Pilot Survey Introduction to Cancer Research Careers (ICRC) (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⚠️ Notice: This information collection may be referencing outdated material.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 Pilot Survey Introduction to Cancer Research Careers (ICRC) (NCI) Form and Instruction
1 ICRC Application Att1-ICRC_Application.pdf Form and Instruction
2 ICRC Pilot Survey Att2-ICRC Pilot Survey.pdf Form
3 ICRC Reference Module Att3-ICRC Reference_Module.pdf Form
Att4-ICRC Automated Emails.pdf Automated emails IC Document
miniSSA-ICRC_Revised_8-20-2018.docx Mini SSA IC Document

Information Collection (IC) Details

IC Title:	Pilot Survey Introduction to Cancer Research Careers (ICRC) (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	ICRC Application	Att1-ICRC_Application.pdf	Yes	Yes	Fillable Fileable
Form	2	ICRC Pilot Survey	Att2-ICRC Pilot Survey.pdf	Yes	Yes	Fillable Fileable
Form	3	ICRC Reference Module	Att3-ICRC Reference_Module.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Clinical Research; Student Records, HHS/PHS/NIH/OD/OE	FR Citation: 67 FR 60742

Number of Respondents: 360	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	480	480
Annual IC Time Burden (Hours)	246	246
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Automated emails	Att4-ICRC Automated Emails.pdf	08/22/2018
Mini SSA	miniSSA-ICRC_Revised_8-20-2018.docx	08/22/2018

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