Information Collection

2020 DCEG, NCI Committee of Scientists Survey

IC 239102 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⚠️ Notice: This information collection may be referencing outdated material.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 2020 DCEG, NCI Committee of Scientists Survey	Form and Instruction
1 2020 DCEG COS Survey 2020 DCEG COS Survey.pdf	Form and Instruction
Fast Track Request - 0925-0642 - 2020 DCEG COS Survey (1).docx Fast-Track Template	IC Document
2020 COS email intro (1).docx Survey Email	IC Document

IC Title:

2020 DCEG, NCI Committee of Scientists 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	2020 DCEG COS Survey	2020 DCEG COS 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: 180

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	180	180
Annual IC Time Burden (Hours)	18	18
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 - 0925-0642 - 2020 DCEG COS Survey (1).docx	12/27/2019
Survey Email	2020 COS email intro (1).docx	12/27/2019

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