Information Collection

July 2018 Cancer and Accelerated Aging Think Tank Survey

IC 236051 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⚠️ Notice: This information collection may be referencing outdated material.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 July 2018 Cancer and Accelerated Aging Think Tank Survey	Form
1 Aging Survey Aging Survey.pdf	Form
Fast Track - Cancer and Accelerated Aging.docx Fast track Cancer and Accelerated Aging	IC Document
Email Invite (1).docx email invite	IC Document

IC Title:

July 2018 Cancer and Accelerated Aging Think Tank Survey

Agency IC Tracking Number:

IC Status: New

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	Aging Survey	Aging 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: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
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 Cancer and Accelerated Aging	Fast Track - Cancer and Accelerated Aging.docx	05/09/2019
email invite	Email Invite (1).docx	05/09/2019

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