Information Collection

Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract

IC 234177 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⚠️ Notice: This information collection may be referencing outdated material.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 Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract	Form
1 Screenshot for Media Survey 0925-0642-66 - Screenshots of Media Survey - FINAL.DOCX	Form
0925-0642-66 - Frederick FFRDC Publications Survey - FINAL (002).DOCX Frederick FFRDC Publications Survey fast track	IC Document
Email for Media Requirements Gathering.pdf Email for Media Requirement Gathering	IC Document

IC Title:

Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract

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	Screenshot for Media Survey	0925-0642-66 - Screenshots of Media Survey - FINAL.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

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	3,000	3,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Frederick FFRDC Publications Survey fast track	0925-0642-66 - Frederick FFRDC Publications Survey - FINAL (002).DOCX	11/27/2018
Email for Media Requirement Gathering	Email for Media Requirements Gathering.pdf	11/27/2018

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