Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI)

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⚠️ Notice: This information collection may be referencing outdated material.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 Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI) Form
1 Speaking About Science Workshop Participant Feedback Sur Speaking About Science Workshop Participant Feedback Survey.pdf Form
Fast Track Request CPFP Speaking About Science Workshop.docx Fast Track CPFP Speaking About Science Workshop IC Document
Speaking About Science Workshop Email.pdf Speaking About Science Workshop email IC Document

Information Collection (IC) Details

IC Title:	Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Feedback Survey (NCI)	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	Speaking About Science Workshop Participant Feedback Survey	Speaking About Science Workshop Participant Feedback 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: 15	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track CPFP Speaking About Science Workshop	Fast Track Request CPFP Speaking About Science Workshop.docx	01/28/2020
Speaking About Science Workshop email	Speaking About Science Workshop Email.pdf	01/28/2020

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