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Survey to Assess Health Care Professionals' Awareness of NCI Intramural Clinical Trials
Survey of Health Care Professionals' Awareness and Perceptions of the National Cancer Institute's Intramural Clinical Trials (NCI)
OMB: 0925-0619
IC ID: 193775
OMB.report
HHS/NIH
OMB 0925-0619
ICR 201007-0925-002
IC 193775
( )
Documents and Forms
Document Name
Document Type
Form 1
Survey to Assess Health Care Professionals' Awareness of NCI Intramural Clinical Trials
Form
1 Survey for Health Care Professionals
Attachment 1 - Email Survey 2010 v2 2010.03.15.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey to Assess Health Care Professionals' Awareness of NCI Intramural Clinical Trials
Agency IC Tracking Number:
Is this a Common Form?
No
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
1
Survey for Health Care Professionals
Attachment 1 - Email Survey 2010 v2 2010.03.15.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
330
Number of Respondents for Small Entity:
330
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
330
0
330
0
0
0
Annual IC Time Burden (Hours)
28
0
28
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.