Cohort Consortium Data Pooling Questionnaire (NCI)

Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Cohort Consortium Data Pooling Questionnaire (NCI) Form
Form 1 Cohort Consortium Data Pooling Questionnaire (NCI) Form
1 Cohort questionnaire Instrument - Cohort Consortium Questionnaire 11.2.2021.docx Form
1 Cohort questionnaire Instrument - Cohort Consortium Questionnaire 11.2.2021.docx Form
Sub-Study - Cohort Consortium Questionnaire 11.2.2021.docx sub-study for Cohort Consortium Data Pool IC Document
Sub-Study - Cohort Consortium Questionnaire 11.2.2021.docx sub-study for Cohort Consortium Data Pool IC Document
Invitation - Cohort Consortium Questionnaire 11.2.2021.docx email invite IC Document
Invitation - Cohort Consortium Questionnaire 11.2.2021.docx email invite IC Document

Information Collection (IC) Details

IC Title:	Cohort Consortium Data Pooling Questionnaire (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	Cohort questionnaire	Instrument - Cohort Consortium Questionnaire 11.2.2021.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 744	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	744	744
Annual IC Time Burden (Hours)	124	124
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study for Cohort Consortium Data Pool	Sub-Study - Cohort Consortium Questionnaire 11.2.2021.docx	11/04/2021
email invite	Invitation - Cohort Consortium Questionnaire 11.2.2021.docx	11/04/2021

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