Information Collection

Translational Advances in Cancer Prevention Agent Development Meeting Survey (NCI)

IC 241105 under ICR 202002-0925-002 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Translational Advances in Cancer Prevention Agent Development Meeting Survey (NCI)	Form
1 Millery Survey 0925-0642-03 Millery Survey.pdf	Form
Fast Track - Translational Advances in Cancer Prevention Survey 4.1.20 (1).docx Fast Track Translational Advances in Cancer Prevention Agent Development Survey	IC Document
AGENDA.pdf agenda	IC Document

IC Title:

Translational Advances in Cancer Prevention Agent Development Meeting Survey (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	Millery Survey	0925-0642-03 Millery Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Translational Advances in Cancer Prevention Agent Development Survey	Fast Track - Translational Advances in Cancer Prevention Survey 4.1.20 (1).docx	04/02/2020
agenda	AGENDA.pdf	04/02/2020

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