Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 EIAP Scholar Satisfaction survey	Form	New	Repair queued
Form 1 EIAP Mentor Satisfaction survey	Form	New	Repair queued
Form 2 EIAP AppReview	Form and Instruction	New	Repair queued
Form 1 EIAP Application	Form and Instruction	New	Repair queued
Form 1 ULACNet French version	Form	New	Repair queued
Form 1 ULACNet Portuguese version	Form	New	Repair queued
Form 1 ULACNet Spanish version	Form	New	Repair queued
Form 1 ULACNet English version	Form	New	Repair queued
Form 1 survey screenshot Emerging ApproachesEpi Course feedback	Form	New	Repair queued
Form 1 DCEG WSA survey	Form	New	Repair queued
Form 1 CWIG screenshots	Form	New	Repair queued
Form 1 post event feedback survey	Form	New	Repair queued
Form 1 survey screenshot	Form	New	Repair queued
Form 1 2022 NCORP Annual Post Survey	Form	New	Repair queued
Form 2 Applicant feedback survey	Form	New	Repair queued
Form 1 PI Feedback survey	Form	New	Repair queued
Form 1 Animal Models feedback survey	Form	New	Repair queued
Form 1 ASA24 Research Website feedback	Form	New	Repair queued
Form 1 EIAP 2022 SURVEY	Form	New	Repair queued
Form 1 MMR 2022 survey	Form	New	Repair queued
Form 1 TEAG SURVEY	Form	New	Repair queued
Form 1 Virtual Short Course survey on Cluster Randomized	Form	New	Repair queued
Form 1 CDISC survey	Form	New	Repair queued
Form 1 CRDC Spring meeting feedback	Form	New	Repair queued
Form 1 SeroNet Investigators Meeting Feedback	Form	New	Repair queued
Form 3 Video script 8-14 and survey Part 3	Form and Instruction	New	Repair queued
Form 2 video script 5-7 and survey Part 2	Form and Instruction	New	Repair queued
Form 1 Video script 1-4 and survey Part 1	Form and Instruction	New	Repair queued
Form 1 Cancer & Aging Poll screenshot	Form	New	Repair queued
Form 1 2022 DCEG Fellows Feedback survey	Form and Instruction	New	Repair queued
Form 1 CMSS survey	Form	New	Repair queued
Form 1 DCB New Grantee survey	Form	New	Repair queued
Form 1 Rapid Cyle Survey	Form	New	Repair queued
Form 1 I-SCORE 2022 feedback form	Form	New	Repair queued
Form 1 CHDIG survey	Form	New	Repair queued
Form 1 2021 NCORP Seminar survey	Form	New	Repair queued
Form 1 ECID survey	Form	New	Repair queued
Form 1 ASGCR screenshots	Form	New	Repair queued
Form 2 Other Site Staff DTL survey	Form	New	Repair queued
Form 1 DTL or CI survey	Form	New	Repair queued
Form 1 Connect survey	Form	New	Repair queued
Form 2 Day 2 survey	Form	New	Repair queued
Form 1 Day 1 survey	Form	New	Repair queued
Form 1 ASR Workshop feedback survey	Form	New	Repair queued
Form 1 CBIIT email feedback survey	Form and Instruction	New	Repair queued
Form 1 PACHE 2021 feedback screenshots	Form	New	Repair queued
Form 1 Training Questionnaire	Form	New	Repair queued
Form 1 2021 NCORP Meeting Feedback	Form	New	Repair queued
Form 1 EMR screenshot	Form	New	Repair queued
Form 1 Shuttle survey	Form	New	Repair queued
Form 1 PDW & MMR Feedback survey	Form and Instruction	New	Repair queued
Form 1 screenshot NCCIH website Page survey	Form	New	Repair queued
Form 3 TT Delivers	Form	New	Repair queued
Form 2 Industry Partners	Form	New	Repair queued
Form 1 Intramural Researchers	Form	New	Repair queued
Form 1 Workplace Assessment screenshots	Form	New	Repair queued
Form 1 Microbiome and Human Health workshop survey	Form	New	Repair queued
Form 1 Ped Clin CME survey	Form	New	Repair queued
Form 1 Cancer and Aging P30 survey	Form	New	Repair queued
Form 1 Confluence Use survey	Form	New	Repair queued
Form 1 HRHR survey	Form	New	Repair queued
Form 1 AMC Member survey	Form	New	Repair queued
Form 1 TACPAD Feedback survey	Form	New	Repair queued
