey Card	Form and Instruction	Unchanged	Available
Form 1 2018 NCORP Annual Meeting Planning Survey	Form and Instruction	Unchanged	Available
Form 1 Lab relocation survey	Form	Unchanged	Available
Form 1 Express services survey	Form	Unchanged	Available
Form 1 Conference survey	Form	Unchanged	Available
Form 1 Fitness survey	Form	Unchanged	Available
Form 1 Small Little Job survey	Form	Unchanged	Available
Form 1 Data Collection Instrument	Form and Instruction	Unchanged	Available
Form 2 MGA Feedback Survey SITE Staff screenshots	Form	Unchanged	Available
Form 1 MGA Feedback Survey AUDIT Staff screenshots	Form	Unchanged	Available
Form 1 2nd RAS survey questions	Form	Unchanged	Available
Form 1 CBIIT Soultions Survey	Form	Unchanged	Available
Form 1 HDRP Survey	Form	Unchanged	Available
Form 1 CBIIT Survey Screenshots	Form	Unchanged	Available
Form 1 Survey	Form	Unchanged	Available
Form 1 Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback	Form	Unchanged	Available
Form 4 Content WRX Survey	Form	Unchanged	Available
Form 3 Clinical Trials Search Survey	Form	Unchanged	Available
Form 2 Exit Survey	Form	Unchanged	Available
Form 1 Page Level Surey	Form	Unchanged	Available
Form 1 Survey	Form	Unchanged	Available
Form 1 CBIIT Event Survey	Form	Unchanged	Available
Form 1 SurveyMonkey for NCORP	Form	Unchanged	Available
Form 1 Shuttle Survey	Form	Unchanged	Available
Form 1 Customer Survey	Form	Unchanged	Available
0642 ChangeRequestMemo 5.2.19.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-05-02	Available
SSA NCI Fast Track.docx	Supporting Statement A	Uploaded 2017-03-07	Available
30dayFRN2017-04254.pdf	Supplementary Document	Uploaded 2017-03-07	Available
Attachment 2.docx	Supplementary Document	Uploaded 2017-02-16	Available
Attachment 1.doc	Supplementary Document	Uploaded 2017-02-16	Available
SSB NCI Fast Track.docx	Supporting Statement B	Uploaded 2017-02-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239912	Cancer Prevention Fellowship Program (CPFP) Summer Training Strategy Focus Groups (NCI)	Form and Instruction	New	ModeratorGuide Summer Training Strategies Focus Group
239685	Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey (NCI)	Form and Instruction	New	DCCPS Webinar Survey
239680	Division of Cancer Control and Population Sciences Funding Announcement Webinar (NCI)	Form and Instruction	New	FOA Webinar survey
239676	Implementation Science Webinar Survey (NCI)	Form and Instruction	New	Implementation Science Webinar survey
239622	Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI)	Form	New	Speaking About Science Workshop Participant Feedback Survey
239616	Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)	Form and Instruction	New	RTIPs Wireframes - Webpage
239616	Research Tested Intervention Programs (RTIPs) Website Usability Testing (NCI)	Form and Instruction	New	RTIPs Usability Interview Guide
239584	Participant and Mentor Focus Groups for the Intramural Continuing Umbrella of Research Experiences (iCURE) (NCI)	Form and Instruction	New	iCURE Focus group
239569	2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Survey (NCI)	Form and Instruction	New	2020 Trans-NCI-NIH Conference Survey
239431	Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI)	Form	New	iCURE Scholars survey
239431	Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI)	Form	New	iCURE Mentors survey
239102	2020 DCEG, NCI Committee of Scientists Survey	Form and Instruction	New	2020 DCEG COS Survey
238787	2019 NCI Director's Awards Ceremony Survey	Form and Instruction	New	NCI Awards Survey
237265	2019 NCORP Annual Meeting Pre-Meeting Assessment and Feedback (NCI)	Form and Instruction	New	2019 NCORP Annual Meeting Assessment
236147	DCCPS Biorepository Information Gathering Survey (NCI)	Form and Instruction	New	Biorespository survey
236104	Summarizing ExperieNces with Site Enrollment in NCORP Cancer Care Delivery Research Studies (SENSE) (NCI)	Form and Instruction	New	Interview Guide
236052	Telecommunication Customer Satisfaction Survey	Form	New	Telecommunication survey
236051	July 2018 Cancer and Accelerated Aging Think Tank Survey	Form	New	Aging Survey
235381	Information Gathering for Employee Wellness Program Needs (NCI)	Form	Unchanged	Wellness Survey Questionns
234752	Child Care Needs Survey (NCI)	Form and Instruction	Unchanged	listening session guiding questions
234752	Child Care Needs Survey (NCI)	Form	Unchanged	Childcare study survey
234735	Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research	Form	Unchanged	Screenshot from survey to inform Workshop discussion
234680	Healthcare Teams Cyber Discussion Feedback Survey (NCI)	Form and Instruction	Unchanged	Healthcare Teams CD Survey
234408	CBIIT Service Now Customer Satisfaction Survey (NCI)	Form	Unchanged	Service Now Survey
234354	Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI)	Form	Unchanged	NCIat Frederick-SciLibrary Survey 2018
234180	Grants and Grantsmanship Workshop Survey	Form	Unchanged	CPFP Grants Workshop Evaluation
234177	Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract	Form	Unchanged	Screenshot for Media Survey
234118	Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI)	Form	Unchanged	6.1 Special Fitness Survey
234093	Hallway Interviews about myNCI with NCI staff (NCI)	Form and Instruction	Unchanged	myNCI Hallway Interview Guide
233462	Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI)	Form	Unchanged	Speaking About Science Workshop
233058	NCI CPFP Summer Curriculum Focus Group Survey	Form	Unchanged	Focus Group Question
