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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.