Form 1 CRTTA survey	Form	New	Repair queued
Form 1 Fellows survey screenshot	Form	New	Repair queued
Form 1 screenshot survey	Form and Instruction	New	Repair queued
Form 1 2021 COS survey	Form	New	Repair queued
Form 1 NCI F99 and K00 Awardees survey	Form	New	Repair queued
Form 1 DCEG BIO survey	Form	New	Repair queued
Form 1 2021 ASGCR survey	Form	New	Repair queued
Form 1 CCT course feedback survey	Form	New	Repair queued
Form 1 DCEG Bioinformatics Task force survey	Form	New	Repair queued
Form 1 Survey for Cancer Health Disparities Interest Group	Form	New	Repair queued
Form 1 Cancer Health Economics Survey form	Form	New	Available
Form 1 Dietary Primer survey	Form	New	Available
Form 1 2020 DCCPS Fellows Survey	Form	New	Available
Form 1 FRM Fellows Feedback form	Form	New	Available
Form 1 CBIIT Town Hall and NCI Orientation survey	Form	New	Available
Form 1 2020 Trans NCI-NIH Conference Feedback survey	Form	New	Available
Form 5 Survey 5 Troubleshooting	Form	New	Available
Form 4 Survey 4 Remote Access & Account Management	Form	New	Available
Form 3 Survey 3 Backing up Data	Form	New	Available
Form 2 Survey 2 Software	Form	New	Available
Form 1 Survey 1 Communication and Collaboration Tools	Form	New	Available
Form 1 NCORP Meeting Feedback questions	Form	New	Available
Form 1 Cohort Consortium Webinar Survey Post-Event	Form	New	Available
Form 1 DTP Survey	Form	New	Available
Form 1 PDQ Partner survey	Form	New	Repair queued
Form 1 TAW 2020 Survey screenshots	Form and Instruction	New	Available
Form 1 CCT survey	Form	New	Available
Form 1 ServiceNow Survey	Form	New	Available
Form 1 Focus Group Guide on Barriers to CT Participation	Form and Instruction	New	Available
Form 1 ISCC survey form	Form	New	Available
Form 1 VOC survey	Form	New	Available
Form 1 CBIIT Newsletter and Intranet survey	Form	New	Available
Form 1 General DCCPS Webinar Survey form	Form	New	Available
Form 1 MMR survey	Form	New	Available
Form 1 Millery Survey	Form	New	Available
Form 2 EXPOSE pre-survey	Form	New	Available
Form 1 EXPOSE post survey	Form	New	Available
Form 1 EXPOSE Alumni Survey	Form	New	Available
published 30day FRN2020-02913.pdf	Supplementary Document	Uploaded 2020-02-13	Available
SSA Generic NCI Fast Track Extension.docx	Supporting Statement A	Uploaded 2020-02-06	Available
Attachment 2 - List of Approved Sub-studies (3).docx	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 1 - Fast Track Template (1).docx	Supplementary Document	Uploaded 2020-02-06	Available
SSB Generic NCI Fast Track Extension (2).docx	Supporting Statement B	Uploaded 2020-02-06	Available
0642 ChangeRequestMemo 5.2.19.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-05-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257941	Early Investigator Advancement Program (EIAP) Scholar and Mentor Program Satisfaction Surveys (NCI)	Form	New	EIAP Scholar Satisfaction survey
257941	Early Investigator Advancement Program (EIAP) Scholar and Mentor Program Satisfaction Surveys (NCI)	Form	New	EIAP Mentor Satisfaction survey
257863	Early Investigator Advancement Program (EIAP) Application Process Surveys (NCI)	Form and Instruction	New	EIAP AppReview
257863	Early Investigator Advancement Program (EIAP) Application Process Surveys (NCI)	Form and Instruction	New	EIAP Application
257190	ULACNet Annual Meeting Feedback Survey (NCI)	Form	New	ULACNet French version
257190	ULACNet Annual Meeting Feedback Survey (NCI)	Form	New	ULACNet Portuguese version
257190	ULACNet Annual Meeting Feedback Survey (NCI)	Form	New	ULACNet Spanish version
257190	ULACNet Annual Meeting Feedback Survey (NCI)	Form	New	ULACNet English version
