Information Collection

I-SCORE 2023 Feedback Survey (NCI)

IC 258755 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 I-SCORE 2023 Feedback Survey (NCI)	Form
1 I-SCORE 2023 online feedback srvey I-SCORE 2023 Online Feedback Form updated 02-15-2023.docx	Form
Fast Track Sub-Study I-SCORE 2023.2.0.docx fast track for I-SCORE 2023 feedback survey	IC Document
I-SCORE Feedback Survey email v2 (1).docx email invite	IC Document

IC Title:

I-SCORE 2023 Feedback Survey (NCI)

Agency IC Tracking Number:

IC Status: Unchanged

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	I-SCORE 2023 online feedback srvey	I-SCORE 2023 Online Feedback Form updated 02-15-2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for I-SCORE 2023 feedback survey	Fast Track Sub-Study I-SCORE 2023.2.0.docx	02/24/2023
email invite	I-SCORE Feedback Survey email v2 (1).docx	02/24/2023

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