Information Collection

DCCPS Fellows Symposium Submission (NCI)

IC 237087 under ICR 201910-0925-001 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 DCCPS Fellows Symposium Submission (NCI)	Form
1 screenshot for Mentor of the Year Award Screen Shots for Mentor of the Year award form 7.25.19.docx	Form
2 screenshot Registration and Abstract Submission form Screen Shots Registration and Abstract Submission Form 7.25.19.docx	Form and Instruction
Request-DCCPS Fellows Symposium 7.25.19.docx DCCPS Fellows Symposium	IC Document
Email Invites.pdf email Invites	IC Document

IC Title:

DCCPS Fellows Symposium Submission (NCI)

Agency IC Tracking Number:

IC Status: Unchanged

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	screenshot for Mentor of the Year Award	Screen Shots for Mentor of the Year award form 7.25.19.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	screenshot Registration and Abstract Submission form	Screen Shots Registration and Abstract Submission Form 7.25.19.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DCCPS Fellows Symposium	Request-DCCPS Fellows Symposium 7.25.19.docx	07/25/2019
email Invites	Email Invites.pdf	07/25/2019

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