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LiveHelp Clients
Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients (NCI)
OMB: 0925-0208
IC ID: 219415
OMB.report
HHS/NIH
OMB 0925-0208
ICR 202201-0925-001
IC 219415
( )
Documents and Forms
Document Name
Document Type
Form 2
LiveHelp Clients
Form
2 Live Help Questions
Appendix 1B Live Help Questions_2021.docx
Form
2 Live Help Questions
Appendix 1B Live Help Questions_2021.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
LiveHelp Clients
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Live Help Questions
Appendix 1B Live Help Questions_2021.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
09-25-0156, “Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service
FR Citation:
67 FR 60742
Number of Respondents:
58,501
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
58,501
0
52,265
0
0
6,236
Annual IC Time Burden (Hours)
1,950
0
1,742
0
0
208
Annual IC Cost Burden (Dollars)
0
0
0
0
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.