256508	DCEG "Emerging Approaches for Tumor Analyses in Epidemiological Studies" workshop 2022 Feedback (NCI)	Form	New	survey screenshot Emerging ApproachesEpi Course feedback
256260	2022 DCEG Survey- Woman Scientist Advisors (WSA) (NCI)	Form	New	DCEG WSA survey
256220	Containers and Workflows Interest Group (CWIG) Webinar Series Feedback Survey (NCI)	Form	New	CWIG screenshots
256003	Post Event Challenges and Opportunities for Addressing Financial Hardship as Part of Cancer Care Delivery 2022 Feedback (HDRP) (NCI)	Form	New	post event feedback survey
256001	Post Division of Cancer Epidemiology & Genetics (DCEG) Using RStudio with Box Workshop Survey (NCI)	Form	New	survey screenshot
254813	2022 NCORP Annual Meeting Post-Event Survey (NCI)	Form	New	2022 NCORP Annual Post Survey
254377	Intramural Continuing Umbrella of Research Experiences (iCURE) Program Application Process – Applicant and PI Feedback (NCI)	Form	New	Applicant feedback survey
254377	Intramural Continuing Umbrella of Research Experiences (iCURE) Program Application Process – Applicant and PI Feedback (NCI)	Form	New	PI Feedback survey
254374	Animal Models for Cancer Interception and Precision Prevention Virtual Workshop Feedback (NCI)	Form	New	Animal Models feedback survey
254373	Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool Researcher Website Post-Launch (NCI)	Form	New	ASA24 Research Website feedback
254203	Early Investigator Advancement Program (EIAP) Specific Aims Workshop and One-on-One Meetings Survey (NCI)	Form	New	EIAP 2022 SURVEY
254128	CRCHD Mentored Mock Review – Participant Feedback (NCI)	Form	New	MMR 2022 survey
253746	Trans-NCI Extramural Awareness Group (TEAG) Forum Survey (NCI)	Form	New	TEAG SURVEY
253097	Cluster Randomized Trial Designs in Cancer Care Delivery Research Survey (NCI)	Form	New	Virtual Short Course survey on Cluster Randomized
253084	Data Terminology Content Satisfaction Survey (NCI)	Form	New	CDISC survey
252937	CRDC 2022 Spring Meeting Survey (NCI)	Form	New	CRDC Spring meeting feedback
252412	SeroNet Investigators Meeting 2022 Participant Feedback Survey (NCI)	Form	New	SeroNet Investigators Meeting Feedback
252306	Aurora User Survey (NCI)	Form and Instruction	New	Video script 8-14 and survey Part 3
252306	Aurora User Survey (NCI)	Form and Instruction	New	video script 5-7 and survey Part 2
252306	Aurora User Survey (NCI)	Form and Instruction	New	Video script 1-4 and survey Part 1
252219	Perspectives on Cancer and Aging: The Arti Hurria Memorial Webinar Series (NCI)	Form	New	Cancer & Aging Poll screenshot
252104	DCEG Fellows Feedback Survey 2022 (NCI)	Form and Instruction	New	2022 DCEG Fellows Feedback survey
251935	Cancer Moonshot Seminar Series – Participant Feedback (NCI)	Form	New	CMSS survey
251491	NCI Division of Cancer Biology (DCB) New Grantee Workshop – Customer Satisfaction Survey (NCI)	Form	New	DCB New Grantee survey
251479	Advancing Rapid Cycle Research to Improve Cancer-Related Care (NCI)	Form	New	Rapid Cyle Survey
251307	I-SCORE 2022 Feedback Survey (NCI)	Form	New	I-SCORE 2022 feedback form
251272	Fellows' Cancer Health Disparities Interest Group (CHDIG) Survey (NCI)	Form	New	CHDIG survey
250970	NCORP CCDR Seminar Series survey (NCI)	Form	New	2021 NCORP Seminar survey
250969	The Early Career Investigator Day (ECID) Participant Survey (NCI)	Form	New	ECID survey
250878	The 10th Annual Symposium on Global Cancer Research Survey (NCI)	Form	New	ASGCR screenshots
250412	CTSU Delegation of Tasks Log (DTL) Feedback Survey (NCI)	Form	New	Other Site Staff DTL survey
250412	CTSU Delegation of Tasks Log (DTL) Feedback Survey (NCI)	Form	New	DTL or CI survey
