Information Collection

Enhancing Capacity for Primary Care Research in Cancer Survivorship: A Workshop for Action (NCI)

IC 264925 under ICR 202301-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey Enhancing Capacity for Primary Care Research in Cancer Survivorship: A Workshop for Action (NCI)	Form
1 Survey Post-Event Survey_PCS Workshop FINAL.pdf	Form
Sub-Study - Customer Feedback-PCS Workshop FINAL.docx Template	IC Document
Draft Post-Event Survey Email_PCS Workshop.docx Email Correspondence	IC Document

IC Title:

Enhancing Capacity for Primary Care Research in Cancer Survivorship: A Workshop for Action (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				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service

FR Citation: 83 FR 6591

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		02/05/2024
Email Correspondence		02/05/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].