Telephone Reminder Script

The National Physician Survey of Precision Medicine in Cancer Treatment (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0739 can be found here:

Documents and Forms

Document Name Document Type
Form 4 Telephone Reminder Script Form and Instruction
4 Attachment D Telephone Reminder AttachD Telephone Reminder.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Telephone Reminder Script	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 and Instruction	4	Attachment D Telephone Reminder	AttachD Telephone Reminder.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	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	600	600
Annual IC Time Burden (Hours)	50	50
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.