250252	Committee ON NCI-Extramural Communication Tools and Support (CONNECTS) Feedback (NCI)	Form	New	Connect survey
249938	2021 New Grantee Workshop Survey (NCI)	Form	New	Day 2 survey
249938	2021 New Grantee Workshop Survey (NCI)	Form	New	Day 1 survey
249871	Post Event Survey - Addressing Social Risks in Cancer Care Delivery Workshop (NCI)	Form	New	ASR Workshop feedback survey
249799	"Preferences for Emails from CBIIT" Survey (NCI)	Form and Instruction	New	CBIIT email feedback survey
249447	Partnerships to Advance Cancer Health Equity (PACHE) Program Meeting – Participant Feedback (NCI)	Form	New	PACHE 2021 feedback screenshots
249151	IT Training Program Assessment Questionnaire (NCI)	Form	New	Training Questionnaire
248704	NCORP Annual Meeting Feedback (NCI)	Form	New	2021 NCORP Meeting Feedback
248699	NCORP Electronic Medical Record (EMR) Survey (NCI)	Form	New	EMR screenshot
248572	NCI OSFM Customer Satisfaction Shuttle Survey (NCI)	Form	New	Shuttle survey
248466	Professional Development Workshop (PDW) and Mentored Mock Review (MMR) – Participant Feedback (NCI)	Form and Instruction	New	PDW & MMR Feedback survey
247937	Webpage Survey Questions on Select NCCIH Website Content Pages (NCCIH)	Form	New	screenshot NCCIH website Page survey
247931	NCI Technology Transfer Center Surveys (NCI)	Form	New	TT Delivers
247931	NCI Technology Transfer Center Surveys (NCI)	Form	New	Industry Partners
247931	NCI Technology Transfer Center Surveys (NCI)	Form	New	Intramural Researchers
247930	NCI Workplace Flexibilities Assessment (NCI)	Form	New	Workplace Assessment screenshots
247925	Questionnaire to assess attendee satisfaction with the NIEHS Impact of Environmental Exposures on the Microbiome and Human Health workshop (NIEHS)	Form	New	Microbiome and Human Health workshop survey
247835	Principles of Pediatric Clinical Pharmacology and Therapeutics Course – Continuing Medical Education Customer Satisfaction Questionnaire (NICHD)	Form	New	Ped Clin CME survey
247717	New Interdisciplinary Research on Cancer and Aging P30 Cancer Support Grant Supplement Awardee Meeting Survey (NCI)	Form	New	Cancer and Aging P30 survey
247716	Confluence Uses Survey (NCI)	Form	New	Confluence Use survey
247713	Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (NIH/OD)	Form	New	HRHR survey
247510	Associate Member Council of the NCI Cohort Consortium – Member Feedback (NCI)	Form	New	AMC Member survey
247221	Translational Advances in Cancer Prevention Agent Development (TACPAD) Virtual Workshop Feedback on Immunomodulatory Agents Survey (NCI)	Form	New	TACPAD Feedback survey
246251	Cancer Research Training Travel Awards (CRTTA) Program Survey (NCI/CGH)	Form	New	CRTTA survey
246249	DCEG Fellows Survey 2021 (NCI)	Form	New	Fellows survey screenshot
246150	Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool Customer Satisfaction Survey (NCI)	Form and Instruction	New	screenshot survey
246105	2021 DCEG, NCI Committee of Scientists Survey (NCI)	Form	New	2021 COS survey
245982	NCI F99/K00 Awardees Survey (NCI)	Form	New	NCI F99 and K00 Awardees survey
245755	DCEG Bioinformatics Task-Force - Support & Capacity Survey (NCI)	Form	New	DCEG BIO survey
245712	The 9th Annual Global Cancer Research Symposium Feedback Survey (NCI)	Form	New	2021 ASGCR survey
245525	Center for Cancer Training (CCT) Annual Courses and Workshops Satisfaction Survey (NCI)	Form	New	CCT course feedback survey
245505	DCEG Bioinformatics Task-Force - Support & Capacity Survey (NCI)	Form	New	DCEG Bioinformatics Task force survey
