Information Collection

Implementation Science (IS) at a Glance (NCI)

IC 233018 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⚠️ Notice: This information collection may be referencing outdated material.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 Implementation Science (IS) at a Glance (NCI)	Form
1 IS Survey Screenshots IS Survey Screenshots.pdf	Form
Fast Track_IS at a Glance Survey.docx Implementation Science (IS) at a Glance (NCI)	IC Document
EmailInvitation_8-3-2018.docx Email Invitation	IC Document

IC Title:

Implementation Science (IS) at a Glance (NCI)

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	IS Survey Screenshots	IS Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Implementation Science (IS) at a Glance (NCI)	Fast Track_IS at a Glance Survey.docx	09/14/2018
Email Invitation	EmailInvitation_8-3-2018.docx	09/14/2018

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