Form 1 ISCC survey form

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

ISCC Survey Form_v5

Implementation Science Consortium in Cancer Survey Form (NCI)

OMB: 0925-0642

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Implementation Science Consortium in Cancer (ISCC)
Agenda Input
We need your help to make the 2020 Implementation Science Consortium in Cancer (ISCC) virtual meeting a
success. The objectives for the ISCC are:
The objectives for the ISCC are:
•
•
•

Foster communication among those engaged in implementation science projects across the cancer
continuum;
Identify and develop solutions to common theoretical, methodological or empirical challenges in
implementation science in cancer; and
Promote collaborative projects to fill implementation science gaps that would extend beyond a single
study

The planning committee has identified the following topics to work on during the virtual meeting on
September 22-23, 2020. Please let us know whether you would like to see the topic addressed on the
agenda, and for those you would like addressed on the agenda, please choose whether it is a topic you are
interested in learning about and/or interested in working collaboratively on projects related to this topic.
OMB No. 0925-0642
Expiration Date: 03/31/2023
Public reporting burden for this collection of information is estimated to average 5 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of information unless it displays a currently
valid OMB control number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch,
6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0642). Do not return the
completed form to this address.
OK
1.

Please indicate your level of interest in the following topics being included on the agenda:

Not interested

Interested to learn more
about topic

Interested in
collaborating to move
topic forward

Precision Health and Big Data

o

o

o

Economics and Costs

o

o

o

Team science

o

o

o

Rapid Cycle Design of Implementation
Studies

o

o

o

Implementation Laboratories

o

o

o

Policy and Implementation Science

o

o

o

Context and Equity in Implementation
Science

o

o

o

Community Participation in
Implementation Science

o

o

o

Technology and Health Communication
in Implementation Science

o

o

o

Learning Healthcare Systems and
Implementation Science

o

o

o

Reproducibility and replication of
implementation research

o

o

o

Implementation Science Study Designs

o

o

o

Implementation of Complex Health
Interventions Multilevel Interventions

o

o

o

Decision science

o

o

o

User-Centered Design

o

o

o

Implementation Science and Global
Health

o

o

o

Capacity Building in Implementation
Science

o

o

o

Other topic (please specify and indicate level of interest (learning vs collaborating)

2.

How would you describe your professional role?





3.

Clinician
Public Health Practitioner
Funding Agency Partner (Federal/State/Local)

What is your sex?



4.

Researcher

Female
Male

What is your race?








Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
White
Choose not to identify

DONE


File Typeapplication/pdf
AuthorSchaefer, Jennifer
File Modified2020-06-15
File Created2020-06-15

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