245434	Fellows' Cancer Health Disparities Interest Group (CHDIG) Survey (NCI)	Form	New	Survey for Cancer Health Disparities Interest Group
244987	Division of Cancer Control and Population Sciences (DCCPS) Future of Cancer Health Economics Research Conference Feedback (NCI)	Form	New	Cancer Health Economics Survey form
244041	2020 Dietary Primer Assessment and Feedback (NCI)	Form	New	Dietary Primer survey
243904	Division of Cancer Control and Population Sciences (DCCPS) Fellows Survey (NCI)	Form	New	2020 DCCPS Fellows Survey
243823	Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Feedback Form (NCI)	Form	New	FRM Fellows Feedback form
243575	Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)	Form	New	CBIIT Town Hall and NCI Orientation survey
243435	: 2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Feedback Survey (NCI)	Form	New	2020 Trans NCI-NIH Conference Feedback survey
243300	IT Knowledge Survey (NCI)	Form	New	Survey 5 Troubleshooting
243300	IT Knowledge Survey (NCI)	Form	New	Survey 4 Remote Access & Account Management
243300	IT Knowledge Survey (NCI)	Form	New	Survey 3 Backing up Data
243300	IT Knowledge Survey (NCI)	Form	New	Survey 2 Software
243300	IT Knowledge Survey (NCI)	Form	New	Survey 1 Communication and Collaboration Tools
242926	2020 NCI Community Oncology Research Program (NCORP) Virtual Annual Meeting Feedback (NCI)	Form	New	NCORP Meeting Feedback questions
242732	Cohort Consortium Webinar Series Survey Form (NCI)	Form	New	Cohort Consortium Webinar Survey Post-Event
242685	Drug Development Topics of Interest to NCI Developmental Therapeutics Program (NCI)	Form	New	DTP Survey
242645	Physician Data Query (PDQ) Partner Survey (NCI)	Form	New	PDQ Partner survey
242585	Technical Assistance Workshop (TAW) – Participant Feedback (NCI)	Form and Instruction	New	TAW 2020 Survey screenshots
242529	Survey to Assess NCI's Center for Cancer Training (CCT) Trainee Experience (NCI)	Form	New	CCT survey
242528	CBIIT Service Now Customer Satisfaction Surveys (NCI)	Form	New	ServiceNow Survey
242371	Focus Group Discussion on Barriers to Clinical Trial Participation (NCI)	Form and Instruction	New	Focus Group Guide on Barriers to CT Participation
242282	Implementation Science Consortium in Cancer Survey Form (NCI)	Form	New	ISCC survey form
242271	Voice of the Customer (VOC) Surveys for NCI's Cancer.gov and other NCI content (NCI)	Form	New	VOC survey
242168	Customer Satisfaction Surveys for CBIIT's Newsletter and Intranet (NCI)	Form	New	CBIIT Newsletter and Intranet survey
242080	Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey Form (NCI)	Form	New	General DCCPS Webinar Survey form
241994	Mentored Mock Review – Participant Feedback (NCI)	Form	New	MMR survey
241105	Translational Advances in Cancer Prevention Agent Development Meeting Survey (NCI)	Form	New	Millery Survey
241063	Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey (NCI)	Form	New	EXPOSE pre-survey
241063	Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey (NCI)	Form	New	EXPOSE post survey
241059	Explore On Site (EXPOSE) Alumni- Customer Satisfaction Survey (NCI)	Form	New	EXPOSE Alumni Survey

ICR Details

OMB Control No: 0925-0642	ICR Reference No: 202002-0925-002
Status: Historical Active	Previous ICR Reference No: 201905-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/20/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/19/2020
Terms of Clearance: Previous terms continue: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	05/31/2020
Responses	100,800	0	49,500
Time Burden (Hours)	28,011	0	26,751
Cost Burden (Dollars)	0	0	0

