Information Collection

Population Health Assessment in Cancer Center Catchment Areas Closeout Grantee Meeting (NCI)

IC 237257 under ICR 202010-0925-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Population Health Assessment in Cancer Center Catchment Areas Closeout Grantee Meeting (NCI)	Form and Instruction
1 Pop Health 2020 meeting Registration Pop Health 2020 meeting Registration page 7.31.19.docx	Form and Instruction
2 Pop Health 2020 meeting Abstract submission Pop Health 2020 meeting Abstract submission page 7.31.19.docx	Form and Instruction
Pop Health 2020 meeting 7.31.19.docx Pop Health 2020 meeting	IC Document

IC Title:

Population Health Assessment in Cancer Center Catchment Areas Closeout Grantee Meeting (NCI)

Agency IC Tracking Number:

IC Status: Unchanged

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	Pop Health 2020 meeting Registration	Pop Health 2020 meeting Registration page 7.31.19.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	Pop Health 2020 meeting Abstract submission	Pop Health 2020 meeting Abstract submission page 7.31.19.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 190

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	190	190
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Pop Health 2020 meeting	Pop Health 2020 meeting 7.31.19.docx	08/05/2019

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