OMB control number
NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer
OMB 0925-0639 · HHS/NIH.
OMB 0925-0639
This is a reinstatement without change request for OMB clearance for three years. The NCI’s Office of Communications and Public Liaison has created the NCI Cancer Genetics Services Directory on NCI’s website Cancer.gov. This directory is a searchable collection of information about professionals who provide services related to cancer genetics.
The latest form for NCI Cancer Genetics Services Directory Web-Based Application and Update Mailer expires 2021-02-28 and is listed under ICR 201711-0925-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 2 Web-based Update Mailer Attachment 3 | Form and Instruction |
| Form 1 Web-based Application Form | Form and Instruction |
| 30day FRN2017-24786.pdf | Supplementary Document |
 SSA Cancer Genetics Directory Final.docx | Supporting Statement A |
 Attachment 5 Privacy Impact Assessment.xml | Supplementary Document |
| Attachment 4 Privacy Act Memo.pdf | Supplementary Document |
| Attachment 2 Inclusion Criteria.docx | Supplementary Document |
 Web-based Update Mailer Attachment 3 |
Form and Instruction |
| Web-based Application Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201711-0925-004 | Reinstatement without change of a previously approved collection | 2017-11-16 | Approved without change | |
| 201407-0925-007 | Revision of a currently approved collection | 2014-08-19 | Approved with change | |
| 201106-0925-003 | Existing collection in use without an OMB Control Number | 2011-06-15 | Approved without change |
OMB Details
Web-based Application Form
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 1 | Genetic Web-based Application | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.