OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Telehealth and Cancer: Studying its Role in Clinical Research and Cancer Workshop (NCI)

IC 249939 under ICR 202010-0925-003 · OMB 0925-0740.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
Registration Telehealth and Cancer: Studying its Role in Clinical Research and Cancer Workshop (NCI)		 Form
1 Registration
Telehealth Registration Form_v2.pdf 		Form
Telehealth and Cancer Draft Promo Email.docx
email		IC Document
Sub-Study - Telehealth and Cancer Registration_v2.docx
sub-study for Telehealth and Cancer registration		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
email 10/28/2021
sub-study for Telehealth and Cancer registration 10/28/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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