Information Collection

Cancer Care Delivery Research Health-Related Social Needs Clinical Trials Planning Meeting (NCI)

IC 256143 under ICR 202208-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Cancer Care Delivery Research Health-Related Social Needs Clinical Trials Planning Meeting (NCI)	Form
1 Registration HRSN 2022 CTPM_Online Registration_Screenshot.pdf	Form
Sub-Study NCI CCDR HRSN 2022 CTPM.pdf sub-study for HRSN 2022	IC Document
HRSN 2022 CTPM_Invitation Letter_Screenshot.pdf email invitation	IC Document

IC Title:

Cancer Care Delivery Research Health-Related Social Needs Clinical Trials Planning Meeting (NCI)

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	Registration	HRSN 2022 CTPM_Online Registration_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: 46

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	46	46
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for HRSN 2022	Sub-Study NCI CCDR HRSN 2022 CTPM.pdf	09/26/2022
email invitation	HRSN 2022 CTPM_Invitation Letter_Screenshot.pdf	09/26/2022

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