NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)

Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI) Form and Instruction
1 Application Screenshot Attachment 1 Application Screenshot.pdf Form and Instruction
2 Recommendation Letter Attachment 2 Reference Recommendation Letter Screenshot.pdf Form and Instruction
3 Application Survey Attachment 3 Applicant Survey.doc Form and Instruction
4 Contributor Survey Attachment 5 Contributor Survey.doc Form and Instruction
SSA CCT 1 25 2016 (003).docx Mini SSA IC Document
Attachment 4 Email to Applicant.doc Email to Applicant IC Document
Attachment 6 Email to Contributor.doc Email to Contributor IC Document

Information Collection (IC) Details

IC Title:	NCI's Center for Cancer Training Application Form for Graduate Student Recruitment Program (CCT NCI)	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	1	Application Screenshot	Attachment 1 Application Screenshot.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Recommendation Letter	Attachment 2 Reference Recommendation Letter Screenshot.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	Application Survey	Attachment 3 Applicant Survey.doc	Yes	Yes	Fillable Fileable
Form and Instruction	4	Contributor Survey	Attachment 5 Contributor Survey.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	251	251
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini SSA	SSA CCT 1 25 2016 (003).docx	01/26/2016
Email to Applicant	Attachment 4 Email to Applicant.doc	01/26/2016
Email to Contributor	Attachment 6 Email to Contributor.doc	01/26/2016

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