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Web-based Survey to Communicate Cancer
Pretesting of NCI's Office of Communications Messages
OMB: 0925-0046
IC ID: 186833
OMB.report
HHS/NIH
OMB 0925-0046
ICR 200810-0925-002
IC 186833
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:
2022-10-25 - Extension without change of a currently approved collection
2019-07-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Form #1
Web-based Survey to Communicate Cancer
Form and Instruction
Form #1 HAN Risk Survey
OMB Han RISK Survey Rev _ 5-15-08.doc
Form and Instruction
Mini Supporting Statement Han RISK Rev _5-15-08.doc
Mini Supporting Statement for the HAN Risk Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Web-based Survey to Communicate Cancer
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form #1
HAN Risk Survey
OMB Han RISK Survey Rev _ 5-15-08.doc
Yes
Yes
Fillable Printable
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:
200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
200
0
0
0
0
0
Annual IC Time Burden (Hours)
40
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini Supporting Statement for the HAN Risk Survey
Mini Supporting Statement Han RISK Rev _5-15-08.doc
10/07/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.