Information Collection

Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)

IC 245548 under ICR 202003-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Nomination form NCI Director Award Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	Form
1 Nomination form NCI Director Award Nomination Form NCI Directors Award.pdf	Form
Sub-Study Request CCT NCI Director Award.docx Sub Study request NCI Director Award	IC Document

IC Title:

Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (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				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sub Study request NCI Director Award		02/02/2021

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

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