National Center for Complementary and Alternative Medicine (NCCAM) Communications Program Planning and Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0530 can be found here:

Documents and Forms

Document Name Document Type
Form 2 National Center for Complementary and Alternative Medicine (NCCAM) Communications Program Planning and Evaluation Form and Instruction
2 Self SAMPLE Self-Administered Questionnaire.doc Form and Instruction
3 Intercept SAMPLE Intercept interview.doc Form and Instruction
1 Omnibus SAMPLE Omnibus survey questions.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Center for Complementary and Alternative Medicine (NCCAM) Communications Program Planning and Evaluation	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	Self	SAMPLE Self-Administered Questionnaire.doc	Yes	Yes	Paper Only
Form and Instruction	3	Intercept	SAMPLE Intercept interview.doc	Yes	Yes	Paper Only
Form and Instruction	1	Omnibus	SAMPLE Omnibus survey questions.doc	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	2,300	0	0	0	0	0
Annual IC Time Burden (Hours)	574	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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