Information Collection

Implementation Science Consortium in Cancer (ISCC) Registration Form (NCI)

IC 242270 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⚠️ Notice: This information collection may be referencing outdated material.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 Implementation Science Consortium in Cancer (ISCC) Registration Form (NCI)	Form and Instruction
1 ISCC Regisgtration form ISCC Registration Form_v3.pdf	Form and Instruction
Sub-Study ISCC Registration (2).docx Sub-study ISCC Registration	IC Document
Draft ISCC Email Announcement.docx email invitation	IC Document

IC Title:

Implementation Science Consortium in Cancer (ISCC) Registration Form (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	ISCC Regisgtration form	ISCC Registration Form_v3.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	500
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
Sub-study ISCC Registration	Sub-Study ISCC Registration (2).docx	06/15/2020
email invitation	Draft ISCC Email Announcement.docx	06/15/2020

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