Information Collection

NCI Cancer Research Data Commons (CRDC) Data Submission Forms

IC 260391 under ICR 202203-0925-003 · OMB 0925-0775.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0775 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey NCI Cancer Research Data Commons (CRDC) Data Submission Forms	Form
Attach 2 - Instructions - Cancer Data Service.pdf	Instruction
1 Survey Attach 1 - Data Sub Form - Cancer Data Service (CDS) _v2_April2023.docx	Form
Mini SSA - CRDC (CDS-ICDC-PDC) REVISED 5.24.2023.docx MiniSSA	IC Document
Attach 3 - Email - Cancer Data Service (CDS).docx Email communications	IC Document
Attach 4 - PIA-NIH-NCI CDS.pdf Privacy Impact Assessment	IC Document
Attach 5 - Privacy Act Memo signed.pdf Privacy Act Memo	IC Document

IC Title:

NCI Cancer Research Data Commons (CRDC) Data Submission Forms

Agency IC Tracking Number:

IC Status: New

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	1				Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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