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

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material.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 Telehealth and Cancer: Studying its Role in Clinical Research and Cancer Workshop (NCI) Form
1 Registration Telehealth Registration Form_v2.pdf Form
1 Registration Telehealth Registration Form_v2.pdf Form
Telehealth and Cancer Draft Promo Email.docx email IC Document
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
Sub-Study - Telehealth and Cancer Registration_v2.docx sub-study for Telehealth and Cancer registration IC Document

Information Collection (IC) Details

IC Title:	Telehealth and Cancer: Studying its Role in Clinical Research and Cancer Workshop (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	Telehealth Registration Form_v2.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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
email	Telehealth and Cancer Draft Promo Email.docx	10/28/2021
sub-study for Telehealth and Cancer registration	Sub-Study - Telehealth and Cancer Registration_v2.docx	10/28/2021

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