Information Collection

Community Engagement Program Evaluation in Epidemiology and Genomics Research Program (EGRP) Cohorts (NCI)

IC 281681 under ICR 202308-0925-001 · OMB 0925-0778.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0778 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey Community Engagement Program Evaluation in Epidemiology and Genomics Research Program (EGRP) Cohorts (NCI)	Form
1 Survey Survey Community Engagement in EGRP Cohorts 2026-08-13.docx	Form
Template-0778 Community Engage EGRP Cohort.docx Template	IC Document
Email Invite-0778 Community Engage EGRP Cohorts.docx Email Correspondence	IC Document

IC Title:

Community Engagement Program Evaluation in Epidemiology and Genomics Research Program (EGRP) Cohorts (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: 67 FR 60742

Number of Respondents: 20

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	20	20
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		07/28/2026
Email Correspondence		07/28/2026

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].