Information Collection

[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector

IC 265844 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

2025-06-23 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector	Form and Instruction
Focus Group Interview Guide [NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector	Form and Instruction
Personal Interview Guide [NCCDPHP] User Feedback – U.S. Cancer Statistics Public Use Databases – Private Sector	Form and Instruction
Focus Group Interview Guide Customer Service GenIC Clearance_USCS-Public-Use-DB_private-FG_Att-2.docx	Form and Instruction
Focus Group Interview Guide Customer Service GenIC Clearance_USCS-Public-Use-DB_private-FG_Att-2.docx	Form and Instruction
Personal Interview Guide Customer Service GenIC Clearance_USCS-Public-Use-DB_private-intrvw_Att-2.docx	Form and Instruction
Personal Interview Guide Customer Service GenIC Clearance_USCS-Public-Use-DB_private-intrvw_Att-2.docx	Form and Instruction
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-FG_Att-1.docx Focus Group Email Invite	IC Document
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-FG_Att-1.docx Focus Group Email Invite	IC Document
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-intrvw_Att-1.docx Personal Interview Email Invite	IC Document
Customer Service GenIC Clearance_USCS-Public-Use-DB_private-intrvw_Att-1.docx Personal Interview Email Invite	IC Document
SSA_0920-1050_USCS_Public-Use-DB_private_final.docx SSA	IC Document
SSA_0920-1050_USCS_Public-Use-DB_private_final.docx SSA	IC Document
DCPC1050 Form_USCS_Public-Use-DB_private.docx GenIC Request Template	IC Document
DCPC1050 Form_USCS_Public-Use-DB_private.docx GenIC Request Template	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCCDPHP] User Feedback â U.S. Cancer Statistics Public Use Databases â Private Sector

Agency IC Tracking Number:

0920-1050-24DI

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 and Instruction	n/a				Yes	Yes	Fillable Fileable
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Focus Group Email Invite		03/07/2024
Personal Interview Email Invite		03/07/2024
SSA		03/07/2024
GenIC Request Template		03/07/2024

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

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