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Abstract: Department of Health and Human Services (DHHS), National Institutes of Health (NIH), National Cancer Institute (NCI), seeks to obtain OMB approval to extend the generic clearance to collect qualitative feedback on our service delivery for an additional three (3) years. This generic has provided information about the National Cancer Institute’s customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. It has also allowed feedback to contribute directly to the improvement of program management. Feedback collected under this generic clearance provides useful information but it does not yield data that can be generalized to the overall population.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 66209	12/03/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 8309	02/13/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 84

table that charts list of burden

IC Title	Form No.	Form Name
"Preferences for Emails from CBIIT" Survey (NCI)	1	CBIIT email feedback survey
2020 Dietary Primer Assessment and Feedback (NCI)	1	Dietary Primer survey
2020 NCI Community Oncology Research Program (NCORP) Virtual Annual Meeting Feedback (NCI)	1	NCORP Meeting Feedback questions
2021 DCEG, NCI Committee of Scientists Survey (NCI)	1	2021 COS survey
2021 New Grantee Workshop Survey (NCI)	2, 1	Day 1 survey ,   Day 2 survey
2022 DCEG Survey- Woman Scientist Advisors (WSA) (NCI)	1	DCEG WSA survey
2022 NCORP Annual Meeting Post-Event Survey (NCI)	1	2022 NCORP Annual Post Survey
: 2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management Feedback Survey (NCI)	1	2020 Trans NCI-NIH Conference Feedback survey
Advancing Rapid Cycle Research to Improve Cancer-Related Care (NCI)	1	Rapid Cyle Survey
Animal Models for Cancer Interception and Precision Prevention Virtual Workshop Feedback (NCI)	1	Animal Models feedback survey
Associate Member Council of the NCI Cohort Consortium – Member Feedback (NCI)	1	AMC Member survey
Aurora User Survey (NCI)	1, 2, 3	Video script 1-4 and survey Part 1 ,   video script 5-7 and survey Part 2 ,   Video script 8-14 and survey Part 3
Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool Customer Satisfaction Survey (NCI)	1	screenshot survey
Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool Researcher Website Post-Launch (NCI)	1	ASA24 Research Website feedback
CBIIT Service Now Customer Satisfaction Surveys (NCI)	1	ServiceNow Survey
CRCHD Mentored Mock Review – Participant Feedback (NCI)	1	MMR 2022 survey
CRDC 2022 Spring Meeting Survey (NCI)	1	CRDC Spring meeting feedback
CTSU Delegation of Tasks Log (DTL) Feedback Survey (NCI)	1, 2	DTL or CI survey ,   Other Site Staff DTL survey
Cancer Moonshot Seminar Series – Participant Feedback (NCI)	1	CMSS survey
Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Feedback Form (NCI)	1	FRM Fellows Feedback form
Cancer Research Training Travel Awards (CRTTA) Program Survey (NCI/CGH)	1	CRTTA survey
Center for Cancer Training (CCT) Annual Courses and Workshops Satisfaction Survey (NCI)	1	CCT course feedback survey
Cluster Randomized Trial Designs in Cancer Care Delivery Research Survey (NCI)	1	Virtual Short Course survey on Cluster Randomized
Cohort Consortium Webinar Series Survey Form (NCI)	1	Cohort Consortium Webinar Survey Post-Event
Committee ON NCI-Extramural Communication Tools and Support (CONNECTS) Feedback (NCI)	1	Connect survey
Confluence Uses Survey (NCI)	1	Confluence Use survey
Containers and Workflows Interest Group (CWIG) Webinar Series Feedback Survey (NCI)	1	CWIG screenshots
Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)	1	CBIIT Town Hall and NCI Orientation survey
