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3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI)
Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)
OMB: 0925-0740
IC ID: 238531
OMB.report
HHS/NIH
OMB 0925-0740
ICR 202002-0925-005
IC 238531
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:
2022-10-19 - No material or nonsubstantive change to a currently approved collection
2022-08-04 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 1
3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI)
Form and Instruction
1 Registration Page
Registration Page - Cancer Health Disparities (2).docx
Form and Instruction
2 Abstract Page
Abstract Page - Cancer Health Disparities.docx
Form and Instruction
Request - Cancer Health Disparities (1).docx
Request for 3rd Symposium on Cancer Health Disparities
IC Document
Email Invite - Cancer Health Disparities.docx
email invite
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI)
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Registration Page
Registration Page - Cancer Health Disparities (2).docx
Yes
Yes
Fillable Fileable
Form and Instruction
2
Abstract Page
Abstract Page - Cancer Health Disparities.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
270
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
270
0
0
0
0
270
Annual IC Time Burden (Hours)
23
0
0
0
0
23
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request for 3rd Symposium on Cancer Health Disparities
Request - Cancer Health Disparities (1).docx
11/13/2019
email invite
Email Invite - Cancer Health Disparities.docx
11/13/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.