233018	Implementation Science (IS) at a Glance (NCI)	Form	Unchanged	IS Survey Screenshots
232953	NCI CPFP Follow-Up Summer Curriculum Survey	Form	Unchanged	Summer Curriculum Program Follow-Up Survey
232927	NCI CPFP End of Course Summer Curriculum Survey	Form	Unchanged	End of Course Summer Curriculum Survey
232895	NCI CPFP Daily Summer Curriculum Survey	Form	Unchanged	CPFP NCI Summer Curriculum Daily Survey
232893	Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI)	Form	Unchanged	FRM Fellow Survey Form
232828	2018 NCORP Annual Meeting Assessment and Feedback (NCI)	Form	Unchanged	2018 NCORP Annual Meeting Planning Survey
232807	Assessment of 2018 HINTS Data Users Conference (NCI)	Form	Unchanged	HINTS survey
232684	Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI)	Form	Unchanged	EGRP SeqSPACE Webinar Survey
232300	NCI Digital Communications University (DCU) Survey	Form	Unchanged	DCU Survey Screenshots
232218	Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI)	Form and Instruction	Unchanged	CPF Survey 2018 Senior Fellows
232218	Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI)	Form and Instruction	Unchanged	CPF Survey 2018 First Year Fellows
232110	EXPOSE Alumni Survey Fast track (NCI)	Form	Unchanged	EXPOSE Alumni Survey
232107	NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey	Form and Instruction	Unchanged	EXPOSE POST SURVEY
232107	NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey	Form and Instruction	Unchanged	EXPOSE PRE-SURVEY
231817	ASA24 Customer Satisfaction Survey (NCI)	Form	Unchanged	ASA24 User Survey
231794	Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey	Form	Unchanged	SeqSPACE survey question screenshots
231476	Pre-meeting Survey for the NCI Cohort Consortium	Form and Instruction	Unchanged	screenshots - Survey Cohort Consortium
231320	NCI OFSM Shuttle Special Service	Form	Unchanged	Shuttle Special
231134	NIH Events Management – Post Production Survey	Form and Instruction	Unchanged	Post Production Burden
231125	NIH Events Management – Video Production Survey	Form and Instruction	Unchanged	Video Production Survey
231124	NIH Events Management – Scheduling Services Survey	Form and Instruction	Unchanged	Scheduling Burden
231123	NIH Events Management – Audio Visual Survey	Form and Instruction	Unchanged	EM Audio Visual Burden
231107	2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey	Form	Unchanged	2018 BRAIN PI meeting
231106	Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting	Form and Instruction	Unchanged	SPARC Survey Money Screenshots 2018 SPARC Symp Survey
230939	Rockledge 1 and 2 Furniture Mockup Feedback	Form and Instruction	Unchanged	Mockup Furniture Survey Card
230862	2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback	Form and Instruction	Unchanged	2018 NCORP Annual Meeting Planning Survey
230790	NCI OSFM Relocation Survey - Lab	Form	Unchanged	Lab relocation survey
230789	NCI OSFM Express Services Survey	Form	Unchanged	Express services survey
230788	NCI OSFM Conference Room Services Survey	Form	Unchanged	Conference survey
230785	NCI OSFM Fitness Center Survey	Form	Unchanged	Fitness survey
230782	NCI OSFM Small Little Job (SLJ) Survey	Form	Unchanged	Small Little Job survey
230775	NCI OSFM Relocation Survey- Office	Form and Instruction	Unchanged	Data Collection Instrument
230057	CTSU Multi-Group Audit (MGA) Feedback Surveys	Form	Unchanged	MGA Feedback Survey SITE Staff screenshots
230057	CTSU Multi-Group Audit (MGA) Feedback Surveys	Form	Unchanged	MGA Feedback Survey AUDIT Staff screenshots
229810	2nd RAS Initiative Symposium Feedback Survey	Form	Unchanged	2nd RAS survey questions
229239	Customer Satisfaction Surveys for CBIIT Solutions Website	Form	Unchanged	CBIIT Soultions Survey
229112	Healthcare Delivery Research Program Communications Evaluation Survey	Form	Unchanged	HDRP Survey
228803	Voice of Customer (VoC) Surveys for CBITT's Website	Form	Unchanged	CBIIT Survey Screenshots
228535	Survey of Customer Satisfaction for DCCPS Fellows	Form	Unchanged	Survey
228406	NCI Healthcare Teams Cyber Discussion Feedback Survey	Form	Unchanged	Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback
228151	voice of Customer (VoC) surveys for NCI's cancer.gov	Form	Unchanged	Content WRX Survey
228151	voice of Customer (VoC) surveys for NCI's cancer.gov	Form	Unchanged	Clinical Trials Search Survey
228151	voice of Customer (VoC) surveys for NCI's cancer.gov	Form	Unchanged	Exit Survey
228151	voice of Customer (VoC) surveys for NCI's cancer.gov	Form	Unchanged	Page Level Surey
228043	Customer Satisfaction Survey for CBIIT's Newsletter and Intranet	Form	Unchanged	Survey
228029	Customer Satisfaction Survey for CBIIT Events	Form	Unchanged	CBIIT Event Survey
227901	2017 NCORP Annual Meeting Assessment and Feedback	Form	Unchanged	SurveyMonkey for NCORP
227788	NCI OFSM Customer Satisfaction Survey	Form	Unchanged	Shuttle Survey
227333	NCEF Survey for Program Operations	Form	Unchanged	Customer Survey

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
Retrieve Notice of Action (NOA)	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.

table that charts list comparision

	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

table that charts list of burden

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

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ICR Summary of Burden

table that charts list 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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