Information Collection

NCI's Center for Global Health (CGH) Survey on Cancer Therapeutic Clinical Trials in Low- and Middle-Income Countries

IC 262173 under ICR 202307-0925-004 · OMB 0925-0766.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NCI's Center for Global Health (CGH) Survey on Cancer Therapeutic Clinical Trials in Low- and Middle-Income Countries	Form
1 Survey CGH_CTCT_LMIC_Survey_-_2023 FINAL.docx	Form
CTCT LMIC Survey Invitations FINAL.docx Invitation	IC Document
OMB Sub-Study Submission - CGH Survey REVISED.docx Template	IC Document

IC Title:

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	Survey	CGH_CTCT_LMIC_Survey_-_2023 FINAL.docx		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, HHS/PHS/NIH/OD

FR Citation: 88 FR 49473

Number of Respondents: 246

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	246	246
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Invitation	CTCT LMIC Survey Invitations FINAL.docx	09/14/2023
Template	OMB Sub-Study Submission - CGH Survey REVISED.docx	09/19/2023

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