Customer Satisfaction Surveys for CBIIT's Newsletter and Intranet (NCI)	1	CBIIT Newsletter and Intranet survey
DCEG "Emerging Approaches for Tumor Analyses in Epidemiological Studies" workshop 2022 Feedback (NCI)	1	survey screenshot Emerging ApproachesEpi Course feedback
DCEG Bioinformatics Task-Force - Support & Capacity Survey (NCI)	1	DCEG Bioinformatics Task force survey
DCEG Bioinformatics Task-Force - Support & Capacity Survey (NCI)	1	DCEG BIO survey
DCEG Fellows Feedback Survey 2022 (NCI)	1	2022 DCEG Fellows Feedback survey
DCEG Fellows Survey 2021 (NCI)	1	Fellows survey screenshot
Data Terminology Content Satisfaction Survey (NCI)	1	CDISC survey
Division of Cancer Control and Population Sciences (DCCPS) Fellows Survey (NCI)	1	2020 DCCPS Fellows Survey
Division of Cancer Control and Population Sciences (DCCPS) Future of Cancer Health Economics Research Conference Feedback (NCI)	1	Cancer Health Economics Survey form
Division of Cancer Control and Population Sciences (DCCPS) Webinar Survey Form (NCI)	1	General DCCPS Webinar Survey form
Drug Development Topics of Interest to NCI Developmental Therapeutics Program (NCI)	1	DTP Survey
Early Investigator Advancement Program (EIAP) Application Process Surveys (NCI)	2, 1	EIAP Application ,   EIAP AppReview
Early Investigator Advancement Program (EIAP) Scholar and Mentor Program Satisfaction Surveys (NCI)	2, 1	EIAP Mentor Satisfaction survey ,   EIAP Scholar Satisfaction survey
Early Investigator Advancement Program (EIAP) Specific Aims Workshop and One-on-One Meetings Survey (NCI)	1	EIAP 2022 SURVEY
Explore On Site (EXPOSE) Alumni- Customer Satisfaction Survey (NCI)	1	EXPOSE Alumni Survey
Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey (NCI)	1, 2	EXPOSE post survey ,   EXPOSE pre-survey
Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (NIH/OD)	1	HRHR survey
Fellows' Cancer Health Disparities Interest Group (CHDIG) Survey (NCI)	1	Survey for Cancer Health Disparities Interest Group
Fellows' Cancer Health Disparities Interest Group (CHDIG) Survey (NCI)	1	CHDIG survey
Focus Group Discussion on Barriers to Clinical Trial Participation (NCI)	1	Focus Group Guide on Barriers to CT Participation
I-SCORE 2022 Feedback Survey (NCI)	1	I-SCORE 2022 feedback form
IT Knowledge Survey (NCI)	1, 2, 3, 4, 5	Survey 1 Communication and Collaboration Tools ,   Survey 2 Software ,   Survey 3 Backing up Data ,   Survey 4 Remote Access & Account Management ,   Survey 5 Troubleshooting
IT Training Program Assessment Questionnaire (NCI)	1	Training Questionnaire
Implementation Science Consortium in Cancer Survey Form (NCI)	1	ISCC survey form
Intramural Continuing Umbrella of Research Experiences (iCURE) Program Application Process – Applicant and PI Feedback (NCI)	2, 1	PI Feedback survey ,   Applicant feedback survey
Mentored Mock Review – Participant Feedback (NCI)	1	MMR survey
NCI Division of Cancer Biology (DCB) New Grantee Workshop – Customer Satisfaction Survey (NCI)	1	DCB New Grantee survey
NCI F99/K00 Awardees Survey (NCI)	1	NCI F99 and K00 Awardees survey
NCI OSFM Customer Satisfaction Shuttle Survey (NCI)	1	Shuttle survey
NCI Technology Transfer Center Surveys (NCI)	1, 2, 3	Intramural Researchers ,   Industry Partners ,   TT Delivers
NCI Workplace Flexibilities Assessment (NCI)	1	Workplace Assessment screenshots
NCORP Annual Meeting Feedback (NCI)	1	2021 NCORP Meeting Feedback
NCORP CCDR Seminar Series survey (NCI)	1	2021 NCORP Seminar survey
NCORP Electronic Medical Record (EMR) Survey (NCI)	1	EMR screenshot
