OMB control number
Stakeholder Measures and Advocate Forms at the National Cancer Institute (NCI)
OMB 0925-0774 · HHS/NIH.
OMB 0925-0774
This is a request for OMB to approve the revised information collection Stakeholder Measures and Advocate Forms at NCI for an additional three years. This revision adds one new survey form. The Office of Advocacy Relations (OAR) disseminates cancer-related information to various stakeholders, seeks input and feedback, and facilitates collaboration to advance NCI’s authorized programs. It is beneficial for NCI, through the OAR, to recruit and manage research advocates, which includes collecting demographic information and areas of experience, skill, and interest. Since OAR is responsible for matching advocates to NCI programs and initiatives across the cancer continuum, it is also necessary to measure the satisfaction of both internal and external stakeholders with this collaboration.
The latest form for Stakeholder Measures and Advocate Forms at the National Cancer Institute (NCI) expires 2027-10-31 and is listed under ICR 202409-0925-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Survey - Requester | Form |
| Form 1 Survey - Advocate | Form |
| Form 1 Profile Completion | Form |
 Attachment 5 Privacy Act Memo.pdf | Supplementary Document |
| Attachment 4 PIA.pdf | Supplementary Document |
| NCI 30day.pdf | Supplementary Document |
| SSA OAR Stakeholder Measures 9.4.2024_FINAL.docx | Supporting Statement A |
 Survey - Requester |
Form |
| Survey - Advocate |
Form |
| Profile Completion |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202409-0925-003 | Revision of a currently approved collection | 2024-09-19 | ||
| 202109-0925-002 | New collection (Request for a new OMB Control Number) | 2021-09-13 | Approved with change |
OMB Details
Profile Completion
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 1 | Questionnaire | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.