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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

202409-0925-003	Revision of a currently approved collection	2024-09-19
202109-0925-002 Approved with change	New collection (Request for a new OMB Control Number)	2021-09-13

OMB Details

Profile Completion

Federal Enterprise Architecture: Health - Health Care Services

Form 1

Questionnaire

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.