Information Collection

DCEG Fellows Feedback Survey 2022 (NCI)

IC 252104 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⚠️ Notice: This information collection may be referencing outdated material.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 2022 DCEG Fellows Feedback survey DCEG Fellows Feedback Survey 2022 (NCI)	Form and Instruction
1 2022 DCEG Fellows Feedback survey DCEG Fellows Survey 2022 - Google Forms - 3.10.2022.pdf	Form and Instruction
Fast Track Request - DCEG Fellows Survey 2022 - V3.docx fast track for DCEG Fellows 2022 Feedback survey	IC Document
Fellows Survey Email Invitation.docx email invite	IC Document

IC Title:

DCEG Fellows Feedback Survey 2022 (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 and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for DCEG Fellows 2022 Feedback survey		03/10/2022
email invite		03/10/2022

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

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