New Interdisciplinary Research on Cancer and Aging P30 Cancer Support Grant Supplement Awardee Meeting Survey (NCI)	1	Cancer and Aging P30 survey
Partnerships to Advance Cancer Health Equity (PACHE) Program Meeting – Participant Feedback (NCI)	1	PACHE 2021 feedback screenshots
Perspectives on Cancer and Aging: The Arti Hurria Memorial Webinar Series (NCI)	1	Cancer & Aging Poll screenshot
Physician Data Query (PDQ) Partner Survey (NCI)	1	PDQ Partner survey
Post Division of Cancer Epidemiology & Genetics (DCEG) Using RStudio with Box Workshop Survey (NCI)	1	survey screenshot
Post Event Challenges and Opportunities for Addressing Financial Hardship as Part of Cancer Care Delivery 2022 Feedback (HDRP) (NCI)	1	post event feedback survey
Post Event Survey - Addressing Social Risks in Cancer Care Delivery Workshop (NCI)	1	ASR Workshop feedback survey
Principles of Pediatric Clinical Pharmacology and Therapeutics Course – Continuing Medical Education Customer Satisfaction Questionnaire (NICHD)	1	Ped Clin CME survey
Professional Development Workshop (PDW) and Mentored Mock Review (MMR) – Participant Feedback (NCI)	1	PDW & MMR Feedback survey
Questionnaire to assess attendee satisfaction with the NIEHS Impact of Environmental Exposures on the Microbiome and Human Health workshop (NIEHS)	1	Microbiome and Human Health workshop survey
SeroNet Investigators Meeting 2022 Participant Feedback Survey (NCI)	1	SeroNet Investigators Meeting Feedback
Survey to Assess NCI's Center for Cancer Training (CCT) Trainee Experience (NCI)	1	CCT survey
Technical Assistance Workshop (TAW) – Participant Feedback (NCI)	1	TAW 2020 Survey screenshots
The 10th Annual Symposium on Global Cancer Research Survey (NCI)	1	ASGCR screenshots
The 9th Annual Global Cancer Research Symposium Feedback Survey (NCI)	1	2021 ASGCR survey
The Early Career Investigator Day (ECID) Participant Survey (NCI)	1	ECID survey
Trans-NCI Extramural Awareness Group (TEAG) Forum Survey (NCI)	1	TEAG SURVEY
Translational Advances in Cancer Prevention Agent Development (TACPAD) Virtual Workshop Feedback on Immunomodulatory Agents Survey (NCI)	1	TACPAD Feedback survey
Translational Advances in Cancer Prevention Agent Development Meeting Survey (NCI)	1	Millery Survey
ULACNet Annual Meeting Feedback Survey (NCI)	1, 1, 1, 1	ULACNet English version ,   ULACNet Spanish version ,   ULACNet Portuguese version ,   ULACNet French version
Voice of the Customer (VOC) Surveys for NCI's Cancer.gov and other NCI content (NCI)	1	VOC survey
Webpage Survey Questions on Select NCCIH Website Content Pages (NCCIH)	1	screenshot NCCIH website Page survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	100,800	49,500	0	51,300	0	0
Annual Time Burden (Hours)	28,011	26,751	0	1,260	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an Extension of a currently approved submission. There are no substantive changes to this submission, however the burden hours have increased by 420 hours. NCI, through various outreach meetings and discussions have increased the visibility of the PRA program. This outreach has led to an increase in requests and is projected to continue as more departments, offices, and centers become aware of the process . This is the difference of the previously approved 8,917 minus the proposed, 9,337. The total number of respondents has increased by 17,100 from 10,000 to 27,100. This increase is to account for the increased survey activities that are planned

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Annual Cost to Federal Government: $20,532

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/19/2020

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