Information Collection

NCI CPFP End of Course Summer Curriculum Survey

IC 232927 under ICR 201905-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 NCI CPFP End of Course Summer Curriculum Survey	Form
1 End of Course Summer Curriculum Survey End of Course Summer Curriculum Survey.docx	Form
Fast Track Request End of Course Summer Curr.docx Fast Track Request End of Course Summer Curriculum	IC Document

IC Title:

NCI CPFP End of Course Summer Curriculum Survey

Agency IC Tracking Number:

IC Status: Unchanged

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	End of Course Summer Curriculum Survey	End of Course Summer Curriculum Survey.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Request End of Course Summer Curriculum	Fast Track Request End of Course Summer Curr.docx	09/07/2018

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