July 2018 Cancer and Accelerated Aging Think Tank Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 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

Information Collection (IC) Details

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:

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 %

	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

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.