Information Collection

Division of Cancer Control and Population Sciences (DCCPS) Future of Cancer Health Economics Research Conference Feedback (NCI)

IC 244987 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⚠️ Notice: This information collection may be referencing outdated material.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 Division of Cancer Control and Population Sciences (DCCPS) Future of Cancer Health Economics Research Conference Feedback (NCI)	Form
1 Cancer Health Economics Survey form Cancer Health Economics Survey Form.pdf	Form
Fast Track - Cancer Health Economics Conference Survey.docx fast track for Cancer Health Economics Conference survey	IC Document

IC Title:

Division of Cancer Control and Population Sciences (DCCPS) Future of Cancer Health Economics Research Conference Feedback (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	Cancer Health Economics Survey form	Cancer Health Economics Survey Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for Cancer Health Economics Conference survey	Fast Track - Cancer Health Economics Conference Survey.docx	12/18/2020

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