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Formative assessment to inform the redesign of the Research Tested Intervention Programs (RTIPS) website
Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)
OMB: 0925-0046
IC ID: 236878
OMB.report
HHS/NIH
OMB 0925-0046
ICR 201605-0925-007
IC 236878
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0046 can be found here:
2022-10-25 - Extension without change of a currently approved collection
2019-07-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Formative assessment to inform the redesign of the Research Tested Intervention Programs (RTIPS) website
Form and Instruction
1 Interview Guide
Attachment 1. Interview guide FINAL (3).docx
Form and Instruction
Mini SSA_RTIPS_formative - FINAL.docx
Mini SSA RTIPS
IC Document
Attachment 2. Consent form (1).docx
Consent Form
IC Document
Attachment 3. Email invite - FINAL (1).docx
Email Invitation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Formative assessment to inform the redesign of the Research Tested Intervention Programs (RTIPS) website
Agency IC Tracking Number:
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
1
Interview Guide
Attachment 1. Interview guide FINAL (3).docx
Yes
Yes
Paper Only
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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini SSA RTIPS
Mini SSA_RTIPS_formative - FINAL.docx
07/15/2019
Consent Form
Attachment 2. Consent form (1).docx
07/15/2019
Email Invitation
Attachment 3. Email invite - FINAL (1).docx
07/15/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.