Information Collection

2019 NCI Director's Awards Ceremony Survey

IC 238787 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⚠️ Notice: This information collection may be referencing outdated material.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 2019 NCI Director's Awards Ceremony Survey	Form and Instruction
1 NCI Awards Survey NCI Awards Survey.pdf	Form and Instruction
Fast Track Request NCI Directors Award 2019.docx Fast-Track Template	IC Document
Survey email invite .docx Email Invite	IC Document

IC Title:

2019 NCI Director's Awards Ceremony 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 and Instruction	1	NCI Awards Survey	NCI Awards 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: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast-Track Template	Fast Track Request NCI Directors Award 2019.docx	12/05/2019
Email Invite	Survey email invite .docx	12/05/2019

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