Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual 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⚠️ Notice: This information collection may be referencing outdated material.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) Fellows by Fellows Annual Survey (NCI) Form and Instruction
1 CPF Survey 2018 First Year Fellows first year survey.pdf Form and Instruction
2 CPF Survey 2018 Senior Fellows senior year survey.pdf Form and Instruction
OMB Clearance_Fast Track.docx CPFP Fellows by Fellows Annual Survey fast track IC Document
Contact Email Wording - Annual Survey.docx Contact Email Wording - Annual Survey IC Document

Information Collection (IC) Details

IC Title:	Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI)	Agency IC Tracking Number:

IC Status: Unchanged

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 and Instruction	1	CPF Survey 2018 First Year Fellows	first year survey.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	CPF Survey 2018 Senior Fellows	senior year survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CPFP Fellows by Fellows Annual Survey fast track	OMB Clearance_Fast Track.docx	07/16/2018
Contact Email Wording - Annual Survey	Contact Email Wording - Annual Survey.docx	07/16/2018

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