Leadership Forum 3 month Post Workshop Interview

Evaluation of Cancer Control Leadership Forums at the Center for Global Health (CGH) (NCI)

Documents and Forms

Document Name Document Type
Form 2 Leadership Forum 3 month Post Workshop Interview Form
2 3 month Post Workshop Interview 1B_LeadForum 3 month Post_10.29.14.doc Form

Information Collection (IC) Details

IC Title:	Leadership Forum 3 month Post Workshop Interview	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	2	3 month Post Workshop Interview	1B_LeadForum 3 month Post_10.29.14.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS), and Cooperative Agreement Information, HHS/NIH	FR Citation: 67 FR 60742

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	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.