Information Collection

Multilevel Intervention Training Institute (MLTI) (NCI)

IC 239320 under ICR 202201-0925-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Multilevel Intervention Training Institute (MLTI) (NCI)	Form and Instruction
1 MLTI 2020 Website screenshot MLTI 2020 Website screenshot.pdf	Form and Instruction
1 MLTI 2020 Website screenshot MLTI 2020 Website screenshot.pdf	Form and Instruction
2020 MLTI Sub Study Request v3.docx 2020 MLTI Sub study	IC Document
2020 MLTI Sub Study Request v3.docx 2020 MLTI Sub study	IC Document
MLTI 2020 Email Promotion (2).docx email invitation	IC Document
MLTI 2020 Email Promotion (2).docx email invitation	IC Document

IC Title:

Multilevel Intervention Training Institute (MLTI) (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	MLTI 2020 Website screenshot	MLTI 2020 Website screenshot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

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	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2020 MLTI Sub study	2020 MLTI Sub Study Request v3.docx	01/16/2020
email invitation	MLTI 2020 Email Promotion (2).docx	01/16/2020

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