Information Collection

NCI Community Oncology Research Program (NCORP) Practice Survey of Site Level Attributes (NCI)

IC 240139 under ICR 201907-0925-007 · OMB 0925-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NCI Community Oncology Research Program (NCORP) Practice Survey of Site Level Attributes (NCI)	Form
1 NCORP Program Site Level Attributes Survey NCORP Program Site Level Attributes Survey 2.28.2020.docx	Form
Mini SSA - NCORP Practice Level Survey 2.28.2020.docx Sub-Study Mini SSA NCORP Site Level Attributes	IC Document

IC Title:

NCI Community Oncology Research Program (NCORP) Practice Survey of Site Level Attributes (NCI)

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	NCORP Program Site Level Attributes Survey	NCORP Program Site Level Attributes Survey 2.28.2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sub-Study Mini SSA NCORP Site Level Attributes	Mini SSA - NCORP Practice Level Survey 2.28.2020.docx	02/28/2020

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