Information Collection

NCI Community Oncology Research Program (NCORP) Request for Resource Information (RRI)

IC 259213 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Resource Request NCI Community Oncology Research Program (NCORP) Request for Resource Information (RRI)	Form and Instruction
1 Resource Request DIEG Request for Resource Information (RRI)_RevisedForOMB.pdf	Form and Instruction
Sub-Study - NCORP RRI Collection FINAL.docx Template	IC Document
NCORP DIEG RRI Email.docx Email	IC Document

IC Title:

NCI Community Oncology Research Program (NCORP) Request for Resource Information (RRI)

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 and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

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	15	15
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		03/17/2023
Email		03/17/2023

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

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