Information Collection

Engaging Older Adults in the NCI Clinical Trials Network Registration (NCI)

IC 246270 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 Engaging Older Adults in the NCI Clinical Trials Network Registration (NCI) Form
1 Registration Registration (15).docx Form
1 Registration Registration (15).docx Form
Sub-Study - Engaging Older Adults in the NCI Clinical Trials Network Registration Final.docx Engaging Older Adults in the NCI Clinical Trials Network Registration IC Document
Sub-Study - Engaging Older Adults in the NCI Clinical Trials Network Registration Final.docx Engaging Older Adults in the NCI Clinical Trials Network Registration IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Engaging Older Adults in the NCI Clinical Trials Network Registration (NCI)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Registration	Registration (15).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Engaging Older Adults in the NCI Clinical Trials Network Registration	Sub-Study - Engaging Older Adults in the NCI Clinical Trials Network Registration Final.docx	03/16/2021

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