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Translational Advances in Cancer Prevention Agent Development Meeting Survey (NCI)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)
OMB: 0925-0642
IC ID: 241105
OMB.report
HHS/NIH
OMB 0925-0642
ICR 202002-0925-002
IC 241105
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:
2023-01-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Translational Advances in Cancer Prevention Agent Development Meeting Survey (NCI)
Form
1 Millery Survey
0925-0642-03 Millery Survey.pdf
Form
Fast Track - Translational Advances in Cancer Prevention Survey 4.1.20 (1).docx
Fast Track Translational Advances in Cancer Prevention Agent Development Survey
IC Document
AGENDA.pdf
agenda
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Translational Advances in Cancer Prevention Agent Development Meeting Survey (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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
Millery Survey
0925-0642-03 Millery Survey.pdf
Yes
Yes
Fillable Fileable
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:
300
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
300
0
300
0
0
0
Annual IC Time Burden (Hours)
75
0
75
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Translational Advances in Cancer Prevention Agent Development Survey
Fast Track - Translational Advances in Cancer Prevention Survey 4.1.20 (1).docx
04/02/2020
agenda
AGENDA.pdf
04/02/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.