Information Collection

2020 Professional Development Workshop and Mentored Mock Review (NCI)

IC 240064 under ICR 202002-0925-005 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2020 Professional Development Workshop and Mentored Mock Review (NCI)	Form
1 PDW Abstract Page PDW Abstract Page.pdf	Form
2 PDW Registration Page PDW RegistrationPage (1).pdf	Form
PDW Abstract Template Page.pdf PDW Abstradct Template Page	IC Document
PDW Call For Abstracts Page.pdf PDW Call for Abstracts Page	IC Document
PDW Invitation Email.pdf PDW Invitation Email	IC Document
Sub Study Request - PDW MMR.docx Sub-study request PDW MMR	IC Document

IC Title:

2020 Professional Development Workshop and Mentored Mock Review (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	PDW Abstract Page	PDW Abstract Page.pdf		Yes	Yes	Fillable Fileable
Form	2	PDW Registration Page	PDW RegistrationPage (1).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)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PDW Abstradct Template Page	PDW Abstract Template Page.pdf	02/24/2020
PDW Call for Abstracts Page	PDW Call For Abstracts Page.pdf	02/24/2020
PDW Invitation Email	PDW Invitation Email.pdf	02/24/2020
Sub-study request PDW MMR	Sub Study Request - PDW MMR.docx	02/24/2020

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